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.

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.

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.

Homemade Oat Milk Recipe

Oat milk is a dairy-free milk alternative that is made from oats.  It has a ratio of 1 cup of oats to ¾ cup of water.  The mixture is then strained to create a liquid.

According to https://www.livestrong.com, oat milk is a healthy alternative to whole milk and skim milk.  It is rich in vitamin D, iron, calcium, potassium and fiber.  One cup of store bought oat milk may have up to 120 calories, 5 grams of fat, 3 grams of protein, 14 grams of carbohydrate and 2 grams of fiber.

Comparatively, cow’s milk contains 3.5% fat, 146 calories, 11 grams of carbohydrate, 8 grams of protein and 8 grams of fat and skim mild has 83 calories, 122 grams of carbohydrate, 0.2 grams of fat and 8 grams of protein.  Even though the numbers for skim milk seem better than oat milk, skim milk still contains lactose.

If you’d like to try your hand at making your own oat milk, here is a simple recipe from https://simpleveganblog.com that you may want to try. 

Prep time:      15 minutes

Total time:      15 minutes

Yield:              3 – 4 cups

Ingredients:

1 cup rolled or quick oats (100 g)

3 – 4 cups water (750ml – 1liter), depending on how thick you like your milk

Instructions:

  • Soak the oats in water for at least 30 minutes or overnight.
  • Drain the oats and wash them (discard the soaking water).
  • Blend the oats with 3 – 4 cups of clean water.
  • Strain the milk using cheesecloth, a strainer, a napkin or a nut milk bag.
  • Store oat milk in a sealed container in the fridge for up to 5 days.

Homemade oat milk reduces the risk of cross contamination with potential allergens at the manufacturer and can is less expensive to make than to purchase.

If you’d like to read more about oat milk, visit – https://www.flushinghospital.org/newsletter/?p=4603

 

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.

May is National Allergy and Asthma Awareness Month

According to the Asthma and Allergy Foundation of America (AAFA), the number of people living in the United States who suffer from allergies and asthma has doubled over the last 20 years.  Last year alone, there were over 2 million emergency room visits due to asthma and allergy attacks.

In an effort to bring attention to numbers that continue to grow and approach epidemic proportions; the White House has designated May as National Asthma and Allergy Awareness Month. The month of May was chosen to raise awareness as it coincides with the peak season and a perilous time for allergy and asthma sufferers.

Education is the primary objective of Asthma and Allergy Awareness Month.   It is hoped that by educating the public about both chronic health conditions, more action will be taken to prevent symptoms and improve the quality of life of those affected.

Prevention and awareness are the best defenses against asthma or allergy symptoms. The first step in preventing symptoms is becoming aware of your triggers, which can be achieved through testing.  Dr. Lisa Roth, Allergist and Immunologist at Jamaica Hospital Medical Center, explains, “It is important that you speak to your doctor about receiving allergy tests. Testing can help to determine the cause of your symptoms. Often people purchase over the counter medications to treat symptoms but they may not be treating the correct cause for their discomfort.”  Once your triggers are identified you can learn how to lessen their effects and seek proper treatment.

Dr. Roth recommends the following tips to lessen your exposure to triggers and alleviate symptoms:

  • Monitor pollen and mold counts
  • Keep doors and windows shut in your home and car,
  • Take medications as prescribed by your doctor
  • Clean the air in your home with a HEPA filter
  • Wash your face and hair as soon as you get home
  • Wash linens and clothing frequently.

To learn more about Asthma and Allergy Awareness Month visit the Asthma and Allergy Foundation of America’s website http://www.aafa.org/page/asthma-and-allergy-awareness-month.aspx

To schedule appointment with an allergist at Jamaica Hospital Medical Center, 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.

A New Way of Testing for Allergies

It is estimated that 30 percent of Americans suffer from allergies. 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 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 what the cause of these symptoms is before treating the symptoms. People tend to purchase medications over the counter to treat their symptoms, but they may not be treating the correct cause of their discomfort.
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 wat course of treatment should be started on. Another advantage of this testing is that it can be ordered by any physician. A correct diagnosis leads to a more accurate treatment plan.
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.

The History of Allergies

Young girl in autumn park blowing nose. Standing in park in warm clothing.Though allergic reactions have been documented in ancient Greek and Roman history, the modern era of the study of allergies really began in the 1800’s when hay fever was described by Dr. John Bostock in 1819. This continues to be one of the most common allergic reactions, affecting approximately 15 million people in the United States.

In 1869 the first skin test for allergies was described when a scientist placed pollen into a small cut in the skin and watched for a reaction.

The concept of immunotherapy, which is building up the immune system through the administration of injections to help people cope with their allergies, was introduced in 1914.

Antihistamines, medications that would help the body respond better to allergic reactions became more widely used in the late 1930’s.  They helped by lessening the body’s reaction to allergens.

In 1948 corticosteroids were first used to treat asthma and allergic reactions. They worked on reducing the inflammation that would be caused by the allergens.

The discovery of mast cells in 1953 helped to identify what caused allergies to set off the immune response of the body. In 1963 IgE antibodies were discovered and this further helped to identify what set into motion the chain reaction within the body leading to the release of histamine and allergic reactions.

Professor Samuelson won the Nobel Prize in Medicine and Physiology in the early 1980’s for his work with leukotrines which cause asthma allergy and inflammatory responses to foreign substances.

In present day, there are several methods used to test for allergies and various treatment options are available to minimize a person’s reactions to allergens. These developments have been made possible due to research and discoveries over the years.

If you would like to be tested for allergies or discuss the best course of treatment, please call Jamaica Hospital at 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.

Seasonal Allergies Tips and Treatments

517019433-virus-sneeze-300x200While spring signals the beginning of beautiful weather and warmer days for many; it also marks the beginning of allergy symptoms for those who suffer from seasonal allergies. If you are one of these people, symptoms such as sneezing, itchy eyes, congestion and headaches can leave you feeling miserable.

Dr. Lisa Roth, allergist and immunologist at Jamaica Hospital Medical Center advises, “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 pollen 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.

Treatment options may include prescription medication to control symptoms or immunotherapy.  “Allergy immunotherapy, also known as allergy shots, is a form of long-term treatment for allergic disorders that decreases symptoms for many people by modulating the immune system in a beneficial way. Allergy shots decrease sensitivity to allergens providing lasting relief of allergy symptoms,” explains Dr. Roth. Allergy shots are highly effective and can help alleviate many 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 such as Dr. Lisa Roth, 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.

ECZEMA

Woman Scratching Her Arm Sitting on Bench at Park

Eczema is a condition that causes patches of skin to become red, inflamed, rough and itchy.  Eczema is not a specific health condition; it is a reaction pattern that the skin produces as a result of a number of different diseases.

The specific causes of eczema currently remain unknown, but it is believed to develop due to a combination of hereditary (genetic) and environmental factors.

Environmental symptoms of eczema include:

  • Irritants – soaps, detergents, shampoos, disinfectants, juices from fresh fruits, meats, or vegetables
  • Allergens – dust mites, pets, pollens, mold, dandruff
  • Microbes – bacteria such as Staphylococcus aureus, viruses, certain fungi
  • Hot and cold temperatures – hot weather, high and low humidity, perspiration from exercise
  • Foods – dairy products, eggs, nuts and seeds, soy products, wheat
  • Stress – it is not a cause of eczema but can make symptoms worse
  • Hormones – women can experience worsening of eczema symptoms at times when their hormone levels are changing, for example during pregnancy and at certain points in their menstrual cycle

Since there is no cure for eczema, treatment for the condition is aimed toward healing the affected skin in an effort to prevent a flare up of symptoms.  For some people, eczema goes away over time, and for others, it remains a lifelong condition.

There are a number of things that people with eczema can do to support skin health and alleviate symptoms, such as:

  • Taking regular warm baths
  • Applying moisturizer within 3 minutes of bathing to “lock in” moisture
  • Moisturizing every day
  • Wearing cotton and soft fabrics, avoiding rough, scratchy fibers, and tight-fitting clothing
  • Using mild soap or a non-soap cleanser when washing
  • Air drying or gently patting skin dry with a towel, rather than rubbing skin dry after bathing
  • Avoiding rapid changes of temperature and activities that make you sweat (where possible)
  • Learning individual eczema triggers and avoiding them
  • Using a humidifier in dry or cold weather
  • Keeping fingernails short to prevent scratching from breaking skin

Medication can also be helpful in treating or preventing symptoms.  These treatments are prescribed by a physician.  If you are experiencing symptoms of eczema and would like to speak with a physician, call Jamaica Hospital Medical Center’s Ambulatory Care Center at 718-206-7001, to schedule 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.