The Flu And Your Child

Cooler temperatures have moved into the area and with them, the threat of the flu. I tell my patients that they should take certain measures to watch for symptoms of the flu, especially in their children.

The flu season starts in the fall but peaks in February and can continue into May, so it is important that people get a flu vaccine starting now.

Flu symptoms are more severe than a childhood cold. And may include:

*A high fever up to 104 degrees F
*Chills
*Extreme tiredness
*Body and headaches
*Dry cough, sore throat
*Vomiting and stomach distress

An important advisory from The New York State Department of Health warns that “children aged 6 months through 8 years old age who have never received a seasonal flu vaccine need to get two doses of vaccine spaced at least 4 weeks apart. And healthy children over the age of two who don’t have a history of wheezing or asthma may have the option of getting the nasal spray influenza vaccine.”

Also, the State Department of Health recommends that “pregnant women and caregivers of children younger than 6 months or children with certain health conditions should be vaccinated.”

If your child gets the flu, remember that the flu is a virus and using antibiotics to treat it are useless since they treat bacterial infections. Antiviral medications can be used for high-risk cases, but there a number of home remedies that can be used to treat it:

*Plenty of rest
*Plenty of liquids
*Use acetaminophen or ibuprofen to lower fever, but avoid giving aspirin to children or teenagers since this could lead to Reye’s syndrome, a rare disorder that might cause severe liver or brain damage.

The FDA recommends that over-counter-medicines should not be given to children younger than 4, and as with all over-the-counter medicines for children, in general, it is advisable to consult your doctor.

For more information go to: http://www.nycallergydoctor.com/allergy

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Non-Allergic Asthma. Causes And Treatment

A big part of my practice is seeing patients with asthma. They often ask me, “Dr. Lubitz, what triggers my asthma and how can I control it?”

I tell them first that I have to determine whether they have allergic asthma or non-allergic (intrinsic asthma). The Asthma and Allergy Foundation of America (AAFA) states both types of asthma exhibit the same symptoms: coughing, wheezing, shortness of breath or rapid breating and chest tightness. However where allergic asthma is triggered by allergies such as food, pollen and other allergens, non-allergic asthma does not involve an immune-system response (like intrinsic asthma) but is triggered by other factors.

The Asthma Center Education and Research Fund states that symptoms that provoke non-allergic asthma include “weather changes, cold air, exercise, indoor pollutants (household cleaners and chemicals cigarette smoke, perfumes), outdoor pollutants (ozone, sulfur dioxide, carbon monoxide) and strong odors (perfumes, scented sprays, fresh pain, moth balls).”

Also, I read an interesting article in the Wall Street Journal that stated that New York’s Columbia University Medical Center commissioned a study on asthma that found “an association between asthma rates and phtalates, chemicals used in many plastic products that have raised concerns.” Though more research needs to be done.

There are a variety of drugs that treat non-allergic asthma. Corticosteriods, such as prednisone, administered with an inhaler, works well for allergic asthma because it “dampens the body’s immune response to an allergen, but is less effective on nonallergic asthma. Instead, these patients might be given another type of drug called a beta-agonist, such as albuterol and levalbuterol, which works by relaxing lung muscles.”

If you exhibit any symptoms of asthma, it is important to see a medical professional immediately.

For more information: http://www.nycallergydoctor.com/allergy

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What You Should Know About The Enterovirus

Flu season has just begun yet a lot of my patients who have kids, are concerned about another illness that may affect their children–the Enterovirus D68.

This enterovirus virus first appeared back in August, in the Mid-West It has now spread to many states throughout the country. The New York Health Department has reported 14 cases in the western part of the state in early September, with new cases having now spread to New York City and Long Island.

In an interesting post on Web MD, Dr. Mary Anne Jackson of Children’s Mercy Hospital, Kansas City, MO said that the D68 virus doesn’t follow the normal course of most viruses. She said “viral infections start out with a fever, cough, and a runny nose. But kids with D68 infections–from 6 mos of age to 6 years old– have a cough and trouble breathing, sometimes wheezing. They act like they have asthma, even if they don’t have a history of it.”

Since it is a virus, there is no vaccine to prevent it nor do antibiotics help since it is non-bacterial in original. Symptoms, however can be moderate to severe.

For moderate symptoms, give children plenty of liquids and rest, says Roya Samuels, MD, at Children’s Medical Center in New Hyde Park. But for more severe symptoms she says “if there’s any rapid breathing, and that means breathing more than once per second consistently over the span of an hour. Or there is labored breathing, it’s time to head to the doctor’s office or emergency room.” Once hospitalized, children may receive supplemental oxygen or get medications like abuterol to open airways.

Prevention is key. The New York State Department of Health advises the public to take the following preventive measures:

*Wash hands often with soap and water.

* Avoid touching eyes, nose and mouth with unwashed hands.

*Avoid kissing, hugging, and sharing cups of eating utensils with people who are sick.

*Disinfect frequently touched surfaces.

*Use the same precautions you would to prevent the spread of influenza.

For more information: http://www.nycallergydoctor.com/allergy

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Allergy Ear Pain

When my patients talk to be about allergies, they exhibit a lot of symptoms. Besides a stuffy nose, ear pain is another prevalent symptom.

The sinuses and ears are connected inside your head. So clogged sinuses may cause ear pressure.

Common examples of ear discomfort says the website Livingstrong.com are “ear popping and sensations of the ear feeling full, states the American Academy of Family Physicians. This can occur if the mucus produced by an allergic reaction, drains into the Eustachian tube. If the lining of this tube becomes inflamed, then the ears may start to feel full and pop. This can lead to a loss of balance, dizziness and even vertigo.”

In an interesting post on the website WebMD There are various treatments to help the allergy sufferer with earache. They include:

Lubricating sinuses by using a nasal saline spray several times a day or use a humidifier. Also the use of a warm moist washcloth and hot showers is recommended; over-the-counter medicines such as Aleve, Tylenol or Motrin can ease ear pain; use nasal sprays in the short-term (not more than 3 days) or decongestant tablets; avoid temperature extremes; avoid suddenly movements to your head; blow your nose gently; flush your body with plenty of fluids especially at night–this makes the mucus more fluid; avoid caffeine, salt, alcohol, and tobacco products. These substances change blood circulation and can affect your ears.

Flying is another problem that people with earaches should avoid. If you have to travel by air, before boarding the plane, take nasal spray or oral decongestant at least 30 minutes to an hour before takeoff, since it takes time for them to kick in.

Finally, see an allergist if the ear problems are persistent; you have a fever, head, face, or ear pain doesn’t dissipate after taking non-prescription medication; and symptoms last for more than week, or keep coming back.

For further information: http://www.nycallergydoctor.com/allergy

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Oral Allergy Syndrome

Some of my patients have been recently complaining about watery and swollen eyes, sneezing and itchy throat, symptoms that are commonly associated to ragweed.

Many people might think that ragweed is a spring or summer allergy, but really the ragweed season becomes intense in the fall, beginning, nowadays in August and going strong through October.

Ragweed can also be an oral allergy syndrome (OAS). This means that the pollen which comes from ragweed, a weed that bears a similarity to the proteins in vegetables and fruits. So the immune systems reacts by an allergic response to fight off what the body perceives as a danger.

Certain foods exacerbate ragweed allergies. These are bananas, chamomile tea, dandelion, Echinacea, melon ( honeydew, cantaloupe and watermelon), sunflower seeds and zucchini.

According to an interesting article by the Allergy and Asthma Foundation of America (AAFA), other pollen allergies that may cross-react to certain foods are:

Birch pollen allergy–may react to kiwi, apples, pears, peaches plums, coriander, fennel, parsley, celery, cherries, carrots, hazelnuts and almonds.

Grass Pollen Allergy–people may react to peaches, celery, tomatoes, melons and oranges.

Natural Rubber Latex (NRL) Allergy. Even people handling food with latex may induce an allergic response if one is eating bananas, avocados, kiwi, chestnut and papaya.

The symptoms of oral allergy syndrome can be complex and may constitute a diagnosis of other medical conditions such as food intolerance, other types of food-borne illnesses or food poisoning.

Contact an allergist to determine whether you have OAS or another food illness.

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Food Allergies And The International Traveler

All lot of my patients love to travel. Experiencing another culture is great way to broaden your horizons. But beyond the sights and sounds of distant locales, a primary component of any traveler’s experience is dining out in those countries.

For the food allergy traveler, this can be daunting. But there are four ways for you to dip into cuisine of these countries, safely.

Carry allergy cards. In 2004, a couple’s daughter returned from her trip through Europe, complaining that she couldn’t or was wary of eating most foods there due to her nut allergies. She only ate vanilla ice cream, shishkaboobs and bread throughout her trip.

So her parents started SelectWisely.com. It is company that produces allergy alert cards that are laminated and the size of a business card. The card states the allergy the traveler is susceptible to in English and one of 60 foreign languages and shows a picture of the allergy itself.

Allergy FT: Allergy Food Translator App Screens. This mobile app for iOS only (www.allergyft.com) lists 62 food allergies and translates them into French, German and Spanish– which claim its developer–will help you navigate cuisine in 57 countries around the world that speak these languages. All you do is select the language, then select the allergy and the allergy warning in those languages pops up on the screen. Allergy FT said is updating its app to include more languages.

IAMAT Directory. If an allergic reaction to food does occur while your traveling abroad, an indispensable resource to have is International Association for Medical Assistance To Travelers (IAMAT) directory. It lists the local hospitals of a particular country that assistant travelers and that speak English. Contact them at (www.iamat.org.)

Ep-iPen. The IAMAT states travelers with food allergies should carry at least two vials of epinephrine in case of a anaphylactic reaction.

For more information on food allergies: http://www.nycallergydoctor.com/allergy

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An Allergy Can Turn You Into A Reluctant Vegeterian

I have a friend, a retired doctor, who is a vegetarian. He is strict and won’t eat any red meat, chicken or fish. I know that eating vegetarian is healthy, but once and a while I like a pastrami sandwich, you know what I mean.

But for some people, being vegetarian is not a matter of choice.

Doctors across the country are seeing a phenomenon in which people are suddenly allergic to meat because they were bitten by a certain type of tick.

Most people associate tick bites with other diseases, such as Lyme disease. But this tick is different. Called the Lone Star tick, named for the state of Texas–it has caused severe allergic reactions in people who have eaten a burger or a steak and has landed them in the hospital. The allergy has spread from the Southwest and the East and is spreading to other parts of the US.

An interesting article in Science Daily quotes Vanderbilt University Medical Center’s Dr. Robert Valet who says, “it is not completely understood exactly how the allergy starts. The thought is that the tick has an alpha-gal sugar in its gut and introduces it as part of the allergic bite and that causes the production of the allergy antibody threat then cross-reacts to the meat.”

Vanderbilt reports seeing one or more new cases each week.

In the Wall Street Journal, Dr. Erin McGintee, an allergist on Long Island has reported to have seen as many as 200 Lone Star tick cases in the last three years. She says “the symptoms can occur as long as eight hours afte eating meat rather than immediately.

Allergic symptoms, said Dr. Valet, can range from the hives and swelling, to broader ones such as vomiting, diarrhea, trouble breathing, and a drop in lood pressure. Other symptoms such as itching can be treated with antihistamines, but severe or broader ones can only be treated with epinephrine.

People who have suffered an allergic attack are encouraged to carry an EpiPen in case of a reoccurance of symptoms from cross-contimination of any food associated with red meat.

 

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What You Should Know About COPD

A lot of my practice deals with allergies and asthma. But I also deal with a disease that can be confused with asthma, COPD.

Chronic obstructive pulmonary disease (COPD), according to the Mayo Clinic, is a group of lung diseases that block airflow and make breathing difficult. The two primary examples of COPD are emphysema and chronic bronchitis.

States the Mayo Clinic website, “in chronic bronchitis, there is an inflammation of the lining your bronchial tubes, which carry air to and from your lungs. Emphysema occurs when the air saces (alveoli) at the end of the smallest air passages (bronchioles) in the lungs are gradually destroyed.

Now there are similarities between COPD and asthma. In an interesting article in the Medscape Journal, the publication characterizes the commonality of symptoms: It states “both are characterized by a reduced rate of pulmonary airflow from increased inflammation. Airway obstruction is typically fully or nearly fully reversible in patients with asthma, whereas COPD is characterized by airway obstruction that is not fully reversible.”

However, the causes of asthma and COPD are different. Asthmatics may have a genetic predisposition to their illness, which tends to run in families. However, not all predisposed family members may get asthma. Some experts theorize that respiratory infections in infancy or early childhood may play a major role in the disease.

COPD on the other hand, has a more definitive cause. Smoking constitutes a majority of cases in 85 to 90 percent of COPD deaths. Moreover, exposure to air pollution, chemicals, and secondhand smoke can also cause it. In rare cases, says the American Lung Association, there is a genetic defect called alpha-1 antitrypsin deficiency, constituting 2 to 3 percent of all COPD cases.

COPD is often not diagnosed in people until they reach 40 years of age. Asthma cases are diagnosed very early; children often exhibit symptoms at the age of 5. COPD is a progressive disease, unlike asthma, where is some cases some children may even outgrow the condition as they get older.

While medical treatment for COPD may not repair structural changes in already damaged lung tissue, it can slow down the progression of the disease.

 

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Fish Allergies

In recent years, the conventional wisdom is that the Americans consume too much meat in their diet. Public health officials have said that we should diversify our diet with dairy, vegetables and fish. Yet some Americans are allergic to fish and may be allergic to products that contain fish.

WebMD states that food products containing fish ingredients are: “Worcestershire sauce, barbecue sauces made with Worcestershire; Caesar salad and Caesar dressing, caponata (Sicilian eggplant relish), caviar and fish roe; artificial fish like imitation crabmeat, and fish sauce, oils, and gelatin.”

I tell my patients that those who are allergic to fish, may only be allergic to only a certain type of fish. Some allergists feel that a fish allergic person should avoid fish altogether, but that person may feel that he or she should be allowed to eat other types of fish in their diet. They can ask their allergist to test them for their specific fish allergy.

The American College of Allergy, Asthma and Immunology (ACAAI) website states that after your allergist tests you for your particular fish allergy “take extra precautions to avoid cross-contact (when two foods come into contact with each other and their proteins mix) when purchasing fish from a market or when dining out.”

Typical symptoms of fish allergies, like other food allergies, may include: nausea, stomach cramps, indigestion, vomiting, diarrhea, stuffy/runny nose, sneezing, headaches, and asthma. Yet some people are so sensitive to fish allergies, that merely touching fish or being in an area where it is being cooked can provoke a severe anaphylactic response. People that are so allergic adverse are advised to carry an epien (epinephrine injector) with them and to avoid fish contaminated areas.

For further information: http://www.nycallergydoctor.com/allergy

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Are Your Allergic To Your iPad?

In my practice, I see a lot of pediatric rashes: heat rashes, medicine rashes, ringworm and even swimmer’s itch, among others. But now there’s a rash that’s connected to our web obsessed culture–the iPad rash.

It appears that the Apple’s i Pad has been cast as the culprit in reports of unexplained allergic rashes in children, according to an interesting story I recently saw in the Washington Post. The paper reported the iPad allergy outbreak from a study in the medical journal, Pediatrics.

The study profiled an 11- year old boy who had an itchy body rash which wouldn’t go away, who was treated at a San Diego hospital. The Daily Mail, a London-based newspaper stated “the boy had a common skin condition that causes scaly patches, but he developed a different rash all over his body that didn’t respond to usual treatment. Skin testing showed he had a nickel allergy, and doctors traced it to his iPad, which he had used daily.”

The boy improved after he put his iPad in a protective case.

However, the 11-year old isn’t an isolated case when it comes to nickel allergies. At the beginning of this year, people who brought the fitness tracker, Force- a wearable band– reported developing contact dermatitis from wearing this device. The manufacturer, Fitbit recalled the band after it was revealed that nickel was involved in the production of this product. Some wearers tried to cover the nickel port with tape, but it didn’t stop rash.

Dr. Sharon Jacob, a dermatologist at the San Diego hospital where the 11-year old was treated stated that “nickel allergies are becoming more common, or increasingly recognized.” And said that “national data showing that about 25 percent of children who get skin tests for allergies have nickel allergies, versus about 17 percent a decade ago.”

If you or your child have developed a rash that won’t go away or won’t respond to over-the-counter treatments, see your allergist.

For more information: visit http://www.nycallergydoctor.com/allergy

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