Family Allergy Asthma & Sinus Care is located in Charlotte, NC, (Pineville), Enjoy our Educational Blog:
6/12/2016: I was stung and had a reaction! Do I need to see an allergist?
1/30/2016: Did Your Grandma Smoke? You bet your asthma she did.
Summer is the time for yellow jackets, wasps, hornets and honey bees to be active. Most insect stings will cause a local reaction (pain, redness and swelling at the sting site) lasting a day or so. Sometimes, the reaction is more than that and the question arises, do I need to see an allergist?
Here is a simple check list to assist you in making decisions.
When to go to the ER or call 911:
When to see an allergist:
Allergic reactions to stings can occur at any age, even after many normal reactions to stings. Any person who has experienced one or a combination of the above symptoms should be evaluated by an allergist. The single best predictor of the outcome of a future sting is still the severity of the previous sting reaction. It is estimated that potentially life threatening reaction occur in 0.4% to 0.8% of children and 3% of adults.
A person who has experienced recurrent large local reactions (swelling, redness that extends well beyond the sting site), spends considerable amounts of time outdoors where stinging insects are present and has needed recurrent courses of oral steroids (prednisone) for treatment. The risk of a systemic reaction in patients who experience large local reactions is about 5-10%.
Why see an allergist?
Allergy injections to the insect venom (called venom immunotherapy or VIT) are a very effective treatment and can decrease the risk of a future severe allergic reaction to less than 5% for many patients. If not treated with VIT, up to 60% of patients if re-stung will have a severe reaction. Venom allergy skin testing combined with blood IgE to the specific venom can determine which insect is the problem and help differentiate a toxic reaction or other non-allergic reaction from a true allergic reaction. In addition, a blood test for tryptase will be done. If the tryptase level is elevated, there is an increased risk of severe reaction to an insect sting, increased chance of reaction to VIT, failure of VIT and increased risk of severe reaction after VIT is stopped.
Venom immunotherapy should include all venoms that are positive. The recommended dose for each venom protein is 100 mcg. This is equivalent to the venom content of 2-4 insect stings. The amount of venom injected by a honeybee sting is about 50 mcg; however, the amount of venom injected by other vespids is in the range of 2–20 mcg per sting.
More than 5% of the population has insect sting allergy, yet few patients are referred for diagnostic testing and specific treatment. At Family Allergy Asthma & Sinus Care, we specialize in sorting out the reaction and offer state-of-the-art approaches for diagnosis and treatment of insect sting reactions. Why? We want our patients to BEE healthy and happy!
Smoking cigarettes is unhealthy. Second hand smoke exposure is unhealthy. Everybody knows that! When pregnant women smoke, their child is more likely to have low lung function in childhood and adulthood. But, what happens to her grandchildren when granny smoked when she was pregnant?
This question was addressed in a study from the European Lung Foundation entitled: “Grandmother’s smoking when pregnant with the mother and asthma in the grandchild: the Norwegian Mother and Child Cohort Study.” The article was published in 2015 in the medical journal Thorax and may be accessed at Thorax article on Grandma Smoking
Researchers used data from the Swedish Registry that included 44,853 grandmothers from 1982 to 1986 to
To evaluate whether the grandmother’s smoking had an independent association with asthma development in the grandchild from maternal smoking during pregnancy, the researchers classified the children into 4 mutually exclusive exposure groups:
Results: The risk of asthma in grandchildren was increased by 15 to 21%, even if the child’s own mother had not smoked in their pregnancy!
Why does this happen?
What if grandpa smoked? That data is not yet available. For women who intend on having children and eventually grandchildren, we hope you stop smoking so you leave your grandchildren a better legacy than asthma.
At Family Allergy Asthma & Sinus Care, we treat asthma and encourage smoking cessation in all family members. It’s in our name!
1/17/2016: New Treatments for Asthma: Change Your Lifestyle
While the diagnosis of asthma has not changed significantly, the treatment has (and should). Asthma affects 25 million people (including 7 million children) in the U.S. The incidence of asthma has increased in the last few decades, and while the exact reason for this is unclear, evidence suggests a link between nutrition/diet, weight, air pollution and allergies. The treatment for asthma is not just taking medications!
Think of the new asthma treatments as “lifestyle” changes.
Exercise: Although exercise can sometimes be a trigger of asthma, this is no excuse to be a couch potato. Exercise has been shown to improve quality of life in persons with asthma with more symptom-free days, better oxygen consumption, and less inflammation. How much exercise is enough? At least 30 minutes three times a week, with a goal of 150 minutes per week (30 minutes minutes a day, 5 times a week). Exercise can also be helpful with weight control.
Stress control: Individuals with asthma who have anxiety and depression are at increased risk of asthma attacks. A disorder called vocal cord dysfunction triggered by anxiety can complicate asthma but not respond to asthma medications. Interventions may include counseling, breathing relaxation techniques, and sometimes anti-anxiety medications.
Allergen control: Up to 90% of children with asthma may have allergies and these allergies can trigger asthma. In adults, about 70% of patients with asthma have allergies. By treating your allergies, the asthma can improve.
Air pollution. Air pollutants that include small particles can trigger asthma. Sources include cigarette smoking, wood smoke (campfires, wildfires, poorly ventilated indoor stoves), diesel exhaust, soot and ash. Strong chemicals and fumes are also triggers.
Vaccines: viruses such as influenza, RSV, and the common cold virus called Rhinovirus can trigger asthma. The flu vaccine is recommended for all individuals over 6 months old, but especially for those with asthma according to the CDC.
Medications: They are still important!
Individuals with asthma have choices. While there is no cure for
asthma, the available treatment options and lifestyle changes can help
control asthma so individuals can lead healthy, productive lives. By
controlling asthma, it will not control you! Go Panthers!!!
Mosquiteos: how to prevent them from biting!
Spilling the beans on bean allergy!
Do you sneeze when you sip that fine red wine? Wine allergy?
Mosquitoes: how to prevent them from biting!
Flu shot Season
Asthma Treatment: Where does Singulair fit?
USAnaphylaxis™ Map: The STATEment on Life-Threatening Allergies at School
Beware of those exotic nuts!
These educational information does not take the place of your physician's advice.
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