Sunday, September 25, 2011

Allergies to Birds and Bird Keeper's Lung

My previous blog about having your bird sleeping in the bedroom generated a lot of interest. I had several requests to explain a bit more about the different forms of "Bird Keeper's Lung" so I have taken an excerpt from an article I had written about Pet Bird Zoonoses (diseases you can get from your bird) which discussed allergies to birds and Bird Keeper's Lung.

Allergies to Birds
Clinical signs in people with allergies to birds include malaise, chills, fever, shortness of breath, myalgia and coughing. Hypersensitivity pneumonitis and interstitial pneumonia in humans have been associated with exposure to feathers, aerosolized droppings and other agents. Inhaled avian source antigens can cause severe disease in hypersensitive individuals. If there are exposures to avian antigens it can severely compromise health and quality of life. It is believed that the allergic response is due to bacterial endotoxins in fecal extracts. The conditions subside after no further exposure to the antigens.

Hypersensitivity Pneumonitis (Pigeon Breeder's Lung, Bird Keeper's Lung)
Extrinsic, allergic, alveolitis ( EAA)- three forms, acute, subacute, chronic
Acute
Four to eight hours after heavy exposure to avian antigens. Dry cough, shortness of breath, fever, chills. No therapy needed. Resolves in 24 hours.

Diagnosis through clinical history, serum precipitin test, intradermal skin test ( feather, feather dust "bloom", fecal extract ), lung function tests, radiographs, bronchial inhalation challenge. Most commonly seen from exposure to pigeons. Large dose of antigen ( Cleaning loft ) in a short period of time. Feathers, dust, aerosolized droppings (bacterial proteins/endotoxins) common antigens.

Wearing respirators/masks may help but dusts may still be present on clothes or still in the environment.

Subacute
Long term continuous exposure. Fairly constant dry cough/progressive dyspnea.

Diagnosis more difficult as no "trigger event". Positive lab tests to avian antigens.

May require steroid therapy. Complete cessation of exposure to avian antigens. Prognosis is good but is a step in the progression to chronic disease.

Chronic
Progressive exertional dyspnea. Non-productive cough, end inspiratory rales, hypoxemia at rest, worsened during exertion. Pulmonary fibrosis with decrease in lung function - at this point it is irreversible, terminate exposure to prevent further deterioration. Low dose exposure to antigen over long periods.

Diagnosis as with other forms. Hypersensitivity skin test. No readily apparent acute signs to show disease developing to irreversible pulmonary fibrosis. Early signs mimic flu or mild respiratory disease. No correlation between the severity of disease and the number of birds kept (one budgie can cause the same degree of pathology as 400 birds in home aviary of a hypersensitive individual). Chronic EAA is seen in individuals with more than two years exposure to birds. Older individuals have faster decline of lung function.

Seek medical attention for respiratory irregularities, especially non-resolving cough conditions and breathlessness upon exertion or even mild exercise. Smokers have a lower incidence than non-smokers in comparable bird owning populations as tobacco smoke reduces exposure of antigen to alveoli by contributing to airway obstruction. Impairs function of pulmonary macrophages lining the alveoli. Problems due to smoking may mask signs of disease and co-exist. Treat as above. Irreversible changes occur.

We have seen an increase in this condition throughout the years. Perhaps it is better recognized or due to an increase in birdkeeping. As can be garnered from the above discussion it is a very serious disease condition, unrelated to the number of birds kept, especially if the person is already hypersensitive. The best advice that can be given is to reduce exposure to the aerosolized material.
1) Keep your birds restricted in one room or a couple of rooms. You need the opportunity to get away from the antigens. If birds are in every room of the house you cannot get away from it, heightening your risk. The danger is even greater if the birds are in your bedroom as you will inhale that material all night long.
2) Clean the cages regularly (daily is ideal) because if you can prevent the feces from drying/aerosolizing your risk will be reduced. Also regular cleaning will reduce bacterial buildup and make the environment healthier for your birds.
3)Buy a quality air cleaner to reduce the disease causing material in the environment. There are many excellent air cleaners available and for a reasonable investment you can provide a safer environment for your family, human and avian.
4)If you must be around the birds or during cleaning and you have shown some sensitivity, wear a mask of some type, such as a surgical mask to reduce exposure.

I am glad many of you have read this and are concerned about the potential for this disease in hypersensitive individuals. With the implementation of the precautions listed above the risk of developing the disease condition can be minimized. If you or anyone in your family is exhibiting any of the above symptoms be sure to speak to your family physician about the possibility of this disease. 

50 comments:

  1. This is scary- my husband has chronic asthma. It's hard to keep up with the "dust" that Lou Lou, my Cockatoo creates. It's everywhere! I'm going to make an appointment to have my husband tested for avian antigens.

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  2. Glad to hear that you will be taking action.....I fear there may be a number of people who are unaware that these changes could be going on.

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    1. I have had my parrot now 38 years and have this "cough" that won't go away. I am going to get checked, take the parrot out of my bedroom at night, clean her paper DAILY, and wear a mask! Tough when I teach and I start to cough and water and cough drops aren't enough to sooth....

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  30. I'm here to testify about what DR. OYAGU did for me. I have been suffering from (GENITAL HERPES VIRUS) disease for the past 2 years and had constant pain and inching, especially in my private part. During the first year, I had faith in God that i would be cured someday. This disease started circulating all over my body and I have been taking treatment from my doctor, few weeks ago I came across a testimony of Shayla Bosschart on the internet testifying about a Man called DR. OYAGU on how he cured her from 7 years HSV 2. And she also gave the email address of this man, advise anybody to contact him for help on any kind of diseases that he would be of help, so I emailed him telling him about my (HSV 2) he told me not to worry that I was going to be cured!! Well, I never doubted him I have faith he can cure me too,, DR. OYAGU prepared and sent me Healing Soap, roots and herbs which I took. In the first one week, I started experiencing changes all over me, after two weeks of using his Roots/ Herbs, Oil and Soap, I was totally cured. no more inching , pain on me anymore as DR. OYAGU assured me. After some time I went to my doctor to do another test behold the result came out negative. So friends my advise is if you have such disease or know anyone who suffers from it or any other disease like HPV, HBV, HIV, ALS, HBP, CANCER etc. you can contact DR. OYAGU for help via email} oyaguherbalhome@gmail.com visit his website https://oyaguspellcaster.wixsite.com/oyaguherbalhome whatsapp him through his mobile} +2348101755322. , Thanks once again DR. OYAGU for making me a happy woman again.

    ReplyDelete
  31. This is another testimony on how Chief Dr Lucky cured my HIV disease. Do you need a cure for your HIV disease? Do you want to be cured from your cancer disease? Or you want to be free from any type of disease. Kindly visit his website https://chiefdrluckyherbaltherapy.wordpress.com/ , he just cured my HIV disease and I’m very grateful to him, he is the only herbalist that can cure you.  
    WhatsApp number : +2348132777335 
    Via Email : chiefdrlucky@gmail.com
    Thank you all for reading,
    God bless"

    ReplyDelete
  32. My first symptoms of ALS occurred in 2014, but was diagnosed in 2016. I had severe symptoms ranging from shortness of breath, balance problems, couldn't walk without a walker or a power chair, i had difficulty swallowing and fatigue. I was given medications which helped but only for a short burst of time, then I decided to try alternative measures and began on ALS Formula treatment from Tree of Life Health clinic. It has made a tremendous difference for me (Visit w w w. treeoflifeherbalclinic .com ). I had improved walking balance, increased appetite, muscle strength, improved eyesight and others. ]

    ReplyDelete
  33. Dear friends online My name is Destiny Hudson And I live in the USA, Dominica I am here today to appreciate the good work of Dr Oyagu, for helping me curing my HSV 1&2 Disease, I contacted the virus from my Partner, i found out he was cheating on me, so i broke up with him, 2 month later i went to test myself in the hospital when i was seeing sore on my mouth and Private areas, i was diagnosed of HSV 1&2. i tried using the acyclovir medicine but it didn't help in curing it, i went on a search and found out Dr Oyagu curing people illness, and so i got his email and i was told how i can get his herbal cure, 3 days later i received his medicine after using it for 2 weeks i was tested again and was confirm negative, today i am totally free. If you are over there looking for solution email: oyaguherbalhome@gmail.com or contact him on whatsapp +2348101755322 or visit his website https://oyaguspellcaster.wixsite.com/oyaguherbalhometoday and share your own testimony. And He also has herbal cure for the Following DISEASES, eczema, urethra wart, chronic problems. Herpes, Cancer, Als, Hepatitis, Diabetes, HPV ,Infections, ulcer ETC

    ReplyDelete
  34. I have been with bad mouth Odour and tooth pain for the past 5year.. on till I saw people testifying about Dr Ishiaku on the great work his has done and I contacted him on What-sApp and explain to him and he made the herbal medicine for me and I got cured….my mouth doesn’t smell anymore and my tooth are strong &healthy…Big thanks to Dr Ishiaku for his great job. so if you are with any of this diseases

    HIV
    CANCER
    HERPES (HSV HPV ORAL OR GENITAL )
    DIABETICS
    FYBRIOD

    please contact Dr Ishiaku on What - sApp + 2348180828544

    ReplyDelete
  35. Appreciation is the key to doing more. That is why I have taken some time out to thank someone who cured me of my 5 years of HSV problem. It became a major problem to me as it was affecting my marital life and I was no longer comfortable so I decided to look for a solution and I came across a post of Dr.Godday and how he has been helping people of the same problem I quickly contacted him and told him all I have been facing in my life. He told me how to get his product and how to take it after everything. I found out that all was now okay with me and that my HSV problem was gone. That is why I have come out today to say thank you to Dr.Godday . if you need cure for HIV/AIDS, Herpes, Cancer or Diabetes of all types you can contact his via email: goddayspiritualhome@gmail.com or Whats App no +2349018437588.

    ReplyDelete
  36. The greatest Joy in my life today is that i have been cured of Herpes by a Doctor called Dr. Ishiaku, I was infected with HERPES Disease in 2019, i went to many hospitals for cure but there was no solution, so I was thinking how can I get a solution,so that my body can be okay. Until one faithful day as I was browsing on the internet I saw a testimony on how Dr. Ishiaku has helped people in curing Herpes and other diseases, quickly copied his WhatsApp number so I contacted him for a solution for my Herpes disease, So Dr. Ishiaku told me that he was going to prepare his herbal medicine for my health which he sent to me, luckily after 2week my Herpes was cured. Dr Ishiaku is well recognized as one of the best herbalist doctors in Africa, you don't have to be sad anymore or cry anymore on this disease when the cure is available. The medicine has NO SIDE EFFECT,there's no special diet when taking the medicine. He also cures  ALS, HIV AIDS,  HPV, DIABETES and lots more.
    For enquiries:
    E-mail: ishiakuherbalcure@yahoo.com
    WhatsApp: +2348180828544

    ReplyDelete
  37. Life has not been easy with me after my marriage was broken when my husband filled for a divorced but I thank God for using LORD ZAKUZA who's like a God on Earth to get my broken marriage restored with his powerful spell. I suffered for depression for 6 months but today, I am so happy for getting to know LORD ZAKUZA for his spell has really made me to believe that of a truth spells are real and they work. I adhered to every bit of instructions given to me by LORD ZAKUZA for he promised me that he will make me happy and proud and really, all that happened and my husband came back to me begging me for forgiveness within 48 hours after I got in touch with him and now we are perfectly bonded again for life. I can boldly say to everyone out there that LORD ZAKUZA spells is really the best. I'm forever grateful to him till the end of time. So, you can get connected with him via Email: lordzakuza7@gmail.com or his website: https://lordzakuzaspells.com or on WhatsApp +1 (740) 573-9483.

    ReplyDelete
  38. Very interesting article. Many articles I come across these days do not really provide anything that attracts others as yours, but believe me the way you interact is literally awesome I do respect that so much. I will instantly grab your rss feed to stay informed of any updates you make and as well take the advantage to share some latest information about

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  39. I was haven herpes 2 on my genital area . I have had them for about 2 and a bit years. I am so scared what my mates are going to says if there should fined out i have herpes on my genital area and due to the virus my girlfriend broke up with me. I have been to the Doctors 9 times to get it treated. They all come back. I have been using Tee Tree Oil and Wartner (You freeze them at home) and they seem to be keeping the smaller herpes small but they can't seem to treat the larger ones. They don't get any bigger, but then they can't shrink as much. They get smaller a little part at a time. At least they are getting smaller! As soon as I see a new herpes appearing, then I treat it. At the moment I have been using Tee Tree twice a week and then using Wartner every 2 weeks. I was wondering if there was any other information about how to get rid of it. I am only a teenager and I hate it most when it get pi-chins me to scratch it, it get sweets when scratching it most times! I want to get rid of it so bad! DR. Oyagu website has been a huge help and has helped me realize a lot more about me and my family of genital herpes! so that was when I switch for natural remedy to see if there could be any help by herbal remedy, I search and I saw a great posts by Sarah devise Martha, Mignon Wright and shanttel Merritt on about the great herbal doctor that get them rid of there disease infection. and this great herbal doctor was called DR. Oyagu so that was when I contacted him for my own treatment and he prepared me some herbs which I takes for some couples of days, and I take it as he says before I am to no me and my family was perfectly cure for it and never experience it again. please friends if you have herpes virus and you really wants to get rid of it, please contact this great DR. Oyagu for herbal treatment and you will get rid of it. EMAIL. oyaguherbalhome@gmail.com reach him via his website;https://oyaguspellcaster.wixsite.com/oyaguherbalhome thank you'll

    ReplyDelete
  40. TESTIMONY ON HOW I GOT CURED TOTALLY FROM HERPES VIRUS BY DR ISHIAKU HERBS

    I want to inform the public how I was cured of herpes  Virus by a Doctor called Dr ISHIAKU. I visited different hospitals but they gave me a list of drugs like Famvir, Zovirax, and Valtrex which are very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedies on Herpes and I saw comments of people talking about how Doctor Ishiaku cured them. I Was scared because I never believed in the Internet but I was convinced to give him a try because I had no hope of being cured of herpes so I decided to contact him on his email, i searched his email on the net and I saw a lot of people testifying about his goodness. When I contacted him he gave me hope and sent a Herbal medicine to me that I took and it seriously worked for me, am a free person now without any problems, my HERPES result came out negative. You can contact him on his email: (ishiakuherbalcure@yahoo.com)or what - sapp him via (+2348180828544) and get all your problems solved.
    1)Sickness of any kind
    2)Help to cure  HEPATITIS B, DIABETICS, HIV/AIDS  and BIPOLAR
    3)Divorce, Breakup problem, To Re-unit or to cast a spell
    4)Pregnancy problem
    5)Financial problem and Job promotion
    6)bad mouth odour or tooth problem
    7)eye or ear problem
    8) enlargement of manhood


    Website: www.ishiakuherbalcure.Wordpress.com

    ReplyDelete
  41. I really want to thank Dr marsu for saving my marriage. My wife really treated me badly and left home for almost 3 month this got me sick and confused. Then I told my friend about how my wife has changed towards me. Then she told me to contact Dr marsu that he will help me bring back my wife and change her back to a good woman. I never believed in all this but I gave it a try. Dr marsu casted a spell of return of love on her, and my wife came back home for forgiveness and today we are happy again. If you are going through any relationship stress or you want back your Ex or Divorce husband you can contact his whatsapp +2348143813120 or email drmarsuofficial@gmail.com

    ReplyDelete