Are You Driving Everyone Crazy at Work?

Constant sneezing and throat-clearing, both symptoms of allergies, can irritate co-workers. There is a solution that will make everyone happy — immunotherapy.

Is there someone in your office who always sneezes, coughs and/or continuously clears their throat? That person may be suffering from allergy symptoms that include post-nasal drip. Co-workers offer a “bless you” once or twice, but the well wishes gradually taper off as thoroughly annoyed office mates secretly wish that person would get their allergies under control and put everyone out of their misery. It’s certainly not your fault but if you’ve been noticing dirty looks, you might be that person.

Similarly, is there a student at your child’s school who just looks miserable — suffering daily with watery eyes, runny nose, lack of energy and fleeting attention? The teacher and fellow students undoubtedly feel bad for that child — at least at first. But when symptoms continue day after day, sympathy turns to frustration and friends find excuses to slink away. That child’s grades are likely to suffer as a result of inattention and/or missed days. For this great, smart kid who isn’t achieving their deserved social or intellectual status, top notch performance seems an impossible dream. Is that your child?

Whether it’s you, your child, or someone who shares your air, there IS a solution that can clear symptoms and restore good relations — immunotherapy. Here are three need-to-know points about it … First, it can resolve reactions to multiple allergens like ragweed, mold and cat dander. Second, it lasts for years. Third, it’s entirely natural — it’s not medication. Immunotherapy exposes your immune system to very small quantities of the allergens, effectively teaching it “see, they’re really not so bad.” Since your system stops trying to fight off these harmless particles, your symptoms subside greatly or disappear altogether.

Allergy drops and shots are both forms of immunotherapy and they’re both effective. One of the major benefits of drops is you can take them at home — or on the road — so there’s no need to miss work or school for weekly doctor appointments, which are required with shots. (Missing work or school may be another strain on relationships with co-workers, friends and teachers.) Drops are affordable and are ideal for everyone from children to seniors. The upside of shots is that, currently, more insurance companies pay for them (co-pay and deductible may apply.)  In the long run, both shots and drops will likely be less expensive than medications — and will almost certainly be more effective.

If you or your child are the ones getting on everyone’s nerves, through no fault of your own, it’s time to put your allergies behind you and patch up those strained relationships. Talk to your doctor about immunotherapy. If it’s someone else, don’t bludgeon them to death — point them to https://www.allervision.com/allergies.

Spring – A Time for Love … and Pollen

A pine tree releases up to five lbs. of pollen, which will be distributed for miles by the wind. February is the start of pollen season. (Image source:Wikipedia)

Whether you’re eagerly anticipating the end of the freeze and the arrival of spring, or dreading it, depends almost entirely on whether you have allergies. If you’re an allergy sufferer, you may already be experiencing those dreaded symptoms; February is the official kickoff of pollen season for trees in many parts of the country.

So what is pollen anyway, and why does it make you feel so miserable? If it didn’t make you feel like sticking your head in the sand until the scorching summer months, the answer would be, if not romantic then at least a little racy. Pollen is a collection of powdery grains made up of microscopic proteins that male tree parts release into their air with the hope of pollinating female tree parts … ideally of a different tree. The wind carries these grains for miles, dispersing them over the terrain to find the perfect mate(s) and increase the chance of successful reproduction. Since this is a very hit or miss delivery technique (slightly more so than an internet dating service), trees — and other plants — release millions of grains of pollen. Put enough pollen out there and, like with internet dating, eventually something good will happen.

With all that pollen circulating in the air looking for companionship, it’s inevitable that sooner or later some will come in contact with your respiratory system. Since the pollen is a normal part of the environment, your body should just be able to ignore it and carry on with little more than an occasional sneeze. However, a pollen-allergic immune system mistakes pollen as a serious invader and immediately summons defenses to fight it off. The result is a wall of mucous and swelling designed to keep the invaders out and a barrage of symptoms that may include runny nose, congestion, sinus headaches, conjunctivitis, skin rashes, coughing, and asthma flare ups; they’re often worse than the symptoms of an internet match gone wrong!

There are a variety of treatment options to quell these symptoms. You can find more details about them in our Which Allergy Treatment is Right For You post. But seeing as it is virtually impossible to avoid these mate-seeking airborne grains, allergic patients should strongly consider the only solution that is actually a “cure” because it teaches your body to ignore pollen season after season: immunotherapy. That’s important considering that at this very moment, pollen from Ash, Alder and Juniper trees, among others, may be swirling around your home. Too bad we can’t offer immunity to bad matches on the internet scene. Welcome to spring!

Make “Get Rid of My Allergies” Your New Year’s Resolution

Don’t let pollen keep you from enjoying the great outdoors. You can overcome your tree, grass and weed allergies with immunotherapy.

Some people resolve to diet. Others commit to exercise more. Whatever you promised yourself for this year, we suggest the additional new year’s resolution (it’s not too late to make one!) of improving your health and wellness by overcoming your allergies. It’s possible, and we’ll tell you how below. But first, in case you need a little extra motivation, here are a few activities that you should be able to enjoy, but which often provoke allergy symptoms: strolling in the park; playing soccer; watching a little league game; exploring a forest; hugging your dog; rolling in the grass; visiting friends; petting a cat; walking outside in spring; cleaning your home; sleeping; breathing.

When we say “get rid of allergies” we’re not talking about covering up your symptoms with medications or temporary treatments. We’re talking about using immunotherapy to teach your immune system not to react to the harmless allergens that it mistakes for enemies. When you do this with allergy drops or shots, your body stops creating allergy symptoms each time it encounters the allergens; in other words, you become healthier!

The first step is visiting your healthcare provider for a pain-free allergy skin test to determine what allergen(s) causes your symptoms. If your doctor doesn’t offer the skin tests, click here to find one who does. Then talk to your provider about whether immunotherapy is right for you. If you are a good candidate for the treatment, your doctor will recommend either drops or shots. Within two months of starting immunotherapy, you may leave your allergies in the dust – not just for this year, but for many years to come! And next year, your resolution can be based on using your good health to reach new goals!

Act Now to Banish Spring and Fall Pollen Allergies

Spring usually brings beautiful weather and lots of allergies. But if you prepare now, you can skip the allergies in 2016 and beyond.

Remember how miserable your allergies made you feel this past year? Next year can be significantly better if you prepare now. Immunotherapy is an allergy treatment that teaches your immune system to accept allergens rather than try to fight them off. As a result, your allergy symptoms naturally disappear or fade into a minor irritation. But it takes a few months for the acceptance to kick in. Since tree, grass and weed pollen seasons typically don’t begin until February or later, now is the perfect time to start immunotherapy. Starting now could launch you into a virtually symptom-free Spring, Summer and Fall in 2016 — and beyond!

Allergies are caused by the immune system over-reacting to a particle (also known as an allergen) in the environment and summoning defenses to fight it off. Immunotherapy, either under the tongue (drops) or by injection, is a process that desensitizes your immune system. Once desensitized, your system no longer reacts to the allergen. Immunotherapy begins by exposing you to very small amounts of the allergen. As this ramp-up process begins, symptoms start to fade and allergy sufferers can wean themselves off of medications. Within two months, most people are virtually clear of symptoms. As the treatment progresses, the amount of allergens in the serum increases until reaching a steady maintenance dose. If you were to start treatment in mid-December, the pollen that will begin flying next February or March shouldn’t bother you!

Another benefit of allergy drops and shots is that they can be formulated to address more than one allergy. So, for instance, if you’re allergic to pet dander, cedar pollen (the source of “cedar fever”) and ragweed pollen (the major cause of hay fever), one prescription can resolve all your allergy problems.

Heading into winter, you may feel grateful that you’re leaving your pollen allergies behind for a while. If you start immunotherapy now, you could be leaving them behind for good! To find a provider who can determine your exact allergy triggers and offer immunotherapy for you or someone you love, click here.

 

Say Goodbye to Hay Fever, Hello to Winter Allergies

Although allergies to pets, mold and dust last all year, they may be more pronounced in the winter when people spend more time indoors.

Depending on where you live, hay fever season might be coming to a close in a few weeks. That’s the good news, and it isn’t coming a moment too soon for the millions of people who suffer from weed pollen allergies. The bad news: with the approach of cold, wet weather, you’ll likely be spending more time indoors where a new set of allergens will step into the spotlight.

Mold, pet dander and dust mites can cause problems year round but when you’re cooped up with them, their effect becomes more pronounced. That head cold or “sinusitis” that just seems to hang around all winter … maybe it’s not a cold after all — it could be an allergic reactions to one of these common triggers. And those recurring ear infections your child gets — they, too, could be caused by allergies.

On the positive side, there are simple ways to fight at least two of these allergens. You can combat mold by keeping your kitchen and bathrooms dry. Be especially diligent about drying showers, where mold likes to grow in corners, and tile countertops where grout can soak up moisture.

Similarly, you can keep dust at bay by cleaning regularly and washing your bedsheets and pillow cases in HOT water weekly. Specialized covers over your mattress and pillows can help control dust mite migration. Dust mites also live in carpets, so vacuum constantly. In addition, dust clings to drapes, stuffed animals and other soft fabrics so make sure you wash them frequently in hot water if you plan to keep them around.

Pet dander can be harder to control if you have a pet, or visit homes with pets. Vacuuming helps if you do it often, but pet hair also sticks onto furniture, clothing and more. And if you let your pet lick you, you’re getting a full dose of allergen right to the face. But who wants to turn away their lovable friend when it’s showing affection? If you can’t keep up the rigid cleaning regiment, and/or don’t want to snub your pet, your best bet might be immunotherapy (allergy drops or shots).

Immunotherapy teaches your body to ignore allergens so allergy symptoms don’t develop in the first place. And both allergy shots, and allergy drops can help you overcome multiple allergies at once — for instance, pet dander, tree pollen and ragweed pollen — so you can resolve all of your allergy triggers with one form of treatment and enjoy the entire year allergy-free. To learn more about immunotherapy, click here.

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The What, Where and When of Allergies

The AllerVision Allergy Map will show you the biggest allergen offenders in your area and when they cause the most damage. Click here to see it.

Maybe you’ve had an allergy test and you have a list of allergens that cause your symptoms. (If not, click here and AllerVision can help you find a provider who will give you the answers you deserve!) But unless you’re a botanist, you probably don’t know what most of those allergens looks like. And even if you do, you may not know when you need to watch out for them. Don’t worry, we have you covered! …

Click on the caption under the image at right to visit the AllerVision allergy map. Once there, click on your region of the country to see the trees, weeds and grasses that cause the worst allergy problems in your area. (AllerVision-affiliated providers test you for sensitivity to those pollens when you visit them for an allergy evaluation.) If you hover over the names of the plants, you’ll see pictures and the season(s) in which each allergen does the most damage. Take the seasons listed with a grain of salt, though — global climate change is, well, changing the environment. Many doctors and allergy specialists blame those shifts for the huge increases in pollen — and, consequently, allergy symptoms — produced each year.

That said, if you’re experiencing allergy symptoms or generally not feeling well right about now, there’s a good chance you can blame pollen from grasses including Rye, Bermuda and Red Top, among many others. As summer fades to fall, weeds become the more primary villain, with Ragweed topping the list as public enemy number one. Pollen tends to take a rest in early winter, but come late winter and early spring, Ash, Alder Cypress and other trees begin spewing pollen like there’s no tomorrow — and allergy patients suffer mightily.

Unfortunately, indoor allergens never go away. Dust, pet dander, cockroaches and mold can cause allergy misery all year long. The allergy symptoms they trigger tend to stand out in the winter because people spend so much time indoors but even in mid-summer any one of them can be the cause of your discomfort.

Given that outdoor allergies are cyclical, you may be able to stuff yourself with medication until your worst season is over — but next year you’ll experience the same problem. Or, you can turn to immunotherapy, which teaches your body to ignore allergens so the disease goes into remission for years. Immunotherapy lets you enjoy many, many seasons without symptoms. To learn more, click here so you can stop worrying about allergies wherever you are, whatever the season.

Does Your Child Have Allergies?… Are You Sure?

Allergies can cause a wide variety of symptoms, many of which you might not expect.

Viruses, bacteria, allergens — there’s any number of small organisms that can make children feel bad. Often the hardest part of treatment is determining the true cause of your child’s illness. For instance, is the latest ear infections the result of a “bug” going around day care or is grass pollen triggering an allergy?

Compounding the situation, allergies manifest themselves in many different ways. Of course, everyone knows that allergies can cause sniffles, watery eyes and sneezing. But here’s a list of other common, though often undiagnosed allergy symptoms in kids:

• Asthma
• Frequent ear infections
• Sinus headaches
• Nasal polyps
• Conjunctivitis (eye irritation)
• Skin rashes and eczema
• Mental problems such as confusion, slow thinking, depression and forgetfulness
• Respiratory effects including endless colds, chronic cough, recurrent bronchitis
• ADHD (Attention Deficit / Hyperactive Disorder)

That’s right,  allergies can even trigger ADHD. So, what do you do? The first step is a full allergy evaluation by a qualified medical provider. An allergy test alone — even a skin test, the gold standard — is not enough; it can show that your child is sensitive to an allergen but not determine if that is causing symptoms. Your provider should conduct a full health history. The results, in conjunction with your answers to when and where your child exhibits symptoms, can help determine if his or her maladies are allergies or something else.

One key to remember is that if your child’s ailments come and go regularly, or if they stay around constantly, there’s a good chance allergies are to blame. If they’re “one and done,” it may be just the cold going around. When in doubt, ask your provider for a full allergy evaluation. To find an AllerVision-affiliated doctor who is qualified to do this, click here.

Do You Have Allergies? Here’s a Quick Test

Allergies cause a wide range of maladies. Have you had an allergy test?

This time of year, allergies can cause all kinds of problems. More than 25% of Americans suffer from allergies to environmental factors from pollen to dust to mold to pet dander. Allergies are to blame for all kinds of symptoms including headaches, sinus infections, rashes, chronic cough, wheezing, eye problems and MANY more.

So how do you know if you have allergies? Discovery starts with this simple score sheet. For each item below, answer 0 for no symptoms to 5 for severe symptoms. If you score a 2 or higher on any question, we recommend you visit your healthcare provider and ask about an allergy evaluation, including a quick, painless skin test. (If your doctor doesn’t offer the skin test, click here. If you’re a doctor and want to offer the test for your patients, click here.) The test will tell you within just 15 minutes if you have allergies, and will reveal the triggers that cause your symptoms.

Nasal Discharge or sneezing         0 1 2 3 4 5

Watery or itchy eyes         0 1 2 3 4 5

Frequent sinus or ear infection         0 1 2 3 4 5

Frequent colds or sore throats         0 1 2 3 4 5

Wheezing or asthma         0 1 2 3 4 5

Cough         0 1 2 3 4 5

Poor memory or concentration         0 1 2 3 4 5

Hyperactivity         0 1 2 3 4 5

Itching, hives, eczema or skin irritations         0 1 2 3 4 5

Abdominal gas or cramping         0 1 2 3 4 5

Arthritis or muscle aching         0 1 2 3 4 5

Headache         0 1 2 3 4 5

The good news is that if you have allergies, there is an excellent treatment option — immunotherapy — because it doesn’t just cover up symptoms, it teaches your body to ignore the allergy triggers so the symptoms stop occurring. And immunotherapy in the form of allergy drops is appropriate for allergy sufferers of all ages, from children to seniors. So contact your provider or allervision.com today.

Top 7 Reasons Nearly Every Doctor Should Test for Allergies

The allergy skin test is painless, quick and accurate.

Family practitioners, internists, pediatricians, dermatologists, ENTs, neurologists, pulmonologists, ophthalmologists and nearly all other types of physicians and health care providers come in contact with patients who suffer from allergies virtually every day. That’s because allergies cause symptoms in every organ system. In fact, they cause many more symptoms than the average person realizes, including rashes (dermatitis), sinus infections, migraine headaches, dizziness, conjunctivitis, respiratory problems, fatigue, muscle and joint pain, and the list goes on. So here are our top seven reasons your healthcare provider should offer allergy testing — and treatment — in his or her office.

1) Since nearly every type of doctor comes in contact with patients suffering from allergies, it’s important that they are trained and have the tools to properly diagnose those patients’ allergies, suggest appropriate treatment, and know when to refer to an allergy specialist.

2) Allergies affect A LOT of people. The World Allergy Organization estimates that “30-40% of the world’s population is now affected by one or more allergic conditions.” And those numbers are growing; allergies have reached epidemic status.

3) There aren’t enough allergists to go around. Allergists make up a very small percentage of doctors. Even if there were enough, people often don’t know that their illness/ailment/discomfort is caused by allergies. Their primary care doctors should be able to make that diagnosis and offer first line definitive treatment as they do with most other chronic conditions (like hypertension and diabetes).

4) It’s impossible to be sure exactly what’s causing the allergic symptoms without a proper test. Pollens ride on the wind and cause discomfort for people up to hundreds of miles away from their source. Pet hair gets stuck in furniture and carpeting, causing allergic reactions even if the animal has been away for months. Dust mites float through the air and hide in bedsheets. Cockroaches leave hidden “presents” that trigger allergies. Which of these items cause your symptoms? The only way to find out is to test. AllerVision provides doctors with a program that allows them to test for reactions to a wide range of regional allergens and a variety of foods.

5) The allergy skin test is painless, easy to administer in the doctor’s office, and produces results in just 15 minutes. This convenient test, which is the diagnostic gold standard, helps doctors quickly determine the problem and the select the right course of treatment immediately.

6) Allergies can lead to asthma attacks. Asthma is a serious chronic airway disease that causes coughing, wheezing, and difficulty breathing. It often interferes with quality of life, preventing sufferers from participating in sports and outdoor activities. Severe asthma attacks in a patient without adequate disease control can be fatal.

7) Allergies can cause anaphylaxis, an extreme, life-threatening reaction. Anaphylaxis is usually associated with insect stings and food allergies but other allergens can cause it as well. Simply put, knowing what you’re allergic to can save your life.

Healthcare providers who don’t offer allergy testing should consider taking the time to learn and add the service to their practice. For more information, click here.

If you think that you may suffer from allergies, get an allergy test and evaluation. (Hint: if you’re feeling bad and don’t know why, it could be allergies.) AllerVision can help you find a local doctor who performs the test, or we can contact your provider to help him or her launch an allergy testing and treatment program. Click here to learn more.

Allergy Testing, Immunotherapy Boost Medical Practice and its Patients

Allergy immunotherapy has helped the patients and the practice of Dr. Stephen Sisselman, of Sisselman Medical Group in New York.

This post, from guest blogger Dr. Stephen Sisselman, looks at allergy testing and treatment from the general practitioner’s point of view. 

Sara V is a patient I’ve known for a long time. She comes in every few months with assorted respiratory complaints including runny nose, cough, congestion and excessive mucus production. I typically tell her she has rhinitis and that antibiotics are ineffective. Nevertheless, she usually requests an antibiotic. Recently, we began offering allergy testing at my office so I told Sara that I wanted to test her to see if allergies might be the cause for her respiratory complaints.

I started allergy testing as a way to offer more services to my patients and enhance the ancillary testing in my practice. It takes just five minutes to prep a patient and about five more to complete the test. In another 15 minutes the test results are ready to read. About half the patients we test each week show significant allergies to trees, weeds, molds, grasses or other environmental allergens. Patients love the idea of in-office testing where they get immediate results and don’t have to schlep to an allergist.

Getting back to Sara V… I thought that maybe seasonal allergies play a role in her frequent respiratory complaints. I performed an allergy test and we were both surprised by her results; she was positive for trees, weeds, grasses and indoor perennials such as dust mites. After a discussion of appropriate therapy, she decided that allergy shots — subcutaneous immunotherapy (SCIT) —were the best choice for her. Now, three months into the program, she already has fewer symptoms and respiratory complaints. And Sara is just one of many of my patients now experiencing a greater quality of life.

Sara chose allergy shots but those aren’t the only treatment option. I help patients with positive test results choose the treatment that’s right for them. Some prefer oral antihistamines and steroid nasal sprays. Others, like Sara, choose immunotherapy because it doesn’t just cover up symptoms, it trains the body to ignore the allergens that trigger the symptoms.

I administer allergy shots in my office. Based on insurance coverage, patients may have just a small copay, or none at all. Some patients prefer the freedom of treating themselves with immunotherapy at home. For them, we offer sublingual immunotherapy (SLIT), also known as allergy drops. SLIT drops from AllerVision are customized to the patient based on the results of their allergy test. The patients simply place three drops under their tongue and hold them there for three minutes each day. Drops usually cost about $70/month. They’re not covered by insurance but for those who choose them, the convenience easily outweighs the cost. Both shots and drops start working within a few weeks to a few months and treatment is complete in four years.

The allergy program has been a great addition to my practice. I enjoy the increased reimbursements for allergy testing and shots administration while my patients love the convenience of getting needed testing and treatment in my office. My staff also loves the program because it’s easy and we can better diagnose and treat patients with frequent or chronic upper respiratory complaints. It’s a win-win for everybody.

Stephen G. Sisselman, D.O., F.A.C.P.

Dr. Stephen Sisselman is Board Certified in Internal Medicine. His practice, Sisselman Medical Group, in Massapequa NY and Commack, NY cares for patients ages 12 and up.