allergy asthma specialist
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Q: Question about allergy and asthma specialists?
It seems that my allergies have been getting worse. It seems that the older I get the worse they get. So I’m going to be making an appointment with the allergy and asthma specialist. I’ve never been to an allergy specialist so I’m a little nervous. Has anyone ever been to see an allergy and asthma specialist? Also what do they usually do at the first appointment? What can they do to help me treat my allergies so my allergies are more managable?
A: I agree, don’t stress out about it, it’s not that bad.
On my first visit, they just did the initial questions then scheduled appts for skin allergy tests. My 2nd and 3rd visits were all allergy testing (had mine on the back). It wasn’t near as bad as everyone makes it out to be. It’s a little itchy, but when they’re done they give you antihistimines that kick in very quickly.
I’ve been getting allergy shots for 3 years now and my allergies aren’t as bad as when I started. It’s definitely worth the time/energy to be diagnosed and treated.
Q: Anyone know a good Asthma & Allergy specialist in Savannah Georgia?
My 2 year olds pediatrician thinks he may have asthma. I had it as a child. I would like a second opinion…Please only recommend someone you would trust your child to.
A: http://www.nationaljewish.org/
or
1-800-lung line (same place)
they are one of the leading asthma hospitals in the country, I call them to get a referral for a doctor….
They have lists of Dr’s that trained with them or they recommend.
I am asthmatic and thats who I contact for a Doc.
Q: Does this sound like allergy or Asthma?
Can someone give me some advice does this sound like Asthma or what?should I go to an allergist?
Here are my symptoms,I am having episodes of not being able to get a satisfactory breath,I feel like my lungs are about to quit,I get chest pain right in the center of my chest between my boobs.Sometimes im coughing and my lungs feel tight or constricted.Wearing a mask helps me breath allot easier which leads me to believe it may be something in the air causing it.I have periods of severe symptoms followed by feeling normal for one day or a few hours.Some of the episodes have been very scarey.I am also having heart burn and acid reflux problems.I do not take any medication for that.I sometimes do not feel like I can eat because im so busy concentrating on my breathing,i feel like there is something inside my lungs irritating them.I started getting these symptoms months ago.I moved in with my mom around March had no breathing or coughing issues then.We found out recently we have mold and my mom smokes,i try to sit by my air purifier.but I am still having the breathing issues.
* 5 minutes ago
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Additional Details
2 minutes ago
I have never smoked,but I do have allergies,I was living in a smoke free mold free environment and had to move back home with my mom due to financial reasons,and now I am suffering big time.I have been through an emotional trauma so I neglected myself and havent been to a doctor in months.these breathing issues are really scaring me,and im afraid to go to the doctor.Should I go to an ALLERGY and ASTHMA specialist?or where I do not have any insurance,and im not sure where to go.I want to find out the cause of this,I cannot even breathe when i go to the grocery store because the smells and cold air from the ac irritate my lungs and I feel like im gonna pass out if i cant go lay down and normalize my breathing,my chest feels tight i feel like im not getting enough air.It is very scarey so much so that now I will not even go out anywhere I have fam
A: It really sounds more like asthma than just allergies, especially with the chest constriction and sensitivity. For short term help on symptoms you can try drinking strong, black coffee as the caffeine helps open airways and reduces the whole strangling/drowning/constriction feeling.
You need to get medical care, because it can worsen to the point of hospitalization which is going to cost A LOT more than a trip to the doctor’s office. Most doctors have a sliding scale you can use to pay for care, and you can normally get prescription medicines for cheaper amounts if you qualify. Your doctor may also give you free samples to deal with the symptoms you are suffering.
Depending on where you are, how severe this is, and the impact it is having you may be able to get help from social services.
Q: Experience with asthma?
Each time I go to see the asthma/allergy specialist, they do a test, that peak flow meter thing. They say my results are very high for an asthma patient at my age, but why is that if my asthma is so bad? Could that be because of my years of playing a woodwind instrument? I was taught to take in alot of air, so I’m thinking thats the reason why. But, again, why is my asthma so bad then?
A: i have the same thing, resulting from figure skating for a few years. strange, but i guess people’s bodies are all different
Q: childhood dog allergy?
My son has asthma/allergies. We’re planning on getting a dog that will be inside most of the time. My son had the skin test done by an allergy specialist with inconclusive results. He definitely has allergies we just dont know exactly what they are. He has been around dogs and other animals before but not in closed spaces for long amounts of time. How can i be sure the dog dander wont make his allergies act up? Are there ways to minimize the allergies?
Just because YOU have a dog allergy does not automatically mean everyone does. My son has never had any reaction to dogs before.
A: The absolute worst thing you can do for your son is to bring a dog into the house, and I would highly recommend that you not let him mess with a dog anywhere. Dog odors,slobbers and danders contain more allergens than anything known to man, and even if he is not now allergic to dogs. he will quickly develope one, and he will be in much worse shape than he is in now. Don’t do it, please!
Q: Some Doctor Diagnose Me!!!! ALLERGY OR ASTHMA?
I am a 15 year old healthy female.In late november i was in a ringette tournament in edmonton. During our last game in the tournament i had trouble breathing. I ended up in the penalty box and had a very difficult hard time breathing. I finished the game although i couldn’t (there was 3 min left) after the game i left and was heading out side as quick as i could i said i wanted air. i ended up in the vehicle not able and having a very difficult time breathing. after i started foaming from the mouth and had a weak pulse my coach phoned an ambulance. as the ambulance arrived they put me on oxygen and game me 2 pills of adivan. When i arrived to the U of A children’s hospital my tongue was swollen and i had a rash on my neck and ears. In the trauma room the doctors 1st thought was i was having a sever asthma attack, although i have no known asthma but i do sometimes have trouble breathing on the ice. Anywise they were going to do a tracheotomy and then they decided to give me an eppy pen. After the eppy pen and several drugs i seemed to be fine. My heart rate went into the 30s durning the night and they said that was normal since i was a hardcore athlete. The next afternoon i was discharged. And the doc said she now believes it was a Delayed allergy to Brazilian nuts or shrimp ( which i never ad before) or a sever asthma attack. What do you think happened to me? Im scheduled to see a specialist in the next month or two.
A: From the description you have given, it seems you had an anaphylactic reaction (acute allergic attack) to something.(may be some food or some insect bite etc). Anyway you had a lucky escape and there is a chance that you may get it again, if you come in contact with that allergen (the thing that caused it) again. So when you see the specialist next month he may do an allergic patch test to see which all things you are allergic to and he will advice you to avoid those.
Bronchial Asthma is also a type of allergy with shortness of breath and wheezing. But we don’t call a single attack of shortness of breath and wheezing asthma. In case you develop asthma, you will get recurrent attacks which is relieved by bronchodilators. We can do pulmonary function test to see whether you have the asthma pattern or not. Anyway at present you cannot be termed asthmatic. So let us wait and see. It is unlikely that you will develop asthma due to this.
Q: Could I have allergy induced asthma?
I’m an 18 year old female who has always been a healthy person. I remember when I was 14 or so, my doctor thought that I might have exercise induced asthma, but then decided not. Last year, I got really sick. and I had a hacking cough and chest tightness that wouldn’t go away, so my doctor thought about asthma again, but disregarded it because I wasn’t wheezing.
Well, this year, I went off to college. Ever since I got there a month and a half ago, I’ve had trouble breathing. I’m always congested, and I feel like I have trouble in both my nose and my chest. I also have issues when I go and workout, when I walk up the stairs to my room, and when I walk up the hill to go to my classes. I feel like I never get enough air, and often am trying to take in deep breaths to counteract that. I’m also tired a fair amount, and have a dry cough that’s it’s worst in the morning/evening. I know that I’m allergic to the soap that they were using in my dorm, and I thought that I would get better after they got something different, but I didn’t. I also thought that I would be better when I came home, and I’m not. My mom and I both think I might have allergy induced asthma. Is that a possibility?
I’m home on fall break right now, and I’ll be calling my pediatrician’s office tomorrow morning to try and make an appointment and see what’s going on. I won’t be home long enough to get in with a specialist or anything, so I hope that I can get something so that I’ll be able to breathe again!
As I said, I’m not better at home…so school isn’t the problem.
A: You may not have allergy induced asthma, however you could have seasonal allergies, or very possibly the environment in your college/dorm setting i’m sure is very different than at home. Use lysol, try to keep communal areas cleaned as much as possible.
Q: Is it normal to develop asthma when you become pregnant?
When I first got pregnant I began having wheezing and tightening of the chest. I use to have this whenever I would have an allergic reaction to something but never did it paralyze my breathing. Now I have had these symptoms more often and have to go to the er. They told me to talk to an allergy specialist (since I have horrible allergies)and I did but then they told me to go to my primary doctor. But I have been to the ER three times for this since I have been prego? What should I do
I am 5 months along
A: During pregnancy, asthma not only affects you, but it can also cut back on the oxygen your fetus gets from you. But this does not mean that having asthma will make your pregnancy more difficult or dangerous to you or your fetus. Pregnant women with asthma that is properly controlled generally have a normal pregnancy with little or no increased risk to themselves or their fetus.
Q: What to do for a child with a cold when the child has severe allergies and asthma?
With OTC meds now not being recommended for children really under the age of 6, what can you do to ease the cough in order to keep the lungs from becoming inflamed causing the child to end up having bronciolitis (which always happens to my kids) or asthma attacks. They, ages 4 and 2 yrs, have nebulizers to try to prevent attacks with albuterol and pulmicort, but have no inhalers to stop an acute attack. They also are on Zyrtec and singular from their allergy specialist b/c they are allergic to enviromental things and other things that can kill them. I do the steam treatments in the bathroom, the vapor rub, and the vapor plug-ins to help with the congestion that even their allergy meds can’t help really with a cold but still it doesn’t ease a cough. I am NOT looking for someone to tell me to stop prescriptions and go all natural with my kids b/c with everything they’re allergic to it’s WAY too risky. please be polite and respectful with ur answers and try to help not put down others.
neminly – I want to make this clear, i am NOT bashing natural at all. I think it’s great if it works for u. we use fragrance free & dye free products due to our children, use natural products to clean. As far as foods go, w/what little they do eat (they’ve become far more than just picky eaters since the food allergies happened) it is safe .Allergies can kill my kids w/the food allergies (organically grown or not) & animal allergies they have. i’ve seen what happens first hand which ended up in the use of an epi-pen. there’s not much you can either about being really allergic to the grass in our yard & surrounding yards either along w/the trees. I can do what i can in the house but that’s not going to matter when they’re out in the world, staying w/someone or at school. the medications are a must. I know how to deal w/all of my kids allergies & cope w/asthma and eczema. its not just chemicals that are triggers. i’m asking for help w/the cough during a cold to prevent the worst outcome
A: The person who posted this “The allergies and asthma aren’t going to kill your children” is WRONG. People DO die from Asthma! Especially severe sudden attacks.
My son (now 28) had allergies and asthma so severe, we lived in a sterile environment for 5 years! He still has Asthma, but has maybe one attack a year.
As for the cough, yeah, OTC med’s aren’t being recommended to young children much. You could try a warm honey tea if there are no food sensitivities (you can get caffeine free tea). Keep the air moist. Dry air really triggers coughing. Laying flat in bed doesn’t help either. Always prop up one end of the bed. I found that helped with the coughing too.
If possible, call a pharmacist if you can’t reach your doctor. He or she may be able to give you more advice.
Good luck! I know EXACTLY how you feel!
Q: What can you do for a child with a cold when the child has severe allergies and asthma?
With OTC meds now not being recommended for children really under the age of 6, what can you do to ease the cough in order to keep the lungs from becoming inflamed causing the child to end up having bronciolitis (which always happens to my kids) or asthma attacks. They, ages 4 and 2 yrs, have nebulizers to try to prevent attacks with albuterol and pulmicort, but have no inhalers to stop an acute attack. They also are on Zyrtec and singular from their allergy specialist b/c they are allergic to enviromental things and other things that can kill them. I do the steam treatments in the bathroom, the vapor rub, and the vapor plug-ins to help with the congestion that even their allergy meds can’t help really with a cold but still it doesn’t ease a cough. I am NOT looking for someone to tell me to stop prescriptions and go all natural with my kids b/c with everything they’re allergic to it’s WAY too risky. please be polite and respectful with ur answers and try to help not put down others.
A: If you can get them to drink this, HONEY with hot water or hot tea stops the cough for a little while. This really does work, and, it was even on yahoo news the other night. When I do this for myself, I use about a half of a coffee cup full of hot water or hot tea and a teaspoon of honey. For me, it usually stops the cough for two to three hours at a time.
Q: I have a 12 year old daughter with asthma and allergies who has been having dry hacky cough for over a month ?
We have been to specialists and asthma dr and many medication changes and so far haven’t had any relief of her signs and symptoms and she has missed a lot of school. She is weak pale and has abdominal pain and says her stomach hurts a lot. I would appreciate any input as we are neither getting any rest and I am frustrated.
A: This is a remarkably complicated kind of condition which I suffered as a child and did manage to overcome. Doctor after doctor never offered a cure or any medication to cure it. We had to learn to watch everything, try everything, and persist until we could eliminate the triggers and the causes. It’s not easy, but possible. It does take some time and a lot of determination.
The first thing to work on is not using it as an excuse for unhealthy behavior. In other words, she needs to eat and drink healthy foods and not miss any school. That will remove any psychosomatic benefits, which can be contributing and complicating factors.
Her sleeping quarters have to be squeaky clean and free of dust or any possible sources of mold, plant pollens, or animal dander. The relative humidity needs to be between 25 and 35 percent; no higher because it can promote mold growth, no lower because it dries out mucous membranes, which can cause hacky coughs, as you say. Buy a humidity gage and put it in her room. Try to maintain those levels in the whole house if you can.
Allergic reactions to inhalants, be they pollens, dust, molds, etc., cause the mucous membranes to secrete lymph in an attempt to wash away the irritants. When the irritation persists, the constantly produced mucous begins to dry and thicken, providing a warm, moist, dark place for airborne bacteria to land and colonize into what become pussy infections.
Doctors are good at prescribing medicines that can help to control various stages of the irritation and after effects. But unless you isolate the triggering causes and reduce your exposure to them, it will keep repeating. So start thinking back and keep a diary describing your surroundings until you can figure out what the initial triggers might be.
It is complicated, because what can in one case be a trigger, when there has been prior exposure to some other irritant, can not appear to be a trigger when taken by itself. That is to say, sometimes allergic irritants have a way of masking reactions to other irritants. This is most typical of food allergies, which can cause hives on the skin, which is a very strong allergic response, or in milder reactions can cause nasal and sinus irritation, or repeating sneezing.
A well-balanced nutritional program including minerals, trace elements, vitamins, anti-oxidants, and multiple kinds of fiber and protein, is the foundation for building a health recovery program. Your first defense against allergic irritations are robust and healthy nose, throat, and sinus membranes.
I used to suffer from asthma and frequent post-allergic infections until I tried taking some nutritional supplements that helped me overcome it. Now I enjoy clear sinuses year-round.
I have found a family of nutritional products that I know gives me the best chance for longevity and health. Email me if you would like particulars.
Living a long and healthy life.
Q: Could my son have Cystic Fibrosis?
My son who is 8 had started with what Dr’s told was Asthma at 6 months old. As the years go on they still say it is Astma, But the symptoms and attacks get worse. He started at a year old with just 1 medication. Now he is on 6 Daily meds. We have Done CF test that come back Neg. Yet I was told when they do testing they only test for 13 (major) kinds of CF when there are about 1,000 mutations of CF. We have been to PCP’s allergy specialist, Asthma Specialist, Pulmonologist, They all say Asthma (I swear they all agree cause they are all in the same practice). On top of all this he has the clubbed fingers a signs of CF. Anyone have any ideas on where or who to see next?
A: Your son may not have CF.
There are many causes of finger clubbing, too numerous to mention here. Note that CF has numerous Gastrointestinal signs as well. Also, has your son had all the tests below?
Lab Studies
The diagnosis of cystic fibrosis (CF) is based on typical pulmonary and/or gastrointestinal tract manifestations, a family history, and positive results on sweat test.
Sweat test: Several methods are used to conduct a sweat test. Performed properly, the quantitative pilocarpine iontophoresis test (QPIT) to collect sweat and perform a chemical analysis of its chloride content is currently considered to be the only adequately sensitive and specific type of sweat test (see Cystic Fibrosis Foundation).
For reliable results, collect at least 50 mg or, preferably, 100 mg of sweat. Current macroduct collection methods allow adequate analysis with smaller volumes of sweat. The sweat chloride reference value is less than 40 mEq/L, and a value of more than 60 mEq/L of chloride in the sweat is consistent with a diagnosis of CF. The sweat test must be performed at least twice in each patient, preferably several weeks apart. Values of 40-60 mEq/L are considered borderline, and the test must be repeated because these values have been found to be consistent with the diagnosis in some patients with typical features.
Repeat a sweat test to confirm positive results. Repeat a sweat test with negative results if clinical features suggestive of CF are present. Some patients with genetically documented CF and typical symptoms have consistently negative results on sweat tests.
Other causes of elevated levels of sweat chloride include the following:
Untreated adrenal insufficiency
Glycogen storage disease
Type I fucosidosis
Hypothyroidism
Vasopressin-resistant diabetes insipidus
Ectodermal dysplasia
Malnutrition
Mucopolysaccharidosis
Panhypopituitarism
Familial cholestasis
Familial hypoparathyroidism
Atopic dermatitis
Iatrogenic causes (ie, infusion of prostaglandin E1, improper technique)
Imaging Studies
Chest radiography: Initial changes are hyperinflation and peribronchial thickening. Progressive airtrapping with bronchiectasis may be apparent in the upper lobes. With advancing pulmonary disease (see Image 1), pulmonary nodules resulting from abscesses, infiltrates with or without lobar atelectasis, marked hyperinflation with flattened domes of the diaphragm, thoracic kyphosis, and bowing of the sternum develop. Pulmonary artery dilatation and right ventricular hypertrophy associated with cor pulmonale is usually masked by marked hyperinflation. Several radiologic scoring systems exist.
Sinus radiography: Panopacification of the sinuses is present in almost all patients with CF, and its presence is strongly suggestive of the diagnosis. Conversely, absence of panopacification strongly suggests that CF is not present.
Other Tests
Genotyping
More than 1300 CF mutations have been identified. In the commercially available CF gene sequencing method, the entire coding region, splice junction sites, and promoter region of the CFTR gene are amplified from genomic DNA by polymerase chain reaction (PCR) and the subjected to nucleotide sequence analysis on an automated capillary DNA sequencer. This test can detect more than 98% of disease-causing mutations. The detection rate is lower in African American, Hispanic, and Asian populations; therefore, failure to find 2 abnormal genes does not exclude the disease.
A finding of 2 CFTR mutations in association with clinical symptoms is diagnostic, but negative results on genotype analysis do not exclude the diagnosis.
Semen analysis: Obstructive azoospermia, in the absence of any other obvious cause (eg, vasectomy), provides additional corroborative evidence for the diagnosis of CF. Confirm results from semen analysis by obtaining a testicular biopsy.
Nasal potential difference measurement
Potential difference (PD) (voltage) measured from nasal mucosa and the reading obtained by a reference electrode inserted into the forearm correlates with the movement of sodium across cell membranes, which is a physiologic function rendered abnormal by a CFTR mutation. The nasal potential difference (NPD) is a sensitive test of electrolyte transport that can be used to support or refute a diagnosis of CF. A normal mean value standard error (SE) is 0.9-24.7 mV; an abnormal value is 1.8-53 mV. When measurements are repeated after mucosal perfusion with amiloride to block an epithelial sodium channel, the drop in PD is greater in patients with CF (73%) than in control subjects (53%). Normally, subsequent perfusion with chloride-free solution and isoproterenol produces a sharp increase in the PD but has little effect when CFTR function is abnormal.
As a result of the lack of commercially available equipment and the practical difficulties with NPD measurement, this test is performed in only a few research centers to diagnose CF in patients in whom making a diagnosis is difficult or a sweat test is not technically possible because of skin problems.
Q: Is it time for a new pediatrician? My oldest was repeatedly getting “strep throat” despite having a very ?
scarlet fever type rash on his thighs (yes it really turned out to be scarlet fever). My youngest has had asthma/allergy issues since a year old and I have practically begged her to spend more time diagnosing him only to end up at urgent care or the ER because I knew he would get worse w/in a matter of hours only to have her dismiss my concerns. An urgent care doctor told me that his adenoids should come out…..she said no but sent me to the ent who immediately said, yes, let’s get them out. She’s very sweet and my children like her but I feel like she’s overlooking some things. My youngest sees an allergy/asthma specialist now. Should I continue taking them to her for the basic illnesses or scratch her completely?
Valerie: yeah I know they are similar strains but they have different tests for both. I told her I thought it was scarlet fever and she said no……that was what bothered me.
A: i would first try to get the office to give you a copy of the kids records. that way you can hand carry them to the new doctor and not have the old one any the wiser…you do not want to totally alienate a doctor you may see in the future. Since your kids go to a specialist you can tell the doctor you want a copy for your file to take to the specialists with you.
I love my doc, I have been seeing him for 27 years. If he continually misdiagnosed things I would have to find a new doctor. SO far the worst thing he did was not realize that my 2 year old had a speech delay. apparently many doctors do not know about federal programs that can help, so I forgive him. I found the help I needed myself.
Q: Why does my toddler get sick everytime he comes off antibiotics?
For the past few months or so, my son, who just turned 2 yrs old this month, has had chronic colds/infections. He will get one that will last several weeks, then it will go away and he will be perfectly well again, but cannot seem to stay that way longer than 2.5 weeks, and he’s sick again. It’s always the same thing – runny nose, cough, congestion, low or slightly high fever. His pediatrician finally referred him to an allergy/asthma specialist earlier this month and all of his allergy tests came back showing nothing and they did some blood work and found nothing. We are pulling our hair out – we can’t understand why he can’t stay well longer than 2 weeks before he’s sick again. Has anyone out there experienced this and if so, were you ever able to find out what in the world was going on and fix it?
A: Is your son in a daycare or in other areas where he’s around a lot of other children? I think it’s all part of his age. My older son was like that from about 6 months on, even though he wasn’t in a daycare; he’d go to the church nursery on Sundays and always seemed to come down with something a few days later. The immune system isn’t fully developed until they’re around 2 or 3, so this is all part of building up the immune system.
I’d also be interested to know if your doctor gives antibiotics every time your son gets sick. You say he gets colds–which cannot be treated with antibiotics. If he’s on a cycle of antibiotics all the time, that can also compromise his immunity; we found that out with our older son. Sometimes they just have to be allowed to fight off these infections. Most doctors don’t give antibiotics right away; they say that colds last 10-14 days, so if the child has been sick for less than that, then they shouldn’t necessarily be given antibiotics. Also, if they develop a fever right away when they get sick, I’ve heard that’s usually a virus–no antibiotic–but if they’ve been sick for a few days or a week and then get a fever, that’s a bacterial infection and may need an antibiotic.
Ultimately, my son finally got his immunity built up, and he doesn’t get sick nearly as much now (he’s 4 1/2). Just hang in there. 
Q: What are the differences between an asthmatic specialist and a pulmanologist?
I have a reduced lung capacity which has caused a weakened physical condition. It was found by my allergist whom I went to because of extreme nasal congestion. He determined that I have no allergies, but asthma, after a lung capacity test, which was irritated by the heavy pollens now in my area. After two weeks of inhalents, medicines and nasal rinses I do not have relief or improvement to my sinuses, bronchial area or lungs.
A: A pulmonologist is a lung specialist. They are asthma specialist. Some allergists also specialize in asthma. With asthma, you generally do not get reduced lung capacity. Based on your story, I would see a pulmonologist
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