Could That Rash Be an Allergic Reaction?
Allergy And Immunology
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Environmental allergies. We use positive results from this gold standard method of testing as guide management. Avoidance is always the first step in any kind of allergen sensitivity. For example, reducing exposure to household dust, dander, and mold are effective ways to reduce allergy symptoms. Where avoidance is not enough, we develop a medication plan to treat symptoms. Finally, based on your input, we may use the results of environmental allergy testing to make highly specific allergen immunotherapy (allergy shot) mixes for each patient. Food allergies. We use the results of food allergy tests together with a detailed history to develop a plan for the avoidance of specific foods, and rapidly treat reactions from accidental exposures. However, unlike environmental allergies, the results of food allergy tests are not used for allergen immunotherapy because of their high risk and low efficacy.
Medications and biologics. For treatment of allergies of your nose and eyes, effective medications include intranasal steroids, intranasal antihistamines, eye drops, antihistamines like cetirizine and fexofenadine. For difficult-to-treat chronic rhinitis with polyps, we prescribe monoclonal antibody biologic if needed, For treating hives, we prescribe cocktails of antihistamines and other medications such as a monoclonal antibody biologic if needed. For asthma, we prescribe all combinations of inhalers and other medications, and if this is not enough to control your symptoms, we can prescribe monoclonal antibody biologic.
Subcutaneous Immunotherapy (SCIT). Based on your skin test result and your history, we make individualized patient serums that can only be used for you. This serum modifies your immune response to these allergens in a highly specific manner. To ascertain patient safety, this treatment is administered and monitored by our highly trained staff. Over time, SCIT is very effective in altering a person's allergic response to these allergens, both improving allergy symptoms and decreasing the need for medications. The usual duration of treatment is four years, and the effect of this treatment can last long after it has been stopped.
Allergy Clinic
The management of chronic and recurrent nasal and sinus disease requires a history and detailed examination of the patient that often includes allergy testing. The Department of Otolaryngology provides allergy testing related to the ear, nose, and throat, along with endoscopic examination and X-rays, to diagnose and treat patients with sinus and nasal abnormalities.
RAST (Radio-Allergo-Sorbent Test), a blood test, and skin testing are routinely used to diagnose specific pollens patients have allergies to. Immunotherapy, or allergy shots, are provided using a methodology that is patient-friendly. Sublingual drops, as a means to test allergic disease, are also provided. The nurses who assist in the testing and treatment of the allergic patient are well trained and provide high quality and excellent care.
Women's Guide To Conquering Allergies
Ah, warm weather. For allergy sufferers, that means an onslaught of symptoms, like sneezing, sniffing, red eyes, and runny noses. Plus, trying desperately to avoid allergy triggers at parks, playgrounds, and gardens.
An estimated 35 million people in the U.S. Suffer from seasonal allergic rhinitis, or nasal allergies. Women are all too aware of when allergy season hits, because visible allergy symptoms may have them reaching for their makeup bags in a panic.
"Springtime — when things are growing — can be tough," says Julie Livingston, a public relations professional in the metro-NYC region, who has seasonal allergies.
She says her allergy symptoms can make her feel self-conscious. "My eyes often appear red and irritated," she says, "People will ask, 'Are you OK?' even when I'm not really sick."
But there's no reason for you to sit back and surrender to allergies this season. Fight back with WebMD's arsenal of practical advice for conquering allergies and embracing springtime without a tissue box in hand.
Year after year, many women cope with allergies — sometimes without even realizing it. Common complaints include nasal congestion, scratchy throat, itchy eyes and allergic shiners, dark circles that appear beneath the eyes and puffiness in the upper face.
"We found over 80% of women didn't realize that the allergic shiners could be attributed to allergies and sinus problems," says Clifford Bassett, MD, medical director of Allergy & Asthma Care of New York and on faculty at the NYU School of Medicine. "So they use cosmetics and foundation to cover it up, but with treatment, it actually can improve and go away. They can look and feel better."
"The bottom line is allergies are 100% treatable," he says. "People don't need to suffer. If you're having symptoms and it's persistent and bothersome, then see an allergist and get tested. It's very simple. Then you can approach the problem much more definitively and exactly based on your needs."
Quality of life issues can affect your daily activities, says Kathleen May, MD, an allergist in private practice in Cumberland, Md.
"If you can't sleep, and you're coughing all night and congested," she says, "you're not going to be very functional. A lot more people are miserable than realize it. They can do better."
"You'll hear people say, 'Oh, it's just my allergies,'" she says. "It's dismissed. But it's time to educate them that it's really more than a nuisance. Allergies are a serious problem and can be treated."
Sometimes people think they have a cold that just doesn't go away, May says. Allergies can mimic cold symptoms – and the chronic congestion or drainage you attribute to an illness can actually be signs of allergies.
The most common symptom of seasonal allergies is nasal congestion, or a stuffy nose, Bassett says. The difference is that colds typically come on suddenly, last 5 to 7 days and don't respond to most allergy medications.
The first step to treating allergies, Bassett says, is to confirm your diagnosis. Antihistamines and decongestants are the most common types of treatments used to alleviate allergy symptoms. Don't wait until symptoms kick in before taking your allergy medications. As the weather gets warmer, pollens and molds are released into the air. Check your local pollen forecasts and mark your calendar early in the year. Start early and prepare by taking allergy medications just before the allergy season starts.
"If you wait to start the medications, you're already losing a lot of sleep," May says.
Depending on where you live in the country, you might discover dust mite and mold allergies get worse in the spring and the fall — mimicking the peak cycles of seasonal allergies. That's why correctly identifying your allergy triggers early is important.
Some people who think they have seasonal allergies are very surprised to find they have a year-round allergy to dust mites or mold, May says. More than two-thirds of people actually have allergy symptoms year-round, according to the American College of Allergy, Asthma and Immunology (ACAAI).
"Dust mites like humidity so anytime it's rainy and damp, their populations increase," May says. "It coincides with growing season and aggravates the whole problem because people are not targeting the right allergen."
Allergies can also trigger asthma attacks. Allergic asthma is the most common type of asthma. Women are more prone to asthma than men, and are also more likely to require urgent care as a result. Common signs of asthma include wheezing, nighttime cough, or trouble breathing after exercise.
"When you have nasal allergies, your risk for asthma is about 40%, much higher than the general population," May says. "A lot of people with nasal allergies have ignored their respiratory symptoms thinking it's all part of their allergies. So they are not getting the right treatment."
"The good news is, if you can identify what those people are allergic to, and treat it appropriately, in many cases, the other problems like asthma and sinus problems, go away or improve greatly — and they can get back to having a normal life," she says.
Clifford Bassett, MD, allergist/immunologist in New York City, shares his top advice for breathing easier this allergy season:
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