Allergies are a common and sometimes serious health concern, ranging from minor spring sniffles to life-threatening anaphylactic shock. Dr. Michael Kobernick, senior medical director of Commercial Markets at Blue Cross Blue Shield of Michigan, discusses allergies with host Chuck Gaidica in a recent episode of the A Healthier Michigan Podcast.
Kobernick, who spent three decades as an emergency physician, explained allergic reactions occur when the body’s immune system develops a sensitivity to a substance — whether ingested, inhaled or touched. While some people can enjoy outdoor activities without issue, others might suffer severe reactions from bee stings, shellfish or even exposure to pollen. The severity of reactions exists on a continuum, from mild symptoms such as runny noses and itchy eyes to more severe responses like swelling, rashes and in rare cases, anaphylaxis, which can lead to loss of blood pressure and difficulty breathing.
Common allergens include grasses, dust mites, pollens, pet dander, shellfish and certain medications like penicillin. Kobernick noted allergies can develop over time, and repeated exposure increases sensitivity.
Management of allergies varies. Over-the-counter antihistamines and nasal corticosteroids can help with mild seasonal symptoms. For those with severe allergies or asthma, corticosteroids and immunotherapy — small, controlled doses of allergens to build tolerance — may be recommended by a doctor. Avoiding known triggers, using air filters and wearing masks while doing outdoor chores can also reduce exposure.
Pet allergies, especially to cats and dogs, are another common concern. While some breeds marketed as “hypoallergenic” may produce less dander, no pet is completely allergen-free. Kobernick stressed the importance of consulting with health professionals to determine the best strategies for managing pet and other allergies.
For food allergies, distinguishing between intolerance (such as a mild stomach upset) and true allergies (which involve immune reactions and histamine release) is critical. Parents are encouraged to discuss early introduction of potential allergens like peanuts with pediatricians, as emerging research suggests this could reduce the incidence of childhood allergies in some cases.
Kobernick emphasized that anyone experiencing worsening symptoms such as rashes or swelling should consult an allergist, and those with a history of severe reactions should always have an epinephrine auto-injector readily available. Regular conversations with healthcare providers and proactive management remain key to living well with allergies.
Listen to the podcast, What Are Allergies?, to hear the entire conversation. A Healthier Michigan Podcast is brought to you by Blue Cross Blue Shield of Michigan.
To hear more episodes on your smartphone or tablet, subscribe on Apple Podcast or Spotify or your favorite podcast app.
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