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AVOCA STREET MEDICAL CENTRE
 
130 Avoca Street Randwick NSW 2031
Tel: 02 9399 3335 - Fax: 02 9399 9778

avocastreet.com - asmc.net.au - randwickhealth.com - randwickgp.com - familydoctor.sydney

SURGERY HOURS

MON - THU8 AM - 6 PM
FRI8 AM - 3 PM
SAT9 AM - 12 PM
SUN & PUBLIC HOLIDAYSCLOSED

Sorry. We are CLOSED

Reopening 8 AM Thursday 20/12/2018

For services after hours please call 13 74 25

Business Hours During Holiday Season

24/12/20188AM 3PM
25/12/2018CHRISTMASCLOSED
26/12/2018BOXING DAYCLOSED
27/12/20188AM 3PM
28/12/20188AM 12PM
29/12/20189AM 12PM
30/12/2018SUNDAYCLOSED
31/12/20188AM 3PM
01/01/2019NEW YEAR'S DAYCLOSED
02/01/20198AM 3PM
03/01/20198AM 3PM
04/01/20198AM 12PM
05/01/20199AM 12PM

NOTICES

Dr Angela will be away
20/01/2019 - 28/01/2019
Dr Kien will be away
04/02/2019 - 10/02/2019
Dr Mandy will be away
24/12/2018 - 09/01/2019

GENERAL PRACTITIONERS

Dr. Angela Georgopoulos

Dr. Kien Cao-Xuan

Dr. Mandy Chuang

Dr. Priscilla Wong

 

General Information
 

Asthma & Weather



It seems reasonable to think that rain would relieve allergic rhinitis (hay fever) and asthma triggered by pollen by washing pollen out of the air. This is incorrect as heavy rain often makes some people get worse. Epidemics of thunderstorm asthma have been described in Melbourne, Wagga and London. Here's why.

Around 1 in 4 people with hay fever also have asthma.

Some people with severe allergic rhinitis (hay fever) think that their allergic rhinitis turns into asthma or will make them tight in the chest or wheeze. This is incorrect as pollen can trigger asthma as well as allergic rhinitis symptoms.

Grass pollen can be wind-blown for long distances.

Pasture grasses rely on the wind to distribute their pollen. A single hectare of ryegrass, for example, will release hundreds of kilograms of pollen per season. The concentration of pollen will be highest nearest its source, but high-speed winds will distribute pollen grains over long distances.

Not all allergen, however, is contained within intact pollen grains. Other allergen-carrying particles (as small as 0.1 um diameter) can carry grass and tree allergens. Unlike most intact pollen grains (generally 2-60 um diameter), these smaller particles are capable of reaching the small airways of the lung and triggering asthma attacks.

These particles may come from fragments of pollen grains, from plant sap (such as that released from grass blades when mowing the lawn) or the decay of plant material. Some of them might even be derived from the sticking of allergen to particles of atmospheric pollution.

Thunderstorms and weather changes can trigger asthma attacks

It seems reasonable to think that rain could help relieve symptoms of allergic rhinitis (hayfever) and asthma by "washing" pollen out of the air. Paradoxically, some people actually feel worse. So-called thunderstorm asthma has been described in epidemics in Melbourne, Wagga and London. An explanation has been found in recent studies on how allergen can be released into the atmosphere.

Some grass allergen (like ryegrass allergen Lol pIX) is located on the surface of starch granules within pollen grains. A single pollen grain contains up to 700 starch granules of 0.6 to 2.5 um (small enough to reach the lower airways in the lung). When it rains or is humid, pollen grains can absorb moisture and burst, releasing hundreds of small allergenic particles that can penetrate deep into the small airways of the lung.

Not everyone who gets thunderstorm asthma has had it before. They have normally had severe pollen allergic rhinitis (hay fever) and most have been found to be allergic to ryegrass. Presumably the massive load of small allergenic particles being inhaled straight into the lung trigger these attacks.

Pollen asthma can be treated effectively

Appropriate management of chronic pollen asthma (which probably has a similar mechanism to thunderstorm asthma) includes commencing anti-inflammatory (preventer) asthma medication. This can be given preventatively or with the first wheeze in Spring. Some patients undergoing immunotherapy (desensitisation) for their allergic rhinitis (hay fever) find that their seasonal asthma improves as well. So if you wheeze during Spring, see your doctor for appropriate advice.

Further information
ASCIA
ASTHMA FOUNDATIONS OF AUSTRALIA
NATIONAL ASTHMA COUNCIL

The information in the above were collected from the internet,
either from government websites or from reasonably reliable health information sources.
They are for general information only and should not replace the need of seeking medical care during illnesses.


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