Allergy Q & A.

How long am I going to be on shots?

That’s dependant upon the severity of the person’s allergies. Ideally, our patients are on their shots, and back off within three to five years; with their allergies corrected. Periodically, we get a patient whose allergies are so bad it takes longer for their allergies to be reversed, even though clinically they feel great.

Why do I have to see the doctor every 4-6 months?

We have a very successful allergy treatment program. To insure continued success, we track the patient’s progress very carefully. We like to make certain our patients are feeling better, and if not, why? In some cases we may need to readjust their serums, or figure out if there is an underlying problem preventing the treatments from working effectively. On the other hand, if patients are feeling very well, then maybe it’s time to retest them and start removing allergens from their serum if they are no longer allergic.

Why am I being retested every 2 years?

We retest every two years for two reasons. First, to see if a patient is no longer allergic to a particular item, then we can remove it, as there is no longer a need to treat them with that allergen. Second, sometimes a patient may still have symptoms, and we need to find out which allergen is still provoking symptoms. We then, readdress treatment for that item, and symptoms usually improve. Allergy treatment is most successful when it involves two factors. One, of course, is immunotherapy. However, the patient also needs to stay away from the offending allergen as best as possible, avoid exposure by using dust covers* on the bed, filters in the bedroom, and by keeping pets out of the bedroom, etc.

What kind of relief can I expect?

We expect about 80% relief of allergy symptoms within the first few months. After several months, the remaining symptoms should subside, unless there are other problems, i.e. bad nasal anatomy, or food allergies, etc. We also treat asthma.

When will I be able to stop my medications?

Once the allergy shots take over, your symptoms will decrease, and at that point you can taper off medications. Our goal is to ultimately reverse the allergy and have you off medicines and allergy shots.

Why do I get 2 shots?

One of the shots will contain the pollens we test for, and the other will contain molds and household allergens; dust, and animal dander, etc.

Why am I being skin tested, instead of scratch, or by blood test?

Skin testing, or S.E.T. (Skin endpoint titration) has been found to be the most accurate and reliable form of allergy testing. While we do use some of the other methods available for diagnostic purposes, we will follow usually with a skin test to find actual treatment levels.

What do I need to do in order to be allergy tested?

Even if your primary care physician has referred you to us for allergy testing, you will need to see one of our doctors first. They will evaluate your symptoms and your anatomy in order to better define your treatment plan. Also, there may be medications you are on that will interfere with your test and give false results, so being seen by our Doctors can curtail such occurrences.

What medications do I need to be off of before my test and why?

There are several factors that can interfere with an allergy skin test. There are several types of medications that we request you refrain from before your test. Some because of safety reasons, for instance, if you have a strong allergy response, we may need to give certain medications. Some medications, such as Beta blockers may block the medications we give. The other reason we would ask that you stay away from certain medications such as antihistamines, or anti-inflammatory drugs, is because both of them may block the allergy responses on your arms. We ask that you are off of these medications for 5 days before the test. If this becomes a problem, due to worsening symptoms, or because some of these medications are prescribed by other doctors, speak with one of our physicians and we will handle it on a case by case basis. Please see our list.

How many times will I be injected during the test?

It is hard to give an exact answer. We test for approximately thirty allergens. When we test, we are not only looking to see if you are allergic, but also how allergic you are. So, you may receive some of these antigens in weaker or stronger doses, until we find where your particular threshold, or “endpoints” are.

What am I being tested for?

There are certain things we don’t test for. Not because you cannot be allergic to them but more so because they are easily avoided, and easily diagnosed. For instance, if someone wears rabbit fur and it makes them itch, then it can be easily avoided. However, the things we test for are not so easily detected.

For example, people who are allergic to roses. We do not test for rose allergies nor treat them. So, once the allergic person is done with their shots, are they still allergic to roses? Of course, however, the goal is to lower the overall allergic process in their body. Then, when they are exposed to roses, it would produce less of an allergic response, than it would have prior to receiving shots, when the person’s allergy “threshold” was higher. The things we test for are known allergens in this area of the country. It is a combination of pollens, molds, and household pollutants.

Can I get my shots somewhere else?

A good percentage of our patients receive their shots through other doctor’s offices, or through their occupational health unit. First we test the patient, and then we mix their shot serums. Unless the patient is really allergic, they can take their serums to another physician who is closer to home, or more convenient. We give the person the first shot out of every vial here, and then go on their way. If a person is extremely allergic, we ask that they finish their first vial with us, and get their first shot out of their next vial, and then they can move on.

How much will it cost?

Unfortunately, that’s a question we cannot answer. There are so many factors involved in allergy care. The biggest factor that influences this answer is your particular insurance coverage. Some people have co-pays, some do not, some have deductibles, etc.

Why would I get shots if I can get sublingual drops?

This too, is very dependant upon insurance companies for one reason. Right now, very few insurance companies will cover allergy drops. Another reason is the drops themselves. There is some controversy regarding the absolute efficacy of drops. Are they an absolute replacement for shots, or are they more efficient if used as a supplement with shots. It also is very dependant upon the patient’s particular overall profile. Sublingual drops are most widely used on the elderly, or children or people who are extremely asthmatic.

What if I miss shots, or have an infection, etc?

There are a few times that allergy injections will be postponed. If the body is under duress, or stress, the allergy response can be more pronounced than usual. If you are sick, or have a viral infection, then we will postpone your shot until you are well again. Also, if you are having another medical procedure done, etc, then it will be postponed. If you miss your shot, for any of the previous reasons, or vacation schedules, work etc, as long as it is within 10 days, we can increase the strength as normal. If it is longer than that, then adjustments will be necessary.

What if I have been tested in the past by another doctor?

Well, the type of test and how current it was, will dictate where your treatment will go. Sometimes we can use results from other physicians, and start treatment from there, but not always. Also, if it has been a long time since your last test, we may also have to retest.

What hours are you available for shots or treatment?

On Monday we’re open from 9-7pm, Tuesdays 9-7 pm. Wednesday and Thursdays 8-5pm, and Fridays 8-4pm. However, hours may be subject to change, please call for final verification. Office Hours Link.

Why am I having allergy symptoms now? I have been all my life without allergy symptoms, why would they start this late in life?

Allergies do not follow any set rules or standards. The thought is that allergies will peak at age thirty or so, and start to diminish roughly at age fifty five to sixty five. However… any distinct change, or stress on the body can “reset” that clock; for example, pregnancy, major move/relocation, etc., or they may even just start out of nowhere.

Why am I being tested for allergies? I have no allergy symptoms, so why am I being tested?

Allergies can manifest themselves many different ways. There are always the normal hay fever symptoms that many have; sneezing, congestion, etc. Then there’s the other variety of symptoms. They can be anything from eczema, asthma, hives, mouth sores, tinnitus (persistent ringing in the ears), and a few other variety of symptoms or even some diseases that some studies attribute to allergies, or that it is thought that allergies exacerbate. We also can use immunotherapy to help in the treatment of Lyme’s disease, possibly fibromyalgia, etc.

All About Pet Dogs And Dog Allergy.

Today, millions of people across the country live with allergies and asthma caused by a dog allergy. If you have dog in the house and are experiencing allergy symptoms, keep in mind that allergies are cumulative. That means they may start out slow but then build to a level of severity. Therefore, to eliminate problems with a dog allergy, it is important that proper steps be taken to eliminate or drastically reduce the cause.

The American Academy of Allergy, Asthma and Immunology or AAAAI estimates that about 10 million pet lovers or pet owners in the United States are allergic to animals’ fur.

More and more households in the country are adopting or sheltering a pet dog, which is considered man’s best friend even from the time of the ancient civilization.

Dogs are canines that are perceived as intelligent and trainable among all other animals. We see dogs everywhere, in the movies, in cartoons, in the television (remember Lassie?), and even in high-security areas like malls. In the latter case, dogs are trained to sniff bombs, drugs and other illegal substances in the surroundings.

For pet owner’s, simply getting rid of a member of the family because of a pet allergy is not an option so the problem with allergies and asthma triggered by animal danger and old skin scales must be resolved. Remember, while most people think a dog’s fur is the cause of the allergy when in truth, it is the dead skin flakes, or dander. While cats generally create more of an allergy problem, many people also experience some degree of dog allergy.

The world is a ‘dog eat dog world’ and it can be even found truthful if you are allergic to dogs.

Dog allergies and cat allergies in similarities and contrast

However, there are more reported or diagnosed cases of cat allergies than dog allergies all throughout the world because cats are more inclined to spread their danders through their habitual and constant grooming or bathing session by rubbing saliva all throughout their body.

With dogs, one person may have a slight reaction such as runny nose or itchy eyes, while another person will have full-blown asthma attach, which could be potentially fatal. Therefore, if you think you have a dog allergy, you should take it seriously. The best step is to talk to your doctor to verify that the allergy problem is in fact associated with the dog. Then, once a dog allergy is confirmed, you can discuss proper medication or other treatment.

Dog allergy can be found in people with specific allergies to dog furs and those who have history of asthma. Asthma is another reaction triggered by exposure to allergens or allergy-causing substances.

Modern science and recent findings indicate that people who were exposed to either cats and dogs while they were infants will unlikely develop cat or dog allergy. It is because their immune system will get accustomed to the two animals’ danders at an early stage.

If you have a pet in the home and have a dog allergy, you can do a few things to help. For starters, vacuum with a good vacuum cleaner that has the ability to pick up hair and dander. You can also use an air purifier to help clean the air. If nothing works, sadly the only option to control the dog allergy may be to find a loving home for the pet. If you do not have a dog and are considering one, try to choose a dog with shorter hair and ones that does not shed. Although there is still a chance allergies could be a problem, it could help.

Also take notice that people who have developed cat or dog allergy grew up in households where there were no cats or dogs around. Start asking now, or likely, begin by looking at yourself or somebody you know. The assumption is accurate, right?

Symptoms of dog allergy

Just like in any other form of allergy, symptoms or manifestation of dog allergy include wheezing, coughing, itchy and/ or teary or watery eyes and constant sneezing.

In addition, bathe your dog on a regular basis, generally once a week, to keep the dead skin to a minimum. Just be sure to use a mild dog shampoo that will not cause the pet’s skin to dry out even more. Other things you can try to reduce the symptoms of a dog allergy include:

• Rather than let the dog have roam of the house, limit the rooms to those that are not used by you much. For example, the dog should stay out of the bedroom.

• Although you can love your dog, keep the amount of direct contact to a minimum.

Severe dog allergy attacks can be indicated by difficulty in breathing, which is similar to a severe asthma attack. If left untreated, the person’s life could be in danger.

But remember, treatments for asthma and other allergies, including dog allergy are only treatments or relievers. They are not meant and they can not ensure long term cures.

Allergies are not curable, they are only treatable. Hence, dog allergy if successfully treated will reoccur if the person or the patient exposes himself again to dog fur or danders.

Treatment and avoidance

A person’s body fights infection with antibodies. When a person experiences a dog allergy, it is because the person’s system produced an allergy antibody to try to fight off the allergens, which causes cells to release histamine along with other types of natural chemicals that cause allergic symptoms. When the histamine is released into the body, a serious allergic reaction can occur. The level of the dog allergy is something you can your doctor can discuss so the best course of action can be taken.

The best treatment is always prevention. As they say, an ounce of prevention is far better than pounds of cure. So it is in the case of dog allergies.

To treat dog allergies, the patient will have to be advised that he should avoid getting near or cuddling dogs. Through that, dog allergy can be successfully controlled or curtailed.

But if that basic prevention measure is ineffective, the patient will have to take either antihistamines, decongestants or corticosteroids. Antihistamines are the common drugs taken during asthma or other allergy attacks.

Decongestants decongest breathing areas or tubes in the body by reducing swellness of nasal tissues thus relieving breathing.

Corticosteroids on the other hand, are drugs that reduce or eliminate inflammation of organs or tissues in the body that may have resulted from the onset of the dog allergy.

The American Academy of Allergy, Asthma and Immunology or AAAAI estimates that about 10 million pet lovers or pet owners in the United States are allergic to animals’ fur.

More and more households in the country are adopting or sheltering a pet dog, which is considered man’s best friend even from the time of the ancient civilization.

Dogs are canines that are perceived as intelligent and trainable among all other animals. We see dogs everywhere, in the movies, in cartoo...

Charlene J. Nuble 2006. For answers to All your frequently asked questions about dog allergy, please go to: http://dog-allergy.allergyanswers.net/ or go to: http://allergyanswers.net/