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PATHOLOGY PERSPECTIVES of thin, runny mucus; and puffy, itchy eyes; all classic signs of hay fever. It is important to point out that hay fever is an allergic reaction, not an infectious one, but similar symptoms can occur with a sinus infection. The main differences include the presence of fever and the mucus with infection tends to be thick, sticky, and opaque rather than clear and runny. These two conditions are not mutually exclusive, however. Chronic hay fever can create an environment conducive to pathogenic growth, so the risk of sinus infection can be higher when a person has chronic nasal congestion due to allergies. Hay fever may involve severe Your client with asthma will probably not appreciate a room that is heavily infused with incense, candle odor, or perfume. headache, which is made worse by bending over, as more pressure on the irritated sinuses can make the head throb. Sore throat, coughing (caused by postnasal drip), and congestion, along with an itchy, runny nose are common. People with hay fever are likely to experience fatigue and general malaise, because the body is fighting hard to cast off an invader—even though that invader is not inherently threatening. ASTHMA Asthma is a condition in which the bronchioles (tiny airways leading to alveoli in the lungs) are extremely irritable and hyperreactive. When a stimulus triggers an attack, a sympathetic reaction (causing dilation) is quickly followed by a parasympathetic overreaction (causing constriction). This seesaw in airway diameter is further complicated by swelling of mucous membranes and massive production of thick, sticky goo. Asthma elicitors can vary considerably. For some people, pollen or cigarette smoke are potent triggers. For others, exercise, a sudden change in ambient temperature, or even emotional stress can precipitate an attack. (When I was in 7th grade I 98 massage & bodywork may/june 2010