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Allergies, English, Health, Illness

Why You Should Get Your Flu Shot

It Is Still Very Important to Get Your Annual Flu Shot

New variants of the COVID-19 coronavirus, influenza, and other viruses will be circulating and spreading over the coming months. Flu and other viral infections can trigger asthma attacks and a worsening of asthma symptoms. Influenza also can lead to pneumonia and other acute respiratory diseases.

The best way to stay healthy this coming season is to be current on all vaccinations, including influenza, COVID-19, and, for some, the new vaccine for respiratory syncytial virus (RSV).

Flu shots are available to AllergySA patients at all 3 locations.  Although the influenza vaccine is recommended for most children and adults, it is especially important that our patients with asthma, chronic sinusitis, and immunodeficiency receive their yearly flu shot. Patients between the ages of 6 months and 65 years should visit their AllergySA office to receive the 2023/2024 influenza vaccine. (It is recommended that patients over the age of 65 receive the high-dose influenza vaccine, which AllergySA does not administer. Please visit your primary care physician or local pharmacy.)
No appointment is necessary; however, you should be a current patient. Flu shots can be given to most immunotherapy patients 20 minutes after receiving your allergy injection. Protection from the vaccine begins about two weeks after the injection and is thought to last for the influenza season.

Protecting You, Your Family, and Your Community

Being current on all vaccinations, including flu and COVID, will not only protect you and your family, but also the community. Recently the CDC recommended the new vaccines against respiratory syncytial virus (RSV) for people over the age of 60, for those with certain chronic medical conditions, and for those who are pregnant. Consult your PCP or ObGyn to see if this vaccine is indicated for you.

During the coming months, our healthcare system may become overwhelmed treating patients with flu, COVID-19, RSV, and other viruses. By getting vaccinated, we can hope to decrease the utilization of our healthcare system, preserving resources for those that need it most.

Stay Healthy!

If you have not been seen recently, now is a great time to schedule an appointment with your AllergySA provider. The better your baseline health going into this season, the better you will be able to fight any infections that come your way.

* Please note that some insurance plans may not cover the influenza vaccine if received in our office. You may prefer to visit your primary care practice for this year’s flu vaccine. Please check the coverage of your specific insurance plan. If your insurance does not cover it, and you receive the vaccine from AllergySA, you will be required to pay the out-of-pocket expense.

September 5, 2023/by Kayla Gomez
https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2022/08/Untitled-design-74-1.png?time=1696079360 3456 6912 Kayla Gomez https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2021/11/allergysa-logo-accredited.png Kayla Gomez2023-09-05 09:00:042023-09-05 09:48:10Why You Should Get Your Flu Shot
Allergies, Asthma, English, Health

Collegebound? Important Steps for Those with Allergies and Asthma

The summer before your teen heads off to college is full of checklists. However, if your child has environmental allergies, asthma, and/or a food allergy, there are important items that should be on the list. For some young adults, this may be the first time they will be away from home for an extended period. Newfound freedoms also equal new responsibilities, especially when it comes to managing one’s health. Now is the time to prepare for a successful and safe transition to college life.

Here is a checklist to help with the preparation:

1. PLAN A VISIT TO YOUR CHILD’S ALLERGIST NOW.
At your appointment, discuss symptom control for nasal allergies and asthma. Your allergist will adjust treatment plans if needed.

  • Make sure asthma and anaphylaxis action plans are updated and available to your child.
  • This also may be a good time to have your son or daughter re-tested for their food allergies. Some children may outgrow their allergy to certain foods, and it is essential for proper management to have updated testing.
  • Check expiration dates on epinephrine auto-injectors and refill any medications.
  • If your child’s treatment plan includes allergy immunotherapy, speak with your allergist and asthma specialist in Texas about options for continuing your allergy shots while at college. Your vials may be transferred to another medical provider in the area who can administer the injections.

2. IDENTIFY HEALTHCARE FACILITIES AND PHARMACIES IN THE AREA.
Identify campus health facilities and make sure your child knows how to access care. Many schools will go over what services are offered during orientations. If the facilities accept insurance, make sure they have their health insurance card. Having a list of all medications can be helpful as well. Identify a local pharmacy in the event a prescription needs to be filled.

3. REVIEW SCHOOL AND RESIDENCE POLICIES FOR MANAGING ALLERGIC DISEASES AND ASTHMA.
Many families evaluate colleges based on their accommodations, especially for a child with a food allergy. Food Allergy Research & Education (FARE) offers a list of questions you may want to ask Disability Services, Dining Services, and Housing Services as you make your decisions.

Once your child is away at school, they must take charge of communicating their needs. Help them practice informing roommates, faculty, restaurants, and food service personnel. Some residence halls have shared kitchens, so you should ask about cleaning procedures and discuss how to limit cross-contamination. When eating out, some students like to use ‘chef cards’ to communicate their allergen needs.

Consider touring your school’s food facilities and ask questions before students arrive. Reassure your teen that food allergies are not uncommon, and most schools have policies and programs in place to support their students with a food allergy.
Most importantly, if your child is at risk for a severe allergic reaction, known as anaphylaxis, continue to stress the importance of always having immediate access to an epinephrine auto-injector.

With proper preparation, most accommodations can be met for students with allergic diseases and asthma, allowing for a safe and enjoyable college experience!

Your AllergySA providers and staff are here to help you prepare for the next chapter in your child’s life. Please let us know how we can help. Additional resources:

  • FARE’s Preparing for College Resource Guide
  • Allergic Living’s Resource – College with Food Allergies, Lessons Learned

 

July 19, 2023/by Kayla Gomez
https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2023/07/iStock-950689732.jpg?time=1696079360 1414 2121 Kayla Gomez https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2021/11/allergysa-logo-accredited.png Kayla Gomez2023-07-19 13:44:292023-07-19 13:44:29Collegebound? Important Steps for Those with Allergies and Asthma
Allergies, Asthma, English, Health

Summer Asthma Management

Asthma has many known triggers, and for some people, they’re worse during the summer months. Although factors such as poor air quality don’t directly cause asthma, they can exacerbate symptoms. Fortunately, it’s still possible to enjoy the warm weather if you take precautions. Here are some things to consider as you manage asthma during the summer months.

WHAT MAKES ASTHMA WORSE DURING THE SUMMER?

According to our TX asthma specialists, some people find that their asthma symptoms improve in the summer. Respiratory viruses are usually less common, for example, and people spend more time outdoors — thereby reducing exposure to indoor allergens.

Conversely, heat and humidity do affect asthma symptoms for some people. Hot temperatures and humid air can narrow the airways, making breathing more difficult. Hot air also traps more particulate matter, increasing air pollution and further exacerbating symptoms. It’s therefore especially important to be mindful of the Air Quality Index (AQI), a report provided by the EPA which measures air pollution levels. Some weather apps provide this data, but you can also find reports through AirNow.gov. May through September is smog season, so watch for any days when the AQI is above 101 (considered dangerous for people with asthma) during these months.

In South Texas, we are all aware of Mountain Cedar season and the tree pollens that hit each Spring. However, certain allergens, specifically from grass pollen, mold spores, and ragweed in the late summer months, do spike during this time of the year. So, for individuals with sensitivities to these allergens who also have asthma, the summer months can be challenging. Part of your asthma diagnosis will include identifying your asthma triggers and developing a plan to manage them through avoidance and/or medications.

In addition to these allergy considerations, increased outdoor activity for sports and recreation can also lead to worsening asthma symptoms. Otherwise, enjoyable summer activities like gathering around a campfire, swimming in a chlorinated pool, or watching fireworks, may lead to an unexpected flare-up for some individuals.

HOW TO PROTECT YOURSELF DURING THE SUMMER

One of the simplest but most effective ways to avoid asthma flare-ups during the summer is to continue taking medicines as prescribed, even when on vacation. The American Academy of Allergy, Asthma & Immunology (AAAAI) notes that taking a “drug holiday,” or stopping medications temporarily, increases the risk for serious asthma symptoms and hospitalizations in the fall, especially for children and young adults. If you’ve been prescribed long-acting medications, continue taking them unless otherwise directed by your physician. As the AAAAI asserts, “Even though you feel fine, your lungs depend on the medication to control inflammation.”

Aside from continuing your medication, here are some additional ways you can modify your routine to continue enjoying summer activities:

  • Stay inside on ‘bad air’ days. Whether the air quality is poor or the pollen count is high, try to limit your time outside. You’ll also want to be mindful of other factors that could trigger an asthma attack, such as thunderstorms, wildfires, and excessively high/humid temperatures.
  • Shower when you come in. Washing off quickly will help to remove any pollen or dust particles that could stick to your skin and hair and otherwise irritate your airways.
  • Optimize your indoor air quality. Mold and dust mites — two common allergy triggers — thrive in high temperatures and humidity above 50%. Keep your air cool and within a healthy humidity range (between 30-50%) by running your air conditioner and a dehumidifier, if needed.
  • Practice sport safety. People with asthma can still exercise, but some modifications may be needed. For example, asthmatic children playing sports may need to pre-medicate prior to exercise or modify their daily preventative treatment to accommodate hot weather. Be sure to let our team know of any changes to your child’s schedule, and inform any coaches, camp counselors, babysitters, or other caregivers of their asthma plan.

While summer may introduce new asthma challenges, we’re here to help you navigate them. Turn to AllergySA for all of your asthma and allergy care needs. Schedule a visit by calling us at (210) 616-0882 or visit our website.

July 18, 2023/by Kayla Gomez
https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2023/07/iStock-1225986055.jpg?time=1696079360 1414 2121 Kayla Gomez https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2021/11/allergysa-logo-accredited.png Kayla Gomez2023-07-18 11:47:462023-07-18 11:50:05Summer Asthma Management
Allergies, Asthma, English, Health, Illness

What is Eosinophilic Asthma?

There are different types of asthma. The most common type is allergic asthma where symptoms are triggered by exposure to specific allergens like dust, pet dander, pollen and mold. Another type is eosinophilic asthma, sometimes called e-asthma.

Eosinophils are a type of white blood cell that helps fight off parasitic infections and cancers. They also play a role in allergic reactions. They make up a small fraction of our white blood cells, and the number of eosinophils in our blood can vary over time. If the number of eosinophils in your bloodstream or organs is elevated, you may have an eosinophil-associated disease.

Many diseases are caused by an increased number of eosinophils in your body; one of the conditions that allergists treat is eosinophilic asthma.

What is Eosinophilic Asthma (e-asthma)? 

Eosinophilic asthma is a subtype of asthma that is caused by high levels of eosinophils in the airways of the lungs. It usually starts in adulthood, although it can sometimes occur in children as well. E-asthma is a severe type of asthma and people who have high levels of eosinophils can have swelling in their airways, making it difficult to breathe.

Unfortunately, the cause of e-asthma remains unknown. However, those with e-asthma do not usually have underlying allergies that provoke asthma symptoms. Severe or uncontrolled asthma can have a significant impact on your health and quality of life. Fortunately, there are a number of ongoing clinical trials working to develop new treatments and therapies to control e-asthma symptoms.

Symptoms

Eosinophilic asthma has similar symptoms to classic asthma. However, the symptoms are more severe and constant. These include: 

  • Shortness of breath 
  • Wheezing 
  • Coughing 
  • Airflow obstruction 
  • Chronic rhinitis with nasal polyps 
  • Inflamed nasal mucous membrane

Diagnosis 

If you have asthma and the symptoms are severe, your allergist may check levels of eosinophils by analyzing your blood, sputum, saliva, or conducting a bronchial biopsy (tiny forceps passed through a channel of the bronchoscope into your lungs). They will take a complete history of past and current symptoms and discuss any history of allergies.

Treatments

The goal when treating e-asthma is to reduce the eosinophils in the airways and control breathing. People with eosinophilic asthma may respond to standard guideline-based therapy which includes inhaled and/or oral corticosteroids. Others may not and need additional options. There are now new treatments that can reduce eosinophils by targeting specific cells. This type of asthma treatment is known as a biologic.

Biologic therapies that target eosinophils may be prescribed to treat eosinophilic asthma. Biologics that are currently approved for use in the U.S. include the following:

  • Benralizumab: antibody that binds Interleukin-5 (IL-5) receptors. 12 years and older
  • Dupilumab: Interleukin-4 (IL-4) and Interleukin-13 (IL-13) inhibitor and binds to the IL-4 alpha receptor. 6 years and older
  • Mepolizumab: an antibody that recognizes and blocks Interleukin-5 (IL-5). 6 years and older
  • Reslizumab: an antibody that recognizes and blocks Interleukin-5 (IL-5). 18 years and older

If you or someone you know suffers from severe or uncontrolled asthma, our board-certified providers are ready to help you find the right treatment to control your symptoms and improve your health. Call (210) 616-0882 to schedule your appointment today.

May 26, 2023/by Kayla Gomez
https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2021/05/E-asthma-blog-banner.png?time=1696079360 788 940 Kayla Gomez https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2021/11/allergysa-logo-accredited.png Kayla Gomez2023-05-26 07:00:372023-07-18 11:49:39What is Eosinophilic Asthma?
Allergies, English, Health

Palforzia – The First FDA Approved Treatment for Children with Peanut Allergy

In 2020, the FDA approved the first treatment for peanut allergy in children.  AllergySA was the first clinic in San Antonio to introduce Palforzia. We were the second clinic in the nation to have a patient reach the maintenance phase in the program. Learn more about Palforzia:

 

What is Palforzia? 

Palforzia is an oral treatment for children ages 4-17 with peanut allergies. Palforzia can reduce the risk of severe allergic reactions, including anaphylaxis, that may occur with accidental exposure to peanuts. It is a defatted peanut protein powder that is carefully measured in capsules or a sachet, depending on the dosage.

PALFORZIA is not a cure for peanut allergy and is used in conjunction with a peanut avoidance diet. However, when taken according to instructions, it can reduce the likelihood of a severe reaction upon accidental exposure to peanuts.

PALFORZIA cannot be used for the emergency treatment of allergic reactions, and those who take it should continue to carry their injectable epinephrine devices.

 

How does Palforzia work? 

There are three (3) phases of the PALFORZIA process: the initial dose escalation phase, up-dosing phase, and the maintenance phase. PALFORZIA is intended to gradually decrease your child’s sensitivity to small amounts of peanuts that may be hidden in foods.

 

How is Palforzia taken? 

Palforzia is a powder product that is mixed in soft, room-temperature food such as pudding, applesauce, or yogurt. You open the capsule or sachet according to the schedule and put in your chosen food. Always wash your hands after handling PALFORZIA.

 

How effective is Palforzia? 

Recent studies have shown that children with long-term daily dosing treatments have had the greatest strides in reaching maintenance in desensitization to their peanut allergy. After two years of taking Palforzia, more than 80% of children demonstrated desensitization to 2000 mg of peanut protein (which is equivalent to 6 peanut kernels).

 

What are the side effects?

Most side effects are mild and resolve within 40 minutes of taking Palforzia. The most commonly reported side effects are stomach pain/cramping and itching of the mouth or throat. These symptoms are usually mild and typically do not require intervention. More severe reactions include the risk of anaphylaxis and developing Eosinophilic Esophagitis (EoE). Speak with your ASA allergist about these risks.

Side effects may include:

  • Stomach pain 
  • Vomiting 
  • Feeling sick 
  • Itching or burning in the mouth 
  • Throat irritation 
  • Cough
  • Runny rose 
  • Sneezing 
  • Itchy skin
  • Hives 

 

How do I start my child on Palforzia?

All children must first be enrolled in the Palforzia Risk Evaluation and Mitigation Strategy program (REMS). This is a safety program that manages the risk of anaphylaxis associated with Palforzia and is required by the FDA to ensure the benefits outweigh the risks.

If Palforzia is prescribed by your allergist for your child, they will send the prescription to a specialty pharmacy. If insurance eligible, the pharmacy will reach out to you to confirm the shipment details.

Patients with no insurance or with commercial insurance who have been denied coverage can be put in the Palforzia Pathway Patient Assistance Program and are eligible to receive Palforzia at no cost.

 

If you want to learn more about Palforzia and whether it is appropriate for your child, schedule an appointment with one of our food allergy experts at 210 616-0882.

May 16, 2023/by Kayla Gomez
https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2021/04/What-You-Need-to-Know-About-Plaforzia-3.png?time=1696079360 3456 6912 Kayla Gomez https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2021/11/allergysa-logo-accredited.png Kayla Gomez2023-05-16 11:20:162023-05-16 12:09:40Palforzia – The First FDA Approved Treatment for Children with Peanut Allergy
Allergies, Health, Illness

What Is Eosinophilic Esophagitis?

When it comes to conditions that an allergist/immunologist treats, we most often think of nasal allergies, asthma, food allergies, as well as skin rashes, and immune disorders. But there is a chronic inflammatory condition of the esophagus you may not have heard of – and cases are on the rise.  

Eosinophilic Esophagitis (EE or EoE) is a lifelong allergic/immune condition that causes inflammation in the esophagus. The esophagus is the tube that connects your throat and stomach, delivering food and liquid to your body. In EoE, large numbers of white blood cells, called eosinophils, are found in the lining of the esophagus resulting in inflammation. This chronic inflammation leads to symptoms. EoE can be triggered by a food allergy, acid reflux, or an airborne (seasonal) allergy.

What are the Symptoms of Eosinophilic Esophagitis?

The main symptom of EoE is difficulty swallowing. Other symptoms of EoE can vary with    age: 

  •  Infants and toddlers may refuse to eat and, therefore, not grow properly.
  • School-age children may show decreased appetite, recurring abdominal pain, trouble swallowing, and vomiting.
  • Teens and adults can have the same symptoms but will most often complain of difficulty and pain in swallowing, especially with dense, dry foods.

People with EoE may feel the need to drink a lot of fluids to help swallow and often feel full and unable to finish a meal. The pain and difficulty in swallowing occur due to inflammation in the esophagus. In severe cases, the esophagus narrows to the point where food gets stuck. This is called a ‘food impaction’ and can result in a medical emergency.

Some patients may experience reflux, when acid from the stomach backs up into the esophagus, causing a burning sensation or chest pain. It is important to note that eosinophils can be present in the esophageal tissue in diseases other than EoE. One example is acid reflux. These diseases must be ruled out before making an accurate diagnosis of EoE.

Who is at Risk for Eosinophilic Esophagitis?

Most people with EoE are atopic, meaning they have symptoms of one or more allergic disorders. These allergic conditions include allergic rhinitis, asthma, atopic dermatitis (eczema), and food allergy. 

About half of the people with EoE also have seasonal allergies or asthma and notice their EoE symptoms get worse during the times of the year they experience seasonal allergy symptoms. Others may have food allergies or eczema, and some have a combination of allergic conditions that increase the risk of EoE.  About one in four people who have food allergy-induced EoE notice a seasonal variation in their symptoms.

In some cases, there is a genetic component, so having a family member with EoE can also be a risk factor. You can develop EoE at any age, though for reasons not yet understood, it impacts three times as many men as women. If left untreated, symptoms cause further damage to your esophagus and, potentially, your overall health.

How is Eosinophilic Esophagitis Diagnosed and Treated?

EoE is a complex disorder that often requires a gastroenterologist and an allergist/immunologist to work together to confirm the diagnosis and develop the proper EoE treatment and management plan.

Currently, an upper endoscopy and biopsies of the esophagus conducted by a gastroenterologist are necessary to confirm a diagnosis of EoE. This involves passing a flexible tube containing a light source and a camera lens down your throat to allow your doctor to see the tissue more clearly. Tiny samples of tissue can also be collected to detect levels of eosinophils by examining them under a microscope.

An allergist will determine what role allergies are playing in your condition. They may utilize allergy testing and a thorough history of symptoms during the diagnostic process. Allergy skin prick tests can identify sensitivity to environmental allergens like pollen, mold, pet dander, and dust mites.

Adverse responses to food are the main cause of EoE in many patients. If food(s) are suspected, eliminating the most common triggers may be recommended to see if symptoms improve. Common food triggers include dairy, eggs, peanuts, other tree nuts, wheat, fish and shellfish, and soy products. If allergy testing identifies other food allergies, eliminating those foods may also be recommended. With EoE, it can be more difficult to establish the role caused by foods since reactions are slower, and a single food may be harder to pinpoint.

Medication Therapies for EoE

The treatment prescribed will depend on what’s triggering your EoE and the severity of your symptoms. In May 2022, the FDA approved the use of Dupixent (dupilumab) in adults and children 12 years and older for treating eosinophilic esophagitis. This is the first medicine to be approved for EoE treatment. This injectable biologic medication reduces inflammation associated with the disease improving the ability to swallow.

Other medications have been used to reduce eosinophils in the esophagus, including proton pump inhibitors (PPIs) which reduce acid production in the stomach and swallowed inhaled steroids, which control inflammation. Careful monitoring by physicians knowledgeable in treating EoE is important.

After diagnosis, managing EoE will require close collaboration and communication between your allergist and gastroenterologist. For those newly diagnosed, additional resources are available from the American Partnership for Eosinophilic Disorders.

Treatment for Eosinophilic Esophagitis in San Antonio

At AllergySA, our San Antonio allergists are experts in treating a wide range of conditions, including EoE. The first step in living with eosinophilic esophagitis is an accurate diagnosis. We have three convenient allergy clinics in San Antonio that treat both children and adults. To schedule an appointment, call (210) 616-0882.

May 12, 2023/by Kayla Gomez
https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2023/05/Young-woman-suffering-from-sore-throat.jpg?time=1696079360 326 833 Kayla Gomez https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2021/11/allergysa-logo-accredited.png Kayla Gomez2023-05-12 14:24:482023-05-12 14:26:59What Is Eosinophilic Esophagitis?
Allergies, Health

How Does the FASTER Act Address the Rise of Sesame Seed Allergy?

The Food Allergy Safety, Treatment, Education, and Research (FASTER) Act was signed into law in April of 2021, prioritizing food allergy research and specifically declaring sesame as the 9th major food allergen recognized by the United States. The FASTER Act went into effect on January 1, 2023, and will require allergen labeling laws to be updated to include sesame seeds, sesame oil, sesame paste, and any other sesame products.

How Common is Sesame Seed Allergy?

Sesame seed allergy has increased over the years in part due to the growing number of products containing sesame seeds and sesame oil. Sesame can be found in foods, cosmetics, lotions, nutritional supplements, and pharmaceutical items. It is estimated that more than 1.5 million Americans are allergic to sesame, and some experts believe sesame allergy to have increased more in the past 20 years than other food allergies. Up until now, it has been challenging to avoid sesame for those who are allergic, given the lack of official labeling compared to the other prevalent food allergies (peanut, tree nut, milk, egg, soy, fish, shellfish, wheat).

What Foods Should You Avoid If You Have Sesame Seed Allergy?

Sesame seeds are often added to breads or sprinkled on buns and bagels. They are frequently included in baked crackers and are made into a paste called tahini, used to make hummus. Sesame oil is often used to sauté meats and vegetables, or is added to dressings and marinades. Sesame is very popular in various cuisines including Middle Eastern, Chinese, Japanese, Vietnamese, and Korean.

Other foods that commonly contain sesame:

  • Cereals (granola or muesli)
  • Chips (bagel chips, pita chips, and tortilla chips)
  • Dipping sauces (baba ghanoush, hummus, tahini)
  • Breadcrumbs
  • Sushi
  • Falafel
  • Flavored rice, noodles, risotto, shish kebabs, stews, and stir fry
  • Soups
  • Herbs and herbal drinks
  • Margarine
  • Processed meats and sausages
  • Protein and energy bars
  • Vegetarian burgers

If allergic to sesame, you should avoid all foods containing sesame, including oil. Most highly processed oils from allergenic foods, such as peanut or soy, are safe for cooking for individuals allergic to those foods. However, sesame oil is not highly processed and remains dangerous for sesame-allergic individuals.

What Else Does the FASTER Act Do to Address Food Allergies?

In addition to labeling sesame, the FASTER Act also prioritizes food allergy advocacy and research. It requires the Department of Health and Human Services (HHS) to report on information and data collection activities related to food allergy research – increasing the possibility of more advanced treatments in the future. This is exciting news for the 32 million Americans, both children and adults, living with at least one food allergy.

What Are the Symptoms of a Sesame Seed Allergy?

The level of sensitivity to sesame seeds, oils, and pastes can vary from person to person, so not all reactions are the same. As with any allergy, reactions can also be unpredictable. Mild to moderate reactions may include hives, itching, nasal congestion, wheezing and shortness of breath. A severe sesame allergy can lead to a life-threatening allergic reaction known as anaphylaxis. Signs of a severe anaphylactic reaction can include throat constriction, shortness of breath, difficulty breathing, confusion and/or dizziness, fainting or loss of consciousness.

How Do You Know If You are Allergic to Sesame Seeds?

If you suspect an allergy to sesame, or any food, schedule an appointment with a board certified allergist. Your allergist will take a detailed medical history, perform a physical exam, and suggest diagnostic testing like an allergy skin test. Results of the skin test will be provided at the appointment, and if an allergy is confirmed, an allergen avoidance and food allergy management plan will be discussed. Anyone with a confirmed food allergy must carry an epinephrine auto-injector and have an anaphylaxis care plan in place.

Food Allergy Research and Education (FARE) has developed a guide for How To Read A Label for a Sesame-free Diet.

The improvements provided by the FASTER Act will make it easier for those allergic to sesame to avoid the foods that can cause dangerous allergic reactions. We are also hopeful that the emphasis placed on food allergy research and advocacy by this new legislation will lead to better treatments and potentially move us closer to a cure for those with food allergies.

If you are concerned you might have an allergy to sesame or another food, schedule an appointment to meet with one of our food allergy experts. An accurate diagnosis is the first step in managing food allergies. Call 210-616-0882 today!

January 19, 2023/by Kayla Gomez
https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2023/01/sesame-seeds-1-scaled.jpg?time=1696079360 1703 2560 Kayla Gomez https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2021/11/allergysa-logo-accredited.png Kayla Gomez2023-01-19 16:16:202023-01-19 16:16:20How Does the FASTER Act Address the Rise of Sesame Seed Allergy?
Allergies, English, Health

Commit to Better Breathing in the New Year!

With the new year come new opportunities for health goals and resolutions. For allergy and asthma sufferers, it’s the perfect time to get the wheezing and sneezing under control and commit to better breathing in the coming year!

There are many benefits to seeing an allergist early in the year. Here are just a few allergy and asthma tips to help you enjoy a year with fewer symptoms and better health!  

Tips for Allergy Sufferers:

  •       Identify what is triggering your symptoms. Knowing what triggers your allergy symptoms is the only way to control them effectively. A board-certified allergist will take a complete history and perform testing that will definitively identify your specific allergies.
  •       Make changes around your home to combat your seasonal allergies this winter. If you are perpetually stuffy, have itchy eyes, and have pressure in your head this time of the year, you might suffer from what is often called winter or indoor allergies. Because you are indoors more during the colder months (often with little ventilation), you are exposed to indoor allergens like mold, dust mites, and animal dander. A visit to an allergy expert will include a discussion on environmental control measures to help reduce your allergic reactions when inside. 
  •       Plan ahead for the spring pollen season. In Central Texas, we go from mountain cedar pollen season to the spring pollen season, where trees such as oak, elm, and ash release their pollen. If you are allergic to any of these pollens, you may experience symptoms from December through May, and that’s a long time to be miserable! Your allergist will advise you on what medications and when to start them to reduce the runny nose, itchy eyes, and congestion that plague so many. For those with year-round or particularly bothersome seasonal allergies, your allergist might prescribe immunotherapy which can permanently modify your allergies, and in some cases, prevent allergy development. 

Tips for Asthma Sufferers:

  •       Identify your asthma triggers. Just like with allergies, knowing what triggers your symptoms is the first step in controlling your asthma. Be aware of the allergy/asthma connection. Approximately 80% of children and over 50% of adults have allergies that trigger their asthma symptoms. If you treat your allergies, you will help control your asthma. 
  •       Avoid smoke! Giving up cigarettes should top your list for overall health, and especially for healthier lungs. But beware of secondhand smoke as an asthma trigger. A recent study showed that children with asthma who are exposed to secondhand smoke had nearly double the risk of being hospitalized than children who aren’t exposed. Additionally, a fire in the hearth is wonderful this time of year – but that smoke can also cause an asthma exacerbation.       
  •       Beware of cold temperatures, especially during exercise. Try not to exercise in a cold room or outdoors during the winter season. Use your inhaler before exercise and during, if needed. Simply breathing cold, dry air will affect asthmatics. Keeping the humidity level in your home between 30 and 50 percent will help minimize asthma symptoms.
  •       Take care of yourself. Viruses are more prevalent during winter and can trigger asthma symptoms. Wash your hands often, get plenty of rest, stay hydrated and avoid crowded/stuffy places when possible. Also, make sure you are current on vaccinations. Get your annual flu shot and COVID booster.
  •       Manage stress. Emotional anxiety and stress can increase asthma symptoms and cause an attack.

Can an Allergist Help Me with Better Breathing?

Allergists are physicians specially trained to treat asthma. Studies have shown that compared to care by a general practitioner, asthma sufferers getting care from a board-certified allergist have fewer hospitalizations and emergency room visits, higher ratings for the quality of care, fewer restrictions in activities, and improved physical function. 

Scheduling an Appointment with our San Antonio Allergists 

As the largest allergy and asthma practice in San Antonio, our board-certified doctors and medical staff are experts at treating ailments in children and adults. Our team of medical professionals are committed to caring for patients with asthma, allergies, and immunology issues. We seek to improve the quality of life for our patients and their families by providing them with comprehensive medical services in a timely and caring manner.

Our allergy and asthma clinics in San Antonio provide an accurate diagnosis and customized treatment plans to help you breathe better and live better! We see patients at three area locations, Stone Oak, Medical Center, and Southside. Schedule an appointment today by calling 210-616-0882. 

December 27, 2022/by Kayla Gomez
https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2022/12/iStock-1434268258.jpg?time=1696079360 1414 2121 Kayla Gomez https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2021/11/allergysa-logo-accredited.png Kayla Gomez2022-12-27 15:22:362022-12-27 15:22:36Commit to Better Breathing in the New Year!
Allergies, English, Health

Allergy & Asthma Tips for a Happy Holiday Season

The holiday and winter season can be a tough time for individuals with allergies or asthma. From the cold weather to the holiday meals, it’s important for individuals with these conditions to be aware of potential risks they might face. Here are some tips to help you avoid seasonal triggers and holiday challenges.

Asthma

  • Avoid holiday air fresheners. Gingerbread, pumpkin, and pine scents can be inviting for some, yet hazardous for others. One-third of people with asthma report health problems from air fresheners which contain volatile organic compounds (VOCs). VOC exposure can increase the risk of asthma in children. Holiday candles and other items that provide seasonal scents can also trigger allergic symptoms in some people.
  • A fire in the hearth is wonderful this time of the year, but smoke is a common trigger for those with asthma. You might have to mingle in another room — and as always — stay away from cigarette smoke.
  • Asthma can also be triggered by exposure to the cold/dry air of winter. Our increased exposure to viral infections during these winter months is an additional concern for asthmatics.

Seasonal and Environmental Allergies

  • Although some areas of the country experience a reprieve from seasonal pollen triggers in the winter months, here in Texas, we get to deal with Mountain  Cedar tree pollen. Symptoms which include runny nose, congestion, itchy eyes, and cough, can impact those allergic to this tree’s pollen from late November through February. The male tree produces ‘puffs’ that look like pollen clouds and sometimes resemble smoke. Those with ‘Cedar Fever’ may also experience sore throat, headache, and fatigue, making this a miserable time of the year.
  • Christmas trees are often cited as the source of an allergy attack during the holidays. The mold that is associated with watering live trees and the chemicals sprayed on these trees are most likely culprits.
  • Tree sap contains terpene and other substances that can irritate skin and mucous membranes. Trees may also be harboring pollen from their time on the tree farm. If you choose a live tree, try blasting it with a leaf blower or rinse it and allow it to dry before bringing it inside. Wear long sleeves and gloves when handling the tree. Running an air purifier in the same room as the tree may also reduce your allergic symptoms.
  • Artificial trees and other decorations can still trigger symptoms due to the dust and mold they often collect. Remember to store artificial trees and other decorations in dry/airtight containers and wipe them down before storing them.
  • Poinsettias, a member of the rubber tree family, are everywhere this time of year. Although the risk of a severe reaction is low, it’s best to avoid direct contact with this plant if you have a latex allergy.
  • Fido and The Thanksgiving Effect. You may have become tolerant to your dog or cat, but if you go away for the holidays or are a college student returning home for the break, you may find yourself sneezing and wheezing. This is known as The Thanksgiving Effect. Speak with your allergist for ways to control these symptoms.

Food Allergies

The holiday season means dining away from home, parties, and special foods. The key to managing food allergies is to be certain what you are allergic to and communicating this information to others. Allergy skin prick testing and, when appropriate, an oral food challenge is the most accurate test for diagnosing a food allergy.

  • Always inquire about ingredients in foods, and never leave home without your injectable epinephrine (at any time of the year!)
  • Be careful at the holiday feast. Food allergens can show up in the strangest places — so be cautious when making your plate. You may be surprised to learn that even turkey can be tricky! Allergens in stuffing can be absorbed into the meat, so cook the bird unstuffed.
  • Consider a natural turkey that has no additives. Some self-basting brands can contain soy, wheat, and dairy.
  • If your child has a food allergy, volunteer to provide allergen-free snacks for school parties or holiday events to ensure there will be safe food available your child can enjoy. Remind your child to always ask if this food is “safe” for them as there is an abundance of new items around during this season.

Take Care of Yourself!

  • Get enough sleep, manage stress, and stay hydrated.
  • Always carry your allergy and asthma medications like antihistamines, inhalers, and epinephrine.
  • If traveling by plane, pack medications in your carry-on bag in the event your luggage does not arrive with you.
  • Wash your hands frequently to avoid illness, and make sure you are up to date on all vaccinations, including your annual flu shot. No one wants to be sick, especially this time of year!

Best wishes for a safe and symptom-free holiday season! Remember, we are here to help should you need us.  Call us at (210) 616-0882.

November 9, 2022/by Kayla Gomez
https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2022/11/iStock-1161792469.jpg?time=1696079360 1299 2309 Kayla Gomez https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2021/11/allergysa-logo-accredited.png Kayla Gomez2022-11-09 08:07:152022-11-09 08:07:15Allergy & Asthma Tips for a Happy Holiday Season
Allergies, English, Health

Eczema – The First Sign That Other Allergic Conditions May Follow

Researchers are continually learning more about the underlying causes and triggers of eczema. Even today, the root cause remains a bit of a mystery. Allergy experts believe that it’s related to one’s genetics (up to 70% of people with eczema report a family history of the condition), an immune system that is sensitive to irritants and allergens, and a defective skin barrier. The result is different in each patient but generally presents with patches of itchy, inflamed, or irritated skin. Eczema is a chronic disease that can last throughout your life with periods of ‘flares’ where symptoms are at their worst, but also long periods with no symptoms at all.

According to the National Eczema Association, 1 in 10 people will experience eczema at some point in their lives. Although often thought of as childhood disease, over 16 million adults in the U.S have atopic dermatitis, the most common form of eczema.

Common Signs and Symptoms of Eczema:

  • Dry or scaly skin
  • Exaggerated redness
  • Flaking and cracking skin
  • Hyperpigmentation
  • Intense itching

Beyond the physical manifestations of eczema, this skin condition also impacts one’s lifestyle. According to The Allergy and Asthma Foundation of America, people with atopic dermatitis report lifestyle and activity limits, and avoidance of social interaction because of appearance. Sleep disturbance is also a commonly reported side effect of this condition.

The First Indicator May Come During Infancy

Particularly common in infants, symptoms of this often hereditary, non-contagious condition are frequently detected before a baby is one year old. The American College of Allergy, Asthma and Immunology states that 10-20% of children may have eczema with 60 percent of those experiencing symptoms by age 1, and another 30 percent will experience symptoms by age 5.

The condition can be more severe for Black or Hispanic individuals and appears differently than in Caucasian skin. In general, children with a family history of allergic diseases such as asthma or other allergies (including hay fever) are most often at an increased risk for developing eczema.

Marching Forward with Other Allergic Conditions

Many children with eczema will see improvement in their skin by the time they are five or six years old. However, youngsters diagnosed with this condition are more likely to develop other allergic conditions later on. The American College of Allergy, Asthma and Immunology explains this correlation further. Eczema is part of the ‘Allergic March’, also called the ‘Atopic March’.  This begins with the diagnosis of eczema during infancy, later followed by food allergy, allergic rhinitis (also known as hay fever) and asthma, typically in that order. Studies show up to 80 percent of children with eczema develop asthma and/or allergic rhinitis later in childhood.

Diagnosing and Treating Eczema

If your skin condition is the result of an allergy, your allergist can diagnose and treat your condition, greatly improving your quality of life.

It is first important to identify the triggers and then control the symptoms. Triggers that can make eczema worse range from rough clothing to exposure to allergens such as foods, pollens, dust mites, and pet dander. Sweat, irritating products and even getting emotionally upset can also aggravate the symptoms. Your doctor will discuss ways to avoid your triggers and determine the best plan of treatment.

Treatment may include antihistamines and moisturizing ointments to relieve the itch and irritation. In recent years allergists have added several new tools for treating skin allergies including an ointment for mild to moderate atopic dermatitis and a biologic for moderate to severe AD. Your allergist will advise as to the best plan for you or your child.

Parents of infants diagnosed with eczema may need to be prepared for other allergies that will develop over their child’s lifetime. “Though teens and even adults can develop eczema,” says AllergySA allergist, Raul Villareal, M.D., “we can generally advise that if your baby is diagnosed with eczema, it’s a good idea to connect with an allergist to help monitor for other allergic developments later.”

If you’re noticing early signs of eczema and want to know more about its relationship to other allergies that may develop in the future, our allergy experts are here to help. Call (210) 616-0882 to schedule an evaluation.

October 27, 2022/by Kayla Gomez
https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2022/10/iStock-840858638.jpg?time=1696079360 1414 2121 Kayla Gomez https://4xz24f.p3cdn1.secureserver.net/wp-content/uploads/2021/11/allergysa-logo-accredited.png Kayla Gomez2022-10-27 13:19:412022-10-27 14:26:57Eczema – The First Sign That Other Allergic Conditions May Follow
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Medical Center

2424 Babcock Road, Suite 301
San Antonio, TX 78229

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Monday: 8:00am – 5:00pm
Tuesday: 8:00am – 5:00pm
Wednesday: 8:00am – 7:00pm
Thursday: 8:00am – 5:00pm
Friday: 8:00am – 12:00pm
Saturday: 8:00am – 12:00pm

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Monday: 8:00am – 4:40pm
Tuesday: 8:00am – 4:40pm
Wednesday: 8:00am – 6:15pm
Thursday: 8:00am – 4:40pm
Friday: 8:00am – 11:40am
Saturday: 8:00am – 11:40am

Stone Oak

19016 Stone Oak Pkwy #250
San Antonio, TX 78258

Stone Oak AllergySA - 19016 Stone Oak Pkwy #250, San Antonio, TX 78258
Clinic Hours

Monday: 8:00am-5:00pm
Tuesday: 8:00am-5:00pm
Wednesday: 8:00am-5:00pm
Thursday: 8:00am-5:00pm

Allergy Shot Hours

Monday: 8:00am – 4:40pm
Tuesday: 8:00am – 4:40pm
Wednesday: 8:00am – 4:40pm
Thursday: 8:00am – 4:40pm

Southside

7500 Barlite Blvd #106
San Antonio, TX 78224

South Side - AllergySA.com - 7500 Barlite Blvd #106, San Antonio, TX 78224
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Tuesday: 8:00am – 5:00pm
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Tuesday: 8:00am – 4:40pm
Wednesday: 8:00am – 4:40pm
Thursday: 8:00am – 4:40pm
Friday: 8:00am – 11:40am

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