The Truth About Pet Allergies

Saturday, August 27, 2011 0 comments

The Truth About Pet Allergies

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Confusion reigns when it comes to how and why our furry friends make us sneeze and wheeze. Sakina S. Bajowala, MD, a member of the American Academy of Allergy, Asthma and Immunology, sets us straight.

It's not the hair. The allergen is a protein that's found in saliva, urine, oil glands and dead skin cells, so a short-haired dog or hairless cat isn't always "safer."

No pet is completely hypoallergenic.Some animals are bred to have lower levels of certain allergens, but you could be bothered by different ones.

The amount of allergen varies from animal to animal, not by the breed or species. You could play with your sister's schnauzer for hours without so much as a sniffle but break into hives upon meeting your neighbor's.

Bottom line. If you can, try temporarily living with Fluffy before you commit.

The U.S. at a Glance

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The U.S. at a Glance

Photo: © courtesy of Coca-Cola

Need a few talking points for this year's Fourth of July bash? You're in luck. Below, find six interesting facts about the "the land of the free"—like how many bald eagles are nesting on U.S. soil and when the final star was added to the American flag—to help you kick off conversation throughout the weekend.

• 10,000 pairs of nesting bald eagles—our nation's symbol—that currently live in the lower 48 states, according to the U.S. Fish and Wildlife Service. That puts them off the endangered species list, where they landed in 1963 when there were about 400 pairs left. Visit NWF.org to "adopt" an eagle through the National Wildlife Federation.

• There are 10,466 Main Streets in the United States, according to Mapping Main Street, a collaborative documentary media project funded by the Association of Independents in Radio and the Corporation for Public Broadcasting. To contribute photos, videos and stories about the Main Street in your city or town, visit MappingMainStreet.org.

• 125: The number of years Americans have been sipping Coca-Cola.

• 1960: The year Hawaii became the 50th star on the American flag.

• Peace Corps volunteers have served in 139 countries since President Kennedy founded the organization in 1961. For its 50th anniversary celebration, the organization is offering donors a commemorative print, lithograph or sticker. Get one by visiting PeaceCorps.gov.

• 2,500,000: The number of people living in the U.S. in July 1776. That's just slightly larger than the population of Houston today.

• Talk about cash flow: The U.S. government will print about 6.8 billion bills this year, according to the United States Bureau of Engraving and Printing. That's enough green to stretch around the globe more than 26 times. Keep your cash on American soil by buying locally whenever possible.

Understanding Chronic Fatigue

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Understanding Chronic Fatigue

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You're always exhausted and sometimes need to spend days in bed. You feel achy, constantly have a headache, and can't concentrate. Your doctor has tested you for mono, thyroid problems and a slew of other health conditions, but nothing seems to be wrong. So are you just depressed? A complainer? Or are you physically ill?

This quandary is all too familiar to someone suffering from chronic fatigue syndrome. Friends, family members and even doctors may tell you the symptoms are all in your head. Fortunately, there is a growing awareness that this condition is real and sometimes very severe. 

What Is Chronic Fatigue Syndrome (CFS)? 

People with CFS have persistent, debilitating fatigue that lasts for at least six months. In order to make a diagnosis, a doctor must first rule out other conditions (such as hypothyroidism and mono) that can cause similar symptoms. She also needs to confirm that a patient meets four or more of the eight additional criteria: prolonged exhaustion after physical or mental exertion, unrefreshing sleep (you don't feel rested, even after spending plenty of time asleep), memory/concentration problems, muscle pain, joint pain, headaches, sore throat and tender/sore lymph nodes. 

Many CFS patients also suffer from depression, but any depression is secondary—the result of dealing with a chronic illness, says Derek Enlander, MD, an internist who specializes in the treatment of CFS. "Some doctors still think of CFS as a psychiatric condition, but this is a physical disease. Cancer patients are often depressed, but no one would suggest that depression causes cancer."

What Causes It?

No one really knows what causes CFS, which is part of the reason that it is often not taken seriously. Some experts have suggested that it's an immune system disorder; others believe that a hormone imbalance is primarily to blame. Now there's evidence that it may be caused by a virus: Recent research, published in the journal Science, found that a group of CFS patients were infected with a retrovirus called XMRV. Unlike a regular virus, such as influenza, "a retrovirus inserts itself into your genome and stays there forever," explains senior study author Judy Mikovits, PhD, director of research at the Whittemore Peterson Institute for Neuro-Immune Disease. She says there are only three known retroviruses: HIV, HTLV (which causes leukemia and various neurological conditions) and XMRV, which has also been linked to prostate cancer (in addition to CFS).


It's too early to say whether XMRV actually causes CFS, but this research is exciting for many patients and medical experts who say they finally have evidence that CFS is a real, infectious disease. CFS patients who want to be tested for XMRV can do so by having blood samples sent to the VIP DX lab in Nevada. However, Dr. Mikovits says you may not want to bother, since the test can't be used to diagnose CFS and there's no treatment for XMRV right now.

How Is It Treated? 

Ask five doctors how to treat CFS and you may get five different answers. There's no known cure, and different remedies may help some patients and not others. David Borenstein, MD, a physical medicine and rehabilitation doctor who treats many CFS patients, says he usually starts by teaching patients about sleep hygiene— lifestyle habits that promote better sleep—and that he often prescribes sleep medication as well. He also recommends a variety of supplements—including coenzyme Q10, L-carnitine, B vitamins and bovine adrenal extract—to increase energy levels. Some patients need intravenous vitamins, hormone therapy or a prescription antiviral medication that must be ordered from Canada. "You really need a multifaceted approach," says Dr. Borenstein.

Other doctors, such as Dr. Enlander, treat patients with weekly injections of hepapressin, a drug that regulates the immune system. He also recommends special immune-boosting capsules calledImmunoProp.

Meanwhile, Dr. Mikovits is hopeful that the discovery linking the XMRV retrovirus to CFS might eventually lead to a cure—though first the study results need to be repeated and independently verified. The next step will be clinical trials to test potential treatments for this retrovirus. She says trials could start as early as next year; people interested in participating can learn more atWPInstitute.org.

Checkup: Carpal Tunnel Syndrome

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Checkup: Carpal Tunnel Syndrome

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Learn about this common condition that causes pain, numbness and weakness in the hand

Only people who work on computers all day get it, right?

Wrong. Anyone can get carpal tunnel syndrome (CTS), a condition in which the tendons passing through the carpal tunnel—a narrow channel of ligament that leads from your wrist to your hand— become thickened and inflamed. This leads to pressure on a nerve, causing pain, numbness and weakness that affects the thumb, index, middle and ring fingers of the hand, says Heather Tick, MD, author of Life Beyond the Carpal Tunnel.

Using a computer day in, day out is just one of many possible factors that may increase your risk. People who frequently use tools that vibrate (like hair dryers or power tools) may be even more likely to develop CTS. Being pregnant or going through menopause can also increase the risk, because hormonal changes make the tendons and nerves more prone to becoming strained.

So how can I prevent it?

You might not be able to, but whenever possible don't hold your neck, shoulders or wrists in awkward positions for long periods. (This causes the muscles to become tight, which in turn pulls on the tendons and puts pressure on the nerves and blood vessels in your wrists.) When you're using a computer, for example, sit up straight, avoid leaning into the screen and keep your wrists relaxed but not bent. It's also a good idea to avoid eating too many simple carbs, like white rice and pasta, because they can increase inflammation throughout the body.

If I have CTS, will I have to wear a wrist splint?
Probably, but if your case isn't severe you may only need it to keep your wrist in a neutral position while you sleep (when pain and tingling are often worst). Your doctor may also suggest taking anti-inflammatory meds, like ibuprofen, and working on your posture and muscle strength with a physical therapist. Getting more omega- 3 fatty acids may help since they're anti-inflammatories. Surgery is a last resort; it's not always effective, and you'll need intensive physical therapy afterward.

Did you know?
• Repetitive motions, like knitting, may make CTS symptoms worse.
• Women are up to three times as likely as men to develop CTS.
• Acupuncture, physical therapy, and exercise like yoga and Pilates can help relieve the pain.

The Facts About Deep-Vein Thrombosis

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The Facts About Deep-Vein Thrombosis

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I'm a worrier, especially when it comes to my health, but until recently, deep-vein thrombosis (DVT) wasn't even on my top 10 list of concerns. Turns out it's time to reprioritize.

I'd heard that DVT—a blood clot in the deep veins (usually the thighs or legs)—could be fatal if it travels to your lungs, and I knew that NBC's David Bloom died from it while reporting from Iraq. But I was shocked to find out just how common it is: About 600,000 people in the U.S. are hospitalized with DVT each year, and a whopping 300,000 die from pulmonary embolisms (which can occur when a clot breaks off and travels to the lungs), according to The Coalition to Prevent Deep-Vein Thrombosis. That means more people die from DVT-related complications than from breast cancer, diabetes or AIDS.

If you've ever read anything about DVT, you probably think that taking a long flight ups your risk. That's true, but don't assume you're in the clear just because you're not a frequent flyer. You're not any better off spending long hours in a car or bus, says Jennifer Mieres, MD, director of nuclear cardiology at New York University School of Medicine. It's not the mode of transportation that matters; it's being crammed up in a tight space for a long time that you have to worry about.

How to Avoid It

Fortunately, DVT is often preventable. The key: Keep moving. "Think of it like a milkshake. When it sits for too long, it gets really thick on the bottom," explains Dr. Mieres. "When you sit around for too long, blood pools in your legs, which makes blood clots more likely." In both cases, shaking it up redistributes the liquid. (I'm never going to look at a milkshake the same way again!)

"If you're on a long car or plane ride, stand up and walk around every few hours, or at least move your legs like you're pumping a brake pedal. Or draw the alphabet with your feet," says Tracy Stevens, MD, medical director of the Muriel I. Kauffman Women's Heart Center at Saint Luke's Mid America Heart Institute in Kansas City.

If you can't walk around or do exercises while in transit, consider support (compression) hose, which create gentle pressure that keeps blood from pooling in the legs. No, they're not just for old ladies with varicose veins—though if you do have varicose veins, it's a good idea to wear them. Another option: Take a baby aspirin before your trip (assuming your doc gives you the OK) to thin your blood. Drinking lots of fluids, especially water, while you're traveling is important, too.

Other Factors

Clearly, being in a confined space or cramped position for an extended period of time (whether you're traveling or on bed rest due to an illness) puts you at risk for DVT. But there many other factors—such as obesity, pregnancy, smoking and varicose veins—that can also make DVT more likely. "Using hormone therapy [for menopausal symptoms] or birth control pills is a major risk factor, especially if you combine either with nicotine," says Dr. Stevens. Before taking either of these medications, discuss your personal risk of DVT with your doctor.

Many genetic disorders can also make your blood more prone to clotting, and if you have one, your risk of DVT is significantly greater than most. Unfortunately, many people don't know they've inherited one of these disorders until they develop a clot. If anyone in your family has a clotting disorder, get screened (with a simple blood test).

Warning Signs

As with most medical conditions, prevention is only part of the battle. If it's caught early, DVT can usually be treated successfully with blood-thinning (anticoagulant) medication. Some people won't have any symptoms, but you should be wary if you develop an area on your arm or leg that's red, swollen, painful, and/or warm to the touch. If you notice this, don't wait any more than 24 hours to call your doctor or go to the ER. It could be a clot that may travel to the lungs and become a potentially deadly pulmonary embolism. If that happens, you may feel short of breath, have chest pain that gets worse if you cough or breathe deeply, or get very lightheaded.

"Just as they do with with heart attacks, too many women don't take their symptoms seriously," says Dr. Mieres. "This has to be on your radar screen so you can tie the pieces together. If you recently took a long trip and a few days later you notice you're more short of breath than usual, be aware that DVT could be a culprit."

Checkup: Lyme Disease

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Checkup: Lyme Disease

Photo: © Shutterstock

When spending time outdoors, many of us worry about Lyme disease, and for good reason: Cases reported to the CDC have more than doubled in the past 15 years. Don't let these myths get in the way of protecting yourself.

Myth #1: A bull's-eye rash is the telltale sign

Reality: Only half of the people who get Lyme disease—transmitted by infected ticks— develop a bull's-eye rash around the tick bite. And the rash doesn't always come out right away; it can take up to four weeks post-bite to appear. If you develop any kind of rash or flu-like symptoms that don't disappear after a few days, talk to your doctor. Even if there's no rash, also get checked for Lyme if you're feeling dizzy, or have tingling, neck stiffness, and aches and pains that come and go.

Myth #2: Only hikers have to worry about it

Reality: Yes, you're at risk in the woods, but you can get Lyme disease in your own backyard or anywhere tick-carrying deer and mice are. Ticks mostly hang out in tall grasses and piles of leaves, so keep your yard tidy. After spending time in possible tick territory, examine your clothes and body. Don't forget to check your scalp, neck, navel, groin, armpits and behind your knees. Remember to check pets, too.

Myth #3: It's easily diagnosed with a blood test

Reality: You can test negative even if you do have Lyme disease. Another problem: Many labs check for just one of the many strains that can cause Lyme, and there are different ways to interpret test results. That's why a growing number of doctors will diagnose it based on symptoms, even if a test is negative. It's also why people are often misdiagnosed with arthritis and chronic fatigue syndrome. If you suspect Lyme but your doctor doesn't agree, get a second opinion. Find a specialist at LymeDiseaseAssociation.org

Myth #4: Antibiotics will cure it

Reality: A two- to four-week course of antibiotics usually gets rid of Lyme, but treatment works best if it's started within a few weeks after infection. Otherwise, you can develop chronic joint pain and central nervous system problems like headaches, fatigue and memory trouble.

Did You Know?

1. Wearing long-sleeved shirts and pants while gardening to reduce the risk of tick bites.

2. Found a tick? Use tweezers to pull it straight up and out.

3. Lyme disease is most prevalent in the northeast and north central states.

5 Biggest Allergy Myths

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5 Biggest Allergy Myths

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If you feel like just about everyone you know has allergies, you're not imagining it: The number of people with hay fever has gone up dramatically in the past 10 years, and it now affects about 60 million people in the U.S.

Why? One theory is that we're leading a "cleaner" existence—few of us live on farms where we'd regularly be exposed to a variety of germs that help build up our immune systems. So our immune systems may be overreacting to allergens, since they don't need to spend as much time fighting germs that could truly make us sick. Experts also suspect that the chemicals we're ingesting from processed foods may play a role. In any case, this much is clear: Allergies can be debilitating, and make you more prone to developing sinus or ear infections, headaches, sleep issues, low energy and irritability, notes Nathanael Horne, MD, a New York City allergist and clinical assistant professor of medicine at New York Medical College in Valhalla, New York. Step one to relief: getting your allergy facts straight. Read on to find out how you can feel better.

5 Biggest Allergy Myths

1. Myth: The cleaner, the better.

Fact: As we mentioned, a little dirt and germs help build up your immune system, so you don't have to endlessly dust and bleach. But experts do say that you should follow some basic guidelines. For starters, try to vacuum once or twice a week with a model that has a HEPA filter; this will trap pollen particles and other irritants instead of sending them back into the room through the exhaust. (Using a double bag—available for most vacuums—also works well.)

To reduce other irritants that tend to hang in the air, equip your furnace with a heavy-duty filter (look for ones with a rating between MERV 8 and MERV 11) and change it at least every 2 months, advises Stanley Fineman, MD, an allergist with Atlanta Allergy & Asthma Clinic in Georgia. If you can, keep your windows closed to cut down on pollen coming in, and leave your shoes at the door to avoid tracking allergens through your house. Wash your bedding once a week in hot water (130°F), and use allergen-proof encasings that zip around your mattress, box spring and pillows, advises Anne Miranowski, MD, a pediatric allergist in Fairfax, Virginia. Showering at the end of the day will also help cut down on the pollen particles that you bring into bed with you.

2. Myth: You don't need to take medication until your symptoms flare up.

Fact: Most allergy meds work best if you start them before symptoms kick in. "You want to have them in your system when you're first exposed," says Richard Honsinger, MD, clinical professor of medicine at the University of New Mexico School of Medicine in Albuquerque. When you come in contact with an allergen like pollen, grasses or weeds, the cells in your respiratory tract release histamine and other chemicals like leukotrienes, which cause the itching, sneezing and other symptoms. If you already have a drug in your body when you're first exposed, you'll prevent histamine (or leukotriene) from triggering an allergic reaction. If you know you get sneezy and wheezy at the same time every year, consider taking meds a week or two before pollen season starts.

If what you're doing isn't helping your symptoms and you can't pinpoint the cause, ask your doctor about seeing an allergist and getting tested. Also, if you repeatedly get sinus or other respiratory infections, finding out your specific triggers can help you avoid them.

3. Myth: Allergy shots are only for kids.

Fact: They can work at any age. In fact, research shows that allergy shots reduce symptoms in about 85 percent of people who have hay fever. Typically, the shots (a.k.a. immunotherapy) are a blend of small amounts of various allergens that you react to. The theory is that by exposing yourself to them gradually, you'll build up tolerance and decrease your sensitivity so that when you come across the allergen naturally, you won't react, explains Dr. Miranowski. Often, in the initial phase, you'll get shots once or twice a week with increasing doses of allergens for 6 or more months. Next is the maintenance phase (shots every 2 to 4 weeks for the next few years). Can't stand needles? Ask your allergist about sublingual immunotherapy, in which drops are placed under your tongue daily. "It's probably not as effective as the shots and insurance doesn't always pay for it, but it's convenient," Dr. Horne says.

4. Myth: If you didn't have allergies as a kid, you won't as an adult.

Fact: This misconception often stands in the way of adults figuring out that their itchy throat and sneezing isn't a cold. While the vast majority of allergies develop before age 30, "it's very common for people to get them later in life," says Dr. Honsinger. "Plus, some young people's allergies go away but then they crop up again later." If you had eczema (atopic dermatitis) as a child or if allergies or asthma run in your family, you're on notice: You could develop an allergy to anything, anytime. If you've never had allergies but are now a sneezy, drippy mess, here are some clues it's probably not a cold: Your nose, eyes and throat are itchy; your nasal discharge is clear and thin; and your symptoms have lasted more than 2 weeks.

5. Myth: An allergy to one thing means you'll react only to that thing.

Fact: Having certain allergies makes you more prone to developing others. For example, people who are sensitive to certain pollens can also react to plant-based foods and beverages with similar proteins. So if you're allergic to birch tree pollen, eating raw apples, peaches, pears, cherries, carrots, hazelnuts or almonds could cause itching in your mouth or throat, particularly during pollen season. Similarly, if you're allergic to ragweed, having cantaloupe, bananas, cucumber, zucchini, sunflower seeds or chamomile tea could trigger these symptoms. Not everyone will have this kind of crossreaction, so there's no need to go out of your way to avoid these foods if you haven't had a problem before, but keep it in mind. Peeling the fruit or vegetable (proteins are often in the skin) or cooking it (which can change the proteins) can also help.

Read More About: allergieshealth tips

5 All-Natural Holiday Stain Removers

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5 All-Natural Holiday Stain Removers

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Q: My husband and I get a kick out of entertaining, whether it's intimate gatherings or large dinner parties. The period from Thanksgiving through New Year's Eve is particularly active when it comes to inviting others —some being sloppy and spill-prone — into our home. I wouldn't give up my hostess-with-the-mostess duties for anything nor would I ban red wine from my home, but something I would give up is the stockpile of chemical stain removers that I have on hand for post-party cleanup. Do you have any suggestions for nontoxic stain-removing solutions that won't harm the environment and will get the job done?

A: I'm not sure what kind of products you've been using, but I'm glad to hear you're willing to retire your arsenal of chemical stain removers. In addition to giving both the environment and your health a break, you'll also be saving a few bucks (more money for the boxed wine fund!) since some of the most effective, simple and sworn-by stain-busters are things already found in your home. And if you don't have them already in your pantry or cleaning cupboard, these items are inexpensive, versatile and easy to find.

Below you'll find a rundown of five stain-lifting items you should have on hand during the holiday hosting season. And when I say "on hand," I do mean it since quickness of application is key here. I wouldn't recommend wearing a tool belt filled with DIY red wine removers at your New Year's Eve blow-out (unless you think it really goes with your outfit), but do have them at the ready for the best results.

1. A liberal sprinkle of regular table salt is effective at absorbing grease, wine and blood stains from household fabrics like table linens.

2. In addition to being a key ingredient in many holiday libations, straight club soda is effective in treating carpets that have been stained with red wine, tea, coffee and other spillables.

3. Versatile and full of acidic, stain-fighting goodness, lemon juice acts as nature's bleach. Great for linen napkins stained with blueberry cobbler or kitchen countertops that have doubled as a pour-your-own wine station.

4. White vinegar rules supreme when it comes to DIY household cleaning tasks, and that includes stain removal. Key for treating upholstery and carpets that have been involved in tomato-based sauce mishaps.

5. A paste made from baking soda and water is also invaluable when it comes to erasing unsightly post-party messes. Great when applied to washable fabrics (if a guest spills on him or herself, send 'em home with a little box of B.S.), but I'm a fan of using it on cups stained by coffee and tea.

How to Prevent Bathroom Mold

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How to Prevent Bathroom Mold

Q: I was recently taking a shower in my bathroom when I looked up and noticed what I think was black fuzz and dots growing on my ceiling! I realized it was actually mold. Why does mold seem to like the bathroom the most and what can I do to prevent it from growing there?

A: You've got a problem there. First off, you should probably get that black stuff looked at and remediated by a professional. You don't want to start scraping it off yourself. Mold can be linked to a whole host of allergy symptoms, and even if you're not experiencing any of them, it's a good idea to get the problem under control.

That being said, let's talk about what mold is and what makes it grow in the first place. Mold is a form of fungus that is found all around us in the natural environment. However, when there is moisture indoors that isn't dried immediately — such as when there is leakage or flooding — mold can grow inside, too. In the bathroom, mold can grow readily and easily because of the wet conditions.

The best way to deal with mold is to prevent it from growing in the first place. So how do you do that in the dampest room of the house? Well, the key, according to Dan Harkins, owner of NJ-Mold, is ventilation. Mold can grow only when moisture can't get out, and if your bathroom doesn't have a vent, or if your vent isn't working properly, that's the first thing you need to fix. If you do have a vent in your bathroom, make sure that you turn on the exhaust fan during and after your shower. The exhaust fan pulls the moisture out (and incidentally, any unpleasant odors as well). It's also a good idea to leave your bathroom windows or door open after you shower as well (though in the winter, I'll admit it's not pleasant coming out of a warm shower into a chilly bathroom).

Secondly, there are commercial mold and mildew cleaners that prevent the growth of mold through the use of bleach and other potentially harmful chemicals. If you've got kids in the house, better to use Concrobium or Moldzyme, which are both eco-friendly mold killers that do not contain harsh chemicals.

"Indoor air humidity also has a lot to do with whether or not mold will grow in your house," Harkins says. "You want to keep the humidity levels in your house between 30-50 percent, not any higher." To monitor the humidity in your house, you can buy a hygrometer from your local home improvement store.

He also suggests leaving the air conditioning on at 74 or below if you're going away on vacation in the summer months so that humidity levels don't skyrocket and you end up with a breeding ground for mold.

It's also important to check underneath all the sinks in your house once or twice a year and make sure you don't have any leaks. After all, even a hint of moisture in the wrong place can trigger mold growth.

Follow these tips and you'll be on your way to a mold-free home. It may not seem like a big problem, but mold inside your house is never a good thing. Remediation, and then prevention, can save you a whole lot of trouble later on.

WD’s Guide to Making Clothes Last

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If your favorite jeans could talk, they might cry. Their existence is, frankly, harrowing: endless days spent absorbing sweat from one side and dirt from the other before a week or two crumpled in the laundry basket, then sudden submersion in a water-filled machine that hurls and spins. And then there's the dryer—extreme heat combined with flying through the air. (Lint is clothing that's coming apart, folks.) And these are your favorite jeans, the ones you care about. You'd be in a bad mood too.

As women, we know how to shop. The problem is, many of us aren't so good at taking care of our clothes, which shortens their lifespan and can as much as double our clothing expenses. So I put some experts through the wringer to find out the best way to care for our duds.

Buy Smart

Believe it or not, that $10 shirt might survive until 2030, while the $100 one might not make it though the season. "Price doesn't always equal quality," says Billie Collier, PhD, dean of the College of Human Sciences and professor of textiles at Florida State University. "Moderately priced apparel may actually have better-quality construction, so consumers need to pay attention to the materials." Here's what to look for:

Construction. This is code for sturdiness. The lazy way to determine construction is to imagine the item going through your washing machine 100 times—will it survive? The better way is to spread your hand underneath the fabric. If you can't see through to your hand, the fabric is thick and probably fairly durable. Also look for tight stitching along the seams, durable finishing on the seams so they won't unravel, and reinforced high-stress areas like the crotch and armpits. Well-made clothing is also often lined, which protects the outer layer from body oils.

Fabric. Yes, "natural" fibers are in vogue right now, but if you're going to invest in clothes, you should know that those supersoft natural fibers like cotton, wool and silk can shrink and fade, and won't necessarily last long. In fact, while natural fibers do breathe well, they are not as abrasion-resistant as synthetics like nylon and polyester. "Most synthetic fibers, like polyester and nylon, are stronger and can withstand repeated laundering," says Dr. Collier. Blends, such as 50% cotton-polyester, are often your best bet because they breathe but are also durable. Photo: iStockphoto

Wear Smart

The operative word here is rotate. Split your clothing into three groups (each group should include both work and weekend outfits), then wear each group for 6 to 8 weeks, or however long you want the cycle to be. That way you're sure to wear all your clothes, instead of a few items all the time and the rest hardly ever. Each item in the group should be worn at least twice over a two-week period before washing. This is because laundering clothing shortens its lifespan—and Americans are chronic over-washers. As long as an item doesn't smell and isn't noticeably stained, it can be reworn. Between wears, air out clothes on back-of-the-door hooks. Pants can be worn 3 or 4 times, and let's be honest: Jeans can easily swing 3-plus wears. You'll also keep clothes fresher if you always wear undies. Yes, you read that correctly. Undergarments of all sorts—panties, undershirts, long underwear, etc.—lengthen the lives of clothing by protecting it from its major foe: body oils, which attract bacteria that can cause odor problems. Photo: iStockphoto


Wash and Dry Smart

Follow the label instructions. This sounds obvious, but I bet you've never read the instructions on the clothes you're wearing right now. A tip: "If it says 'dry-clean recommended,' or just 'dry-clean,' you can handwash without damaging the product," says Diane Limbaugh, clinical instructor in design at Oklahoma State in Stillwater. "If it says 'dry-clean only', it means dry-clean only."

Sort. Once you know what the instructions say, group like with like. "Denim and heavy towels will be more abrasive in the washer," says Robert McKechnie, manager of new product development at Electrolux, so not only should you sort by color, but also wash heavy items together, delicates together and soft cottons together.

Wash the right way. Yes, overwashing wears out clothes. But so does dirt. "Dirt breaks down fibers," says Pat Slaven, leader in the technical division at Consumer Reports. So if something is dirty, wash it. Don't let it sit crumpled in a corner for weeks.

Generally speaking, most everyday clothes (T-shirts, khakis, sweatshirts) can be washed on the warm setting (around 90°–105°F). Go with the cold setting (60°–80°F) for softs (sweaters), delicates (lingerie, lace, sheer fabrics) and jeans. Hot water (110°–120°F) does indeed wash clothes well, but it also can make clothing fade, because hot water degrades fabrics faster than cool water. So only use hot for cotton underwear, undershirts, towels and workout clothes. If you need to sanitize an item (kids' clothing, clothes worn by someone with a cold), warm water will adequately kill basic germs, but to really sanitize, choose the "extra-hot" setting, which heats the water to 160°–170°F; this is also the temperature needed to really remove body oils in conjunction with detergent. Yes, this is why your grandma washed sheets in boiling water as a girl.

As for which cycle to use, choose the gentlest one that's appropriate for the material—which for most officeappropriate clothing is the gentle cycle. "The 'normal' cycle on most washers is designed for heavy-duty cotton fabrics like towels, jeans and undershirts," says Chris Shanley, a senior product manager at Bosch Appliances. As a rule of thumb, the less pulling, stretching, abrading and agitation, the longer the clothes will last. This means that you should never overstuff a washing machine, because clothes that are too close together don't wash well, and also grind against each other without enough water in between, damaging fabrics.

Always close zippers, button buttons, tie loose strings and ties together so they won't catch, and put delicates in delicates bags. To protect any delicate prints or beaded items, turn them inside out before putting them in the delicates bag. Photo: iStockphoto

One more thing: If you're a chronic bleach user, know that "chlorine-based bleach is very aggressive in stain removal, but also has a tendency to attack fabrics," says McKechnie. So go with nonchlorine bleach, or only use bleach every third wash for whites.

Dry the right way. This one's easy: Avoid machine-drying when you can. "The tumbling motion of the dryer causes friction between clothing, thereby gradually degrading clothing fibers, and in some instances causing pilling on some fabrics," says McKechnie. However, if hanging clothes on a line isn't feasible, dry clothes for as short a time as necessary. Set the dryer on the gentlest setting that's appropriate for the material—this is "permanent press" for most office-appropriate clothing, and "normal" for sheets and linens. Set the timer for 30 minutes or so, and check back promptly, pulling out items as they are just about dry or even slightly damp. Newer dryers have moisture sensors, and will shut off automatically when clothes are dry. Photo: Tom Schierlitz / Getty Images


Store Smart

I've got three little words for you: clean, dark and dry. "That sums up the requirements of proper storage for all clothing and textiles, regardless of their fiber content," says Celia Stall-Meadows, EdD, a professor in the department of design, housing and merchandising at Oklahoma State University. Don't store clothes you've just worn or that have stains, since stains that are invisible become darkened over time, and soiled clothing also attracts insects such as moths, which are attracted to wool, and silverfish, which are attracted to cotton. Sunlight is the enemy of clothing, so make sure the storage space is dark, but also make sure clothing is completely dry before it's stored—mold and mildew grow in damp, dark places. If an item feels slightly damp from the dryer, lay it out to air-dry.


How to Store What

Button-down shirts. should be hung with the top, middle and bottom buttons fastened, to prevent stretching.

Dresses and suits. are best hung on thick, wide hangers that don't stretch out the shoulders and allow them to keep their natural shape.

Pants. Trousers remain wrinkle-free and get maximum air circulation if you hang them by their cuffs. If that's not an option, hang them over special thick-barred hangers, which prevent a horizontal crease mid-leg.

Skirts. Many skirts do best on skirt hangers, which clip on the waist of the skirt, thereby avoiding folds and helping hold their shape. Unlined skirts can also be rolled and stored in drawers.

Knits. Sweaters and all knitted items should either be folded in drawers or on closet shelves, or, if you don't have space, draped over the hanger bar (not hung on the hanger) to prevent stretching.Photo: George Caswell / Getty Images


Storing Mistakes

Overcrowding. You want airflow in your closet, so loosely stack items, and leave enough space between hangers so items can air out.

Moisture. New homes increasingly place washer/dryer sets inside walk-in closets, which is a mistake because every time you open the washer or dryer door, you release that moisture right into the wardrobe, where natural fibers can get damaged.

Plastic. Clothing should never be placed in airtight plastic. Humidity can cause moisture within the bag—and you'll end up with mold or mildew.

Dry-cleaning bags. They trap dry-cleaning chemicals that need to evaporate, which can cause discoloration or yellowing.

Starch. It's a magnet for silverfish, which will dine on it—eating holes through the fabric—making a scrumptious dessert out of your wardrobe. If you must starch clothing, do so a day or two before wearing it, and place it away from your closet. Photo: George Caswell / Getty Images


A Word on Moths

If you see moths in your house, don't be alarmed. "They are most certainly not clothes moths," says Bruce Walsh, PhD, a professor of ecology and evolution at the University of Arizona. "Clothes moths are tiny as adults, 1/4 to 1/2 inch, and, hence, are almost always overlooked." Moths feed on fibers that come from living animals or plants—feathers, fur, wool, cotton, silk, animal hair, wigs—and the first signs of moths that most people see, unfortunately, are holes in clothing. But if you look around, you'll see their excrement, called frass, which looks like sawdust or sand. "It will reappear a few days after being cleaned up," says Dr. Walsh.

If you do suspect moths, you don't need to douse your closet in chemicals. Instead, get all of your natural fibers dry-cleaned and wash everything else to kill wandering eggs and larvae. Put items that you know are infested, or nonwashables like hats, in a plastic bag in the freezer for a week—the cold will kill any larvae and eggs, says Dr. Walsh. Then vacuum under rugs and baseboards. If you are determined to use mothballs or cedar, follow the instructions on the package, but keep in mind that both only work in high concentrations in enclosed or airtight spaces. Photo: Thinkstock


De-smell Your Duds

We all have that blouse that still reeks, no matter how many times we've washed it. Clothing Doctor Steve Boorstein, creator of the DVD Clothing Care: The Clothing Doctor's Secrets to Taking Control, sniffs out the solution:

Use a fan. Periodically airing out your closet will prevent a multitude of sins, including mold and must, as well as numerous insect visitors who prefer calm surroundings. If mildew has been a problem, consider permanently running a small dehumidifier.

Wash before you wear. New clothing is often sprayed with antimold and antibacterial chemicals that you don't want anywhere near your skin, and many manufacturing odors will come back with a vengeance after you perspire into the clothing, so it's best to wash first. don't try it on, then put it back. Body oils, perspiration and skin cells come off your body whether you're wearing something for a couple of minutes or all day. So even if you just try something on, don't put it back into your closet or drawer—air it out until you wear and wash it. Photo: Studio 504 / Getty Images

 
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