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!

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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Which Allergy Treatment is Best for You?

There are a lot of options for treating your allergies but only immunotherapy can keep your symptoms from returning.

Fall is hay fever season so there is a good chance you are experiencing some allergy symptoms. After all, over a quarter of Americans suffer from significant allergies. And for many, the symptoms begin in adulthood. So the question is, what should you do about them? To a large degree, that depends on their severity and your tolerance for discomfort.

Officially, the first course of action is avoidance, which means keeping away from your allergy triggers. In theory that makes sense but it’s often undesirable and all but impossible. For instance, say you’re allergic to the family pet. Are you going to get rid of it even though everyone in the family — including you — loves it? Now consider tree, weed and grass pollen. Even if you move far away from the source of the pollen that’s bothering you, a good stiff breeze will send it flying right to you — tree pollens travel hundreds of miles. 

When symptoms start, a majority of people turn to the next courses of action: over-the-counter medications and natural remedies, including nasal irrigation products. Sometimes these measures work very well at relieving symptoms short term. The key here is “short term.” What these products do is overcome your current reaction to allergens. That’s great if you get occasional and/or mild symptoms. There are two “howevers,” though.

The first is the side effect “price tag.” Medications often cause side effects, like drowsiness, that can significant reduce your productivity. And they may not work right away, if at all; doctors now recommend you start taking medications weeks before your symptoms normally start for maximum effectiveness. Even if you do that, the only potential benefit is symptom relief. So you are supposed to take meds in anticipation of symptoms you don’t have yet just to get temporary relief from this year’s onslaught.

The second “however” is even bigger. Let’s say, best case scenario, the medication or natural remedy overcomes your symptoms today. Excellent. But tomorrow when you encounter your allergy trigger — be it pollen, pet dander, mold, etc. — the symptoms start up all over again. You’ll be taking the medication, or using the remedy, for the rest of your life. That’s a lifelong commitment to meds.

There is another option: immunotherapy. This natural treatment exposes your immune system to small amounts of the pollen — or other allergens that your body thinks are enemies — until your immune system learns to accept those allergens as normal. When the body stops trying to fight them off, your allergy symptoms decline and often disappear. In other words, immunotherapy actually makes you better. Every day on immunotherapy is a step towards an allergy-free life.

Immunotherapy doesn’t work overnight. It typically takes a few weeks to two months for treatment to start working. For best long term results, you should continue treatment for three to five years. There are three types of immunotherapy: allergy drops, allergy shots and tablets.

Allergy drops have been popular throughout the world for over 60 years. In the comfort of your home, you simply place a few drops of serum (which is composed of the allergens that trigger your symptoms) under your tongue every day. The drops are convenient, easy, safe, nearly side-effect-free and suitable for allergy sufferers of all ages. The best drops formulations are ones that are designed specifically for you. You start with a low dose and ramp up to a higher dose when your body is ready.

Allergy Shots have been used successfully in the U.S. for decades. Healthcare providers administer the shots to you in their offices on a regular basis, often weekly or bi-weekly. Health insurance policies usually cover many of the out-of-pocket costs associated with allergy shots. Both shots and drops can be formulated to address multiple allergies at once. So, for instance, if you’re allergic to cat dander and tree pollen, you can be treated for both at the same time. Like drops, shots start at a low dose and ramp up.

Tablets are a new form of immunotherapy. Each one is made to combat a single allergen. Unfortunately, most people are allergic to more than one thing. But the companies that makes these tablets have targeted the most severe allergens, like ragweed and grass pollen. Tablets start at full dose, so you get a large amount of allergen under your tongue from day one, ready or not.

So which sounds right for you? If you’re symptoms are mild and very sporadic, and over the counter medications do a good job of hiding them for you without too many side effects, you may choose to go that route. But if they’re more severe, you’re tired of the recurring battle with symptoms, you have side effects with the drugs, or you just don’t want to take medication for the rest of your life, immunotherapy might be your best bet. Either way, you should ask your doctor for an allergy evaluation. You should always be armed with information and a definite diagnosis of allergies before taking even the stuff you can buy over the counter.  Once you have answers about the cause, you and your doctor can discuss the right treatment.

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Allergies Took His Breath Away, Drops Gave it Back

Allergy drops have made a huge, positive difference in the life of nine-year old Faris,  from Tulsa, OK.

Since shortly after he was born nine years ago, Faris from Tulsa, Oklahoma has been allergic to tree pollen. So allergic, he often found it difficult to breathe. And with Tulsa’s temperate climate, his allergy symptoms — which trigger asthma attacks, as well — typically persist year round. But one year ago, he started taking allergy drops and, in the words of his ecstatic mother, Michelle, “the drops literally changed his life! He can breathe now!”

Not only can he breathe, Faris recently returned from sleepover summer camp, in the woods, which he enjoyed without symptoms. In addition, he’s signed up to play soccer this fall for the first time, a feat which would have been impossible before. Previously, Faris used nasal sprays and took twice the ADULT dosage of Claritin daily. In addition, he also regularly used QNasal, Singulair, Qvar and an emergency inhaler. He has now stopped Claritin entirely and no longer requires daily nasal spray, though he does maintain his asthma medication as a precaution.

Faris heard about the drops on a visit to his doctor’s office, KIDS Pediatric & Adolescent Care, an AllerVision-affiliated provider in Tulsa. Sammi Byrne, a nurse there, told Faris and Michelle about the drops and Faris was eager to try. “He could not be a happier customer,” said Michelle, beaming.

“We are ecstatic with Faris’ response to the allergy drops,”Sammi expressed. “It is a unique opportunity for our office to be able to provide testing in a familiar environment and offer a less invasive form of treatment to our patients,” 

Now that he is happily and carefully taking allergy drops, both Michelle and Faris are excited about all the normal activities he can finally take part in, starting with breathing.

Do You Know What You’re REALLY Allergic To?

Flowering trees do not usually trigger allergies. If you start sneezing when you encounter one, chances are that other trees — or other allergens altogether — are to blame.

Consider this: you walk down the street and see a beautiful tree with blooming purple flowers. As you get closer, you start to sneeze uncontrollably. It’s obvious you’re allergic to the tree, right? Probably not…

First, trees with flowers are usually insect pollinated, not wind pollinated. Pollen carried by insects rarely ever makes it into your system. So if it is pollen that’s causing your reaction, it’s probably not the flowering tree that’s to blame. Then why does it always seem to work that way — you see the flowers, the tree is clearly in bloom, and you start sneezing — if flowering trees are not allergy-inducing? Because they blossom at the same time as wind-pollinated trees. There may be a grove of Juniper trees two miles away and a gust of wind picked up its pollen and delivered it right into your path. Maybe you didn’t even see the Juniper pollen, which makes it an even more likely culprit; the smaller the pollen size, the farther travels and the more easily it sneaks into your nose and lungs. Then again, your allergy trigger could be pollen from recently mown grass or the patch of weeds growing in a nearby field.

Now imagine stepping into the home of a friend. Within minutes, a sinus headache comes on strong. Although there’s no pet present, cat hair covers the couch and a shaft of sunlight reveals dust wafting through the air. Either of those could be a source of your allergy symptoms. In fact, cat protein lives in a home for many months after its furry owner has vacated the scene. Or, cockroaches — completely hidden from view — could be to blame. The roaches may be long gone too, but it’s what they leave behind that gets your histamine flowing.

Last scenario… You take a bite out of an apple and your mouth tingles and your lips feel slightly swollen. Are you allergic to the apple? Hard to believe, since you just had a slice of apple pie and didn’t have any problems. You might be experiencing Oral Allergy Syndrome (OAS). Simply put, the apple is related to certain kinds of pollen to which you are sensitized and, in its raw form, the apple triggers allergy symptoms.

So, how do you tell what you’re really allergic to? There’s only one reliable way — an allergy test. First, when you visit an AllerVision-affiliated provider, your doctor will ask questions to get clues to what allergens MIGHT be to blame. Then you’ll most likely receive a pain-free skin test that will reveal your allergy sensitivities in just 15 minutes. Combined with the questions you answered, your doctor should be able to identify your allergy triggers on the spot so you can discuss treatments. That, of course, is the bottom line — we want you to enjoy the great outdoors — or whatever’s really causing your allergies.

To find an AllerVision-affiliated doctor — who’s qualified to offer allergy examinations — please click here.

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.