Allergic Rhinitis

A seasonal allergy, often called allergic rhinitis or hay fever, is an allergy that occurs during a specific time of the year. Seasonal allergies are most often caused by three types of pollen: grass, tree, and weed.

Seasonal allergies can have a significant impact on a patient’s quality of life and are a significant burden on the healthcare system. Approximately 600 million people are thought to be affected by rhinitis, and there is evidence showing that those numbers are on the rise.

Rhinitis is generally divided into two groups: allergic and non-allergic. Differentiating between allergic and non-allergic rhinitis is critical, as half of patients prescribed antihistamines for their reported allergic rhinitis have symptoms that are not due to allergy. Symptoms such as sleep disturbance and daily fatigue, along with inappropriate use of antihistamines, can result in impaired performance at school and work. 

It is important to use testing for allergen sensitization to help you decipher allergic from non-allergic rhinitis. These results, along with a physical exam and medical history, can ensure that patients receive appropriate treatment sooner, as well as helping to reduce avoidable antihistamine use.

To get tested, schedule an appointment with our Family Medicine Center by calling (718) 206-6942.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

When To See A Doctor If You Have A Sinus Infection?

A sinus infection, also known as sinusitis, is a very common type of infection that occurs when the sinuses or cavities in the front of the face, around the eyes, and behind the nose become filled with mucous.

The majority of sinus infections are caused by viruses.  Sinus infections can also be caused to a much lesser extent by bacteria or fungus, however,  and are less likely to be transmitted from one person to another. They can also be caused by allergies, blocked nasal passages, asthma, and nasal blockages due to polyps.

Acute viral sinusitis typically lasts seven to ten days and may follow a cold. Chronic sinusitis can last for 12 weeks or longer.

Symptoms of a sinus infection include:

  • Facial pain or pressure on the forehead or between the eyes
  • Runny or stuffy nose
  • Thick yellow, green, or cloudy nasal discharge
  • Inability to smell
  • Cough
  • Sore throat
  • Fever

Sinus infections typically begin to improve by themselves in about 10 days. You should contact your physician if the infection is not improving or if it is getting worse. Anyone who experiences any of the following should see a physician as soon as possible:

  • Fever over 102 degrees Fahrenheit
  • Confusion
  • Stiff neck
  • Vision changes
  • Swelling and redness around the eyes
  • Intense headache

A sinus infection can spread to the brain or the eye if it is left untreated. People who have frequent or chronic sinus infections should see an otolaryngologist, also known as an ear, nose, and throat specialist (ENT) to see if there is an underlying reason these are occurring.

If you think you may have a sinus infection, you can try several remedies at home such as a warm compress on the face, over-the-counter decongestants, saline nasal sprays, and over-the-counter pain relievers. These shouldn’t be used for more than three days.

Speak to your physician if the symptoms of a sinus infection don’t improve or worsen after ten days. If you would like to schedule an appointment with a physician at 718-206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Multiple Allergies and the Symptom Threshold

Everyone has their own unique combination of allergic triggers and not all of them are obvious. You may be sensitized to several allergen sources, but your sensitization may not be enough to trigger symptoms when you are exposed to only one of them. But when you encounter multiple substances you’re allergic to at the same time, they can add up, and you may start experiencing symptoms, such as itchy eyes or a runny nose.

Determining if you’re allergic and identifying your allergic triggers can help you stay below your symptom threshold—the point where you start experiencing allergy symptoms.

Most people with allergies—up to 80 percent—are allergic to multiple allergens. And for some of these people; symptoms may appear only when they encounter two or more things they’re allergic to at the same time.

Minimizing your exposure to your allergic triggers may help lessen or eliminate your symptoms. For example:

• You could have a low-level allergy to dust mites, mold, and grass pollen. During large parts of the year, you’re exposed to dust mites and mold but may have little to no symptoms.

• But in the spring, when pollen is in the air, you may experience symptoms. You then might think that you have only a pollen allergy. But without a test you won’t know for sure.

Your best defense against your allergic symptoms is to know what’s causing them and to avoid those triggers. This doesn’t necessarily mean you’ll have to cut everything you’re allergic to out of your life. You’ll just have to reduce your exposure enough to get below your symptom threshold—the level where you start to experience symptoms.

One of the best ways to find out what’s causing your allergic symptoms is to get tested. There are several different options for allergy testing, including blood tests, skin-prick tests, food challenge tests, and allergy provocation tests. Together with your healthcare provider, you can decide which test is best for you. After your elected allergy test is performed, the results are reviewed by your healthcare provider alongside your medical history to help establish an accurate diagnosis. 

To schedule an allergy test at Jamaica Hospital Medical Center, please call 718-206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Helpful Spring Cleaning Tips

Studies show that an unclean and cluttered environment can negatively impact our physical and mental health.

Particles such as dust, dander, mildew, or mold in the home can trigger allergies and affect respiratory health.

A cluttered space can make some people feel mentally overwhelmed and can contribute to depression. Clutter has also been shown to affect sleep. In a study conducted by the American Academy of Sleep Medicine, it was found that people sleeping in cluttered environments were more likely to develop sleep disorders.  Lastly, clutter can increase the risk of falls and injury.

A thorough spring cleaning and decluttering of the home can greatly improve environmental and air quality and help reduce the risk of illness or injury.

Here are a few helpful tips to make spring cleaning easier and our homes more conducive to better health:

  • Always remember to read the labels of cleaning products before using them. Certain chemicals such as ammonia, sodium hypochlorite, and formaldehyde can trigger allergies
  • Clean blinds with a duster or damp microfiber cloth (dampened cloths will attract more dust)
  • Clean windows with a glass cleaner
  • Wipe down walls, door frames, and baseboards. These areas are notorious for collecting dust but are often ignored
  • Use a High-Efficiency Particulate Air (HEPA) filter vacuum, to clean carpets, fabric shades, and drapes, also pay attention to fabric couches and mattresses
  • Organize clutter by sorting items into four categories: donate, store, dispose and keep
  • Clean wooden furniture by using a duster or microfiber cloth
  • Mop hard-surface floors with a microfiber mop
  • Wash bedding as recommended by the manufacturer. Don’t forget to also wash bedding accessories such as pillows, throw pillow covers and stuffed animals
  • Thoroughly clean bathrooms to avoid a buildup of mold and mildew. A cleaning solution of three parts water and one parts bleach is often recommended for cleaning mold and mildew
  • Clean kitchen cabinets and drawers with cabinet cleaner and degreaser
  • Clean air conditioning and heating filters
  • Don’t ignore hard-to-reach places such as ceiling fans and light fixtures. These can be cleaned by using a duster with an extendable handle

Spring cleaning can offer great benefits. For many, this includes achieving a sense of accomplishment and having a home that is tidy and free from clutter. The most important benefit however is, that spring cleaning helps to minimize exposure to allergens and other environmental hazards that can be harmful to our health.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Is it Allergies, the Flu, or COVID?

The fall season presents a convergence of health concerns for many of us.  This time of year marks the beginning of cold and flu season, but for many it is also the time of year when they experience seasonal allergies.

Determining if you have the flu or are suffering from fall allergies could be a difficult task during most years, but  this year to further complicate matters we are living with the very really threat of COVID-19.

While there are some similarities between the flu, COVID and seasonal allergies, it is important to know that each possess distinct differences as well.

Jamaica Hospital is providing our community with the following information on how to distinguish the differences between the coronavirus, the flu and allergies.

  • Allergies are characterized by coughing and sneezing. Allergy sufferers also experience facial pain, nasal drip and itchy eyes, mouth and skin.  Those who have allergies and also have asthma may experience wheezing as well. Those with seasonal allergies generally do not exhibit fatigue, body aches or fever.
  • The flu shares some of the symptoms associated with allergies, such as coughing and sneezing, but unlike allergies, the flu is also accompanied by head and body aches, fatigue and fever.  Unlike allergies, which present more chronic symptoms that can last for weeks or months, those with the flu typically exhibit symptoms for five to seven days.

  • COVID-19 symptoms can be very similar to that of the flu. Some of the most commonly reported symptoms of COVID include: fever and chills, cough, fatigue and muscle or body aches. The most significant difference between COVID and allergies or the flu is shortness of breath, which is a common symptom of the disease.  Other symptoms associated with COVID that are different from allergies or the flu are loss of taste or smell as well as gastrointestinal issues.

Both COVID and the flu are both viruses and mild cases are generally treated similarly with pain and fever medication, such as acetaminophen. Allergies on the other hand are often treated with antihistamines.

If you are a known allergy sufferer you should be aware of when your seasonal allergies typically begin. Additionally, to help minimize the risk of contracting the flu, it is highly recommended that you receive your annual flu shot. If you are experiencing any severe symptoms associated with COVID-19, you should contact your doctor immediately.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Dust Mites & How They Affect Our Health

allergies and dust mites

Dust mites are tiny, microscopic relatives of spiders and ticks that lurk around our homes.  They feed on the dead skin cells that we shed.  Due to their diet, dust mites are commonly found in the areas where dust and dead skin cells accumulate the most. This includes carpets, mattresses, bedding, curtains, stuffed animals and furniture.

Dust mites are allergenic- meaning materials from their skin and fecal matter can cause allergic reactions and symptoms, especially in people with allergies and asthma.

Common dust mite allergy symptoms include:

  • Runny nose
  • Sneezing
  • Stuffy nose
  • Itchy nose, mouth or throat
  • Postnasal drip
  • Coughing
  • Red, Itchy skin
  • Itchy, red or watery  eyes

In people with asthma, symptoms can include:

  • Chest tightness or pain
  • Difficulty breathing
  • Shortness of breath
  • Wheezing

It is impossible to completely eliminate dust mites, even in the cleanest homes.  However, there are ways to limit exposure and reduce the risk of symptoms. Here are a few:

  • Wash bedding weekly in hot water
  • Cover mattresses and pillows in zippered dust-proof covers
  • Dust regularly
  • Avoid carpeting if possible or vacuum frequently
  • Use certified allergen capturing filters in vacuums and air conditioners
  • Keep the humidity levels in your home under 50% (Dust mites thrive in environments with humidity levels of 70 to 80%)

If symptoms persist, relief can be achieved by taking over-the-counter or prescription decongestants, antihistamines or nasal corticosteroids.  Immunotherapy in the form of allergy shots or sublingual (under-the-tongue) tablets can also be effective. 

The Division of Allergy and Immunology at Jamaica Hospital focuses on the diagnosis and long-term treatment of allergic and immunologic conditions. To schedule an appointment with an allergist, please call 718-206-6742.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Fall Allergies

Ever ask yourself, “Why are my allergies kicking up, it’s not spring or summer?”  The answer may be that if you are a warmer weather allergy sufferer, you will most likely be sensitive to allergens in the fall too.

While the fall season signals the beginning of cooler temperatures, it can be especially difficult for those who are sensitive to mold and ragweed pollen. If you are one of these people, symptoms such as sneezing, itchy eyes, congestion and headaches can reoccur leaving you feeling miserable.

There are several things you can do to find relief. If symptoms are mild, try the following suggestions which may provide temporary relief:

  • Closing windows and doors at night or whenever ragweed counts are high
  • Trying over the counter remedies such as decongestants or antihistamines
  • Rinsing your eyes with a saline solution
  • Trying nasal irrigation
  • Taking steamy showers
  • Wearing a mask while doing yard work
  • Washing clothes and linens frequently
  • Using air purifiers equipped with HEPA filters
  • Keeping indoor air dry by using a dehumidifier
  • Thoroughly washing your face and hair when you get home

If your symptoms are continuous and affect your ability to carry out routine activities, you should speak with an allergist.  Your allergist will be able to help you identify what triggers your seasonal allergies and provide the best course of treatment to offer relief or stop symptoms.

The Division of Allergy and Immunology at Jamaica Hospital focuses on the diagnosis and long-term treatment of allergic and immunologic conditions. To schedule an appointment with an allergist, please call 718-206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Are You At Risk for Asthma?

According to the Centers for Disease Control and Prevention (CDC), 1 in 13 people has asthma. That translates to more than 26 million Americans.

Asthma is a condition in which your airways narrow and swell, producing extra mucus resulting in difficulty breathing.

If this narrowing and swelling occurs and worsens, it may lead to an asthma attack.

Some tips to help you prevent asthma symptoms from occurring include:

  • Family history of asthma
  • Viral respiratory infections as a child
  • Allergies
  • Smoking
  • Air Pollution
  • Obesity

Some strategies you help prevent the symptoms of asthma are:

  • Stop smoking and avoid public places where cigarette smoking occurs
  • Avoid outdoor exposure on heavy smog days
  • Adopt a healthy diet of fruits, vegetables, whole grains and lean protein
  • Avoid allergens that trigger asthma attacks, such as pet dander, dust, mites, mold and pollen.

If you have recurrent coughing or wheezing that lasts more than a couple of days or any other signs or symptoms of asthma listed above, you should schedule an appointment to see your doctor since treating asthma early can help prevent long-term lung damace and reduce the likelihood of your asthma worsening over time.

If you would like to speak with a respiratory specialist at Jamaica Hospital Medical Center, please call 718-206-7001 for an appointment.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Springtime is Allergy Season

The calendar tells us that Spring is here. Soon the flowers will start to bloom, trees will start to blossom and lawns will be waking up from the long winter.  We will also be spending  more time outdoors. With the beginning of Spring comes allergy season and all the discomfort some of us experience. It is estimated that 30 percent of Americans suffer from allergies.
With the new technology and equipment that is available at Jamaica Hospital, testing of a small sample of blood serum IgE, can determine if a person is allergic to any of the hundreds of known allergens. This quick testing will help to determine what course of treatment to begin.  Another advantage of this testing is that it can be ordered by any physician, as opposed to traditional testing ordered and performed by an allergist.  A correct diagnosis leads to a more accurate treatment plan.
Historically, allergy testing was performed by specialists in the field of Allergy and Immunology. Often times this involved performing skin tests and then monitoring the results. Now this whole process can be performed by a physician through a simple blood serum test and Jamaica Hospital is now one of the few hospitals in New York City that is offering this new and exciting technology.
Often times, allergy symptoms are similar to other health conditions such as colds and sinus infections. Allergies typically do not cause fever but they can cause itchiness, eye discomfort and a runny nose. It is important to determine the causes of these symptom before treating the symptoms. People tend to purchase over the counter medications over the counter to treat their symptoms, but they may not be treating the correct cause of their discomfort.
If you would like to schedule an appointment with a physician at Jamaica Hospital to discuss having  allergies, please call 718-206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Winter Cold or Allergy?

The winter months can be challenging to your health. The drop in temperatures often results in symptoms that could be either a winter cold or allergies.

While many of the symptoms of colds and allergies are similar, the causes of each are very different.

Colds are contagious and they are contracted when a person is exposed to an individual infected with a cold virus.  Our body’s immune system will launch a counter attack against the virus. This response usually brings on the classic symptoms, such as a runny nose or cough.

An allergic reaction is caused by an overactive immune system that mistakes harmless things, such as mold or dust mites and attacks them. To combat what it thinks are germs, your body releases chemicals called histamines as a defense. The release of these histamines can cause a swelling of the nasal passages and result in coughing and sneezing. While many of the symptoms are similar, the easiest way to determine if you have a cold or are suffering from allergies is the duration of your condition. While most colds last from three to 14 days, allergies can last for months as long as the person is in contact with the allergen. Other differences are:

  • An allergic reaction will begin immediately after exposure to an allergen while cold symptoms usually take approximately three days to appear after exposure
  • A cold virus can sometimes cause fever and body aches while allergies never do
  • An allergic reaction can often result in itchy, watery eyes, which a cold rarely produces this type of reaction
  • Allergies are not contagious.

Once a determination between cold or allergy is made, the appropriate treatment can be applied.

There is no cure for a cold, but there are medications that can help alleviate the symptoms. Cough syrups, pain relievers, decongestant sprays, or multi-symptom cold relief medicines can all be used to help, but should only be taken after consulting your doctor, especially if you are taking other medications or if you have other underlying health conditions. Drinking plenty of liquids also speeds up the recovery process.

To treat allergies, your doctor may recommend an over-the-counter antihistamine to block the reaction to the allergens. There are many forms of antihistamines and some may cause drowsiness so be sure to look for the non-drowsy formula or only take them at night. Decongestants may also be suggested to relieve nasal congestion and avoid an infection.

If you are not sure if you have a cold or allergies, please speak with your doctor. If you do not have a doctor, Jamaica Hospital’s Ambulatory Care Center can help. To make an appointment, please call 718-206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.