Food Allergy- the ugly, the bad, the good....

Peanut, egg, milk, seafood are common culprits of food allergy.  Severe and deadly reactions drive schools to be nut free and to have anaphylaxis plans in place.  But why the increase?  Why the severity?  Are there potential treatments or even a way of curing food allergy?

What's the ugly, the bad and the good for food allergy?

The Ugly

• Food allergies affect about 8% of children and 5% of adults
• These numbers have risen from by more than 50% since 1999
• Peanut allergy increased from 0.4% to 1.4% over the same time period
• Every 3 minutes someone has an allergic reaction to food sending them to the emergency room
• Having food allergies doesn't potentially cause just a severe allergic reaction, but is associated with bullying, increased anxiety, and a lower quality of life.

The Bad

• Eight foods account for 90 % of all reactions: milk, eggs, peanuts, tree nuts, soy, wheat, fish and shellfish. Even trace amounts of a food allergen can cause a reaction.
• Risk factors for developing food allergies include:  male, race, family history of allergy, low vitamin D levels, and food preparation.  
• Bottom line though is we don't know what causes food allergy.  There is probably a complex interaction between genetics and the environment leading causing the increase.

The Good

• Can you out grow food allergy?  
• Yes, luckily milk, egg, wheat and soy allergy generally resolve with age!  Unfortunately peanut and tree nut allergy persist.
• Is there a potential treatment for food allergy?
• Yes!
• Research and trials are being done on slow oral desensitization for milk, egg, and peanut allergy.
• Results are promising so stay tuned for updates.

Do you have food allergies and need help? Call the office so we can formalize an individual plan for you 212-679-3574 or schedule an appointment here.

Why Should you Feed Your Gut? The Importance of the Microbiome

What is a Microbiome?

• Did you know that our guts (intestines) are filled with over 100 trillion bacteria?  Each part of our bodies has specific types of bacteria peacefully living.   These bacteria are called our microbiome. 
• The microbiome helps teach our immune system what's safe not safe.  In doing so, they modulate our immune response.  
• Our guts provide the microbiome a safe place to live.  It's definitely a mutually beneficial relationship.

Where Does the Micrbiome Come From?

• We are colonized very early in life with a bacteria that will be with us through our entire life.
• Typical species of bacteria living in our gut are:
•  Bacterioides species is the most abundant species
• Lactobacillus, Peptococcus, and E. Coli  along with others are also present.
• Which bacteria are the most important to our digestion and absorption of nutrients?  
• Bifdobacteria and Lactic acid bacteria.

Can you Alter Your Microbiome?

• Yes...The food we eat and medications we take can alter our microbiome.  
• Antibiotics can have a negative effect on the microbiome and change the balance of bacteria living within us. This can cause problems with our digestion- gas, bloating, constipation and diarrhea
• Foods we eat can change the microbiome- think active cultures in yogurts and probiotics 
• Foods that bacteria like to eat and support their growth are called prebiotics. Important prebiotics are foods containing inulin and  trans-galactooligosaccharide.
• Foods rich in these substances are Acaica gums, beans, and artichoke roots.  

Why is an Allergist Interested in the Microbiome?  

• The microbiome helps teach our immune system what's safe and not safe.
• More and more evidence suggests that changes with the microbiome can lead to allergic disease like food allergies, eczema and even asthma.
• Stay tuned, the microbiome is an exciting area of research in allergy and immunology.

Have questions or need help with another allergic issue.  Call the office for a consultation 212-679-3574 or schedule an appointment here.

What Should You Know About Over the Counter Nasal Steriods?

The next time you’re at the local pharmacy, you may be surprised to see your prescribed allergy nasal spray available over-the-counter. Many drug manufacturers are pushing for this move to make finding relief easier for some of the 50 million Americans with allergies. But this warrants caution for some. 

Before you use these over the counter medication, what should you know about over the counter nasal steroids? 

1) Is it safe? Not only can the new nasal allergy spray relieve congestion, sneezing and a runny nose, it also does not cause drowsiness and is non-habit forming.  Improper use of nasal sprays may cause nasal bleeding and in worse case scenario a hole in your nose.   Follow the package instructions and inform your allergist if bleeding and/or irritation occurs.

2) If I'm controlled with this nasal spray, why should I still see an Allergist?  

• Allergies and asthma are serious diseases and self medicating may not be the best way of controlling your symptoms. 
• Getting testing for allergies and instituting environmental controls are powerful ways to prevent allergies without using medication.  An allergist is the best person to advise you on this.  Many allergy sufferers that have year-round allergies to pets, dust and mold often find nasal sprays are not enough for symptom relief. Many allergists prescribe immunotherapy (also known as allergy shots), which not only provides symptom relief, but can modify and prevent disease progression.
• Asthma is a disease commonly found in people with allergies in their nose.  An allergist can screen you for this. 

3) Can I stop antihistamines? If you find solely using the nasal allergy spray is helping to suppress your symptoms, you may not need to take an antihistamine. Each person is different and they will have to be the judge of how they feel only using one medication. However, if you’re not finding relief from one or both medications, you should speak with your allergist.

4) Is it safe to give my child? The medication is approved for children two-years and older. But it may complicate some infections your child might have, so check with your allergist.

5) Can it be used year-round? Yes, it is approved for year-round use.  As with any over the counter medication, you should speak with your doctor about long term use.

6) Will my insurance cover it? It is unlikely your insurance provider will cover over-the-counter nasal allergy sprays, even if it was covered when it was prescribed.

7) Do I need to continue following up with my allergist? Allergy sprays are a band aid approach to allergies and only control symptoms.  They do not a cure for allergy. Because allergies can change over time, it’s important to be under the care of an allergist for proper testing, diagnosis and treatment that may go beyond over-the-counter medications. Allergies can also cause symptoms such as chronic sinus infections, nasal congestion or difficulty breathing.

Need more help controlling your allergies?  Please call 212-679-3574 or click here to schedule an appointment online. 

 

 

How to Celebrate Valentine's Day with Allergies?

Valentine's day can be an especially difficult time for persons with allergic disease.  Most consider only food allergies as a problem, but uncontrolled asthma, latex allergy, allergic skin, or allergic sinusitis symptoms can impact your ability to feel romantic with your partner. 


What should you do if you suffer from allergies around Valentine's Day?  Here are some simple tips to keep you giving and receiving the love that abounds this time of the year.


Love someone with food allergies?

• Make homemade treats for your sweetie so you'll be sure not to include ingredient. 
• Too busy to bake?  Divvies is a wonderful company launched by a mom with children with food allergies.  The idea is to have snacks persons with food allergies can share with others. Premium Chocolatiers, Amandas Own and Vermont Nut Free are other options to order allergy free chocolates.
• Making reservations for a date night out?  Notify the restaurant before you go of any allergies you or your loved one  have to prevent an accidental exposure.  Here's a list of allergy friendly restaurants in NYC.
• Want to give a good night kiss?  Many food allergies are transferred in saliva.  If your dating someone with food allergies, it's smart to watch what you've eaten as well. 

Want to send flowers? 

• Pollen from flowers is a common cause of allergic asthma. 
• What are the best flowers to send those with allergies? Orchids, begonia, cactus, clematis, columbine, crocus, daffodil and geraniums are terrific options.
• Use caution with flowers like lilies, chamomile, chrysanthemums, daisies, goldenrod and ordinary sunflowers are among the worst. They have strong pollens that can often cause a severe allergic reaction.

Ordering up a Massage?

• Use caution with new creams and oils.  Many suffer from allergies in their skin and new contact exposures can trigger an out break.
• Beware many organic products contain nut oils.  These can trigger a reaction.

Want to be Very Intimate?

• Latex allergy with condoms can cause severe irritation during sex.  I've had patients with latex allergy who ended up in the emergency room after a night of passion because of latex allergy. 
• If you're loved one is latex allergic make sure to use latex free condoms and other latex free products.
• Visit Latex Allergy Resources for more specific advice.

Follow this simple advice to keep the focus on the love rather than the allergy this upcoming Valentine's Day.


Need more specific advice?  Contact me in my office at 212-679-3574 
or on line schedule appointment.

Why Test For Allergy?

It's hard to believe that the spring is just around the corner with temperatures here in NYC still in the 20's and ice covering the sidewalks, but soon trees and flowers will be blooming.  And, with their blooms, will come spring time allergies. 

WHY SHOULD YOU TEST FOR ALLERGIES?

• Did you know that 1 out of 3 people are allergic? 
• Allergies often cause social embarrassment, missed days of school and/or work, and can leave you feeling like you have a cold that won't go away.
• Don't suffer without knowing that allergies are the cause.
• Avoid Being Treated with Antibiotics When it's Actually an Allergy. 
• Allergies are often mistaken for a cold and/or sinus infection and treated with antibiotics.   Minimizing your exposure to antibiotics is important because of increasing rates of bacterial resistance.
• Antibiotics won't help symptoms associated with allergies.  You need the right type of medication.  An allergist/immunologist will give you personalized guidance on avoidance measures.
• Know Your Allergic Triggers- Get Tested
• Most people in the U.S. are allergic to more than one allergen.
• Knowing a full composite of what your allergic to, can aid in helping you to use avoidance measures rather than just medications.
• Testing for allergies is a painless test that's done through skin prick testing.
• Allergies Change Over Time
• Many people ask me how they can develop allergies when they never suffered before.  Allergies can develop and change at any point in your life.  New sensitizations can pop up and if you're lucky resolve.
• Being testing on an interval basis will help you keep up to date with what you are sensitized to so you can have a direct approach.
• Not All Allergy Runs in Families
• While many people with allergic disease will have a family history of disease, you may be the only one with symptoms.
• While they may not understand, I do....

Don't be left out of enjoying spring because your nose is running, the end of winter is the perfect time to get checked for allergies and make sure you have medications to treat your symptoms.  Get tested before the ice melts and temperatures melt so you can enjoy spring to it's fullest. Want help or more information on testing for allergies?  Contact the office at 212-6793574 , Gramercy Allergy & Asthma, 205 East 22nd Street, NY NY 10010 or visit our website www.gramercyallergy.com

What is Shellac Allergy?

Cosmetic allergy is a common complaint I hear in my practice.  Symptoms include swollen red eyes, irritated eyes, flaking of the eyelids, or redness/rash around the mouth.  Sometimes, individuals will be treated for eczema, when in fact they are allergic to their cosmetic. Once you identify what the chemical is that's causing the irritation, avoiding it leads to a cure.




A common cause of cosmetic allergy is shellac.  Shellac is a natural plastic resin secreted by a lac bug ( Laccifer lacca) onto the bark of trees that's been in common use for over 3000 years.  Shellac is FDA approved to be used in cosmetics, foods, and medications.

Where is shellac found?

               Cosmetics

• In cosmetics like lip gloss, mascara, hair spray, eye liner and finger nail polish
• Dentures
• Furniture and painting glazes

Food/Medications

•  Shellac is found on the outside of fruits and vegetables to make them shiny (think apples, and peppers)
• On the inside of ice cream cones where it acts as a moisture barrier.
• Pharmaceutical companies use it to prevent breakdown in the stomach or in time released medications.

        
Can you be allergic to shellac?

• Yes...
• While shellac allergy is not common, it is a common cause of eye lid dermatitis because of it's presence in cosmetics.
• If you ingest it in food and are allergic, it can cause abdominal pain, bloating, and irritation.
• We don't know the incidence of shellac allergy. 

How can you be tested for shellac allergy?

• Your doctor if they suspect shellac allergy will "patch test" you for common chemicals present in cosmetics and look to see which one causes a rash.

Want to read more about cosmetic allergy?
http://www.cutis.com/fileadmin/qhi_archive/ArticlePDF/CT/090040201.pdf


Need help with deciphering a cosmetic allergy?
Please call the office for an appointment and we'll be glad to help- 212-679-35754

What is Allergic Asthma?

What is Allergic Asthma?

• Allergic asthma affects almost 60% of asthmatics
• There is a history of cough, chest tightness, shortness of breath, or wheezing around an allergic trigger.
• Allergic triggers can be pollens, cats/dogs, dust, or cockroaches, or molds.  This will present with asthma symptoms in season (spring, fall or summer) or with exposure to other triggers.
• Often there is a family history of allergies
• Often there is a personal history of an allergic nose, eczema or food allergies as a child.

What should you do if you suspect you have allergic asthma?

• Get tested for allergies.  You doctor or allergist can do simple skin or blood testing to identify what your triggers are.
• Ask your doctor to check a total immunoglobulin E.  This is an important marker of allergic asthma

Is there treatment for allergic asthma?

• YES!  Your allergist will recommend avoidance measures, medications and based on your symptoms may recommend allergy treatment.

Want more information?  Please contact me at 212-679-3574 or www.gramercyallergy.com

How to deal with asthma when it's bitter cold....

Burr, it's cold outside!  Asthma, chronic inflammation of the the airways and lungs, is commonly triggered by cold temperatures.  With over 1.1 million New Yorkers suffering from asthma, I thought it might be a good idea to give you some tips on preventing an asthma attack.  

Here are 5 tips for preventing an asthma attack when the temperature drops!
1) Use a scarf.

• Warming air before it enters your lungs can help prevent an asthma attack.

2) Breath via your nose.

•  Your nose is specially designed to air before it enters into your lungs.

3) Keep well hydrated.

•  Drinking plenty of water will keep your lungs hydrated from the inside out.  When your lungs are dehydrated you're more likely to have an asthma attack.

4)  Use your inhaler.

• Use your albuterol inhaler (rescue inhaler) 15-30 minutes before going outside if your asthma is commonly triggered by cold weather.

5) Keep your inhaler warm.

• Keeping your inhaler in an inside pocket near your body will keep the medicine warm.  Warming the medicine will prevent for a cold spray of medicine into your lungs.
  

Symptoms of asthma are cough, chest tightness, shortness of breath and wheezing. If you experience any of these and can't get them under control, contact your doctor or the emergency room.  Need my help?  Contact me in the office at 212-679-3574.

What are 7 Things You Don't Know About Colds?

Myths about colds and flu abound this time of the year.  It's hard to know what's fact or fiction. Bottom line we all want to stay healthy for the holiday season. 

Corrie Pikul of Oprah recently interviewed me on 7 things you didn't know about the common cold.  Her article is a myth buster on topics like milk and mucous, why honey is good for a cold, and how you are most likely to get sick.  Want to read the article?  Click here to  Oprah read her tips.
 

Cost Savings Coupons

This is a repost of coupons for allergy and asthma medications with updated links.  I hope this helps you and your family save on medications.

Please let me know if you have any questions.

Asthma Medications


Asmanex- $15 off
Asmanex Coupon


Advair - $10 off
Advair Coupon

Dulera- up to $75 off
Various Offers

Symbicort- 1 month free
symbicort Coupon

Zyflo CR
Zyflo CR Coupon

Epinephrine Offers

Auvi-Q- $0 copay
Auvi-Q Coupon

Epi-Pen
Epi-Pen Resources

Adrenaclick
Resources

Allergy Medication

Alavert
$1 off Alavert
Allergra
Allegra $2-4 off


Claritin

$2 off Claritin

Zyrtec

https://www.zyrtec.com/offers

Nasal Allergies

Astepro
Astepro Savings Card

Nasonex-
$20 off

Omnaris- Assistance with Copay

Pay only $17 for Omnaris


Patanase NS- up to $10 off

$10 off Patanase

Qnasl NS- Up to $25 off

Qnasal Coupon

Help I'm Allergic to Pumpkin....

This time of the year we see pumpkin in everything from beer to ice cream.  I thought it'd be the perfect time to talk about pumpkin allergy.

Pumpkin is a delicious gourd and commonly added to salads, pies, and beverages.  The seeds can be cooked and ground into flour.   Some people use the flour as bait for fish.

Luckily, allergy to pumpkin  is rare and only a few case reports exist in the literature.


Interesting Facts About Pumpkin Allergy

• Pumpkin belongs to the Curbitacea family. Other members of this family are watermelon, zucchini, squash, muskmelon, and cucumber
• We don't know the incidence of pumpkin allergy; there are a few case reports in the literature
• Most allergy to pumpkin is caused by the seed rather than the pulp. 
• You can be allergic to the seed, pulp or both.
• If you have pumpkin allergy, you make also react to squash, zucchini, watermelon, muskmelon and cucumber and other seeds. 
• Some people may develop pumpkin allergy from a cross reaction from a tree pollen, called birch.
• You can be tested for pumpkin allergy by an allergist by pricking the skin

Symptoms of pumpkin allergy are:

• Itching or blisters in the mouth
• Swelling
• Hives
• Shortness of breath or
• Asthma 

If you're worried you have pumpkin allergy, see an allergist and they can test you.

Want to talk to me about your symptoms? Please call the office at 212-679-3574 or email me at jcollins@grammercy.com. As always you are welcome to visit our website to learn more.

Holiday Cooking with Food Allergies

Cooking with Food Allergies
November traditionally marks the start of warm baked goods cooking in the kitchen.  Baking together is a fun, wonderful activity to do with children that produces a delicious sharable treat in the end. 
However, for children and families with food allergy, baking together is often challenging. 

Parent's are left to figure out substitutions to recipes and modify them on the fly to make them allergy free for their loved ones.  This is often time consuming and offers it's on set of challenges.

Below is a list of resources for allergy free recipes and places to order allergy free mixes for your convenience.

I hope below helps fill your holiday table with delicious food.  If you have other resources, please feel free to share them.

Happy Holidays- Dr. Collins!


Bumbalooza- I love this company!  Created by two moms who loved to bake who had kids with food allergies, they've created easy-to-make treats and instructions to help you identify where the kids can help! Whether it is counting, pouring, stirring or tasting, the opportunities to bond are limitless!

Cookbooks
 Allergen's Free Baker's Handbook- written by a mom with children who have food allergies, this book is filled with wonderful recipes for everyday.
Allergy-free Desserts: Gluten-free, Dairy-free, Egg-free, Soy-free, and Nut-free Delights- Want to create something sweet and tasty for your holiday table?  This cookbook with wow you with wonderful allergy free deserts. 
What's to Eat? The Milk-Free, Egg-Free, Nut-Free Food Allergy Cookbook- easy directions and easy recipes fill this cook book.  You'll be surprised by what you can do without milk, egg and nuts.


 

Doc, but I'm allergic to Penicillin

About 1 in 10 Americans avoid antibiotics because they think they are allergic.  The most common antibiotic blamed for allergy is penicillin.  The actual incidence of true penicillin allergy is very low.  This is a troubling problem as more and more bacteria are becoming resistant to common antibiotics. Penicillin is first line to treat many diseases including sinusitis and diseases during pregnancy making it important to know if you are actually allergic.

Here are some interesting facts on penicillin allergy

• About 85-90% of people will out grow true penicillin allergy after ~10 years
• There are 2 components in penicillin that can cause an allergic reaction
• There is a skin test available for penicillin allergy that is up to 98% accurate for detecting penicillin allergy
• An allergist can challenge you with penicillin in the office to detect if the allergy is true or not.

What should you do if you have penicillin allergy?

• Get tested by an allergist to see if the allergy is true.
• Your doctor will place various allergens on the skin and may challenge you will penicillin if the initial testing is negative.

Want to talk to me about your symptoms? Please call the office at 212-679-3574 or email me at jcollins@grammercy.com. As always you are welcome to visit our website to learn more.

So what is sinusitis anyways...

This time of year, I have many patients telling me that they have "sinusitis" and it runs in their family. I'm always a little shocked that people think it's normal to have a chronic runny nose, mucous runny down the back of their throat or sneezing every morning.  Trust me, you don't have to live that way!

In our face we have 4 sinus cavities that are lined with tissue that can become inflamed over time.

What are signs you may have sinusitis?

• pain or pressure in your face
• chronic mucous in your throat
• bad breath
• frequent sinus infections
• nasal congestion
• loss of smell or taste

Common causes of inflammation are:

• allergies- pollens (ragweed and weed pollen this time of the year), dust mite, animals, and roaches are common causes
• chronic infections
• nasal polyps

Don't despair!  There is treatment for sinusitis and you don't have to live with all that mucous.  Allergies run in families and are incredibly common.  About 30% of the population in the US is allergic.

What are some treatments?

• Depending on the cause, your doctor may recommend medications like a nasal spray or pill
• It may be necessary to look in your nose with a small camera (nasal endoscopy) to see if there is an infection or polyp.
• If symptoms don't improve they may recommend that you get imaging of your sinuses (CT Scan)
• If allergies are the cause, they may recommend allergy immunotherapy (allergy shots).

If you have these symptoms, you should see your primary doctor, or an allergist to get checked to see what is driving your the inflammation in your sinuses.

Need help figuring out the cause of your sinusitis?  Please call the office for an appointment 212-679-3574. We are located at 205 East 22nd Street @ 3rd Ave, NY NY 10010.

Food additives and Allergies

More and more foods we eat have additives.  These are chemicals that the food industry adds to food to color, flavor, preserve, and keep them emulsified. 

Just like anything else, you can be allergic to these additives.  In the allergy world we refer to them as hidden food ingredients.

What are some symptoms you might be reacting to food additives?

• Hives,
• Nasuea,
• Diarrhea
• Abdominal pain/cramping
• Rashes

What are common food additives that cause allergic reaction?

• Food dyes
• Cinnaminic aldehyde (a common flavor enhancer)
• Propolyene glycol
• Benzoic acid
• alpha tocopherol

What should you do if you suspect a hidden food ingredient is causing your symptoms?

• Speak with an allergist about being tested to see if this is triggering your symptoms.
• Be prepared to provide a detailed diet history along with when your syptoms are happening.

Want to talk to me about your symptoms?  Please call the office at 212-679-3574 or email me at jcollins@grammercy.com.  As always you are welcome to visit our website to learn more.
 

Back to School with Food Allergies

I love the end of summer- the mixed weather of warm and cool.  It reminds me that soon the beauty of fall will arrive.  The end of summer also brings the excitement of going back to school- seeing old friends, meeting your new teacher, and the anticipation of a new year.

For parents and children with food allergies, going back to school may bring on feelings worry about an accidental food allergy exposure.  Did you know about 3 million children suffer from food allergies!  The most common ones are peanut, eggs, milk, wheat, tree nuts and soy. 

Here are some simple tips that hopefully help alleviate any anxiety or fear you might have about an accidental food exposure.

Communicate

• Meet with your child's teacher, principle, and/or school nurse prior to starting school to make them aware of the allergy
• Fill out any school forms that the school requires to have epinephrine & any other medications on site.
• If your child has a severe allergy, you might consider a bracelet  Allermates has some fun ones for children.   Putting allergy stickers on their cups/lunch bags/clothes is a great option for young children You can customize them at Allergy Stickers.

Train

• Make sure that they know how to administer the medication.  Did you know that NYS training on delivery of epinephrine is not mandatory for school nurses/teachers.
• Talk about common signs of an allergic reaction:  hives, swelling, cough, shortness of breath, vomiting, and even anaphylaxis.
• Good news! A generic epinephrine auto-injector recently came to market.  This will help reduce your costs.  The training for the device is a little different from Epi-Pen so make sure that everyone at school/home knows how to use the device that's available in your school.
• Teach your child how to ask about the ingredients in snacks and to talk about their food allergies with their friends.

Plan

• Pack allergy free snacks.  You might include enough to share with other kids.
• Think about areas outside of the cafeteria where there might be an exposure- field trips, art class and school parties.

Hopefully, these simple tips will help you prevent any accidental exposures this upcoming school year!

Need more specific advice or training on how to use an epinephrine pen?  Please email jcollins@gramercyallergy.com or call the office for an appointment 212-679-3574.  We are located at 205 East 22nd Street @ 3rd Ave, NY NY 10010.

Allergy and Nutrition- Expanding our Practice

Over the past year I've written several posts on the role of nutrition and allergy.  It's an important topic to me and I often spend time with my patients learning about what they are eating to see if it might be affecting their health.

I'm so excited to announce that starting in September, we'll have a nutritionist in the office!  Her name is Stefanie Casillas, RD and she'll be starting with us every Thursday.  When I asked Stefanie about what she hoped to add to the practice she said, "My passion lies in helping clients learn to nourish their bodies and optimize their health. Whether your goal is to lose weight, manage blood sugar, live healthfully with food intolerance, or improve your overall nutrition, I would love to help your patients on their journey!"  I knew then she'd be the perfect addition.

A bit about Stefanie- her original background is in education in NYC where she worked as a teacher.  She decided to change career paths and became a dietitian at Beth Israel Medical Center.  Afterwards, she joined the staff at Beth Israel Medical Center as an inpatient nutritionist.  She's had extensive experience in teaching cooking classes and even working on a roof-top farm!

Whether you have questions for her like, how do I deal with food intolerance, food allergy or lose weight?  I know you'll love working with her and know a consultation with her will change your life in a positive way.

Want to schedule an appointment with Stefanie?  Call the office at 212-679-3574, www.gramercyallergy.com, or email me at jcollins@gramercyallergy.com

Hypoallergenic Dog- Truth or Fiction?

I love dogs and so do many New Yorkers.  About 72.2 million households have dogs in the USA.  And in NYC,  there are about 600,00 dogs according to a survey by the American Veterinary Association & American Community Association. The medical benefit of animals in the home is strong. Dogs provide companionship, stress reduction and bring a lot of love into the home. 

Sadly, about 20% of the population are allergic to dogs.  These symptoms can lead to allergies, asthma and disputes within the family.  Most animals have the same "rights" as others in the home and being allergic to a pet can be the source of family stress. Uncontrolled allergies and asthma can lead to poor school/work performance, overall reduction in quality of life and even emergency department visits.

Common dogs marketed as hypoallergenic are  poodle, labradoodle, Spanish waterdog, and the Airedale terrier. Recently I've had several patients develop allergies after getting a "hypoallergenic" dog.  They are a bit dumbfounded  as they were told that these dogs couldn't cause allergies.  After welcoming their dog into their family, at a loss for what to do next.  Symptoms are severe and they question even giving up their pet.

I thought it would be worth looking at the data to see if this is truth or fiction.  Luckily, there was a study in Journal of Allergy and Clinical Immunology in 10-2012 that asked the same question.

The protein that causes dog allergy is called Can f1 and it's found in the hair and coat of all dogs. 

The researchers measured the levels of Can f1 in dust samples from the hypoallergenic dogs versus allergic dogs and found the levels to be slightly higher in the hypoallergenic dog dust sample!  Unfortunately, there is no thing as a hypoallergenic dog.  Want to read the study yourself?  http://www.jacionline.org/article/S0091-6749(12)00793-2/fulltext

Don't despair though! If you are having allergies to your dog or other pet, seek out an allergist and they will help develop a plan so you will feel better.  The answer isn't always giving up your pet.  Symptoms can be controlled often with some simple environmental control measures, medications, and allergy shots if needed. 

Want to talk to me about it?  Please feel free to email jcollins@gramercyallergy.com or call the office for an appointment 212-228-2312.  We are located at 205 East 22nd Street, NY NY 10010



It's no wonder that truth is stranger than fiction.  Fiction has to make sense.
- Mark Twain.

 

August in New York...

... is one of exodus.  The city empties as residents seek to be calmed by the sea, cooled by the green shade from a mountain top, or inspired by the intoxicating glow of the moon from the other side of the world.  

As exotic and relaxing as all this sounds, traveling with allergies and asthma at times can be dangerous. Being in unfamiliar territory can pose some unexpected challenges.  

Recently my patients have told me stories about their difficulty with allergies- like a moldy apartment in Buenos Aires, Brazil that triggered an asthma attack, cedar storm in TX during a music festival causing severe sinusitis and loss of voice, and sunscreen allergy during a surfing expedition in Costa Rica causing a very bad rash.

Here are some easy tips to keep you healthy, safe and focused on your priority as Robert Louis Stevenson says, "For my part, I travel not to go anywhere, but to go. I travel for travel’s sake. The great affair is to move.” 

Have food allergies?

• Do a quick search to see what restaurants in the area are friendly for those with allergies.
• Have a travel anaphylaxis kit to carry in you carry on or purse

Have asthma?

• Bring an extra inhaler along with you in your bag.  You never know what kind of environmental triggers you'll be exposed to in your vacation home.
• Check out common triggers/environmental exposures you might face 
• Ask your doctor to put together an emergency supply of medicine that you can bring with you in case you get sick- this will help keep you out of an unfamiliar emergency room,

Have skin allergies?

• Bring travel size versions of your favorite sunscreens, moisturizers, shampoos/conditioners
• Ask your doctor for a small tube of a corticosteriod to carry with you just in case; no one wants to be be itchy and scratchy while on vacation

Going somewhere where they speak another language?

• If you have food allergies  translate your food allergy before you go.  It might help to put this on a card and carry it with you to make sure there's no confusion
• In many countries asthma and allergy medications are over the counter.  Translate your problem so you'll be able to effectively communicate with the pharmacist there.

With these simple effective tips, your vacation will be filled with laughter, love, and beautiful memories rather than a trip the doctor

Want more directed tips on allergies and travel?  Feel free to email me at jcollins@gramercyallergy.com, click here to schedule an appointment, call the office 212-679-3574 or check out our new website- www.gramercyallergy.com

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"Bizarre travel plans are dancing lessons from God"– Kurt Vonnegut

Exercise Induced Asthma

The weather in NYC these past few days has been beautiful! It's such a treat to go outside in August and not melt.  I'm seeing more and more New Yorkers outside running, rollerblading and biking and just enjoying the sunshine and late days.

Every now and then, I'll see someone start coughing while they are exercising or reach for their inhaler.  I wonder, do they have exercise induced asthma?

What Causes Exercise Induced Asthma?

• As we breathe air through our noses, water is added so when it enters our lungs it humidified.
• When we exercise, we use our mouth to breath and water isn't added to the breathe.
• Some people (those with exercise induced asthma) are more sensitive to this "dry " air
• The dry air causes the muscles in the lungs to contract making the air ways smaller.
• This contraction and narrowing causes exercise induced asthma

What are signs of Exercise Induced Asthma?

• Cough
• Increased fatigue
• Chest Tightness
• Shortness of breath
• Wheezing

All of these symptoms would occur with exercise

Should I Avoid Exercise if I have Exercise Induced Asthma?

• No!
• Speak with your doctor or asthma specialist if you suspect you have exercise induced asthma
• They'll put together a specific plan to help keep you moving and enjoying the summer days.

Want to Learn more about Exercise Induced Asthma?

Feel free to email me jcollins@gramercyallergy.com , book an appointment on line or give the office a ring at 212-679-3574.  We can put together a specific plan tailored your needs.

 

Summer Cold or Summer Allergies?

Summer Cold or Summer Allergies?

 

Lately many people have been coming into my office complaining of a summer cold.

They have a stuffy nose, are sneezing sore throat, and have sinus pressure.

 

Is it a cold or could it be summer alleriges? 

 

What causes summer allergies?

 

• Pollinating summer plants often bloom during or after thunderstorms.
• Grass Pollen counts typically spike in mid June through early August
•  Goosefoot plants and Nettle, and Plantain are active July through August
  
  Grass Plant Flower

Goosefoot Plant    

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Platain Plant

 

 

How can you tell if you have a cold or summer allergies?

• It can be difficult and you may need to see a doctor to differentiate
• Allergies often cause itchy watery eyes, runny nose, sneezing, and nasal congestion
• Symptoms can be intermittent and associated with pollen counts
• Summer colds last only a few days (5-7); They are often accompanied by feelings of fatigue, low grade fever and often others around you will be sick.

Need more information? Or want to speak with me directly?  Call the office at 212-679-3574 for an appointment or visit the www.gramercyallergy.com for more information about the office.

 

 

Allergy to the Sun or Sunscreen Allergy

Everyone is talking about the importance of regular use of sunscreen (SPF 30-50) to protect your skin from the suns UVA and UVB rays.   Using regular sunscreen is a must to help prevent skin cancer and prevent early signs of aging. Lately, I've had several patient coming in complaining they've developed a serious rash in the spots they've applied sunscreen.  What do you do if you suspect or have sunscreen allergy?

Who's at Risk For Sunscreen Allergy?

• In the general population 1% of people have contact dermatitis
• About 1% of the population who  has contact dermatitis has sunscreen allergy
• Persons with dry cracked skin (eczema)
• Regular use of sunscreen
• Female and,
• being younger than 40

What are Signs/Symptoms of Sunscreen Allergy?

• A itchy red rash at the sites sunscreen was applied
• Typical spots are the face and neck, but it can be anywhere on your body.

What are Most Common Causes of Sunscreen Allergy?

•  Benzophenone-3  ( a chemical that helps absorb UV rays from the sun)
• DL-alpha-tocopherol, and
• Fragrance mix
• Other chemical absorbers ( they act like a mop for UV rays) can also be the source of an allergic reaction
• PABA's,
• Cinnamates :Octocrylene, Octyl methoxycinnamate (octinoxate), and Ethoxyethyl p-methoxycinnamate (cinoxate)
• Salicylates: homomenthyl salicylate, ethylhexyl salicylate, and trolamine salicylate
• Avobenzone, Ecamsule, Ensulizole, bemotrizinol, biscotrizole

What Should You Do if You Suspect You Have Sunscreen Allergy?

• See your local allergist to get patch tested.
• This will help determine which chemical is causing your rash
• Or if a chemical on your skin is being activated by the sun (photodermatitis)

What are Some Safe Alternatives if You Have Sunscreen Allergy?

• You can use physical blockers like titanium oxide and zinc oxide
• These will protect your skin from  UVA and UVB rays.

Want more information or need an appointment for patch testing with Dr. Jennifer Collins?  Call the office and we'll be glad to help or check out our website www.gramercyallergy.com  or 212-679-3574

Tips on Surviving the Allergy Season

I recently sat down with Susan McQuillan, MS, RDN to discuss tips for surviving the allergy season for an article she wrote for QualityHealth.com (http://www.qualityhealth.com/).

Want to read more?

Here's the link to the article.  Tips to Survive the Allergy Season

New Office and WebSite- Coming Soon!

Great News!

My new office is open and we are excited to welcome you into it.

The new address is 205 East 22nd Street @ 3rd Avenue, NY NY 10010
Phone Number: 212-679-3574
  Hours
Mon- 9-5
Wed 10-7
Thurs 10-5

Check out the new website we are putting together to serve you better www.gramercyallergy.com

Global Warming and Allergies

Global Warming and Allergies

While there's still debate over whether or not global warming is real, everyone agrees that it will have an impact on allergies.

How will global warming affect allergies?

• The increase in Earth's temperature is caused by increases and accumulation of various gases, especially carbon dioxide (CO2).  
• Increases in temperature change the way plant and trees pollinate
• Increases in temperature prolong the pollination seasons.
• Increases in CO2 directly impacts the way plants and trees grow
• This translates to early symptoms of allergies and a longer duration.

How will longer pollen seasons affect allergies?  

• Early exposure to pollen causes priming of the immune system
• Priming means that less pollen (allergen) will cause a bigger symptoms
• Increases in symptoms means more severe allergies, more missed school/work, and a bigger impact on your day to day.  

Want to see me?  Call the office for an appointment 212-679-3574 or click here to Schedule an Appointment