MOLD EXPOSURE – MOLD TOXICITY
Mold exposure and mold toxicity are very serious issues that can be effectively diagnosed and successfully treated by the experienced professionals at COEM.
Many studies link exposure to damp or moldy indoor conditions to increased incidence and/or severity of respiratory problems such as asthma, wheezing and rhinosinusitis and even life-threatening systemic infections in immunocompromised persons. Stachybotrys, also known as toxic black mold, produces trichothecenes and other mycotoxins, which can inhibit protein synthesis and induce hemorrhaging disorders. Indoor mold exposure can alter immunological factors and produce allergic reactions. Several studies have indicated that indoor mold exposure can alter brain blood flow, autonomic nerve function, and brain waves, and worsen concentration, attention, balance and memory.
Health officials are increasingly concerned about the dangers of mold in our homes and offices. It is understood that mold (fungi) is capable of causing allergy, infection, and even toxicity in humans. Doctors who are members of the American Academy of Environmental Medicine have known for some time that specific molds, in sufficient concentration over a sustained period of time, are potentially detrimental to our health. These doctors have become expert in the diagnosis and treatment of mold-induced medical problems. The physicians at COEM are world class doctors having experience diagnosing mold poisoning and its associated conditions. This includes proper documentation through biomarkers of exposure and effect supported by comprehensive lab testing that is very specific for mold mycotoxins.
Molds have been present for billions of years and comprise 25 percent of the earth’s biomass. They are everywhere! Most of these molds are harmless and don’t affect our health. But indoor fungi such as Aspergillus, Penicillium, Stachybotrys, Cladosporium, and Alternaria are capable of creating health issues when at sufficient levels.
Many molds reproduce by making spores. When the spores come into contact with a moist ‘food’ source, they germinate and commence the production of a branching network of cells called hyphae. The hyphae secrete mycotoxins and digestive enzymes that work on cellulose in our house walls. Moisture is a key requirement.
What are some of the health problems mold can cause?
Dr. Vojdani lists seven categories of health affects:
- Allergy–immediate reaction
- Allergy–delayed reaction, hours to days after exposure
- Infection–mainly in susceptible people
- Adverse reactions to odor—becoming sensitive to many chemicals
- Neurotoxicity—headaches, fatigue, nosebleeds, memory loss
- Immunotoxicity—frequent infections, especially of the sinus and lungs; rashes; autoimmune diseases
- Mucous membrane irritation
Dr Allan Lieberman, in his paper “Explosion of Mold Cases in Homes, Workplaces and Occupational Medicine Practice,” examined 48 patients who were heavily exposed to mold. The results were as follows:
- Muscle and joint pain (71%)
- Fatigue and weakness (70%)
- Neurocognitive dysfunction (67%)
- Sinusitis (65%)
- Headache (65%)
- Gastrointestinal problems (58%)
- Shortness of breath (54%)
- Anxiety/depression/irritability (54%)
- Chest tightness (42%)
- Insomnia (40%)
- Dizziness (38%)
- Numbness/tingling (35%)
- Laryngitis (35%)
- Tremors (25%)
- Heart palpitations (21%)
In a review paper entitled “Adverse Health Effects of Indoor Molds,” the authors cite the study by Rea et al of 150 heavily indoor mold-exposed patients, which found similar health problems in similar percentages as Lieberman’s study.
The Mayo Clinic noted that 96% of chronic sinusitis patients were infected with fungus. This fact is alarming since antibiotics are repeatedly given to treat the bacteria, but anti-fungal are not given to treat the fungus.
Lebowitz et al reported that 56 percent of 45 patients having sinus surgery had positive fungi cultures.
How should a patient be evaluated for a mold toxicity-related symptom?
Environmental sampling can be performed to check for spores and mycotoxins. Placing agar plated mold dishes in suspected moldy environments can yield counts of colony forming units. One study implies more than four colonies could be a problem, especially for those with recurrent sinusitis.
Calling in a mold inspector to do a thorough evaluation and written report of their findings is important. If litigation is involved it is wise to bring in a CIH, Certified Industrial Hygienist, who is qualified by training to determine the presence and extent of mold over growth.
Proper treatment for mold toxicity involves evaluation by an environmental physician, including a comprehensive history and physical examination. Laboratory testing can include:
- Mold and mycotoxin antibody levels
- Immune markers—T and B cells/natural killer cells
- Vision contrast sensitivity
- SPECT brain scans
- Antimyelin auto-antibodies
Treatment is individualized and specific to the findings of a complete evaluation. Treatment modalities can include: anti-fungal medications, allergy/immunotherapy, treatments for sinusitis, nutritional/herbal support, intravenous vitamin and mineral supplementation, and/or biodetoxification.
Recommendations will be made as to avoidance of the contaminated environment entirely. If that is not an option then proper professional remediation of affected areas is required.
The physicians at COEM have seen thousands of cases of mold exposure and its toxic effects. They are experienced in the accurate diagnosis and treatment of mold injuries and can help you to detoxify your body of mold mycotoxins.
For further information about mold injury:
Please call our office to speak to the New Patient Coordinator, Krystal: (843) 572-1600.
See the article, The Effects of Toxic Molds on Personality and Brain Functioning, by a Licensed Neuropsychologist, for additional information as well.
For information about mold assessment of homes or businesses:
Please see the article in this issue, “Assessment of Mold in Indoor Environments,” by a Certified Indoor Environmental Consultant (CIEC). In addition, mold plates for household sampling of molds are available for our patients at The Center. We can also make referrals for mold inspectors and Certified Industrial Hygienists to assist you in confirming the extent of mold damage in your residence or business.
References:
Curtis L, Lieberman A, Stark M, Rea M, Vetter M. Adverse health effects of indoor molds. Journal of Nutritional and Environmental Medicine (Sept 2004) 14(3) 261-274.
Lieberman, A. Explosion of mold cases in homes, workplaces and occupational medicine practices. Presented at the 21st Annual Symposium on Man and His Environment in Health and Disease, Dallas, Texas, 19-22 June 2003.
Liebowitz, R, Waltzman M, Jacobs J, Pearlman A, Tierro P. Isolation of fungi by standard laboratory methods in patients with chornic rhinosinusitis. Laryngoscope 2002:112(12):2189-91.
Vodjani A, Campbell A, Kashanian A, Vodjani E. Antibodies against molds and mycotoxins following exposure to toxigenic fungi in water-damaged building. Archives of Environmental Health 2003; 58(^):324-36.
Vodjani, A, Thrasher J. Madison M, Gray M, Heuser G, Campbell A. Antibodies to molds and satratoxin individuals in a water-damaged building. Archives of Environmental Health 2003; 58(7)421-32.
Vodjani, A. Health effects and immunotoxicology of toxigenic molds and mycotoxins. Presented at the 21st International Symposium of Man and His Environment in Health and Disease, Dallas, Texas, 20 June 2003.
Related Article
- Mold and Cancer: Can Mold Cause Cancer?
- Mycotoxins Toxicity: What You Need to Know
- Mold and Dampness: How Mold Affects Your Health
- Mold On Food: Is Moldy Food Dangerous?
- Mold and Candida: What Is the Real Connection?
- Mold and Asthma – What’s the Connection and its Effects on Your Health
- How to Remove Mold Spores From Your House And Prevent Mold Infection?
- Mold Assessment: What You Should Know About It
- Mold Mycotoxins: Important Things You Should know
- The Endocrine System and Your Hormones
- Adverse Health Effects of Indoor Molds
Indoor exposure to black mold, or any other mold, has not been linked to cancer. However, mold is linked to various other health issues.
Mold can grow anywhere where moisture is found. Mold spores fly through the air to enter homes and other structures, and as a result, we may breathe them in at times. This can aggravate allergies and asthma and induce upper respiratory symptoms when present in high quantities for a long time in our bodies.
Read on to learn more about black mold, different varieties of mold, and who are most vulnerable to them.
Types of Dangerous Mold and Their Relation to Cancer
There are several dangerous and toxic molds found in our surroundings. Two of them are regarded as extremely dangerous and related to cancer.
Black mold and cancer
Stachybotrys chartarum, often known as black mold, or Stachybotrys atra, has a reputation for being a toxic mold. Satratoxin, a form of mycotoxin produced by black mold, is a toxic chemical that can cause disease in some people, but black mold and lung cancer haven’t been linked to it yet.
Aspergillus and cancer
Molds in this category produce aflatoxins, which are toxic components that can make you feel very ill and lead to liver cancer if you ingest them too much. Rather than inhaling, this mold enters your body through digestion.
Mold can grow in a variety of places, including your home. Cladosporium, Penicillium, and Alternaria are other dangerous molds found.
Also read: MYCOTOXINS TOXICITY: WHAT YOU NEED TO KNOW
Mold Toxicity Symptoms
The adverse effects of short-term mold exposure are different for every person. If you’re allergic or sensitive to mold, you’re more likely to experience severe symptoms.
Symptoms in general include:
- sinus and nasal congestion
- nasal irritation
- itchy, watery eyes
- red eyes
- blurry vision
- trouble breathing
- coughing
- sore throat
- sneezing
- nosebleeds
- asthma attacks (if you have asthma)
What Are the Risks of Mold Exposure?
Some people are completely unaffected, while others are more sensitive. If you have a mold allergy, you may experience severe symptoms such as lung inflammation.
According to the CDC, the Institute of Medicine found sufficient evidence associating indoor mold and wet indoor settings in general, with:
- Symptoms of the upper respiratory tract in healthy adults
- Symptoms in people suffering from asthma
- Hypersensitivity Pneumonitis in vulnerable people
Furthermore, lung cavities can be infected with Aspergillus niger if you have emphysema, TB, or severe sarcoidosis. Invasive aspergillosis is a more serious reaction in which the infection spreads from the lungs to the brain, heart, and kidneys. This is more likely to happen in persons with a weaker immune system.
What Type of Cancer Does Mold Cause?
Aflatoxin is a toxin produced by some varieties of this mold that can make you sick and even cause liver cancer. That usually comes from eating it rather than breathing it in.
Who’s at Risk?
People with the following conditions are at the biggest risk:
- allergies
- asthma
- a chronic lung disease
- cancer treatment
- intaking strong drugs and medicines
- organ or stem cell transplant
Also read: MOLD ON FOOD: IS MOLDY FOOD DANGEROUS?
How Do You Keep Mold Out of Buildings and Home?
Mold growth can be slowed down in your home and building by performing the following:
- Controlling humidity levels.
- Repair the leaking roofs, windows, and pipes as quickly as possible.
- Thoroughly cleaning and drying after floods.
- Ventilating shower, laundry, and cooking facilities.
Call us at 843-572-1600 or make an appointment with one of our mold toxicity expert doctors now if you are seeking the best mold treatment near you. We have a team of professionals at the Center for Occupational and Environmental Medicine who can help you with all of your health-related issues.
Food can be spoiled by mold. Moldy food has undesirable texture and taste and can even have apparent physical changes. Some of the molds are dangerous for your body as they produce harmful toxins, which can cause respiratory problems and various allergic reactions.
Autoimmune diseases like Hashimoto’s often have an overwhelming effect on your health. One of the most alarming and misleading factors that contribute to the development of Hashimoto’s is mold.
Can Mold Exposure Affect Thyroid Health?
Yes, mold exposure can affect your thyroid health because continuously growing mold spores produce toxic mycotoxins. Though mold exposure in small amounts does not present any significant health problems in healthy individuals, individuals suffering from an autoimmune condition can experience serious health concerns if exposed to mold.
Mold is a type of multicellular organism found throughout nature and in our own homes. People are said to have a mold allergy when their immune system overreacts to breathing in mold spores.
Black mold can release harmful toxins into the surrounding area. A person inhaling these toxins can experience certain health problems. People with weakened immune systems or lung disease have an increased risk of experiencing these health problems. In this blog, we will discuss what black mold is, how it affects your health, and how you can treat and prevent black mold exposure.
COMPREHENSIVE TREATMENT
COEM specializes in Environmental, Functional, and Integrative Medicine – which are all board-certified and evidence-based fields of medicine. Our center is one of the few resources for the practice of Environmental Medicine in the entire Southeast. Our physicians treat patients using a combination of conventional allopathic medicine with holistic medicine treatments using some of the best, scientifically validated therapies available. We take the time to develop and monitor individualized treatment plans designed to heal the whole body, not just relieve symptoms.
DIAGNOSIS
We look for biomarkers of exposure through blood and allergy testing to determine sensitivity and the type of mold you have been exposed to. Indicators of mold poisoning include, but are not limited to, a low white blood cell count, poor lung function, and neurological damage associated with exposure to biotoxins. Knowing the type of mold and its affects can help the doctor pinpoint the treatment.
NEW PATIENT INFORMATION
The initial appointment is an entire day, starting with a lengthy consultation reviewing your life and health history. We evaluate several factors throughout your history including, allergies, toxins, infections, stress, genetics, lifestyle, and nutrition. At the end of your appointment, the doctor will go over treatment recommendations. To learn more about our new patient appointments, please contact our New Patient Coordinator, Gabrielle at 843-572-1600 or complete the form found on our ‘Schedule Appointment’ page. 
Dr. Bettina Herbert discusses Mold Toxicity on ABC 4’s Lowcountry Live.
MOLD AND HUMAN HEALTH
Exposure to toxic mold can cause numerous health problems. After pollen, mold is the leading cause of outdoor airborne allergies. Mold produces several harmful substances like allergens, irritants, and the most harmful of all, mycotoxins – a potentially toxic substance. Mold and the toxins they secrete (i.e. mycotoxins) are increasingly being recognized as a source of illness and wide a range of symptoms, ranging from mild to severe, including:
- Muscle and joint aches and pains (including cramping)
- Coughing & Wheezing
- Nosebleeds
- Sinus pain
- Headaches
- Fatigue
- Dizziness
- Sleep disorders
- Night Sweats
- Sensitivity to light
- Difficulties losing weight
- Skin rashes
- Diarrhea
- Nausea
- Abdominal Pain
- Immune suppression
- Kidney and lung disease
- Anxiety & Depression
- Difficulty focusing or finishing a task
- Disorganization
- Feeling disconnected, confused, or losing parts of your personality
- Nerve Pain
- Numbness & tingling
Dr Allan Lieberman, in his paper Explosion of Mold Cases in Homes, Workplaces and Occupational Medicine Practice, examined 48 patients who were heavily exposed to mold and stated that the following problems are caused by mold:
- Muscle and joint pain (71%)
- Fatigue and weakness (70%)
- Neurocognitive dysfunction (67%)
- Sinusitis (65%)
- Headache (65%)
- Gastrointestinal problems (58%)
- Shortness of breath (54%)
- Anxiety/depression/irritability (54%)
- Chest tightness (42%)
- Insomnia (40%)
- Dizziness (38%)
- Numbness/tingling (35%)
- Laryngitis (35%)
- Tremors (25%)
- Heart palpitations (21%)
BEYOND MOLD: OTHER DANGERS FROM WATER DAMAGED BUILDINGS
Nearly 50% of buildings are water damaged and can be a host to many other dangers like bacteria and inflammatory toxins (know as biotoxins).
These organisms can metabolize materials and chemicals that are used in the construction of buildings and change them into new chemicals called inflammogens.
When someone who is genetically susceptible becomes exposed to these toxins, Chronic Inflammatory Response Syndrome (CIRS) can occur. This is the body’s uncontrollable inflammatory response to a toxin it can’t get rid of, causing a flood of inflammatory and hormonal changes.
This condition most frequently happens in the 24% of the population who have the genetic susceptibility (HLA DR/DQ genotype) who can’t detoxify mold well (source: Jill Carnahan, MD).
The physicians at COEM are experts in treating mold related illnesses, including CIRS. If you suspect CIRS or toxic mold exposure as the cause of your health problems, call our doctors today at 843-572-1600.
WHAT IS TOXIC MOLD?
Mold, fungi and mildew are all terms generally used to describe a specific group of organisms that can be found both indoors and outdoors. Molds grow wherever there is enough surface moisture to keep them alive and are found in every type of environment, and in every social and economic condition.
Mold and mold spores require moisture and a food source, such as cellulose or decaying food, to grow. As mold spores swell with water and grow, they elongate, forming balloon-like protuberances (hyphae), which secrete digestive enzymes and mycotoxins. The fungi then digest the food source to support their growth. About 100,000 fungal species have already been identified; in fact, fungi are estimated to comprise an astounding 25% of the world’s biomass. Molds are capable of growing on a variety of different surfaces, like, fabric, paper, and wood. The most common indoor molds are:
- Stachybotrys – also known as ‘toxic black mold’, produces trichothecenes and other mycotoxins. It feeds off cellulose usually found in dry wall and can become airborne on dust particulates.
- Alternaria – found in damp places indoors, such as showers or under leaky sinks or ceilings.
- Aspergillus – found growing on dust, powdery food items, and building materials like dry walls.
- Penecillium – found typically on water damaged materials and are mostly of green and blue color.
- Cladosporium – capable of growing in cool areas as well as warm areas.
WHY DO I HAVE MOLD IN MY HOME OR WORK SPACE?
Water damage is a leading culprit of mold toxicity. Since odorless mold can live in hidden spots and floorboards, it often lurks quietly and indefinitely.
Mold spores are invisible to naked eye, but still are found everywhere. Open windows, doorways and even ventilation systems are getaways through which these spores can enter the home or office. These molds will only land somewhere if the conditions are ideal for their growth i.e. places with excessive moisture and with a supply of suitable nutrients. Wet cellulose materials act as a great support for mold growth – these includes paper products, cardboard, ceiling tiles and wood products. Wallpaper, insulation materials and upholstery are other typical launch pads for mold growth.
HOW DO I TEST MY HOME FOR TOXIC MOLD?
Environmental sampling can be performed to check for spores and mycotoxins. Placing agar plated mold dishes in suspected moldy environments can yield counts of colony forming units. One study implies more than four colonies could be a problem, especially for those with recurrent sinusitis.
Calling in a mold inspector to do a thorough evaluation and written report of their findings is important. If litigation is involved it is wise to bring in a CIH, Certified Industrial Hygienist, who is qualified by training to determine the presence and extent of mold over growth.