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There are no announcements or holiday closures at this time. In the event of severe weather, please check this space for any weather-related closures..
by Don McNeil, M.D., F.A.A.A.A.I Allergists are also immunologists if board certified by the American Board of Allergy and Immunology. This certification enables an immunologist to recognize and treat patients who have a compromised immune system. The human body has multiple means of protecting itself from harm. The following is a description of the mechanism of protection that fails in the immune system in a variety of circumstances. These may occur at any age but this topic deals with the immune disorders encountered as adults, particularly the elderly. Primary immunodeficiencies (PI) occur more frequently in the newborn and younger population, approximately one in every 1,200 people. Secondary immunodeficiencies are even more common. These are frequently due to age, illness, injury or medication. PI may occur in patients over age 60 and may be new-onset but could also be pre-existing and overlooked. It is important to recognize these no matter the age because it may certainly prolong life and provide a better quality of life. Diseases which are associated with an immune disorder or secondary to another illness include cancer, HIV, malnutrition, diabetes, Down’s syndrome and patients after the spleen has been removed (splenectomy). There is also an infallible loss of […]
By: Philip N. Rancitelli, M.D., F.A.A.A.A.I Many of us make resolutions this time of year to improve our health. The rising costs of health care and evolving access to care make such resolutions more complicated than 10 to 20 years ago. Having a well thought out strategy can ease the pain of out-of-pocket expenses, inconvenient appointment times, and long wait times at your physician’s office. Here are a few tips to improve your experience with Midwest Allergy: The busiest time of the year for allergy care is May through September. If possible, schedule your routine checkups outside of this window to minimize your wait time in the office, and to have access to a wider variety of appointment times. Schedule appointments as far in advance as possible. At certain times of the year, booking the next available appointment might be several weeks to months in the future. This is obviously not optimal if you need an appointment to renew expired prescriptions or to address a new problem. If paperwork for school needs to be filled out/signed by your physician, think about contacting our office early in the summer to get this taken care of. At the beginning of the school year, […]
Pets provide companionship and fun, but for some people a dog or cat can also trigger sneezing, sniffles and worse. Does an animal allergy mean a life without Fido? Not necessarily. There is a myth that pet allergies are triggered by animal hair, but they are actually caused by a protein found in pet skin (or dander), saliva and urine. Some dog breeds are labeled “hypoallergenic”, as they shed less, but no dog is 100% hypoallergenic—even hairless dogs still have some allergen. Each animal is different, and a particular pet allergy sufferer may do better with one breed than another. If you’re allergic and want to get a dog or cat, consider looking for breeds with shorter hair and less shedding, although there isn’t real scientific evidence this will help. Some allergists have suggested that a dog that tends to keep its coat throughout the year may be better for allergy sufferers. Other factors, such as your pet’s disposition, might make frequent bathing more feasible. Things you can do to reduce suffering from pet allergies: • Make your bedroom a pet-free space, and wash bedding in hot water. • Bathe your pet frequently and have a non-allergic person perform grooming […]
If you think your outdoor allergies are getting worse, you may be right. And global warning may be the culprit. That’s not good news for the millions of people worldwide who suffer from seasonal allergic rhinitis (hay fever) and allergic asthma. Recent studies suggest that increasing temperatures and carbon dioxide levels are causing spring seasons to arrive earlier. This means that pollination starts sooner. Tree pollen is the most common trigger for spring hay fever. Fall allergies, primarily caused by ragweed, are also getting worse because ragweed grows faster and produces more pollen per plant. Global warming is especially bad news for asthmatics whose flare-ups are triggered by allergens or ozone pollution. There are steps you can take to avoid outdoor allergens that trigger your symptoms. • Keep windows in your home closed as much as possible to prevent pollen from drifting into your home. • Keep your car windows closed when traveling. • The best times of day to be outdoors are when the pollen levels are lower. This is typically on rainy, cloudy and windless days. • When gardening, avoid touching your eyes and face. • Take a shower after spending time outside; pollen can collect on your […]
This article has been reviewed by Thanai Pongdee, MD, FAAAAI Pharmacy shelves are stocked with supplements for healthy living. These complementary and alternative medicines (CAM) are used by millions of people. Although they are intended to prevent illness, ease symptoms or treat disease, some of these products can do more harm than good—especially if you have a chronic condition such as an allergy or asthma. “Natural” does not always mean safe. While prescription and over-the-counter drugs must go through rigorous safety and efficacy testing before they can be sold, herbal medicines do not. Instead, the U.S. government classifies these herbs as dietary supplements, rather than a food or drug. For people with allergies or asthma, this difference can pose real risks. Labeling Herbs and vitamins do not need to conform to laws requiring labeling. Ingredient labels for these supplements may be incomplete or incorrect. This can create risks for people with allergies to drugs, foods or pollens. Herbal remedies, including teas, made from plants can cause allergic reactions, such as hives, or can induce asthma symptoms. Although chamomile and various other herbal teas may be calming, these products can cause an allergic reaction for people with a ragweed pollen allergy. […]
Saline sinus rinses can bring relief to patients with chronic sinus or rhinitis problems without the use of medication. If you suffer from chronic or acute sinus infections, sinus rinses can be helpful in removing and thinning out excessive mucus. If you have allergic rhinitis, these rinses can bring relief by removing allergens from the nostrils and sinuses. Although easy to use, the rinsing process may seem unusual at first and may take a little getting used to. Several commercial sinus rinse devices are available without a prescription. They are convenient to use and can be found in most pharmacies. But you can also make your own rinse at home with only three ingredients and at a fraction of the cost. Saline Rinse Recipe Ingredients 1. Pickling or canning salt-containing no iodide, anti-caking agents or preservatives (these can be irritating to the nasal lining) 2. Baking soda 3. 8 ounces (1 cup) of lukewarm distilled or boiled water In a clean container, mix 3 heaping teaspoons of iodide-free salt with 1 rounded teaspoon of baking soda and store in a small airtight container. Add 1 teaspoon of the mixture to 8 ounces (1 cup) of lukewarm distilled or boiled water. Use […]
By: Dr. Joseph Bullock We are well into the holiday season, which is usually a time of great joy but can cause frustrations for patients with allergies. If you plan to visit family and friends, you may be exposed to “accidental” allergens. Many home-baked goods may contain eggs, peanuts, tree nuts, or seeds. Family and friends might have a pet to which you are allergic. Please, plan to take oral antihistamines and/or nasal steroids and nasal antihistamines for rhinitis. Take your albuterol inhaler or even your nebulizer for emergency asthma symptoms. Antihistamine eye drops are useful for conjunctivitis due to pet dander. An Epipen would be a life-saver for accidental food exposure. A little preplanning can avoid rushes to the pharmacy or emergency room.
October 2015 Dear Patients, With a lot of joy and sadness, I am writing to let you know of my intention to retire from the practice of medicine. My last day with Midwest Allergy Associates, Inc. will be December 31, 2015. I have enjoyed caring for you and your families over the years. Some of you have been patients for over 40 years!! As you all know, Midwest Allergy Associates, Inc. is staffed with some of the most knowledgeable allergists and immunologists in the country. I highly recommend that you select one of these physicians for your continuing and future allergy treatment. If you are being treated with immunotherapy (allergy shots) it is especially important that you choose another Midwest Allergy Associates, Inc. physician. This will allow your treatment to continue without interruption. You may select another Midwest Allergy Associates, Inc. physician by contacting our office. Your medical records are confidential and will remain on file with Midwest Allergy Associates, Inc. Please be assured that my staff will do everything they can to make the transition smooth and stress free. It has been a great pleasure being your allergist! I sincerely appreciate your friendship and loyalty. I wish you continued […]
Millions of people suffer allergy symptoms caused by indoor allergens such as dust mite droppings, animal dander, cockroach droppings and molds. While it is impossible to avoid these allergens, there are ways you can minimize exposure to them. Controlling Dust Mites Who could guess that a microscopic-sized allergen could cause major problems? • Because so much time is spent in the bedroom, it is essential to reduce mite levels there. Encase mattresses, box springs and pillows in special allergenproof fabric covers or airtight, zippered plastic covers. Bedding should be washed weekly in hot water (130° F) and dried in a hot dryer. • Keep humidity low by using a dehumidifier or air conditioning. • Wall-to-wall carpeting should be removed as much as possible. Throw rugs may be used if they are regularly cleaned. • People with allergies should use a vacuum with a HEPA (high-efficiency particulate) filter or a doublelayered bag, and possibly wear a dust mask-or ask someone else to vacuum. Controlling Pet Allergens Contrary to popular opinion, people are not allergic to an animal’s hair, but to an allergen found in the saliva, dander (dead skin flakes) or urine of an animal with fur. • All dogs and […]
For many students, starting college marks the beginning of adulthood and it may be the first time they’ll be living independently. This exciting (and sometimes scary) transition poses special challenges for those with allergies and asthma, and it often raises concerns for parents. A new environment exposes students to different allergy and asthma triggers. The challenges of college life may add additional stress that can aggravate asthma. And, for those with food allergies, dining on campus can seem like a minefield. These may seem like daunting hurdles to overcome. But with a little planning, teens can successfully transition from high school to college, and at the same time take a more active role in managing their health. Steps to take If they aren’t already doing so, now is the time for teens begin to take responsibility for managing their conditions. Here are some timely tips for the college-bound: • When you arrive on campus, meet with staff (especially food service personnel and residence hall advisors) to develop a plan to control your allergies and asthma. • Don’t take chances. Know what triggers your allergic disease and stay away from these allergens. Be aware of signs that you need to seek […]
Voluntary Nationwide Recall of Auvi‑Q® Due to Potential Inaccurate Dosage Delivery Dear Colleagues, It has come to the AAAAI’s attention that Sanofi US has issued a voluntary nationwide recall of Auvi-Q® (epinephrine injection, USP) due to potential inaccurate dosage delivery. Sanofi US is conducting this recall with the knowledge of the U.S. Food and Drug Administration. The concern is that if a patient was experiencing anaphylaxis and ended up not receiving the intended dose, there could be significant implications due to the potentially life-threatening nature of anaphylaxis. The recall covers all Auvi-Q units currently on the market in both the 0.15 mg and 0.3 mg strengths. This includes lot numbers 2299596 through 3037230, which expire March 2016 through December 2016. AAAAI members should be aware of this recall because the manufacturer is urging patients to promptly contact their healthcare provider to arrange for a prescription for an alternate epinephrine autoinjector. The manufacturer is also advising patients to contact their healthcare provider if they experience any issues that may be related to using the product. If your patients have questions related to the recall, they can visit Auvi‑Q.com and call 1‑866‑726‑6340 Mondaythrough Friday (8 am to 8 pm ET) for […]
By: Michael Pistiner MD, MMSc This article has been reviewed by Thanai Pongdee, MD, FAAAAI Restaurants serve more than just food. They also serve an important role in our social activities. According to the National Restaurant Association (NRA), 44% of adults report that restaurants are an essential part of their lifestyle. However, if you or someone in your family has a food allergy, eating out can be a stressful experience. Communication is key Food allergy awareness is important for owners, food preparers and wait staff in all types of eating establishments–from sit down to take out. Additionally, it is imperative for you to alert servers and managers of your food allergies prior to ordering. If you or a family member has a food allergy, consider checking a restaurant’s menu online or calling before visiting. Always alert your server or the manager about your allergy. Simple dishes made from scratch are safest. Remember to carry emergency medicine at all times, especially when dining out. And, if there is any question that an allergenfree meal cannot be safely served, then it is best to avoid the risk and politely leave. New legislation for food allergies Food allergy advocates have been encouraging legislation […]
This article has been reviewed by Thanai Pongdee, MD, FAAAAI Some of the symptoms of food intolerance and food allergy are similar, but the differences between the two are very important. Eating a food you are intolerant to can leave you feeling miserable. However, if you have a true food allergy, your body’s reaction to this food could be life-threatening. Digestive system versus immune system A food intolerance response takes place in the digestive system. It occurs when you are unable to properly breakdown the food. This could be due to enzyme deficiencies, sensitivity to food additives or reactions to naturally occurring chemicals in foods. Often, people can eat small amounts of the food without causing problems. A food allergic reaction involves the immune system. Your immune system controls how your body defends itself. For instance, if you have an allergy to cow’s milk, your immune system identifies cow’s milk as an invader or allergen. Your immune system overreacts by producing antibodies called Immunoglobulin E (IgE). These antibodies travel to cells that release chemicals, causing an allergic reaction. Each type of IgE has a specific “radar” for each type of allergen. Unlike an intolerance to food, a food allergy can […]
By: Dr. Grace Ryu Many of you may have heard about the groundbreaking study in New England Journal of Medicine early this year. The results of the Immune Tolerance Network’s “Learning Early About Peanut” (LEAP study) demonstrated support for early, rather that delayed, introduction of peanut in high-risk infants. This early introduction prevents the subsequent development of peanut allergy. Based on this study published in February the American Academy of Pediatrics, American Academy of Allergy, Asthma & Immunology and American College of Allergy, Asthma & Immunology have endorsed and accepted a policy regarding Early Introduction and the Prevention of Peanut allergy in High-risk Infants. Healthcare providers should recommend introducing peanut-containing products into the diet of high-risk infants early on in life, between 4-11months of age. Not doing this may be associated with an increased risk of developing peanut allergy. Infants with early-onset atopic (allergic) disease, such as eczema or egg allergy in the first 4-6 months of life may benefit from evaluation by an allergist. The evaluation may consist of performing peanut skin testing. If positive the allergist may perform an in-office peanut ingestion challenge if appropriate after discussion with the family. This is an important policy since the study […]
By: Dr. Don McNeil A patient who chooses to visit one of our offices or is referred to our office by another physician may not be aware of the process. A patient who is well informed ahead of the visit will better understand the sequence of events and why. The following is a description of what is involved before he or she arrives, what information is collected before the visit, during the visit and how the medical evaluation is conducted. Prior to the appointment, each patient has the option to complete a questionnaire on line. This information will enable the patient to consider and document relevant information at their own pace. Further demographics are collected at the reception desk including relevant insurance information and copayments. This is also the time that the patient is informed of his rights and the regulations involved with HIPPA requirements. The actual physician evaluation is only one portion of the encounter. This involves a review of the medical history, a physical examination and possibility of further testing such as skin testing, breathing (pulmonary function) tests, food challenges, blood tests or x-rays. Once this information is acquired, a treatment plan is instituted. This may require additional […]
Typical allergens affecting the eyes include pollen and mold spores, animal dander and dust mites. So if you have been diagnosed with any of these allergies, then symptoms may develop in your eyes. Most people suffering from eye allergies have problems in both eyes. Symptoms usually appear quickly, soon after the eyes come in contact with the allergen. The most common symptom occurs when the small blood vessels widen and the eyes become pink or red. Some people experience pain in one or both eyes. Other symptoms include swollen eyelids, a burning sensation, and sore or tender eyes. The first approach to managing your eye allergy symptoms is to avoid the allergens that trigger your symptoms. However, this isn’t always possible. That is when medications might be helpful. Over-the-counter eye drops or oral antihistamines are commonly used for short-term relief. If these are not effective, your allergist may prescribe longterm, targeted medications. Also, immunotherapy (allergy shots) is a proven treatment approach to managing many allergies, including ocular. Eye allergies occur when the conjunctiva becomes inflamed. This is the mucous membrane covering the white of the eye and the inner side of the eyelid. Physicians use the terms “ocular allergy” or […]
As we become more environmentally conscious, earth-friendly practices like composting are gaining popularity in homes and community settings. That poses an interesting question: Is composting food waste safe for people with food allergies? For a food to cause a significant allergic reaction, it must gain access inside the body. This can be through ingestion, contact with an open wound (such as a scratch), or inhaling fine particles in the air or fumes from heated food. In most instances, being near or adding food waste in a composter or a composting pile should have little risk to a food allergic person, providing you take these precautions: • If you are food allergic and are doing the composting, wear a pollen mask to prevent inhaling any particles. Goggles, gloves, and wearing long sleeves and long pants can prevent contact exposure if you have scratches or open wounds. • If you are composting and are around someone with food allergies, wear gloves when composting or thoroughly wash your hands so that you don’t run the risk of transferring allergen particles. Is the heat generated from the composting process enough to prevent an allergic reaction? Research is showing that extensively heating milk and egg […]
By: Dr. Deborah Ortega-Carr There are two types of allergic reactions that occur after an insect sting or bite. Local reactions typically cause itching, burning and swelling that subsides in hours. Systemic reactions cause symptoms distant to the sting site and can be very severe including hives, widespread swelling, shortness of breath,, nausea vomiting, dizziness and low blood pressure with loss of consciousness. Patients who have had any systemic symptoms are referred to an allergist for further evaluation and treatment. Patients receive skin testing and sometimes blood tests to look for IgE allergy antibodies. Many allergists now measure a tryptase level to assess the risk of anaphylaxis by looking for other risk factors. Local reactions can sometimes be more significant and are referred to as Large Local Reactions (LRTs) LRT’s are also due to allergy antibodies and are often called late phase inflammatory reactions. The typical large local reaction occurs over several hours, 6 or more hours after the sting, progresses for 24-48 hours and can last 5 days or longer. Although these reactions are associate with low risk of anaphylaxis and venom immunotherapy (shots) are generally not recommended, patients are often very concerned about these local reactions. Ice to […]
Cost of Allergist Still a Value at Midwest Allergy Health care delivery is a rapidly evolving industry, and all specialties have been affected, including allergy and immunology. Practices like Midwest Allergy are continually trying to adhere to new guidelines mandated by our government, insurance companies, and allergy/immunology governing boards. Unfortunately, patients ultimately feel the impact of this as well. Many patients have noticed increased out of pocket expenses for medications and services provided by physicians. Furthermore, access to quality medications has suffered, as insurance companies often prefer to cover older generic medications rather than novel therapies. Midwest Allergy physicians have been proactive in dealing with the current medical environment, while remaining determined to continue to offer high quality care. Our physicians actively participate in local, state and national allergy/immunology meetings to help promote our specialty and to learn the best ways to integrate new guidelines into our practices. Our staff has played a vital role in accommodating changes as well. They work diligently to keep Midwest Allergy an efficient and quality medical practice. For instance, our nurses spend more time than ever working to get medications covered for patients after initial insurance denials. Many of our nurses also attend […]
Allergist / immunologists are specialists in the diagnosis and treatment of allergies, asthma and other diseases of the immune system. Allergists practicing in the United States have completed medical school, at least three years of residency in pediatrics or internal medicine, then at least two years of specialized training in allergy and immunology. To be board certified, they must pass an examination and regularly attend continuing medical education programs in allergy and immunology. Many people with untreated allergic symptoms aren’t aware of how much better they can feel once their symptoms are properly diagnosed and managed by an allergist / immunologist. An allergist’s approach is personal. Your allergist typically asks about your medical history, does a physical examination and performs specific allergy and/or breathing tests. The results guide a personalized treatment plan which typically includes measures to avoid or eliminate triggers, recommendations for medications and education to help you take an active role in treating your disease.
Spring is in the air, and so are billions of tiny pollens that trigger allergy symptoms in millions of people. This condition is called seasonal allergic rhinitis, commonly referred to as hay fever. Hay fever can affect your quality of life. It can lead to sinus infections, can disrupt your sleep and affect your ability to learn at school or be productive at work. Symptoms include: Itching in the nose, roof of the mouth, throat, eyes Sneezing Stuffy nose (congestion) Runny nose Tearing eyes Dark circles under the eyes
Allergies to tree pollen are in full bloom in the Midwest—and when spring allergy season begins, it comes on fast, according to allergists familiar with the area. “When the tree season comes on, patients go from feeling normal to just being miserable,” said Dr. Don McNeil, who specializes in allergy and immunology at Midwest Allergy in Columbus, Ohio. The spring allergy season is short—just six to eight weeks—but it can make allergy sufferers highly uncomfortable. McNeil says this is heightened by the fact that many people with pollen allergies also have mold allergies. The moist warm weather that marks spring encourages mold growth. That means mold allergies are on the rise at the same time as tree pollen. The tree pollen that causes related spring allergies can only arise from trees that pollinate: deciduous trees. These are the oaks, hickories, sycamores, cottonwoods, birches and other hardwoods that are prevalent in the Midwest. Although that makes spring allergies worse in this area, McNeil said moving to another region rarely brings long-term relief. “If you are prone to having allergies, you may move to a new area and be free of your symptoms initially,” he said. “After a year or two, you […]
From the AAAAI: Seasonal allergic rhinitis, commonly referred to as hay fever, affects millions of people worldwide. Symptoms include sneezing, stuffiness, a runny nose and itchiness in your nose, the roof of your mouth, throat, eyes or ears. These allergic reactions are most commonly caused by pollen and mold spores in the air, which start a chain reaction in your immune system. Your immune system controls how your body defends itself. For instance, if you have an allergy to pollen, the immune system identifies pollen as an invader or allergen. Your immune system overreacts by producing antibodies called Immunoglobulin E (IgE). These antibodies travel to cells that release chemicals, causing an allergic reaction. Pollen Pollen are tiny grains needed to fertilize many kinds of plants. Pollen from plants with colorful flowers, like roses, usually do not cause allergies. These plants rely on insects to transport the pollen for fertilization. On the other hand, many plants have flowers which produce powdery pollen that are easily spread by wind. These culprits cause allergy symptoms. Each plant has a period of pollination that does not vary much from year to year. However, the weather can affect the amount of pollen in the air […]
By: Dr. Joseph Bullock The milky sap of the rubber tree ( Hevea brasiliensis) is the source of natural rubber latex (NLR) and is capable of causing allergic reactions, both contact dermatitis and contact systemic symptoms. NLR materials were introduced into the health care field in 1840 with the advent of NLR surgical gloves. In the late 1980’s with the increase of transmittable diseases, especially HIV and hepatitis infections, the use of NLR products increased dramatically. During the 1990’s, NLR emerged as a major cause of allergy problems in health care workers and in patients with spinabifida who undergo numerous catheterization procedures. The only effective treatment is the avoidance of all latex products including latex gloves, condoms, band aids, balloons and other rubber products. Using powder free, latex free gloves and other rubber products has dramatically decreased the frequency of latex allergy. About 40% of latex allergy patients also show allergic symptoms to plant derived foods especially fruits. This is called the latex-fruit syndrome caused most frequently by avacado, banana, kiwi, chestnut, and fig. Patients with latex allergy should be aware of these potential food cross reactions.
Most people are bothered by skin irritations at some point in time. These irritations are so common and varied that they are called by different names, which can lead to confusion. When an allergen is responsible for triggering an immune system response, the irritation is an allergic skin condition. There are several types of allergic skin conditions. An allergist / immunologist, often referred to as an allergist, has advanced training and expertise to determine which condition you have and develop a treatment plan to help you feel better. Hives and Angioedema Urticaria is the medical term for hives, which are red, itchy, raised areas of the skin. They can range in size and appear anywhere on your body. Most cases of hives are known as acute and go away within a few days or weeks, but some people suffer from chronic hives with symptoms that come and go for several months or years. Your allergist may prescribe antihistamines to relieve your symptoms. If the cause can be identified, you should avoid that trigger. However, the majority of chronic cases are not related to allergy. Routine testing, such as blood counts or allergy screens, are not recommended as they are unlikely […]
Do you cough, wheeze and have a tight chest or shortness of breath when you exercise? If yes, you may have exercise-induced bronchoconstriction (EIB). This happens when the tubes that bring air into and out of your lungs narrow with exercise, causing symptoms of asthma. An estimated 300 million people worldwide suffer from asthma, according to the World Health Organization, and strenuous exercise makes it worse for many people. Some people with EIB do not otherwise have asthma, and people with allergies may also have trouble breathing during exercise. Symptoms If you have EIB, you may have problems breathing within five to 20 minutes after exercise. Your symptoms may include: • Wheezing • Tight chest • Cough • Shortness of breath • Chest pain (rarely) Triggers People with EIB are very sensitive to both low temperatures and dry air. Air is usually warmed and humidified by the nose, but during demanding activity people breathe more through their mouths. This allows cold, dry air to reach your lower airways and your lungs without passing through your nose, triggering asthma symptoms. Air pollutants, high pollen levels and viral respiratory infections may also be triggers. Other causes of symptoms with exercise may be […]
By: Dr. Michael Franz PNEUMOCOCCAL DISEASE Pneumococcal disease is an infection caused by the Streptococcus Pneumoniae bacteria (germ) sometimes referred to as pneumococcus. The pneumococcal bacteria can cause many types of illnesses including pneumonia,meningitis,ear infections,sinus infection,and bacteremia (blood stream infection) Pneumonia,meningitis,and bacteremia are considered invasive disease meaning that the pneumococcal bacteria invade parts of the body that are normally free from germs.These infections can be life threatening! We normally have a small amount of pneumococcal bacteria in our nose and mouth without it causing problems.It will cause infection only if it gets where it shouldn’t belong,like our lungs,ears or sinus cavities. Anyone can get pneumococcal disease,but some people are at higher risk for disease than others.Children at higher risk are: -children under two years of age -children in group child care -children who have certain illnesses (sickle cell anemia,HIV infection,immune. deficiency,and chronic lung or heart conditions) Adults at higher risk are: -any adult 65 years or older -some adults 19 through 64 years of age with chronic illnesses (Heart,lung,liver,kidney,asthma,diabetes and alcoholism) -with conditions that weaken the immune system (HIV/AIDS, cancer,or damaged/absent spleen) -living in a nursing home -who smoke cigarettes Transmission of pneumococcal bacteria is from person to person by […]
At Midwest Allergy, children’s food allergies is an area of expertise. We use our expertise to provide support and education for the community. Whenever credible studies come to light, we’re eager to learn from them. Check out this article regarding the possible prevention of peanut allergies. Prevention of Peanut Allergies: Are We Ready to Take the LEAP? Author: David Stukus, MD PUBLISHED FEBRUARY 26, 2015 IN: ALLERGIES & ASTHMA By now, every family living with peanut or food allergies has heard about the landmark study findings released on February 23, 2015. I happened to be in attendance at the American Academy of Allergy, Asthma and Immunology meeting when the authors disclosed the findings of the Learning About Peanut Allergy (LEAP) study. I have never seen such buzz and excitement from within our field! As with all research findings, it’s important to read past the headlines. We have known for some time that rates of food allergy have increased dramatically in recent years with no currently effective treatment other than strict avoidance. This requires significant lifestyle modification and vigilance, which can impact quality of life. Recent research has mostly focused on possible treatment of children who already have food allergy (stay […]
By: Dr. Grace Ryu With the cold dry air of winter your eczema has probably flared. People are always looking for an alternative to steroid creams. Steroid creams are often needed when the inflammation cannot be managed with moisturizers. There are many new formulations of moisturizers containing ceramides or waxy lipid molecules (fatty acids). Many studies suggest that decreased ceramide levels in the skin are one of the major problems causing eczema. These moisturizers help restore the concentration of ceramide thus fixing the barrier function. These creams can be expensive and petroleum based products seem to have similar effectiveness with much lower cost. There are also several more natural products that could be used such as coconut oil and sunflower seed oil. Coconut oil is a good emollient and has some antibacterial properties. It was shown to reduce staphylococcus on the skin when applied twice a day for one month. This may help decrease the inflammation and itching that is caused by Staphlococcus. Probiotics and the effect it has on eczema are controversial. Some studies show a benefit while others show none. Also there are still many unanswered questions about dosing, timing and the appropriate type of probiotic. Phototherapy with […]
From the AAAAI: Millions of people suffer year-round from allergy symptoms caused by indoor allergens. These culprits include dust mite droppings, animal dander, cockroach droppings and molds. Your immune system controls how your body defends itself. For instance, if you have an allergy to dust mites, your immune system identifies dust mites as an invader or allergen. Your immune system overreacts by producing allergic antibodies called Immunoglobulin E (IgE). These antibodies travel to cells that release chemicals, causing an allergic reaction. This reaction usually causes symptoms such as sneezing, stuffiness, a runny nose, or itchiness in your nose, the roof of your mouth, throat, eyes or ears. When these symptoms occur year-round, the condition is called perennial allergic rhinitis. In addition to causing allergy symptoms, allergens can also trigger asthma flare ups in people with allergic asthma. With the help of an allergist / immunologist, often referred to as an allergist, you can learn what allergens cause your symptoms. While avoiding allergens is the most effective treatment approach, strict avoidance isn’t always possible. Here are some changes you can make to help you feel better. Dust Mites Dust mite allergens are a common trigger of allergy and asthma symptoms. While […]
Allergist / immunologists are specialists in the diagnosis and treatment of allergies, asthma and other diseases of the immune system. Allergists practicing in the United States have completed medical school, at least three years of residency in pediatrics or internal medicine, then at least two years of specialized training in allergy and immunology. To be board certified, they must pass an examination and regularly attend continuing medical education programs in allergy and immunology. Many people with untreated allergic symptoms aren’t aware of how much better they can feel once their symptoms are properly diagnosed and managed by an allergist / immunologist.
By: Dr. Don McNeil Like any other service oriented occupation, the practice of allergy and immunology must constantly try to reach the population in need of our area of expertise. We have a product to market which is our knowledge and training not unlike the automobile mechanic who knows when a repair is necessary and how to fix it. It is not hard to suspect a problem; the challenge is to know the correct diagnosis and how to correct it. Because this challenge can be such a difficult one, it’s important to always consult a board-certified allergist. Do I need to see an allergist? A person confronted with the endless information available when he or she begins to explore electronic media or word of mouth, can quickly become confused. The biggest billboard or gimmick to attract your attention at the supermarket does not guarantee a perfect result. It is unfortunate that a consumer of medical care often does not have the confidence to know the difference between a slick advertisement and an honest effort to inform someone of the options. He/she may constantly be asking, ‘do I need to see an allergist?’ Most people with allergies or asthma will never […]
If you have an allergy, your body is reacting to something you inhaled, touched or ate. The substances that trigger an allergic reaction are called allergens. Reactions to these allergens range from annoying to life-threatening. Many people with untreated allergy symptoms aren’t aware of how much better they can feel once their symptoms are properly diagnosed and managed by an allergist / immunologist, often referred to as an allergist. An allergist is a pediatrician or internist with at least two additional years of specialized training and is the best physician to diagnose and treat allergies and asthma.
If you suffer from allergy symptoms, you may wonder if allergy immunotherapy (allergy shots) is the best treatment for you. While it requires time and patience, the payback can be long-term relief Allergies are the result of a chain reaction that starts in the immune system. Your immune system controls how your body defends itself. For instance, if you have an allergy to pollen, your immune system identifies pollen as an invader or allergen. Your immune system overreacts by producing antibodies called Immunoglobulin E (IgE). These antibodies travel to cells that release chemicals, causing an allergic reaction. Allergy immunotherapy is the medical term for allergy shots prescribed by allergists. An allergist/immunologist, often referred to as an allergist, has specialized training and experience to determine which allergens are causing your symptoms and discuss if allergy immunotherapy is right for you. Occasionally doctors give cortisone-type shots that can temporarily reduce allergy symptoms. These types of shots are different and should not be confused with allergy immunotherapy injections. How Does Allergy Immunotherapy (Allergy Shots) Work? Allergy immunotherapy works much like a vaccine. Your body responds to injected amounts of a particular allergen given in increasing doses, eventually developing a resistance and tolerance to […]
By: Dr. Deborah Ortega-Carr Although allergic rhinits and asthma are chronic illnesses, most patients are not symptomatic on a daily basis. Many patients have seasonal flares when symptoms are troublesome. Asthma patients are symptomatic a minority of the time, but they are frequently instructed to take a daily controller medication. Often a patient feels that they need medicine much less than is prescribed. Patients and parents of patients often wonder how to present these concerns to the physician so that a healthy discussion of risks and benefits of the medications can take place. Am I Under Control? The description of control of allergies and asthma varies greatly among individuals. For some it may be the ability to exercise at a high level. For others it may mean a resolution of their worst symptoms. Determing what control means for an individual patient will then set the stage for the plan for management. Clinicians also vary in their definitions of control but most agree that reducing flares or exacerbations of asthma and allergies is a good marker of control. Recent asthma quidelines suggest that step down of asthma medications may be considered after asthma has been under good control for 3 months. […]
This article has been reviewed by Thanai Pongdee, MD, FAAAAI Unlike many allergic conditions, there currently are no proven treatments for food allergy. Management of food allergies remains dependent upon avoiding substances that trigger allergy symptoms. Allergic reactions to food normally occur within minutes of eating the trigger food, though they can sometimes appear a few hours later. In some cases, food allergies can cause a severe reaction called anaphylaxis.
This article has been reviewed by Thanai Pongdee, MD, FAAAAI With the arrival of winter, seasonal allergic rhinitis (hay fever) and asthma sufferers can breathe relief as most outdoor allergens disappear until spring. But holiday gatherings and spending more time indoors exposes many people to different allergen triggers. Food Allergies During the Holidays Food plays a central role in many events. If you have a food allergy, these functions can be difficult to navigate. Be sure to ask about the ingredients used to make each dish. Be aware that cross-contamination can occur during preparation. If you think the foods served pose too much risk, or if you just don’t feel comfortable eating foods provided by others, you don’t have to. Bring your own snacks or eat before you arrive. Even if you take every precaution, there’s still a slim chance of an allergic reaction. Have your autoinjectable epinephrine at-hand just in case. Other Holiday Triggers Holiday decorations, travel and stress can all present challenges for people with allergies and asthma. Here are some of the most common triggers to be on the lookout for: Does your Christmas tree make you sneeze or cause shortness of breath? It’s unlikely that you […]
By: Dr. Don McNeil It may not be immediately apparent but medical research is conducted just one floor above the Midwest Allergy office at 8080 Ravines Edge Court in Columbus. Medical research is an essential component of a good medical practice in order to provide the latest products and Optimed Research Ltd is helping to achieve that goal. We are committed to providing ample medical research opportunities and expanding collective understanding. Every pharmaceutical product (medication or device) must navigate an extensive pathway before approval by the Federal Drug Association (FDA). Often it may be 10 to 15 years from the day the product is discovered until it is fully approved by the FDA. Optimed Research is involved with Phase II and Phase III clinical trials in medical disciplines including allergies, diabetes, gout, heart disease and lung disease (COPD and asthma). Phase II studies are designed to test the product in the target population which exhibit the disease in question. For example, a new product considered beneficial to a certain diabetic population is studied in a small select group of diabetic patients and data is collected which will show if the medication has the desired effect. Once it has passed this […]
This article has been reviewed by Thanai Pongdee, MD, FAAAAI, AAAAI Website Medical Editor Flu season is here and so is the need to be protected by getting vaccinated. This vaccine contains a very small amount of egg protein, so before giving it health providers ask if you are allergic to eggs. But do you really know if you are allergic to egg? Could you have egg intolerance? Food allergies affect millions of adults and children. On the flip side, many people think they are allergic and unnecessarily avoid certain products.
This article was reviewed by Stuart A. Friedman, MD, FAAAAI, AAAAI Patients & Consumers Web Editor. Do asthma and allergies threaten to be the Grinch in your holidays? The American Academy of Allergy, Asthma & Immunology (AAAAI) offers these tips to help keep your season merry: The holidays are filled with hustle and bustle, but stress can trigger an asthma attack. Shop early or late in the day to avoid crowds. If “quiet time” isn’t a part of your normal routine, now is the time to start. Fires burning in the hearth bring warmth and ambiance to a holiday get-together. However, the smoke and ash can smother the spirit for some, provoking breathing difficulties or triggering an asthma attack. Request the Yule log remain unlit.
It has long been known that allergies and asthma tend to run in families, making children where one or both parents have an allergic disease more likely to develop these conditions. Fortunately, there are steps that may delay or possibly prevent allergies or asthma from developing. Preventing Food Allergies Food allergies can cause problems ranging from eczema to life-threatening allergic reactions. These reactions are more commonly found in cow’s milk, soy, egg, fish, shellfish, peanuts and tree nuts. Infants at risk for developing food allergy are those with a biological parent or sibling with existing, or history of, allergic rhinitis, asthma, atopic dermatitis, or food allergy.
This article was reviewed by Stuart A. Friedman, MD, FAAAAI Heading back to school is an exciting time for most students and parents. But for families of children with food allergies, it can also be a time of anxiety and fear. For students with food allergies, potential dangers lurk throughout the school environment. Risks in the cafeteria are often obvious to parents, but students must also be careful when art projects, fieldtrips and class parties involve food. The American Academy of Allergy, Asthma & Immunology (AAAAI) estimates that approximately 3 million school-age children suffer from food allergies. Yet school districts have differing policies on how to provide a safe environment for these children.
by: Dr. Phillip Rancitelli In 2006, a drug called cetuximab (trade name Erbitux) entered the market for the treatment metastatic colorectal cancer and some head and neck cancers. Soon after, allergic reactions, some very severe, were reported during the first administration. An observation was made that these allergies occurred more commonly in the southern United States. Immunology studies showed that these patients produced IgE (allergic) antibodies against a sugar called galactose–a-1,3-galactose (a-gal), which is present in cetuximab. Researchers, however, couldn’t explain the geographic distribution of these reactions. Meanwhile, allergists in Virginia began to encounter a different group of patients with allergic reactions who also demonstrated this allergic antibody. Many of these patients said their reactions occurred hours after ingestion of beef or pork. Interestingly, a-gal is a blood group component of nonprimate mammals. The time course of these reactions made it difficult to understand, because most allergic reactions to foods occur very quickly (not 4-5 hours later). Subsequent case reports of similar reactions popped up all over the southern United States. Eventually, an observation was made that the distribution of increased reactions to cetuximab overlapped areas where Rocky Mountain spotted fever (a disease carried by ticks) occurs. Patients were then […]
by: Dr. Jennifer Bullock Pollen Seasons Many pollen allergy sufferers are glad to know that this year’s pollen seasons are winding down! Some who are having symptoms for the first time might be wondering what has been happening to them since the Spring started. Some people with allergies know that they have symptoms, but do not know when to expect them, or when the different plants are pollinating. Below is a summary of the different pollen seasons that may help you to manage your symptoms. What is pollen? Pollen is a fine powdery substance produced by a plant as part of its reproductive process. Pollens are produced and released into the air by different plants during certain times of the year. Tree Pollen: Wind pollinated trees pollinate from April through the end of May. If April is cold and rainy, or if it snows in April, the tree pollen season might not be as severe early on, and might not cause you to have too many symptoms until the end of April. Grass Pollen: Grasses pollinate from around mid-May until the end of June. By Memorial day weekend, grass pollen is in full force, and many notice a worsening of […]
Seasonal allergic rhinitis (hay fever) affects more than 35 million Americans. If you suffer from it, you may experience sneezing, stuffiness, a runny nose and itchiness in your nose, the roof of your mouth, throat, eyes or ears. These allergic reactions are most commonly caused by pollen and mold spores in the air, which start a chain reaction in your immune system. Your immune system controls how your body defends itself. For instance, if you have an allergy to pollen, the immune system identifies pollen as an invader or allergen. Your immune system overreacts by producing antibodies called Immunoglobulin E (IgE). These antibodies travel to cells that release chemicals, causing an allergic reaction.
Allergies often bring to mind sneezing, runny nose or watery eyes. While these are symptoms of some types of allergic disease, an allergic reaction is actually a result of a chain reaction that begins in your genes and is expressed by your immune system. What is happening inside your body when you have an allergic reaction? Read on to find out. The Immune System Your immune system controls how your body defends itself. For instance, if you have an allergy to pollen, your immune system identifies pollen as an invader or allergen. Your immune system overreacts by producing antibodies called Immunoglobulin E (IgE). These antibodies travel to cells that release chemicals, causing an allergic reaction. This reaction usually causes symptoms in the nose, lungs, throat, sinuses, ears, lining of the stomach or on the skin.
by: Dr. Michael Franz The FDA has recently approved a new oral immunotherapy treatment for grass pollen and ragweed pollen seasonal allergy. The treatment must start 3 months before the season and continue during the season. The total treatment will therefore last 4-5 months. The first dose must be given in the doctor’s office and then subsequent daily doses are taken at home. The tablet is placed under your tongue where it is allowed to dissolve slowly. The tablet is taken once a day. Grass pollen treatment is approved for use in adults age 18 through 65. Ragweed pollen treatment is approved for children ad adults age 5 through 65. To be effective, grass treatment must start by February 15th and ragweed treatment must start by May 15th. It is unusual to only be allergic to grass or only to ragweed. If you are only allergic to grass pollen you will only have allergy symptoms in late May and during the month of June. If you are only allergic to ragweed pollen you will only have symptoms in late August and during the month of September. So far the treatment is not covered by Medicare or Medicaid and you should […]
This article has been reviewed by Thanai Pongdee, MD, FAAAAI A leading theory behind the rising allergy and asthma diagnosis rates is the “hygiene hypothesis.” This theory suggests that living conditions in much of the world might be too clean and that kids aren’t being exposed to germs that train their immune systems to tell the difference between harmless and harmful irritants. This concept is supported by studies that show that individuals living on farms develop fewer allergic diseases. The theory is that farm animals increase exposure to germs and germ components called endotoxin. These endotoxins stimulate the immune response and decrease allergic inflammation. Other research suggests that the rising prevalence of allergies and asthma may be more complex and the result of one or more different factors:
This article has been reviewed by Thanai Pongdee, MD, FAAAAI Many of the symptoms of allergic and non-allergic asthma are the same but the triggers may be different. Allergic Asthma Triggers Allergic asthma, or allergy-induced asthma, is the most common form of asthma. If your asthma is allergic, your symptoms are most often triggered by inhaling allergens. An allergen is a typically harmless substance such as dust mites, pet dander, pollen or mold. If you are allergic to a substance, this allergen triggers a response starting in the immune system. Through a complex reaction, these allergens then cause the passages in the airways of the lungs to become inflamed and swollen. This results in coughing, wheezing and other asthma symptoms. Exposure to allergens may trigger the symptoms, but the real culprit in allergic asthma is the IgE antibody. The IgE antibody is produced by the body in response to allergen exposure. The combination of the antibody with allergens results in the release of potent chemicals called mediators. The mediators cause inflammation and swelling of the airways, resulting in symptoms of asthma.
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Summertime is one of the best times of the year. The kids are all out of school and more active than ever. With summertime also comes the risk of a wide range of allergic reactions. Skin based allergies are incredibly common-especially in the summer. Summer is a common time for skin rash flare-ups, including atopic dermatitis (eczema) and urticaria (hives). These steps may help to reduce your symptoms, or even avoid them all together: Beware of the sun. Hives can be triggered by heat or sweat. Drink plenty of fluids, avoid becoming too hot and wear sunscreen. Be prepared. Eczema can worsen in the summer, especially with excess sweating. Have a skin care treatment plan. This may include having mild bathing products on hand. Beware of certain plants. Poison oak, sumac or ivy can all lead to skin rashes. There is a simple reminder to stay safe: “Leaves of three, let them be.” Some people are sensitive to the point that their conditions can flare-up when in contact with grass or other plants. For protection, wear long pants and long sleeves if outdoor plants cause a reaction. Insect bites can cause a severe local reaction in some people. Insect repellent can […]
This article has been reviewed by Thanai Pongdee, MD, FAAAAIAn epinephrine autoinjector is used to treat a severe allergic reaction or to prevent anaphylactic shock caused by stinging insects, foods, latex, medications or other allergens.If you have a severe allergy and carry epinephrine, it is important to know that each brand functions a little differently. The stress of an anaphylactic reaction is not the time to realize you have a different autoinjector than what was demonstrated to you by your allergist.There are several readily available brands of epinephrine autoinjectors: EpiPen®, Auvi-Q® and Adrenaclick®. There is also an authorized generic of Adrenaclick® called epinephrine injection, USP auto-injector. As generics are sometimes substituted for brand names, it is possible that a generic autoinjector would be substituted at the pharmacy for the brand your physician prescribed. Although the medication is the same, the method for injecting it is different for each brand. Your physician or his/her staff will provide training on how to use the specific brand prescribed.The next time you pick up your prescription, be sure to compare the brand you received with the brand you have been trained to use. If the medication appears to be different than what you expected, find out […]
by: Dr. Grace Ryu Now that summer is in full swing exposure to chlorine increases due to swimming pool use. You may notice trouble breathing, rash or runny nose when swimming. You may wonder are you allergic to chlorine? The answer is no, but you could be sensitive to chlorine. Chlorine sensitivity can manifest as skin issues, respiratory or nasal symptoms. Skin problems can present as itchy red skin or hives (itchy raised patches). Chlorine can also cause a flare of eczema (atopic dermatitis) or help calm eczema. Treatment for skin issues involve, washing the skin with clean nonchlorinated water to remove the chlorine. Occasionally steroid creams maybe needed and for hives use benedryl. Respiratory problems can present as cough that is worse at night after swimming, shortness of breath/cough with swimming, wheezing or chest tightness. If any of these symptoms occur then seeing an allergist to make sure it is not exercise induced asthma is a good idea. Several studies of elite swimmers suggest that chronic exposure to chlorine increases airway inflammation and airway hyperresponsiveness (constriction of airways). These changes seem to decrease with discontinuation of high level training. Nasal symptoms consisting of runny nose, sneezing, nasal congestion and […]
This article has been reviewed by Thanai Pongdee, MD, FAAAAI If you have ever experienced red, itchy skin, swelling, vomiting or trouble breathing after eating or coming into contact with a certain food, you may wonder if you have a food allergy. While diagnosing food allergies can be tricky, an allergist has the training and expertise to know which tests to give you and how to accurately interpret them. Your allergist will take a thorough medical history, followed by a physical exam. You may be asked about contents of the foods, the frequency, seasonality, severity and nature of your symptoms and the amount of time between eating a food and any reaction.
Summer fun can turn to fall misery for millions of people who suffer from seasonal allergic rhinitis (hay fever). Sneezing, stuffy or runny nose, itchy eyes, nose and throat, or worsening of asthma symptoms are common in people with undiagnosed or poorly managed hay fever. The primary culprit of fall allergies is ragweed pollen. A ragweed plant only lives one season, but it packs a powerful punch. A single plant can produce up to 1 billion pollen grains. These grains are very light weight and float easily through the air. Fall allergy symptoms used to start in mid-August and run through September. However in many parts of the country these symptoms now begin in early August and extend through October. Some studies suggest that rising temperatures and higher carbon dioxide levels contribute to longer growth time of allergen-producing plants. Allergies occur when the body’s immune system treats the allergen, in this case ragweed, as a foreign invader. This starts a chemical reaction which produces and sends histamine throughout the blood stream. These chemicals cause allergy symptoms to develop.
by: Dr. McNeil We face daily reminders of the rising cost of living, and health care is leading the way. In order to contain some of these costs, we still have the option of selecting the health care provider of our own choosing. Why, then, would someone choose to see a specialist as long as one can be assured they will see a reputable physician? It may be an easy answer if it means a complicated surgical procedure such as back surgery. On the other hand, consulting a specialist who is primarily focused on listening, testing and arriving at a logical conclusion to a more common problem might not seem as important. Think for a minute of the busy general practitioner who must see an increasing number of patients each day. He or she will be required to make many decisions, and that physician must be confident that the geriatric patient who was cared for just before you will be equally satisfied with the care provided you. As specialists, we have all had the required training to provide a similar service as the general practitioner but, for many reasons, we chose to continue our studies in a specific field of […]
by: Dr. Deborah Ortega Allergy management has traditionally taken 3 forms, avoidance, medications to reduce symptoms and control illness and desensitization. Desensitization can be successfully achieved with some medications, stinging insect venoms and airborne allergens such as grass pollen, ragweed pollen and mold spores. The most common form of desensitization for airborne allergens used by allergists in the United States is subcutaneous immunotherapy or allergy shots. In Europe, airborne single allergens are also given sublingually. Allergy immunotherapy works much like a vaccine. Your body responds to injected amounts of a particular allergen given in increasing doses, eventually developing a resistance and tolerance to it. Allergen immunotherapy is typically considered when a patient, and his/her physician, find that medications have not effectively controlled symptoms, or when the patient finds it difficult to take the prescribed medications on a continuous basis, or when the patient experiences side effects that hinder his/her ability to use the medication regimen as directed. Allergy shots can lead to decreased, minimal or no allergy symptoms. Published studies have shown the clinical effectiveness in allergic rhinitis, allergic conjunctivitis and allergic asthma. Allergy shots also reduce the number of new allergens developed in those receiving immunotherapy for a single […]
This article has been reviewed by Thanai Pongdee, MD, FAAAAI These simple steps may reduce your risk of developing allergy and asthma symptoms when you clean: Kitchen Use an exhaust fan on a regular basis to remove cooking fumes and reduce moisture. Place garbage in a can with an insect-proof lid and empty trash daily. Store food—including pet food—in sealed containers, and discard moldy or out-of-date items. Each week, mop the floor and wipe cabinets, backsplashes and appliances. Clean cabinets and countertops with detergent and water, and check for plumbing leaks. Wipe up moisture in the refrigerator to avoid mold growth. Empty and clean drip pans and clean or replace moldy rubber seals around doors. Wash the dish rack, and wipe the light switch plates, phone and inside of the garbage can. Seasonally, empty and scrub down the inside of the refrigerator and the utensil drawers. Scrub down the cupboard exteriors and clean the stove-hood filter.
by Dr. Joseph Bullock Recently, there has been a marked increase in the occurrence of all allergic diseases which we believe may be due to changes in recent living conditions in modern Western civilization. We spend more time indoors in tight houses built to conserve energy. We have clean water and wear shoes. We have eradicated helminth (worms) infestations. Vaccines have eradicated most of the usual childhood diseases. Our diets have trended towards eating too many calories, too much sodium and too much fat. We use too many broad spectrum antibiotics and Tylenol (acetaminophen) and we have decreased physical activity. All of these factors are believed to have caused the increase in allergy. Whether one chooses to believe that the present climate change toward warmer average temperatures is primarily due to human activity or another global cycle of cooling and warming, the evidence is overwhelming that warming is occurring. This warming has had and will have an impact upon allergenic plants. An atmosphere is higher temperature and carbon dioxide produces ragweed, grass, trees and mold that have an increased biomass (height and density), flower earlier, and produce more pollen and spores which are more potent. This is especially true in […]
This article has been reviewed by Linda Cox, MD, FAAAAI Immunotherapy treatment (allergy shots) is based on a century-old concept that the immune system can be desensitized to specific allergens that trigger allergy symptoms. These symptoms may be caused by allergic respiratory conditions such as allergic rhinitis (hay fever) and asthma. While common allergy medications often control symptoms; if you stop taking the medication(s), your allergy symptoms return shortly afterward. Allergy shots can potentially lead to lasting remission of allergy symptoms, and it may play a preventive role in terms of development of asthma and new allergies. The Process Treatment involves injecting the allergen(s), causing the allergy symptoms. These allergens are identified by a combination of a medical evaluation performed by a trained allergist/immunologist and allergy skin or allergy blood tests. The treatment begins with a build-up phase. Injections containing increasing amounts of the allergens are given 1 to 2 times a week until the target dose is reached. This target dose varies from person to person. The target dose may be reached in 3 to 6 months with a conventional schedule (one dose increase per visit) but may be achieved in shorter period of time with less visits with […]
Dr. Don McNeil of Midwest Allergy was quoted this past month in the Columbus Dispatch, in an article about air duct cleaning. The text of the article is below: By Misti Crane The Columbus Dispatch • Sunday March 30, 2014 4:28 AM Kyle Ashcraft has asthma, and his 13-year-old son, Ethan, has multiple allergies that sometimes keep him up at night sniffling and coughing. Ashcraft, of Marion, asked his family doctor whether he should consider cleaning the ducts of his 1930s house. He knew that previous owners had pets, and Ethan is allergic to pet dander. The doctor said it wasn’t a bad idea, so Ashcraft hired Pringles, a Columbus company, to clean his ducts in December. Since then, he said, his son has had more restful sleep and considerably less sneezing, coughing and itchy eyes. “I was shocked at what was in there, but once I saw what was in there, you could definitely see how it would make a difference,” said Ashcraft, who paid about $400 for the cleaning. The research on duct cleaning’s potential to reduce allergies, asthma and other health problems isn’t strong. For that reason, the U.S. Environmental Protection Agency says it can’t offer blanket recommendations on duct cleaning. […]
by Phil Rancitelli, M.D. There are many myths about allergies that have been around for years. Many lead to unnecessary treatments and costly interventions. Some things you hear about allergies might sound farfetched but are actually true. Let’s try to separate fact from fiction. Hypoallergenic dogs and cats Unfortunately, there isn’t a breed of dog or cat that is 100% hypoallergenic. Pet allergens that cause symptoms are found mostly in saliva and urine, so even a small pet that doesn’t shed can secrete enough allergen to drive an allergy sufferer crazy. Some people react less or not at all to certain breeds of dogs, but reactivity is almost impossible to predict and studies have not revealed a universally tolerable breed. Shellfish allergy and iodine Shellfish allergy is due to proteins, not iodine. There is no relationship between shellfish allergy and iodine allergy/radio contrast material allergy. Unfortunately, some patients are still questioned about shellfish allergy before radiology procedures. Airborne food reactions Actually, this can occur. Most severe food reactions occur after ingestion, but some occur after inhalation of cooked fumes/vapor. This is primarily an issue with seafood. Keep in mind, it’ very unlikely that simply being in the presence of a […]
Seasonal allergic rhinitis known as hay fever is caused by pollen carried in the air during different times of the year in different parts of the world. If you are allergic to pollen, this allergen triggers symptoms such as sneezing, stuffiness, a runny nose and itchiness in your nose, the roof of your mouth, throat, eyes or ears. To control hay fever symptoms, it is important to monitor pollen counts so you can limit your exposure on days the counts are high. Also, hay fever medications work best if started before allergy symptoms develop. So, if you start taking allergy medications before you first come into contact with spring allergens, the medication can prevent the release of histamine and other chemicals. As a result, allergy symptoms are prevented from developing or are much less severe. Pollen counts are different than pollen forecasts. Forecasts are predicted based on the previous year’s counts and current weather conditions. The counts are reported for specific plants such as trees, grasses, and weeds and mold spores. Pollen counts are measured with an instrument that is usually situated on a rooftop where it collects spores for a 24-hour period. The instrument is then taken to a lab […]
By: Dr. Jennifer Bullock With Winter (hopefully!) winding down in the next few weeks, we will be facing the transition into early Spring, which can be a difficult time for some allergy sufferers. Many people with allergies experience a worsening of symptoms in the early Spring, before the pollen season begins. This is often due to mold allergy. Mold allergens may be a problem for allergy sufferers almost all year around, as there are somemolds that release their spores in dry, windy conditions, and others that release their spores in humid, wet, or rainy conditions. Freezing cold temperatures of Winter typically suppress molds altogether, but the melting of snow, and the mild, wet and rainy conditions of early Spring promote growth of molds and release of large numbers of mold spores into the air. In some Winters, we experience several days of warmer weather and melting of snow, and these conditions may also support release of mold spores into the air. Changes in barometric pressure that occur around the time of rain in early Spring and Fall stimulate some molds to release their spores into the atmosphere. Many people who have symptoms that also occur outside of the pollen seasons […]
Do you suffer from frequent sneezing, congestion or stuffiness and an itchy or runny nose? If so, you may have a condition called rhinitis. There are two types of rhinitis: allergic rhinitis and non-allergic rhinitis. Let’s talk first about allergic rhinitis. Allergic Rhinitis Allergic rhinitis is caused by allergens like molds, pollen and animals. These are substances which are usually harmless, but can cause allergic reactions in certain people. Allergy symptoms are the result of a chain reaction that starts in the immune system. Your immune system controls how your body defends itself. For instance, if you have an allergy to pollen, your immune system identifies pollen as an invader or allergen. Your immune system overreacts by producing antibodies called Immunoglobulin E (IgE). These antibodies travel to cells that release histamine and other chemicals, causing an allergic reaction with symptoms such as sneezing, stuffiness, a runny nose, itching and post-nasal drip. People with allergic rhinitis are also prone to itchy, watery eyes (from allergic conjunctivitis), and they may be more sensitive to irritants such as smoke, perfume or cold, dry air. Rhinitis can contribute to other problems such as asthma, sinus or ear conditions, or trouble sleeping. Allergic Rhinitis Triggers […]
Everyone reacts to medications differently. One person may develop a rash while taking a certain medication, while another person on the same drug may have no adverse reaction. Does that mean the person with the rash has an allergy to that drug? All medications have the potential to cause side effects, but only about 5 to 10% of adverse reactions to drugs are allergic. Whether allergic or not, reactions to medications can range from mild to life-threatening. It is important to take all medications exactly as your physician prescribes. Call your doctor if you have side effects that concern you, or you suspect a drug allergy has occurred. If your symptoms are severe, seek medical help immediately. Allergic Reactions Allergy symptoms are the result of a chain reaction that starts in the immune system. Your immune system controls how your body defends itself. For instance, if you have an allergy to a particular medication, your immune system identifies that drug as an invader or allergen. Your immune system reacts by producing antibodies called Immunoglobulin E (IgE) to the drug. These antibodies travel to cells that release chemicals, triggering an allergic reaction. This reaction causes symptoms in the nose, lungs, throat, […]
For most people, celebrations are fun events. But for parents of food allergic children, or even for food allergic adults, activities involving food can be filled with worry. This is because coming in contact with a food allergen has the potential to cause a very serious allergic reaction. Allergies are the result of a reaction that starts in the immune system. For instance, if you have an allergy to eggs, your immune system identifies a protein found in eggs as an allergen. Your immune system reacts by producing antibodies called Immunoglobulin E (IgE). These antibodies attach to cells in your skin, lungs and gastrointestinal (GI) tract. If you come in contact with the allergen again, the cells release chemicals including histamine, which cause food allergy symptoms such as itching, hives, swelling, diarrhea, wheezing and a potentially life-threatening reaction called anaphylaxis (an-a-fi-LAK-sis). Without immediate treatment—an injection of epinephrine and expert care in a hospital—anaphylaxis can be fatal. There is a difference between food allergy and food intolerance. A food allergy involves the immune system while food intolerance, such as lactose intolerance, does not. Food intolerance typically involves the GI tract, causing uncomfortable symptoms like abdominal pain, nausea, vomiting and diarrhea, but […]
About 70 to 80% of the North American population has headaches, with 50% experiencing at least one headache per month, 15% experiencing at least one weekly and 5% daily.1,2 The occurrence of headaches rises sharply during the second decade of life. Then it levels off until the age of 40 to 50 years, after which it decreases. While the majority of headaches are not a sign of a serious or life-threatening illness, they often affect quality of life. There are occasions where allergies or sinus problems can lead to a person to have headaches. Headaches with rhinitis (hay fever) are common and may be due to sinus disease in and around the nasal passages. A sinus headache is hard to identify since headache specialists consider true sinus headache to be fairly rare. Recent studies suggest that patients who appear to have sinus headaches frequently have migraines. People who have headaches that seem like they’re originating in the sinus should be carefully evaluated by a physician. Making the right diagnosis is important because primary headache disorders like migraines need a very different treatment compared with rhinosinusitis. Acute sinusitis occurs when there is a bacterial infection in one or more of the […]
By Dr. Michael Franz Many of my older patients with watery irritated eyes have been to their ophthalmologist recently and have been diagnosed with a condition called DRY EYE. Even my ophthalmologist told me I have DRY EYE. The symptoms of DRY EYE are the feeling of irritation, a gritty sensation, burning and yes WATERY EYES! If you also have eye allergy your eyes will also itch and be blood shot red. You will probably blink excessively and rub your eyes to relieve the discomfort. So you ask; If I have DRY EYE why do my eyes water? To understand this you have to understand a little tear chemistry. Your tears are made of mostly watery material that is produced by relatively large LACRIMAL GLANDS and are sent to your eyes through a small tube or duct called the Lacrimal Duct. This is where the tears from crying come from, and the watery eyes that occur when you have allergies and other irritation to your eyes. During normal times your eyes also have a moist protective coating called the tear film. This tear film is held together by oil secreted from about 70 small glands located in your eyelids. Every […]
by Grace Ryu, MD Now that winter is upon us, the itch of eczema often rears its ugly head. I have noticed cracked dry skin affecting my hands due to colder dry air and constant use of hand sanitizer between patients. 10-20% of children are affected by atopic dermatitis (eczema). The majority develops this itchy rash before the age of 5. Adults unfortunately are not immune from developing eczema and it affects 1-3% of the adult population. This is a genetically transmitted skin condition that is often chronic but can be controlled. It is more often problematic during fall and winter due to decreasing humidity. There can be other factors such as food, infections, emotions, sweating, inhalant allergies and stress that exacerbate eczema. Many of my patients have multiple triggers. Only a third of children have a food that triggers their eczema. Treatment can be an overwhelming feat for parents due to the need for a multi pronged approach. Avoiding irritants is number one. Cotton clothing and fragrance free soaps, shampoo, lotions, and detergents are a must. Hydration and moisturization to improve barrier function is next. Daily baths are better for rehydration. Baths should be no longer than 10 minutes. […]
By Dr. Ortega-Carr We know that viruses are the culprits behind colds and the flu and can cause exacerbations of allergic rhinosinusitis and asthma. Though people with asthma are not more likely to get the flu, influenza (flu) can be more serious for people with asthma, even if their asthma is mild or their symptoms are well-controlled by medication. This is because people with asthma have swollen and sensitive airways, and influenza can cause further inflammation of the airways and lungs. Influenza infection in the lungs can trigger asthma attacks and a worsening of asthma symptoms. It can also lead to pneumonia and other acute respiratory diseases. In fact, adults and children with asthma are more likely to develop pneumonia after getting sick with the flu than people who do not have asthma. Asthma is the most common medical condition among adults and kids hospitalized with the flu. Researchers have long studied the effects of viruses on allergic and asthmatic patients to understand why viruses cause such problems. Cells which make up the lung structure and lining called pulmonary epithelial cells help the immune system fight viruses by releasing a chemical messenger, interferon. In asthmatic patients this response is […]
If you are pregnant and have asthma or allergies, you may feel uneasy about taking medications, but it is very important to keep your symptoms under control. How do you stay healthy and know which medications are best for you during your pregnancy? An allergist / immunologist, often referred to as an allergist, can tell you which asthma and allergy medications are the safest and most effective to take throughout pregnancy. Make an appointment with an allergist soon after you discover you are pregnant to develop or review your personal treatment plan and to give you peace of mind. In the meantime, here are answers to some common questions. Can women with asthma have safe pregnancies? Yes. With good asthma management, you can keep your asthma under control and have a healthy baby. How does uncontrolled asthma affect the fetus? Uncontrolled asthma symptoms can cause a decrease in the amount of oxygen in your blood supply. The fetus gets its oxygen from your blood. Since a fetus needs a constant supply of oxygen for normal growth and development, managing asthma symptoms is very important to allow you and your baby to get enough oxygen. Is it safe to take my […]
Anaphylaxis (an–a–fi–LAK–sis) is a serious allergic reaction that typically comes on quickly and may cause death. This medical emergency requires immediate treatment and then follow-up care by an allergist / immunologist, often referred to as an allergist. Many people may not realize they have an allergy until they experience anaphylaxis. An allergist can examine you and make a proper diagnosis. If warranted, your doctor will prescribe injectible epinephrine to use in an emergency. Anaphylaxis is triggered when the immune system overreacts to a usually harmless substance (an allergen such as peanut or penicillin) causing mild to severe symptoms that affect various parts of the body. Symptoms usually appear within minutes to a few hours after eating a food, swallowing medication or being stung by an insect. Anaphylaxis requires immediate medical treatment, including an injection of epinephrine and a trip to a hospital emergency room. If it isn’t treated properly, anaphylaxis can be fatal. Sometimes symptoms go away, and then return a few hours later, so it is important to take these steps as soon as an anaphylactic reaction begins and to remain under medical observation for as long as the reaction and symptoms continue. Symptoms of Anaphylaxis Symptoms of anaphylaxis […]
Natural rubber latex is a milky fluid found in rubber trees. The problem is not with the rubber itself, but a contaminating protein in the rubber. Natural rubber latex is used to make some gloves, condoms, balloons, rubber bands, erasers and toys. Latex can also be found in bottle nipples and pacifiers. It may be surprising, but latex paints do not contain any natural rubber latex protein. Latex allergy was unusual until the late 1980s when more healthcare workers began using powdered latex gloves to control infections. In the 1990s, manufacturers found ways to make gloves with synthetic latex and/or powder-free, so the number of new cases has decreased. Reactions to Latex Allergy symptoms are the result of a chain reaction that starts in the immune system. Your immune system controls how your body defends itself. If you have an allergy, your immune system identifies something that is typically harmless as an invader or allergen. With latex allergy, it overreacts by producing antibodies called Immunoglobulin E (IgE) that can react with proteins found in the natural rubber latex. These antibodies travel to cells that release chemicals, causing an allergic reaction. This reaction usually appears in the nose, lungs, throat, sinuses, ears, […]
Sunday Sept. 22, 2013 Genoa Park (near COSI) Choose the 0.85 mile walk, or a timed one-mile run! The FARE Walk for Food Allergy brings together thousands of Americans seeking a safe world for those living with food allergies. The Walk is a family-friendly event that takes place in communities nationwide to fund food allergy research, education, advocacy and awareness. Join us; whether you are walking for your health or in honor of a loved one with food allergies, your fundraising efforts and support will make a difference! This special day will include fun activities for the entire family. Register today – as an individual or start a team and invite your friends, family and co-workers. Help us say FAREwell to food allergies! The Columbus allergists at Midwest Allergy are proud to be a sponsor of the FARE walk! LEARN MORE AND REGISTER
By: Philip N. Rancitelli, M.D., F.A.A.A.A.I. Ragweed season is here! The end of summer is a beautiful time of the year in Ohio, but it often presents major challenges for allergy sufferers. Weed pollen and mold spores become more prevalent in the air and can cause significant allergy symptoms. Ragweed gets the most notoriety and for good reason. Ragweed pollen is one of the most potent allergens and it is one of the major causes of “hay fever” in the United States. Ragweed belongs to the plant genus Ambrosia. Many species exist, but Ambrosia artemisiifolia (common ragweed) is the most widespread in North America. Ragweed is a flowering plant that typically pollinates from mid-August through the first frost in the Midwest. Ragweed plants reproduce by wind-pollination, and pollen counts in the air are highest on dry/windy days (lowest after rain). Ragweed pollen can remain airborne for many days and can travel vast distances, even hundreds of miles out to sea. Pollen can be trapped in the nasal passages, eyes, and lungs resulting in allergy symptoms such as nasal congestion, sneezing, runny nose, red/itchy/watery eyes, coughing and wheezing. Many hay fever sufferers also experience itching in the mouth with ingestion of […]
Allergy to Stinging Insects (Hymenoptera Allergy) by Dr. Jennifer Bullock Allergic reactions to insect stings have been reported to occur in up to 3% of adults, and in up to 1% of children. Most allergic reactions to insect stings are caused by yellow jackets, wasps, hornets, honeybees, and fire ants. Yellow jacket stings are the most frequent cause of allergic reactions to insect stings in North America, but hornets, wasps, and honeybee allergic reactions do occur, espeically if the insect’s nest is disturbed. Allergic reactions to fire ants are much more common in Southeastern states of the USA, where the fire ant is more widespread, due to the warmer climate. Allergy to stinging insects is developed only if you have been stung before, and you are more likely to develop the allergy if you are stung often. There are two major types of reactions that may occur after an insect sting. A large local reaction consists of a very large area of swelling and redness connected to the area of the sting, and it may last for 5-10 days after the sting. For example, someone stung on the hand might experience swelling of the hand and arm. This type of […]
On the second floor above Midwest Allergy’s Worthington location, clinical research studies are taking place. If you are interested in participating, you can learn more at Optimed Research, which is owned by one of our Midwest Allergy physicians, Dr. McNeil. Help us test an investigational immunotherapy tablet for dust mite allergy. Participants may be eligible for this study if they are 12 years of age or older and have been taking allergy medications for dust mite allergy symtoms during the past year. Medical history and other criteria will be reviewed at the first study, including a skin prick allergy test and blood test. The study lasts up to 2 years and requires 9 clinic visits. All Study related office visits, medical examinations, and investigational immunotherapy treatment will be provided at no cost to qualified participants. Call today for more information: (614)846-5944
By Michael Franz, M.D. Treating your Nose and Sinus Allergy may also Treat Your Eye Allergy!! Have you ever noticed that when you sneeze or when your nose is irritated by something that your eyes also may water. A recent medical study has shown that treating the allergy inflammation that occurs in the nose with a topical nasal spray also helps your eyes. The study demonstrated why this may happen but we won’t bore you with the technical stuff. Flu Vaccine and Egg Allergy There is more compelling evidence that Flu Vaccine is safe for egg allergic children and adults. There have now been at least 9 medical studies that show it is safe for even the most severely egg allergic children and adults to receive the flu vaccine.
School is winding down and summer is winding up. Allergies often bring to mind sneezing, runny nose, watery eyes, or a burning sensation. While these are symptoms of some types of allergic disease, an allergic reaction is actually a result of a chain reaction that begins in your genes and is expressed by your immune system. What is happening inside your body when you have an allergic reaction? Read on to find out. The Immune System Your immune system controls how your body defends itself. For instance, if you have an allergy to pollen, your immune system identifies pollen as an invader or allergen. Your immune system overreacts by producing antibodies called Immunoglobulin E (IgE). These antibodies travel to cells that release chemicals, causing an allergic reaction. This reaction usually causes symptoms in the nose, lungs, throat, sinuses, ears, lining of the stomach or on the skin.
By Nancy Sander and Tonya Winders at the Allergy & Asthma Network Mothers of Asthmatics (AANMA) Nancy Sander is president and founder of AANMA and Tonya Winders is chief operating officer. Feeling more and more like the nation’s healthcare piggy bank? Shaken, pinched and poked at every turn? No wonder! The Kaiser Foundation reports insurance premiums soared a whopping 131 percent in the last decade. Commercial insurance and government payers are shifting healthcare costs onto consumers faster than Farmer Dell can ring the dinner bell. And to some enterprising allergy and asthma businesses, that spells opportunity! Don’t go running wee, wee, wheezing all the way home! We’ve got work to do!
by Dr. Grace Ryu, M.D. Have you ever experienced an itchy mouth or throat after eating raw apples or banana? If you have experienced those symptoms and also have allergic rhinitis (hay fever) then you probably have “oral allergy syndrome”. I developed these symptoms in my mid 20’s and didn’t realize the link to my pollen allergies until I was in my allergy training. This reaction is caused by an allergic response to the proteins in some fruits and vegetables that are similar to those found in certain pollens. The cross-reactivity occurs typically in the oral mucosa (lining of the mouth) because your immune system thinks it is the pollen. Most symptoms consist of itchiness or swelling of the mouth, lip or throat. It is very rare (less than 2%) to develop generalized anaphylactic symptoms. Usually symptoms start immediately after eating raw fruits or vegetables and will not persist for hours. Typically no treatment is necessary. There is no definitive test for the syndrome. Often the diagnosis is made by skin prick testing for specific pollens and by a corresponding history of symptoms with specific fruits or vegetables.
by Dr. Don McNeil, M.D. There is no one answer to this question. Sometimes they are the same and other times, they are not. To understand this more completely, some background information is necessary. A pharmaceutical product (drug or device) is rigorously studied in preclinical trials in non-human and human volunteers long before approval by the FDA. During these trials, any adverse effects are thoroughly documented and if considered serious, a decision to discontinue the study is possible. The cost to conduct studies such as these is substantial and the company developing the product must “factor in” these costs to continue. Hence, the final cost to the insurance company and/or the patient may seem excessive. Once on the market, the company has a limited amount of time to market the product to the prescribing physician before patent expiration and loss of exclusivity. Additional costs of marketing during this time add to the final price. A company producing a generic equivalent drug is not required to undertake the same scrutiny by the FDA. All that is required is proof that the product is similar. The up front cost of drug development is a fraction of the initial start up costs of […]
By Deborah Ortega-Carr, M.D. Asthma and Allergies are increasingly common diseases especially in industrialized countries. Countries transitioning to a more western lifetyle and urbanized lifestyle also show increases in asthma and allergic diseases. Many potential reasons could account for this pattern, especially nutritional changes. Vitamin D deficiency has documented in many populations worldwide and has occurred despite the fortification of foods in some countries. Research has also suggested that human sun avoidance behaviors have led to the Vitamin D deficiency states. A study from the US National Health and Nutrition Examination Survey NHANES) found that over a 10 year span, levels fell in all age ranges and in all ethnic and racial groups., suggesting a society-wide change. In general as people spend more and more of there waking hours indoors, they get less and less exposure to there main source of Vitamin D, sunlight. Sunlight is much more significant as a source than most dietary sources or supplementation.
Dr. Franz recently read an article written by Robert Proctor. Mr. Proctor is a professor of the history of science at Stanford University and the author of “Golden Holocaust: Origins of Cigarette Catastrophe and the Case for Abolition.” Dr. Franz would like to share the article in its entirety with you. by Prof. Robert Proctor There are lots of myths about cigarettes: that “lights” offer protection, for one, or that filters actually filter. Yet another myth is that cigarettes are just tobacco rolled in paper. Nothing could be further from the truth. The cigarette is a surprisingly complex artifact, as we now know from the treasure trove of documents released in the course of litigation. The tobacco archives online at legacy.library.ecsf.edu contain some 80 million pages of formerly secret industry documents, almost all of which were unavailable before the Big Tobacco trials of recent years. Access to these archives has improved over time, and all are now full-text searchable, meaning that anyone with an Internet connection can pull up all documents containing expressions such as “doubt is our product” or “friends in Congress.” What the documents also reveal is a witches’ brew of ingredients used in cigarettes. A 1992 document […]
by Dr. Don McNeil, M.D. Many people do not realize that a prescription medication that is recommended by their health care provider was proven to be effective only because it was studied vigorously in a clinical trial. Most over the counter medications are required to have passed similar studies. Perhaps these same people have heard that it takes many years and a great deal of money to develop these drugs but they did not consider that a clinical research trial is required by the Federal Drug Administration (FDA). In fact, the FDA requires multiple trials which is outlined below. There are three categories of clinical research trials. Phase I studies are intended to study the risk of potential side effects from a candidate medication. The drug will not have been given to a human volunteer before but it will have been studied in depth in a laboratory setting as well as in other animal models such as in mice, rats or other mammalian species. The human volunteers are usually healthy young subjects who will be introduced to the study medication in small doses. The dose is designed to be so low as to have no clinical effect. A typical phase […]
By Philip N. Rancitelli, M.D., F.A.A.A.A.I Unfortunately, the prevalence of food allergies is increasing. Current estimates suggest 6-8 percent of children have food allergies, while about 2-4 percent of adults are affected. A handful of foods (peanut, tree nuts, seafood, cow’s milk, soy, and wheat) accounts for most reactions in children. Adults are more likely to react to nuts and seafood. However, any food can cause an allergic reaction. The current standard of care for treatment of food allergies is strict avoidance, but unfortunately accidental ingestions are common. Avoidance is difficult because common food allergens are found in a variety of foods, and food cross-contamination frequently occurs. Avoidance of foods can lead to nutritional deficits, especially with children who must avoid multiple foods. Obviously, better therapeutic approaches are needed, and recent research in this area has given hope to food allergy sufferers that a cure is near.
by Joseph Bullock, M.D. Recent global warming has had a negative effect upon people with respiratory allergy symptoms. Global warming has had an effect upon the intensity and duration of the pollen seasons. Normally, the tree pollen season occurs from mid- April until the end of May. Usually there is a substantial frost around “income tax day” (April 15) which markedly blunts the production of tree pollen. Last Spring, there was no such frost, and the tree pollen counts were so high that some cities reported pollen counts five to ten times record highs. Grass pollen season occurs from mid-May to the end of June. Its abundance is influenced by rain, which washes pollen out of the air. Last year’s drought encouraged very high grass pollen levels. The “dog days of summer” (early July to mid August) usually bring high humidity which encourages outdoor mold growth. When the sun starts shining on the Earth at a certain angle around August 15, the giant and dwarf ragweed plants start to pollinate. The abundance of pollen in the ragweed season is again encouraged by drought conditions.
Recently the public has been alerted regarding the risk of infection associated with steroid injections from the New England Compounding Center (NECC). Although Midwest Allergy did not purchase or use the steroid injections that have been associated with the meningitis outbreak, Midwest Allergy physicians have discontinued the use of all NECC products out of an abundance of caution for our patients. The health department has identified the following potentially contaminated steroid injections: methylprednisolone acetate by injection and triamcinalone acetonide by injection. Although you have not received these products, (Midwest Allergy steroids are a different medicine), we wish to show extra caution and inform all patients who have received injectable products from the NECC to be aware of the signs and symptoms of potential infection. The signs and symptoms of meningitis include fever, stiff neck, nausea and vomiting, photophobia and altered mental status. Symptoms of other possible infection may include fever, swelling, increasing pain and redness at the steroid injection site. Please contact Midwest Allergy or your primary care physician if you experience these symptoms. The risk of infection is associated with steroid injections from the NECC only. Allergy immunotherapy, (allergy shots) is not associated with the NECC and continues to […]
by Michael L. Franz, M.D. Allergic reactions to bee stings are rare, but when they occur they can be severe and even life threatening. To become allergic to something you must first be exposed or sensitized. In the case of bee sting allergy the exposure was most likely a previous bee sting that made you allergic or sensitized, setting you up for a future allergic reaction.
This article has been reviewed by Thanai Pongdee, MD, FAAAAI Allergies often heat up in the summer, when allergens such as grass, mold and ragweed pollen bring on symptoms like watery eyes and sneezing. Outdoor picnics and activities can pose more serious dangers for people who are allergic to certain foods or stinging insects. It may seem that discovering what you are allergic to is a guessing game. However, testing performed by an expert can diagnose what does and what does not trigger your symptoms. For example, you don’t have to get rid of your cat if it is actually mold that is causing your itchy eyes and throat. Once you know exactly what you are allergic to, you and your doctor will be able to develop a treatment plan to reduce or eliminate your allergy symptoms.
By Grace Y. Ryu, M.D. Egg allergy affects approximately 2% of children younger than 5 years of age. Recently several studies have shown promise in accelerating development of tolerance with ingestion via oral immunotherapy or ingestion of eggs in baked goods. While most children outgrow egg allergy by 6-7 years of age several studies show some children persisting with egg allergy into their teen years.
By Midwest Allergy Physician Jennifer Z. Bullock, M.D., F.A.A.A.A.I., F.A.C.A.A.I., F.A.A.P. Summer is winding down, school has started, and we are heading into Fall. The nose, chest or eye symptoms that you or your child might be experiencing around this time of year could be due to weed pollen allergy. There are a number of weeds that produce airborn pollens from mid-August through September: Ragweed, English Plantain, Cocklebur, Nettle, Lambs Quarter, and Wormwood, to name a few. By far, Ragweed is the most potent and allergenic of the weeds, and it is probably the major cause of allergy symptoms during this time of year, although people who are allergic to multiple different weeds may have more severe symptoms.
Midwest Allergy is proud to be part of the Columbus, Ohio FAAN Food Allergy Walk. The walk is taking place Sunday, September 23, 2012 at Genoa Park. Check in begins at 1:00 pm and the 1 mile walk begins at 2:00 pm. Genoa Park is located at 75 South Washington Boulevard, Columbus, Ohio 43215. This is south of Broad Street between the Scioto River and COSI. For more information or to donate please contact firstname.lastname@example.org or visit our website at www.foodallergywalk.org/columbus_oh12. Come check us out on Facebook at www.facebook.com/FAANWalkColumbusOH
Midwest Allergy is proud to be a participant in the WBNS 10-TV Health & Fitness Expo. We will have our medical staff on hand to answer your questions and conduct some basic allergy testing. Please stop by our booth (Booth 255) and say hello!
By Midwest Allergy Physician Deborah Ortega-Carr, M.D. How can my tests be negative if I have severe symptoms during grass season? On occasion, a patient will present with seasonal nasal congestion and sneezing but skin and intradermal skin testing will be negative. These patients are typically diagnosed with nonallergic rhinitis or irritant or vasomotor rhinnits. Doctors often treat these patients with the same medications used to treat allergic rhinitis with mixed results. Now researchers believe that 47-62 % of these patients may actually have local allergic rhinitis. Local allergic rhinitis may be due to localized production of localized serum specific IgE, the antibodies responsible for most of the allergic rhinitis symptoms. These patients may respond to a nasal allergen provocation test, meaning that allergen is sprayed into the patients nose as a challenge, then measurements of the reaction are taken afterward. Some researchers are able to used specialized tests to measure the sIgE in nasal secretions to identify allergens. The most common allergens to date have been dust mite and olive tree pollen but mold and other common allergens are certainly of interest to researchers. Recent studies have also shown that 27% these patients will eventually have positive skin tests […]
By Midwest Allergy Physician Don McNeil, M.D., F.R.C.P.[C], F.A.A.A.A.I., F.A.C.A.A.I. Hives are a common reason to seek medical attention. In medical terms, these are more often referred to as Urticaria. Medical practitioners in many fields will see patients because hives occur so frequently. Pediatricians, family practice, internal medicine and subspecialties will see and treat these patients because hives affect almost everyone at some time in their life. As allergists and immunologists, we are referred a patient with this type of condition often. Symptoms may be very mild and affect only part of the body or they may be more generalized and cover the entire body. Often, symptoms are accompanied by itching which may be severe enough to cause incapacitating discomfort. Hives which last less than 6 – 8 weeks are classified as acute and frequently resolve spontaneously. Those which do not clear in that time are referred to as chronic hives and will usually warrant further investigation. The rash described as hives typically moves or migrates on the skin and is one of the features which will distinguish this from more serious conditions which affect other parts of the body such as a vasculitis. If the rash does not migrate, […]
By Midwest Allergy Physician Philip Rancitelli, M.D., F.A.A.A.A.I. Spring is a very challenging time of year for many allergy sufferers. This year has been particularly bad considering the unusually warm weather we have experienced. Tree pollen is the main allergic trigger early in the Spring and peaks in April. Tree pollen levels usually begin to decline in May and June. However, grass pollen becomes a problem in late Spring and early Summer.
Spring is the busiest time of year at your allergist’s office as patients begin experiencing the first symptoms of seasonal allergies, or ‘hay fever.’ An estimated 35 million Americans suffer from allergies to pollen and mold, according to the American Academy of Allergy, Asthma & Immunology. Symptoms include sneezing, a stuffy or runny nose and itchy, watery eyes.