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Fragrance Sensitivity - Causes, Symptoms, Diagnosis, and Treatment

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Fragrance sensitivity is an allergic reaction caused by fragrances commonly added to products. Read on more to know about fragrance sensitivity.

Medically reviewed by

Dr. Kaushal Bhavsar

Published At February 1, 2023
Reviewed AtSeptember 28, 2023

Introduction:

Fragrance sensitivity, also known as fragrance intolerance or fragrance allergy, is an adverse reaction to fragrances that can result in negative, physical, and emotional effects. Although when talking about fragrance sensitivity, people typically think of perfumes and colognes, fragrance is frequently added to a variety of everyday items like toiletries, cosmetics, air fresheners, cleaning products, and pesticides. It may be challenging to pinpoint the ingredient or product that is causing the sensitivity because fragrance ingredients are not required to be disclosed on labels. Headaches, respiratory issues, asthma (breathing difficulty caused by swelling, narrowing, and excess mucus production in the airways), and skin irritations are typical responses to exposure, regardless of the allergen in question or whether it has been identified.

What Is the Cause of Fragrance Sensitivity?

Bergamot oil, citrus, grapefruit, and other synthetic scents are the most common fragrance allergies. Fragrance sensitivity is an immune system response, meaning an infection or bacteria do not cause it. Synthetic fragrance ingredients can trigger fragrance sensitivity, including cinnamic aldehyde, eugenol, isoeugenol, and strong odors. High heat can trigger fragrance sensitivity if it is applied to the skin.

What Are the Symptoms of Fragrance Sensitivity?

Common symptoms of fragrance sensitivity include itchy and watery eyes, swelling or hives on areas of skin, runny nose, sneezing, congestion, and skin irritation in areas of friction, such as armpit areas and the inner thighs. People with fragrance sensitivity may also experience eye redness, watering in the eyes, headaches, nausea, or vomiting.

How to Deal With Unwanted Fragrances in the Workplace?

If an individual suffers from fragrance sensitivity, ask the employer to implement fragrance-free policies in the workplace. This way, one can avoid coming into contact with scents that could cause harm. Be sure to include what scents are problematic and when one may need to avoid the area to prevent a reaction. Talk to the manager about the concerns. Explain what fragrance sensitivity is and how a change in the work environment would benefit. If the company does not offer a fragrance-free policy or an individual is self-employed, purchase fragrance-free products online or from a store that sells allergy-friendly products.

The employer will likely want to discuss what type of accommodation a worker may need to make the work environment more manageable. Some common solutions include:

  • Finding a different place to work at times when the smells are strongest.

  • Let employees know when products are added to the cleaning or grocery list.

  • Allowing employees to choose fragrance-free products.

  • Creating an “odor-free” area where people can take a break when they have an allergic reaction.

  • Creating a fragrance-free zone in the break room.

  • Providing flexible work schedules so employees can avoid times of the day when the smells are at their strongest.

How to Find Fragrance-Free Products?

For an individual with fragrance sensitivity, look for the terms on the label “fragrance-free” or “unscented” rather than “allergy free” or “hypoallergenic.” For some people, fragrance-free products are enough to prevent symptoms, while others need to avoid all scented products. People with fragrance sensitivity must be careful when selecting cosmetics and perfumes. The scents are often much stronger than everyday products like shampoos and soaps.

What Is the Diagnosis of Fragrance Sensitivity?

There is no specific diagnosis for fragrance sensitivity. Instead, it is diagnosed based on a person’s symptoms, reactions to various products, and the types of scents that trigger their reactions.

What Is the Treatment of Fragrance Sensitivity?

The best treatment is to avoid scents. Also, try these strategies to reduce the symptoms.

  • Stay Hydrated - Drinking water is one of the best ways to reduce the symptoms.

  • Avoid Scented Products - Scents can trigger allergies. Avoid scented candles, deodorants, perfumes, cleaning products, and laundry detergents.

  • Wear Loose-Fitting Clothing - Clothing with a loose fit will reduce the amount of skin in contact with scented fabrics.

  • Get Allergy Shots - Allergy shots are a series of injections that help the body build immunity to allergens. It will take a few months to tolerate the smell.

For mild, transient symptoms, try the following treatments:

Medications: Itching and stuffiness can be relieved by taking oral antihistamines such as Loratadine, Diphenhydramine, or Cetirizine. These drugs are available over-the-counter (OTC) or with a doctor's prescription.

Topical Corticosteroids Creams: Use Hydrocortisone or another steroid cream to treat a rash or itchy skin.

Bath With Colloidal Oatmeal: Itching and inflammation can be reduced by taking an oatmeal bath. Make an oatmeal compress by enclosing oatmeal in thin clothing, such as pantyhose, that has been soaked in cold water.

Moisturizing Cream or Lotion: Choose one without artificial ingredients or chemicals.

Consider Light Therapy: To help eliminate any bacteria irritating the skin or to lessen the irritation, try using blue or red light.

Tests For Contact Allergens: To identify the unique allergic triggers, the doctor or an allergist can use patch tests, which involve exposure to small amounts of various allergens. One can attempt to stay away from any perfumes that contain the ingredients after determining what is triggering the allergy.

How to Manage the Symptoms?

Take Care of Mental Health - Fragrance sensitivity is more than an allergic reaction. It is experienced with real psychological effects that can impact the quality of life. Asthma and fragrance sensitivity often have a higher rate of psychological conditions, such as anxiety and depression. Being proactive about mental health is important if an individual suffers from fragrance sensitivity. One can start by seeing a therapist and getting any diagnosable conditions treated. Individuals can also try these self-care strategies, such as practicing mindfulness.

Engage in activities that help to quiet the mind and focus on the present moment, such as meditation, yoga, or journaling. Connect with friends and family. Sometimes, feelings get better when surrounding people understand what a person goes through. When feeling overwhelmed, get help from a trusted friend or family member. Get enough sleep, eat healthy foods, exercise, and make time for self-care rituals that help the body and brain function better.

Conclusion:

If an individual experiences an adverse reaction to scented products, they may have fragrance sensitivity or an allergy to fragrances. Fragrance sensitivity has many ways to manage or avoid unwanted scents. An individual diagnosed with fragrance sensitivity must speak to the doctor about ways to minimize symptoms. One should take steps to avoid the triggers.

Frequently Asked Questions

1.

How to Prevent Fragrance Sensitivity?

Individuals with fragrance sensitivity must avoid offending fragrances. This can be achieved by using unscented soaps or lotion, replacing real flowers with artificial ones for decoration, or banning cigarette smoking in an indoor setting.

2.

How Common Is Fragrance Sensitivity?

Fragrance sensitivity is a common condition that is triggered by exposure to irritants. Individuals with asthma (narrowing and swelling of airways), seasonal allergies, animal allergens, or indoor allergens like molds are more susceptible to developing fragrance sensitivity.

3.

How to Diagnose Fragrance Sensitivity?

Fragrance sensitivity can be detected based on the timing and the occurrence of symptoms. It is necessary to identify the smell or fragrance that can trigger reactions or symptoms of fragrance sensitivity. In addition, medical evaluation such as pulmonary function tests (noninvasive tests to determine lung function) and allergy tests to identify IgE antibodies (immunoglobulin found in mammals) or responses to common allergens can help with the diagnosis.

4.

How Can Fragrances Affect Health?

Many fragrances release air pollutants that are dangerous and can be carcinogenic (cause cancer). The carcinogenic substances release more pollutants when combined with ozone. It can be a contributing factor to developing health complications among individuals.

5.

What Are the Other Terms for Fragrance Allergy?

Fragrance allergy is also known as fragrance sensitivity or perfume allergy. If the fragrance allergy is associated with skin symptoms, then it can be referred to as allergic contact dermatitis (skin symptoms caused by fragrances).

6.

How to Manage Fragrance Sensitivity at Work?

The workplaces can create scent-free areas and utilize scent-free cleaning products. Employers can ban the use of fragrances. The workstation for employees with fragrance sensitivity must be placed in fragrance-free areas. The work area must be with good air quality.

7.

What Is the Adverse Reaction Associated With Fragrance Sensitivity?

Fragrance sensitivity can most commonly cause allergic contact dermatitis. It can also cause respiratory problems like coughing and shortness of breath. In rare instances, fragrance sensitivity can lead to gastrointestinal problems, neurological conditions like dizziness and fainting, and cognitive issues like difficulty in memory and concentration.

8.

What Are the Symptoms That Develop With Perfume Overuse?

Individuals using excess perfume may develop asthma attacks (worsening of asthma symptoms), hay fever (seasonal allergy), headaches, migraines, dizziness, breathing problems, rashes, congestion, nausea, or seizures. It can also cause a mild allergic reaction, like contact dermatitis.

9.

Can Fragrance Become Toxic to the Body?

The fragrance contains chemical substances called phthalate that aid the scent to last longer. The phthalate can result in health complications like cancer, human reproductive and developmental toxicity, endocrine disturbances, birth defects, and respiratory problems.

10.

What Is the Skin Reaction Caused by Fragrances?

Fragrances can cause skin reactions or allergies. Few individuals develop rashes while using perfume or scented products. Skin allergies appear as redness, swelling, or vesicles. In addition, allergic contact dermatitis (itchy rash scoring due to skin contact with allergens), irritant contact dermatitis (skin response to chemical damage), contact urticaria (localized swelling and redness), and photosensitivity (sensitivity to light).
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Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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