Dust Mite Allergy and Asthma

Dust mite allergy and asthma

Dust mite allergy and asthma

 

Dust Allergy and Asthma

 

 

 

 

Dr. Powlin Manuel is retired as of 1/1/22.

Dust allergy is one of the most common triggers of asthma. If you are allergic to dust the following symptoms are noticed on exposure to dust:

Blocked nose
Stuffy nose
Sneezing
Runny nose
Itching
Cough
Wheezing

For many individuals, suffering from asthma dust often triggers an attack of asthma. This could be due to dusts acting as a trigger from irritation of the nerve endings lining the airway tubes, as well as nostrils or an allergic reaction to different components of dust. Most of the dust particles are filtered and kept in the nose and sinuses and are thus prevented from entering the lower airway. Once trapped in the nose, sneezing is triggered resulting in forceful expulsion of dust particles. Sudden production of mucus is one way to wash away the dust particles trapped in the nasal passage. Further entry of dust particles is reduced by blockage of the nose due to swelling of the mucosal lining. Entry of dust particles in the upper airway and sinuses may induce a contraction of the lower airway leading to tightness of chest in those with asthma.

How to control symptoms due to dust allergy?

Avoid carpet floors if possible.
Avoid rugs.
Reduce unnecessary cushions on furniture.
Reduce the number of stuffed toys in your child’s room.
Avoid Venetian blinds.
Keep book shelves clean and free of dust.
There are many measures you need to take in order to achieve a good control of asthma. Remember that asthma symptoms occur when the external environment forces the airway to contract (shrink). This is because the airway diameter can, at any time, based upon the exposure to offending agents, can change – this is in a way eliciting the protective mechanism to reduce the entry of offending agents into the airway.

Asthma – Information

Spring, wild flowers, and allergy

Camomile

wild flowers and allergy

Spring, wild flowers and allergy
Spring is very exciting because of the wide variety of flowers that add to the beauty of the natural landscape. Even wild flowers contribute to pleasurable experience of spring. Camomile is one wild flower widely present and flowering in spring.You can see them all over the open fields. Allergic dermatitis has been reported on exposure to camomile plants and camomile flowers. People who are hypersensitive to ragweed need to be careful of the exposure to camomile as it may may trigger symptoms of allergy due to cross-reactivity

Abdominal Pain and Kidney Stones in Children: Powlin Manuel MD, MS, MBA

Dr. Powlin Manuel is retired as of 1/1/22.

One of the most common reasons why teenage children are brought to the office is abdominal pain. It is often difficult for parents as well as a pediatrician to decide whether the complaint is real (organic) or perceived (with no specific cause could be found)! Stress from school, whether due to academic challenges or social issues such as bullying, the complaint of visceral pain and absenteeism from school due to abdominal pain is common. At times, the reason for the pain could be the kidney stones. The following facts will help parents understand whether the pain is due to kidney stones: pains due to kidney stones are more likely if it runs in the family, and if there was a previous incidence of kidney stones. Kidney stones are more probable in girls. The most common type of kidney stone being due to calcium oxalate, drinking lemon juice daily can reduce the incidence of future formation of kidney stones according to some authorities.

Camellia Trees

Dr. Powlin Manuel is retired as of 1/1/22.

Camellia

Camellia Flower

Camellia

Camellia flowers are now in bloom in the south – helping to break the winter gloom. Many distinctive varieties of camellia start to bloom at different months. Here is Camellia williamsi with its very attractive pollen. The pollen is too heavy to be air-born, hence does not cause any allergy symptom.

There are about 300  camellia species all over the world. The common variety is Camellia japonica of different colors and differing petal arrangements. The size of flowers also depending on the different species.

Camellias are grown commercially for using the leaves to make tea.

 

Cypress and Cedar Allergy

Cedar Allergy

Cedar Allergy

Cypress and Cedar Pollen Allergy: Cypress Tree Pollen

Cypress

 

Many of my patients have asked what is causing their symptoms at this time of the year. They suffer from exacerbation of allergy symptoms, including sneezing, cough and wheezing in Febrary due to allergy to cypress and cedar pollen. While many parts of the country are facing extreme cold weather, in the Southern United States cypress and cedar pollen is causing an early presentation of spring for those with an allergy to cypress and cedar.

 

 

Cypress Allergy

Cypress Allergy

Immunization and Achieving Immunity

allergy-test

Immunization and Achieving Immunity

There are always questions about immunization, especially amidst a flood of pieces of misinformation, widely present in the
Internet. Many parents have a tendency to delay vaccination for one reason or another; many parents want the immunization to be
not given at the same visit, as the schedule suggests. We come across this issue frequently. We advise that all required
vaccinations be given at the same time. The reason is simple; that is if not given together, an interval of more than 30 days
will be required between the administration of live virus infections for the best effect. The purpose of administering vaccines
is to achieve immunity to the diseases that can be prevented. If not given at the suggested intervals, the effectiveness of
vaccines may be diminished. It is best to give all immunizations at the recommended times in life.

Winter Allergy

Allergy in Winter

Asthma

Asthma

 

Cedar Allergy

Winter is not the season usually associated with pollen allergy. However, pollen grains from certai trees appear in Winter, which
can induce allergic reaction on inhalation leading to sneezing, wheezing, and triggering of asthma attack. Pollen grain from
mountain cedar trees, which grows in abundance in the Southern United States is a predominant source of allergy in December.”The
pollen appears copiously from late fall to late winter” inducing misery to patients with sinus allergy and asthma. Other Juniper
species include red eastern cedar.

Cedar Allergy

Cedar Allergy

Treatment for allergy to cedar pollen is basically allergy shots; pollen extract immunotherapy produces significant decreases in
symptoms during the cedar pollen season. Patients experiencing worsening of allergy symptoms during winter may consult allergists
for possible immunotherapy (allergy shots).

Juniper allergy

Juniper Allergy

Juniper Allergy

When will children grow out of milk allergy?

Ezcema of infants

Eczema of infants

Milk allergy

Milk allergy

 

 

When will children grow out of their milk allergy?

Milk allergy is a common problem; 2% to 3% of children are affected by it. While most children present with a mild degree of problems such as eczema and stomach complaints, rarely the milk allergy can cause serious reactions. Many parents want to know when their children will stop suffering from milk allergy.

Research shows about 50% of children will get rid of their allergy to milk by five years of age. Another 20% will be able to tolerate milk products by five years even though they may show allergy to whole milk.

The onset of milk allergy can occur very early as early as the first month of life. The symptoms are caused by immune changes in the gut in response to milk allergy. These changes can be due to the production of an antibody called IgE antibody or due to infiltration by immune cells causing damage to the intestines.

The acute reactions which most parents are worried about, are IgE-mediated reactions, which can result in life-threatening types of events in rare cases. More commonly we see patients with worsening skin rashes (eczema) due to milk allergy. The good news is that more than half of them will get some relief by five years of age.

Recurrent diarrhea is another reason why infants are brought to the pediatrician – which can be associated with allergic reaction. Recurrent diarrhea can lead to malnutrition in some cases. The IgE mediated allergy can be followed by infiltration by an immune cell called the eosinophil which can lead to damage to the lining of intestines. The eosinophils accumulating in high concentration in different parts of gut such as esophagus, gastrointestinal tract, and colon can result in vomiting, diarrhea, restlessness, failure to gain weight.

Practical problem with combining breast and bottle feeding

 

Combining breast and bottle feeding

Babies refusing to continue with breast feeding when bottle feeding is also offered a very common problem many young mothers face. Many infants do prefer a bottle to breast. It is much easier to get milk from a bottle than having to work (suck) to get milk. Many mothers have asked this question about what to do. We recommend feeding from breast first for about 15 minutes from each side, and then offer a bottle. If the baby is still hungry, he or she will take more milk from the bottle. If infants show a preference to bottle feeding, it is a good idea to feed from breast only for a few days and then introduce a bottle if needed. 

 

 

Fall Season and Allergy

Fall Season Allergy

The onset of fall season is associated with many colorful flowers. It is also associated with many flowering allergenic plants. Many individuals develop symptoms of allergy with the beginning of fall season. Ragweed pollen still predominates the pollen through the air, along with with grass and Elm Tree pollen.
Along with many flowering ragweeds, you many colorful weeds carrying yellow flowers; these are golden rods; they are not associated with inducing allergy symptoms in fall season.

Goldenrod:
Golden rods are producing attractive flowers now in many deserted areas across the land. They add a nice color to panoramic view. Goldenrod can grow to height between about three to five feet. They carry bright yellow flowers and slender stems. The leaves are linear with serrated edges.

Allergy tests are done for goldenrod as they are associated with symptoms of allergy. However, the pollen from goldenrod is not often air-borne as the pollen is heavy and sticky and is rarely carried through the air. Even though airway hypersensitive reactions are rare, allergic reaction can develop as a result of direct contact resulting in skin rashes, known as contact dermatitis. Golden rod 4