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!

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.

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.

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 Questions (and Answers) About Allergy Skin Testing

After antigens are applied to a patient’s back, her skin reacts with bumps and/or wheals — and, possibly, itchiness. After about 15 minutes, the provider wipes away the antigens are the reaction(s) fade away.

In our last post, we explained why nearly every doctor should offer allergy skin testing. (If you missed it, click here.) Here are patients’ top seven questions about the test.

1) Should I have an allergy skin test? Allergies 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. If you get any of these symptoms regularly, you should discuss the possibility of allergies with your doctor, who will likely suggest the test and a review of your health history.

2) Can my child have the test? The test is safe for children as well as seniors. In fact, it is appropriate for virtually everyone, with the exception of pregnant women, patients with unexplained episodes of anaphylaxis, patients with active hives or active severe asthma symptoms, and people with significantly suppressed immune systems.

3) What does it test for? AllerVision-affiliated providers test for a wide variety of airborne antigens common to your region of the country — such as pollen from local trees, grasses and molds — as well as molds, dust, animal dander, cockroaches and certain foods. If you suspect allergies to specific foods, your provider may test you separately for those individual items.

4) What happens during the test?  Your provider presses several plastic applicators coated with antigens onto your back. As your skin reacts to certain antigens, you may feel itchiness. After 15 minutes, the provider measures any bumps (or “wheals”) that develop — indicating positive results — and record them. Then he or she cleans your back to relieve any discomfort.

5) Does it hurt? No. You’ll temporarily feel minor pressure from the tines of the testing devices as they’re applied, but they don’t penetrate your skin and they’re specially-designed to prevent pain. Even young children rarely complain. Itching caused by positive results begins to resolve as soon as the antigens are wiped away.

6) Is there anything I need to do to prepare? The most important thing to remember is that you shouldn’t take antihistamines for three days before testing because they can prevent the very reactions your provider needs to see. Also, be sure to inform your provider if you’re pregnant, have asthma, are suffering from severe illness, or have experienced a strong allergic reaction.

7) How long does it take to get results? In just 15 minutes, your doctor will have a clear picture of your allergic reactions so you can plan and begin a treatment program immediately.

 

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.

Allergy Drops Save Childhood for Arizona Boy

Before taking allergy drops, Jackson’s allergies made life outdoors almost unbearable.

In this post, our second in a series on allergies from the patient’s point of view, the mother of a boy with extensive allergies to the the outdoors recounts her son’s difficulties — and relief. 

Our son Jackson began showing the signs of allergies when he was almost three years old. If he would play outside in grass, climb trees or play with a dog or cat, within a few minutes, he would begin to show signs. His eyes would get puffy, his nose would clog and the rest of the day he would be miserable. As he got older, we hoped that his body would grow out of this but, unfortunately, it only got worse. His allergies were so severe, anytime he was exposed to anything outside you could guarantee a long night of Jackson getting up constantly to blow his nose or complain that he felt terrible. It breaks your heart to hear your son say he hates his allergies and doesn’t want to go outside ever again.

We met our allergist through his regular pediatrician, at Desert Sun Pediatrics, and she mentioned the drops as an alternative. He was given an allergy test and showed that he was allergic to most grass, many different types of trees and shrubs and, of course, animal dander. We agreed to try Jackson on the drops.

The results were almost immediate and close to too good to be true. Within a few days of taking the drops, we would take him out to roll and play in the grass. Nothing. No runny nose. No puffy eyes. It was like he’d never had allergies in his life! It was an amazing thing to see a young boy to be able to run outside and play like a normal kid without having to worry about his health.

The drops themselves are very easy to administer and we’ve found something very interesting. On very rare occasions during the last year or so, we would forget to give him his medicine. As soon as he’d be near grass or animals, it was just like it had been in the past. The extent was not as severe, but you could totally see the difference in how his body reacted without taking the drops.

My husband and I were both very skeptical about administering these drops. We did some research before and there wasn’t a lot of positive or negative things on line. Once we committed, it was one of the best things we’ve ever done for our children. I would highly recommend these drops to anyone who has a child that is suffering or even an adult that has had to suffer with allergies. They work!

Stephanie S., Arizona

[Editor’s Note: Most patients begin to experience the benefit of drops within six months, not necessarily as quickly as in this case.] 

Groundhog Day is Excellent Time to Start Allergy Immunotherapy

Whether Groundhog Day reveals that spring is here or not, there’s not a moment to lose in preparing to fight spring allergies.

By the time you read this, Punxsutawney Phil will be out of the hole and we’ll know what’s in store for the next six weeks. Whether he saw his shadow and scampered back to take cover for more Winter or stayed above ground to enjoy the start of Spring, there is no time like NOW to start sublingual immunotherapy! If spring starts in six weeks, you have time to build up your immunity to pollens that get in the way of enjoying beautiful spring days. If it starts today, you’ll still feel better before the season hits full stride. How and why Phil makes his prediction is one of the mysteries of the universe but how and why immunotherapy treats allergies so effectively is no mystery at all…

If you have allergies, your immune system misinterprets something that’s normal in the environment as an enemy. As a result of this misunderstanding, it builds up a defense network to respond every time it sees that element (also called an antigen or allergen). That internal process is called sensitization, and the most common culprits are pollens from grasses, trees and weeds; pet dander; molds; and insect/inhalants like cockroach and dust mites. The next time your body sees that antigen, let’s use olive tree pollen as an example, it calls in the defense force for protection. All of the mucous, swelling and tearing you experience is your immune system doing a superb job of building a wall to keep the olive pollen out of your body. Scientifically speaking, your body is releasing histamine. Unfortunately, it’s not only unnecessary, since olive pollen isn’t actually an enemy, it’s extremely unpleasant! Fortunately there are solutions.

One solution is to use medications — typically antihistamines — that block your body’s misguided immune response. They create a constant battle within your body, wherein the allergen stimulates a response and tries to release histamine and the drug basically performs a block and tackle on your natural response. The result is that you usually feel better than the allergy but you often experience side effects. There are several other drugs that help with the symptoms but, in general, there is always at least a little downside to taking medication.

Luckily, there’s an alternative. We can teach the immune system that allergens aren’t enemies – this is the purpose of immunotherapy. It’s accomplished by gently and carefully introducing small amounts of the antigens to which your body is sensitized. Your immune system gets re-familiarized with these little particles. Little by little, we build up the levels of the antigen until your immune system is so used to it that it tolerates the normal amounts of environmental exposure. It takes a few months to get to that highest concentration – AllerVision calls it the maintenance level – which is why Punxsutawney Phil’s prediction is important to you.

Once you reach the maintenance dose, your tolerance will be greatly improved and your symptoms will hopefully disappear. Studies tell us that the body needs about four years of the constant exposure provided by immunotherapy for the so-called-enemy to be consistently ignored.

Immunotherapy can be delivered in shots – usually administered weekly in the doctor’s office – or sublingual (under the tongue) drops – at home on a daily basis. Many AllerVision providers offer both options, though most prefer the drops because they have very little risk for severe allergic reaction and they are so much more convenient for patients.

Whether Phil says yay or nay to an early Spring, get to your provider as soon as possible for an allergy test so he/she can find your allergic triggers and order an immunotherapy set designed specifically for you. There is plenty of stuff out there that your immune system SHOULD fight; take away the distraction of battling the normal environment and your system can focus all of its resources on keeping you healthy! (Click here to find a doctor who offers allergy testing and immunotherapy if your doctor does not.)

Happy Groundhog Day!