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Author: admin, 10.11.2013
Winter Allergies - the same symptoms as seasonal allergies and can include all or some of the following:  runny nose, nasal congestion, post-nasal drip, sore throat, cough, sneezing, itchy nose, itchy eyes, watery eyes, red eyes, itchy throat, fatigue, sinus headaches, wheezing, and shortness of breath. Common Cold - can include all or some of the above symptoms, but in addition may contain achiness, fever, and chills, although discolored nasal discharge and a fever do not occur in most cases of the common cold. Common Cold - Viruses [Rhinoviruses, Coronaviruses, Parainfluenza viruses, and Respiratory syncytial virus (RSV) are the most common ones]; Note that there are many more viruses that cause the common cold. Common Cold - Typically the symptoms last less than 1 week in duration and resolve on their own. Common Cold - Usually self-limited and generally does not require treatment except to help relieve symptoms with medications and nasal sprays.
Any provider of asthma treatment in Gainesville can tell you that about 10% of all adults with asthma may have a condition called Aspirin Exacerbated Respiratory Disease (AERD), also known as Samter’s Triad, or Aspirin-Sensitive Asthma. The asthma associated with AERD tends to be more severe and poorly responsive to the usual treatments. In spite of avoiding these drugs, many patients will continue to experience frequent asthma symptoms, repeated sinus problems, and growth of nasal polyps.  They may need daily inhaled corticosteroid medications into their lungs to control asthma and daily corticosteroid nasal sprays and saline irrigations into their nostrils to control nasal congestion and polyps. Medications that inhibit leukotrienes like zileuton (Zyflo), which reduce the production of leukotrienes, or montelukast (Singulair) and zafirlukast (Accolate), which block the effects of leukotrienes on tissues can be helpful in certain patients to reduce the exacerbation of symptoms. Many patients also need sinus surgery and removal of nasal polyps, often more than once, as polyps tend to regrow after the surgery.  Regular use of intranasal corticosteroids and oral leukotriene modifiers after the surgery can help some patients in slowing the progression of their disease. The board certified allergists at Black & Kletz Allergy treat both adults and children and will answer any questions you have concerning local anesthetic allergy testing as well as other medication allergy testing such as penicillin testing. The most common side effects of epinephrine include palpitations, tremors, and restlessness. 1.)  Check the pollen count, so you know when the counts are high, so you can avoid being outdoors, if possible. 3.)  Be proactive and begin using prescribed or over the counter nasal sprays a few days prior to when you normally begin to feel the symptoms of tree pollen allergies.
4.)  If you go outdoors or enjoy exercising outside, try to avoid exercise early in the morning as the pollen count tends to be highest at these times. 5.)  If outdoors for a prolonged period of time during the tree pollen season, shower and change your clothes as soon as you re-enter your home. 6.)  Minimize your contact with pets and individuals who have spent a lot of time outdoors as they will bring the pollen to you.
Milk, wheat, egg, peanuts, tree nuts, and shellfish account for a vast majority of food allergies.

Many children diagnosed with peanut and tree nut allergies and their parents experience considerable anxiety about accidental ingestion and the potential for a serious reaction.
Both prick skin tests and blood tests, while extremely useful in detecting sensitivity, can also be falsely positive in a significant percentage of patients (especially in children with eczema) and can overestimate the risk of a reaction upon exposure. Until recently, the available tests for peanut allergy only measure the total quantities of all peanut specific antibodies. Children with elevated Ara h 2 levels should strictly avoid all exposure to all peanut products at all times. Oral food challenges to peanuts involve consumption of tiny quantities of peanut-containing foods while closely monitoring for adverse reactions. The board certified allergists at Black & Kletz Allergy treats both adults and children and will gladly answer any questions you have concerning food component testing and related food allergy issues. As asthma is a chronic inflammatory condition involving the lungs, most currently available preventive maintenance medications are in the form of anti-inflammatory drugs inhaled directly into the lungs. A third class of medications consists of injectable agents given every few weeks on a regular basis. A second drug in this class, called Nucala (mepolizumab), was recently approved by the FDA for the treatment of severe asthma. In clinical trials, Nucala has shown to decrease the numbers of asthma exacerbations, emergency room visits and hospitalizations compared to a placebo. While the dose and the frequency of administration of Xolair is determined by the weight of the patient and the serum IgE level, Nucala is given in a standard dose of 100 mg. This new medication is a welcome addition to our armamentarium in our battle with uncontrolled asthma. The board certified allergists at Black and Kletz Allergy in the Washington, DC, Northern Virginia, and Maryland metropolitan area will gladly answer any questions and concerns about this new treatment modality. January 19, 2016 by Black & Kletz Allergy Serving as Vienna, Centreville, and Arlington allergists, we have noticed that we are experiencing a relatively mild Winter so far. Every year, a hard freeze kills several types of weeds and keeps many molds in a dormant state for a few months. Several over the counter and prescription medications like non-sedating antihistamines, topical ocular preparations, and intranasal sprays can effectively mitigate the symptoms when preventive measures are less than adequate. January 6, 2016 by Black & Kletz Allergy As Winter begins and the temperatures plummet, the cold air can cause havoc on individuals with certain allergic and immunologic conditions that are caused or made worse with cold weather. Cold-induced pruritus, cold-induced urticaria, cold-induced angioedema, and cold-induced anaphylaxis are all very similar conditions.

Rarely, the above conditions can be associated with some systemic diseases and blood tests for cryoglobulins and cold agglutinins may be appropriate. In cold agglutinin disease, patients have high levels of Immunoglobulin M (IgM) antibodies in their bloodstream which attack their own red blood cells when their body temperature is below 88°F. Cold dry air is a known irritant to the respiratory passages and can trigger an increase in the frequency and severity of asthma. The board certified allergists at Black & Kletz Allergy have been treating cold-induced allergic and immunologic conditions in adults and children.
These medications work best if they are taken within the first 48 hours of the beginning of symptoms, however they can still be effective if taken later. Certain related non-steroidal anti-inflammatory drugs called COX-2 inhibitors like celecoxib (Celebrex) may be safer alternatives to aspirin in some individuals. Other signs can include excessive sweating, rapid pulse, and a sudden drop in blood pressure. It has the potential to greatly benefit certain selective patients whose asthma is predominantly mediated by harmful eosinophils. Being allergists in Centerville, we are happy to see additional alternative therapeutic options for the treatment of asthma. Higher than normal temperatures can not only prolong the pollen season, but it also can result in the proliferation of molds. Both are Board Certified, Diplomates of the American Board of Allergy and Immunology, and Fellows of the American Academy of Allergy, Asthma and Immunology. Appaji Gondi provide allergy, asthma and immunology treatment in Washington, DC and Northern Virginia. Gondi are highly experienced allergists and immunologists with over 20 years of experience each. They have been presented many top doctor awards in local magazine publications throughout the years. They provide a wide range of diagnostic testing and treatment options for the patient’s maximum benefit. For reasons that are not entirely clear, the incidence (newly reported and diagnosed cases) has been increasing steadily over the past several years.

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