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In The News: Indoor Allergies

Dr. Carolyn with her dog Cider

Doctors and their Dogs

From their playful personalities and puppy-dog eyes to their joyful tail wags and the gift of putting a smile on faces young and small, it’s hard to deny that dogs truly are man’s (and woman’s) best friend! That certainly goes for our doctors here at Charleston Allergy & Asthma. We have a team full of dog-lovers, including some of our very own board-certified allergists!

We’ve rallied up all of the cute pup pictures, fun facts and some helpful tips on how you can still enjoy your favorite furry companion despite having pet allergies.

Folly

Folly is a sweet and affectionate English springer spaniel who’s been in Dr. Bruce Ball’s family for 9 years. He says she’s become quite the “velcro dog” during the pandemic and absolutely loves having the family home more. She’s a well-behaved, polite and sweet cuddly girl.

Learn more about how Dr. Ball recommends caring for pet allergies:

Is anyone in your home allergic to pets?

Yes, my son Devon is allergic. He completed allergen immunotherapy (allergy shots) and has no issues now.

What do you tell people with pet allergies?

In my entire career, I have never told someone that they had to get rid of their dog. We’re not in the business of taking pets out of people’s homes. If it is determined that you are allergic, it’s preferable that you become desensitized through allergen immunotherapy before you find your pet. However, if you already have your pet, starting allergy shots is a good next step. Keeping the animal out of your bedroom is highly recommended while you become desensitized and we can prescribe medicines to help control your symptoms while your immune system is built up.

Do you have a favorite pet memory from childhood?

We always had English springer spaniels and one summer, we had a big litter. There was one particularly precocious pup in the mix. My favorite memory from that summer is we were all eating watermelon and he got a hold of a rind. Before we knew it, he’d eaten quite a bit and his little belly had puffed up round and he had a precious watermelon-pink face.

Gabriel

Gabriel, or “Gabe” for short, is the sweet Bracco Italiano of Dr. Thomas Harper. He’s been with the Harper family since his “gotcha day” on October 21, 2017. Though he may be a dog, Dr. Harper says, “he runs like a horse. Pounces like a cat. Will stand on hind legs and box you like a kangaroo.” He’s a 75-pound athlete and has mastered lots of tricks!

While the Harper family doesn’t have any pet allergies in their household, we asked Dr. Harper a few questions that our patients could benefit from:

What advice would you give someone who has pet allergies and wants to get a pet?

“When you are pet allergic, you are allergic to a protein that’s in the hair, saliva, dander, etc. There is no such thing as a hypoallergenic pet. You can get pets that shed less, but they are still allergenic. If you want to get a pet, you can keep the pet outdoors, vacuum a lot, or invest in a HEPA filter.”

What about cats?

“Cats have a lot of allergen in their saliva and they groom their fur (which dogs don’t) so then allergen aerosolizes off their hair from grooming. If it’s an outdoor cat and the saliva aerosolizes, it’s no big deal. However, if the cat is in the house or an enclosed space, then the saliva aerosolizes and doesn’t go anywhere and the concentration increases.”

What is your top recommendation for treating pet allergies?

“You can also choose to be desensitized to the animals. Immunotherapy for pet allergies is incredibly successful. I have cared for three veterinarians that have been allergic to cats and dogs. Can you imagine? And they were all cured through immunotherapy.”

Boss

This handsome Boston terrier mix has belonged to Dr. Lindsey Stoltz Steadman for seven years. Full of energy with no pause button to be found, Boss is quite the handful and has plenty of nicknames including “Bossy,” “Bossydoodle” and even “Boo Bear!” You also might be impressed to hear that Boss can clear a 4.5” fence; he’s “like a gazelle.” Dr. Stoltz Steadman also had a pet growing up, a Yorkie named Spanky, who lived to be 17 years old!

When asked about pet allergies, Dr. Stoltz Steadman shared that she is mildly allergic to dogs but is able to control her symptoms with medicine and has likely built up a small tolerance to her allergies from Boss.  We asked her to give us a few tips for pet-lovers who struggle with allergies:

What advice do you have for someone with pet allergies longing for a pet?

“Expose yourself to different breeds, seek an animal out that sheds less. Keep them out of your bedroom, that will give you a short break from the allergens. I would definitely recommend getting started on an immunotherapy treatment prior to getting an animal so your symptoms will be better controlled. These treatments help alleviate your symptoms and often lead to complete relief from pet allergies in many of our patients.”

Indiana

This fluffy pup, known as Indiana or “Indy” belongs to Dr. Meredith Moore. He’s been with the family since December 2013! As a labradoodle, Indy is boisterous and energetic but he’s never met a person or animal that he didn’t fall in love with…except for a cat, that is.

Dr. Moore also shared how her family has dealt with pet allergies in their home:

Are you, or is anyone in your home, allergic to dogs? If so, what do you do?

“Yes, my oldest son is allergic to dogs. We had another dog that was a rescue and had her when Finn was growing up but we were moving so much when I was in the military that the dog went to live with grandparents. During this time, Finn developed his allergies to pets and we were unaware. When we settled, we rescued another dog and Finn had a terrible time with sneezing and wheezing so we were unable to keep that dog.  The family was so sad. We started Finn on allergy shots to try to combat this. After he was on for three years, we entertained the idea of getting another dog. We spent time with a friend’s labradoodle and also went and met a breeder and Finn did fine without any symptoms. Even in a room of 15 dogs! So, that’s how Indy joined our family.

There is no data that supports the term ‘hypoallergenic’ in terms of animals. All animals release allergens via saliva, skin, and urine that can affect people. It’s not uncommon for me to take care of patients who say they can tolerate their own dog but are symptomatic around other people’s dogs. Anecdotally, people claim they develop a ‘tolerance’ to their own animal.”

What advice would you give someone who is allergic to pets?

“It would be beneficial to you to treat the allergy first. If people have an animal already, we want to do whatever we can to have the allergic person and the animal tolerate one another. There are lots of things we can do and immunotherapy (IT) is the most effective. You can modify the home environment, as well, by limiting the animal’s indoor roaming space, effective cleaning and air filters. If you do not have the pet yet, then it’s better to treat with allergy shots before you get an animal and get it home. It’s not uncommon for patients to have mild reactions to animals but once the animal is home, it can be up to six months before your symptoms become intolerable.”

Cider

Dr. Carolyn Word’s pup Cyder is a 6-year-old American field black lab, but don’t let her age fool you, she is still very much a puppy! Cider loves to play fetch and could care less about meeting new dog friends, she just loves to throw her ball around. Dr. Word also shared her love for pets when she was growing up. Her family always had labs as pets and even had some rabbits and a feral cat named Simba!

Dr. Word’s family has also experienced pet allergies:

Are you or is anyone in your home allergic to dogs?

“My husband was allergic but completed allergy shots and he no longer has symptoms. I still remember when we were dating in high school, I would sit and wait with him for 30 minutes after receiving his allergy shots. That’s how we got to know each other.”

What advice do you have for someone who has pet allergies but wants a dog?

“Come visit us! I’ve seen so many patients that have pets, developed symptoms, and we were able to help them gain relief with allergy shots. If a pet licking your face is what will make you happy, we’re here to make that happen for you!”

If you’re longing for a pet but believe you might be suffering from pet allergies, our team of board-certified allergists is here to help. No need to sacrifice your love of your furry friends! Consider getting tested for allergies so that our team can help you with the next steps to find relief. Request an appointment with our team today.

 

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What Are Eye Allergies and How Can I Treat Them?

Although most people associate allergies with sneezing and wheezing, eye allergies are another common form that many suffer from. Officially called allergic conjunctivitis, eye allergies are often coupled with other allergy symptoms related to the respiratory symptom. However, some individuals may suffer from only eye allergies, without any sneezing, coughing or difficulty breathing.

We’ll run through a few important key details related to eye allergies, including what they are, their main symptoms and causes, and how they can be treated.

 

What Are Eye Allergies?

Like other allergic reactions, eye allergies occur due to a misfiring of the immune system in response to some external stimuli. Although the symptoms are different when compared to other allergies, the causes are often the same. In many individuals, eye allergies occur alongside other forms of allergies and are brought on by the same irritants.

 

Common Symptoms of Eye Allergies

Eye allergies usually come in the form of red, itchy and watery eyes. In some cases, the symptoms may look like pink eye or an eye infection. However, pink eye caused by infection will usually be accompanied by a thicker discharge. When in doubt, it’s best to see a doctor.

Eye allergies can affect the eye itself as well as the skin around the eyelid, which can also become irritated, red and itchy. In most cases, you will be able to notice that your eye allergies are only present around certain irritants, such as pollen, smoke, animals or certain cosmetics. This is in contrast to bacterial or viral infections, which will not vary in this same way.

 

What Are The Most Common Eye Allergy Triggers?

The triggers for eye allergies are most often the same as other allergies. You may find that your eyes are sensitive to pollen, dust, pet dander, mold spores, smoke, cosmetic chemicals or other irritants. In most cases, an allergen that causes respiratory allergies will also cause eye allergies when it comes in contact with your eye.

Like other allergies, eye allergies will often be seasonal. If you experience eye allergy symptoms like redness and itchiness only part of the year, especially the spring and summer, you likely have eye allergies. Although it is relatively rare for people to only suffer from eye allergies while exhibiting no other symptoms, it is possible.

 

How Do I Find Out What I’m Allergic To?

The first step to finding relief from eye allergies is identifying the cause of your symptoms. Our board-certified allergists may suggest allergy testing so that we can target exactly what may be causing you to suffer. Allergy skin tests are accurate, quick and cause minimal to no pain. In fact, we can identify what you are allergic to within minutes!

What Are My Options for Treating Eye Allergies?

Once we have identified the cause of your allergic reaction, there are different types of treatment options for eye allergies that might be recommended do you. These fall into three main categories, each of which has further subclassifications. The main categories are eye drops, oral medications and immunotherapy.

 

How Can Eye Drops Help?

There are different forms of eye drops available to help you deal with your eye allergy symptoms. Artificial tears are a common, easily accessible form of eye drops that help by washing the allergens from your eye. They will add moisture and flush your eye area. Although they are helpful for many, sometimes they are not strong enough to keep your symptoms at bay.

Decongestant eye drops can also provide relief for many. These eye drops can also include antihistamines, but don’t always — make sure to check the label. Decongestant eye drops shouldn’t be used for more than a few days. If your symptoms persist, make sure to talk to your doctor.

There are other types of eye drops available as well, such as mast-cell stabilizers. These are a newer type of antihistamine eye drop, and most forms require a prescription, although there are also over-the-counter versions available.

If you’re experiencing eye allergies, you should keep in mind that while eye drops can bring relief to eye allergy symptoms, they don’t always target the root of the issue. A board-certified allergist will be able to provide a treatment plan that helps target the underlying cause of your eye allergy symptoms.

 

Oral Medications

Oral medications for eye allergies will usually be allergy-specific medications or more general antihistamines. These will be the same medications that you take for other types of allergies. You may find that because these medications take longer to take effect, they are best used as a preventative measure earlier in the day before you encounter your allergen.

 

Does Immunotherapy Work for Eye Allergies?

Immunotherapy (often known as allergy shots) is a more comprehensive treatment type that targets your immune system directly. It involves injecting small amounts of your allergen(s) to desensitize your immune system and usually results in a medication-free reduction in allergy symptoms.

Immunotherapy is the one form of treatment that can truly target the root of your allergy symptoms, including eye allergies. If your eye allergies are very severe, this is an ideal option to explore and is the closest thing to a “cure” that can be found. A board-certified allergist can help you hone in on exactly what your allergens are and provide an immunotherapy treatment plan tailored just for you.

 

How to Avoid Eye Allergens

For many people that suffer from allergies, avoiding them is one of the best options. This can be difficult or inconvenient in some cases but is something you should not overlook if your allergies are severe.

Staying indoors during allergy season is what avoidance usually brings to mind. However, you can also dust-proof your home and take other steps such as washing your hair and face and changing your clothes to remove external irritants when you come home. Ultimately, the level of allergen avoidance and individual needs depends on the severity of your allergies and the type of allergens you are allergic to.

 

Key Things to Remember About Eye Allergies

The main thing to remember if you are dealing with eye allergies is that they are the same as other forms of allergies. You should also keep in mind that there are several different treatment options that can be recommended by a board-certified allergist. Talking to a board-certified allergist is the best way to make sure you are on the right path.

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Allergy and Immunology: A Misunderstood Medical Field

Ever wonder why there is a specialized medical field just for allergy? How about those old tales you’ve heard of classic allergy symptoms only to realize they were caused by something else? Believe it or not, there are plenty of misconceptions about allergy and asthma, which is why our team is dedicated to educating our patients on their condition and treatment every step of the way. Dr. Lindsey S. Steadman took the time to share about her experience becoming a board-certified allergist and how our team’s training equips us to give our clients the very best allergy and asthma care.

 

How does an allergist become an allergist?

In order to become an allergist, we go through many years of medical school and clinical training:

  • 4-year undergraduate degree – Most healthcare providers choose a major that they feel best prepares them for medical school, such as biology, chemistry, biochemistry, etc.
  • 4-year medical school degree – Medical school provides the basis of education in becoming a doctor, covering a wide variety of medical care and topics to ensure a well-rounded education.
  • 3-year residency program – All physicians must enter a residency program of some kind to complete their specialty training. As allergists and immunologists, we all have to receive training in either pediatrics or internal medicine. These are both 3-year residency programs, and they are each followed by a board exam that must be passed in order to become a certified pediatrician or internist.
  • 2 to 3-year fellowship – Residents interested in specializing further can then apply to various fellowship programs. The majority of allergy and immunology fellowship programs are two years long (occasionally three years long). Once we graduate from fellowship, we must pass a board exam in order to be certified in allergy and immunology.

After passing our boards, we are able to treat patients of all ages with any sort of allergic or immunologic disease. This includes, but is not limited to, environmental/seasonal allergies, food allergies, stinging insect allergies, anaphylaxis, hives and swelling, eczema, asthma, chronic/recurrent infections and immunodeficiencies.

 

Why is allergy and immunology such a misunderstood field?

Allergy and immunology is a poorly understood field not only in the general population, but also within the medical community. There are many different myths and “old wives’ tales” out there about allergy signs, symptoms and treatments amongst the general population. When patients are not properly educated by allergy experts, these myths and misinformation continue to circulate and become accepted as fact. Even in the medical field, allergy is a misunderstood because there is very little, if any, dedicated teaching or training on allergy and immunology in medical school or residency programs. Fellowship is where the true allergy and immunology training occurs, so a board-certified allergist is always recommended for patients suffering from any sort of allergic disease or immune deficiency.

We are trained on how to obtain a detailed history to determine whether or not testing and further work-up is needed. We are taught how to interpret the results of both skin and blood tests for various types of allergies, lung function testing for asthma, and blood work for immune disorders, all of which are oftentimes not very straightforward. We are also taught how to appropriately manage these issues with medications, allergy shots, biologics, immunoglobulin replacement, oral food/drug challenges and oral immunotherapy for select food allergies. Therefore, it is always recommended to seek the help of a board-certified allergist because we are the experts in the disease process, pathophysiology, diagnosis, management and treatment of all allergic and immunologic diseases.

 

What are some common myths about allergy and immunology?

  • Every sniffle or sneeze is an allergy and every cough or episode of shortness of breath is asthma… FALSE. Fortunately, we are trained to determine whether or not patients have allergies and/or asthma. Not only can we diagnose and treat these issues, but if patients’ allergy- or asthma-like symptoms are caused by something else, we can often help with those problems as well.
  • Every hive or episode of swelling is due to an allergic reaction… FALSE. This can be true at times, but there are also instances when hives are caused by other things as well. We are trained on how to determine whether or not there is an allergy-causing patients’ hives and swelling and how to treat them no matter the cause.
  • All allergic reactions get worse with subsequent exposures… FALSE. There is no way to predict the severity of an allergic reaction based on previous reactions or testing methods. However, we can help diagnose the cause of the allergic reaction (foods, insect stings, medications, etc.) and educate patients on what exposures would be unsafe and how to handle reactions in the future.

 

If you believe you’ve been experiencing allergy or asthma symptoms but you’re unsure of what to do next, leave it to the experts! All of our allergists are board-certified and our team is dedicated to helping you breathe better, feel better and live better. Schedule your appointment with the experts today.

 

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Child blowing nose

Childhood Allergies: What You Need to Know

With childhood allergies afflicting around 30% of children, many parents are left wondering what to do. If your child is wheezing, sniffling and coughing often, you may be curious about the cause and what you can do to help. We’ll run through many of the common questions that parents have about childhood allergies, so you can put your mind at ease.

What are the most common symptoms of allergies?

There are many common symptoms that children deal with when suffering from allergies. These symptoms can vary greatly depending on whether the allergy is environmental, a food allergy, a drug allergy or an insect sting allergy.

Environmental allergies, also known as allergic rhinitis, are the most common form of allergic reaction. Most commonly, children will be sneezing or coughing and will experience a runny nose and itchiness in the nose and roof of the mouth. It is also common to experience red, watery eyes. Symptoms are similar to but not the same as the common cold.

Symptoms for allergic rhinitis will usually be seasonal, although this isn’t always the case. If your child is experiencing allergy symptoms only during the spring and summer, allergic rhinitis is likely. However, you should see a board-certified allergist to confirm the root cause.

The most common culprits for environmental allergies in the Lowcountry are dust mites, cockroaches and mold. These often have a year-round impact on an allergic individual’s health.

Food allergies can cause a variety of symptoms, such as tingling or swelling in the mouth, hives, or even anaphylaxis in more severe cases. When food allergies are less severe, they can often be hard to diagnose, especially when the allergen is less common.

If your child ever experiences these symptoms, you should investigate as early as possible. Knowing the cause of a food allergy provides invaluable information so that you know how to best care for your child and eliminate risks of allergic reactions.

How are allergies in children treated?

There are three main ways that allergies can be treated: avoidance, medication and immunotherapy.

Avoidance

Avoidance simply means not coming in contact with the relevant irritant. This will help greatly, but can sometimes be hard to keep up. If your child wants to play outdoors during summer, but comes home with a runny nose or worse, it can be hard to find a balanced solution.

When symptoms are more severe, this can require children to miss school or be unable to see their friends. Finding a way to deal with allergy symptoms can greatly impact a child’s life well into the future, so make sure to deal with the issues head-on.

There is usually a comfortable middle ground to find if the allergies aren’t too severe. For example, dust-proofing your child’s bedroom or making sure to shower after coming indoors to remove any pollen spores can aid in the quick cessation of allergy symptoms.

One question we often get asked is, “Do I need to get rid of my pet if my child is allergic?” While pet allergies can be a nuisance to say the least, your board-certified allergist can provide recommendations on how to best avoid allergens within the home. We certainly won’t ask you to get rid of your pet! Our top recommendation for individuals with pet allergies is to receive immunotherapy, which has shown to be extremely beneficial in treating the cause of pet allergies.

Medications

Allergy symptoms can be further aided by using certain medications. Do not give your child any medications without first consulting your doctor or board-certified allergist. If you are told that a given medication doesn’t come with any risk, it may be worth a try.

Medications don’t make allergies go away permanently, but they help deal with symptoms and inflammation. Especially when symptoms get severe, medications can be the difference between a normal day at school and a day spent wheezing and unable to focus. Once you know a given medication is safe and effective, it can be good to have on hand in case your child’s symptoms flare up unexpectedly.

One thing to consider when finding the best medication treatment for allergies are common symptoms, such as drowsiness. It’s important to find the right medicine if that’s the treatment route you wish to take, and your allergist will always be able to recommend the best medication treatment plan for you or your child. If medication isn’t doing the trick, immunotherapy is the closest thing to a cure.

Immunotherapy

Lastly, most patients benefit greatly from immunotherapy. This is a long-term treatment option that involves injecting small doses of an allergen into the patient so that they build up immunity. Each patient receives an individualized treatment plan that is custom-tailored for your child’s specific allergens.

This option can have some difficulties when it comes to kids — it can be hard to drag them to the allergist each week! But, it is the best long-term solution and the only way to get truly permanent relief from allergies without using medications. Immunotherapy is available for a variety of allergies. It is also helpful to see a board-certified allergist who specializes in care and treatment for pediatric patients. Our allergists are double-boarded to treat both adults and pediatric patients. Oftentimes, they know how to make children feel right at home during their doctor’s visits and can make shot appointments far less scary or intimidating.

Key Things to Remember

As always, the best option to pursue if you suspect your child is suffering from allergies is to see a board-certified allergist. Through allergy testing and detailed health evaluations, this can provide you with an understanding of the best treatment path that is specific to your child’s situation, rather than just a guess.

 

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When are allergy tests needed?

If you have allergies, you likely know it. Sneezing, sniffling, itchy and watery eyes, the symptoms are sometimes overwhelming. Your immune system controls how your body defends itself and it overreacts to allergens you’ve inhaled, touched or ate. For example, if you’re allergic to dogs, your immune system identifies dog hair or dander as an invader. Your immune system produces antibodies called Immunoglobulin E (or IgE). These antibodies travel to cells that release chemicals, causing an allergic reaction. These reactions can range from annoying sniffles to a life-threatening response called anaphylaxis.  

If you’re experiencing symptoms, but aren’t sure why or what’s causing them, allergy testing may be needed. Symptoms that usually prompt testing include:

  • Respiratory – itchy eyes, nose or throat; nasal congestion, runny nose, watery eyes, chest congestion, cough or wheezing
  • Skin – itchiness or eczema  
  • Abdominal – vomiting or cramping and diarrhea consistently after eating certain foods
  • Severe reactions to stinging insect stings (other than swelling at the site of the sting)
  • Anaphylaxis (pronounced an-a-fi-LAK-sis): a serious allergic reaction that affects many parts of the body at the same time

Allergy tests are the best and safest way to tell exactly what triggers your symptoms. The most common triggers include dust mites, animal dander, mold, pollen, insects, foods, latex and drugs. An allergist/immunologist can perform multiple types of allergy tests.

 

  • Skin tests: This is the most common kind of testing done in the allergist’s office. In this test, a small amount of allergenic liquid is placed on your skin and this area is pricked or scratched. Redness and swelling at a testing site tells us you are allergic to the tested allergen. It is generally not much more bothersome than a bug bite. The results of this test are ready in minutes, so you leave the office knowing what you are allergic to.
  • Intradermal tests: Intradermal tests are more sensitive than prick tests and may be used when prick test results are inconclusive. In this test, a very small amount of the sterile testing liquid will be injected just under the surface of your skin, similar to a TB test. The results are available in minutes.
  • Challenge tests: Challenge tests are sometimes used when a doctor suspects you have a food or drug allergy. In this test, a patient will eat or inhale a very small amount of the possible allergen under the close supervision of a board-certified allergist. The amount is gradually increased over several hours to ensure a full serving or dose can be tolerated. This type of test should only be done by a board-certified allergist with experience treating anaphylaxis. For your safety, do not try this test at home!
  • Blood tests: For this test, blood is drawn and then tested for allergies. This test is more expensive than skin testing and it takes longer to receive your results. Interpretation of this test should be done by a board-certified allergist as a positive result does not necessarily mean the patient is allergic. It is best understood in conjunction with an extensive allergy history and skin test. Unlike skin testing, blood allergy testing can be done when patients are still on oral antihistamines.

 

Many people with untreated symptoms aren’t aware of how much better they will feel once they are properly diagnosed and their symptoms are managed. We are here to help you breathe better, feel better and live better!

Give us a call or request an appointment online to begin your allergy treatment plan with one of our amazing board-certified doctors!

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What are inhalers & how do they work?

Bronchodilators, or most commonly called inhalers, are medications that are breathed through the mouth and into the lungs to help relax muscles that tighten around your airways. The medicine helps open the airway and lets more air move in and out of your lungs and helps you breathe more easily. 

People with asthma use inhalers during an attack when their airways swell and become narrower. These attacks cause the person to cough, wheeze and have trouble breathing. Almost everyone with asthma will use a bronchodilator to help open their airways. Others may use one at some point in their life if diagnosed with a persistent cough, COPD, bronchitis, etc. Different inhalers have different medications, or a combination of drugs, to address different illnesses. 

Different Kinds of Inhalers

There are three basic types of inhalers that deliver medications. The most common is the metered-dose inhaler (or MDI) which uses pressure to push the medication out of the inhaler. Nebulizers use air or oxygen and deliver a mist of the medication through a tube or mask that fits over your nose and mouth. Dry powder inhalers (or DPIs) deliver medication, but they require a strong and fast inhalation.

Short-acting bronchodilators are used as “quick-relief”, “reliever”, or “rescue” inhalers. These bronchodilators open the airways and help stop or relieve acute asthma attacks very quickly. While they’re best known for working on sudden attacks, they’re also great to use before exercise to help stop asthma during your workout. 

While many people use short-acting bronchodilators, the overuse of an inhaler, tablet, or liquid/nebulizer, is a sign of uncontrolled asthma that needs better treatment. If you are using short-acting bronchodilators more than twice a week, call Charleston Allergy & Asthma about improving your asthma control therapy.

Long-acting bronchodilators provide control, not quick relief, of asthma. Your board-certified allergist will prescribe the medication, which is usually taken twice a day along with inhaled steroids for long-term monitoring of symptoms. 

Unlike short-acting inhalers, long-acting inhalers do not work on muscle inflammation directly. Instead, they help the airways relax, allowing more air to pass through.

If you’re struggling with your asthma or think you may be in need of a prescribed inhaler, request an appointment online today.

 

Sources:

https://www.aaaai.org/conditions-and-treatments/conditions-dictionary/asthma-inhalers

https://www.aaaai.org/conditions-and-treatments/conditions-dictionary/bronchodialator

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Dr. Carolyn with her dog Cider

Doctors and their Dogs

From their playful personalities and puppy-dog eyes to their joyful tail wags and the gift of putting a smile on faces young and small, it’s hard to deny that dogs truly are man’s (and woman’s) best friend! That certainly goes for our doctors here at Charleston Allergy & Asthma. We have a team full of dog-lovers, including some of our very own board-certified allergists!

We’ve rallied up all of the cute pup pictures, fun facts and some helpful tips on how you can still enjoy your favorite furry companion despite having pet allergies.

Gabriel

Gabriel, or “Gabe” for short, is the sweet Bracco Italiano of Dr. Thomas Harper. He’s been with the Harper family since his “gotcha day” on October 21, 2017. Though he may be a dog, Dr. Harper says, “he runs like a horse. Pounces like a cat. Will stand on hind legs and box you like a kangaroo.” He’s a 75-pound athlete and has mastered lots of tricks!

While the Harper family doesn’t have any pet allergies in their household, we asked Dr. Harper a few questions that our patients could benefit from:

What advice would you give someone who has pet allergies and wants to get a pet?

“When you are pet allergic, you are allergic to a protein that’s in the hair, saliva, dander, etc. There is no such thing as a hypoallergenic pet. You can get pets that shed less, but they are still allergenic. If you want to get a pet, you can keep the pet outdoors, vacuum a lot, or invest in a HEPA filter.”

What about cats?

“Cats have a lot of allergen in their saliva and they groom their fur (which dogs don’t) so then allergen aerosolizes off their hair from grooming. If it’s an outdoor cat and the saliva aerosolizes, it’s no big deal. However, if the cat is in the house or an enclosed space, then the saliva aerosolizes and doesn’t go anywhere and the concentration increases.”

What is your top recommendation for treating pet allergies?

“You can also choose to be desensitized to the animals. Immunotherapy for pet allergies is incredibly successful. I have cared for three veterinarians that have been allergic to cats and dogs. Can you imagine? And they were all cured through immunotherapy.”

Boss

This handsome Boston terrier mix has belonged to Dr. Lindsey Stoltz Steadman for seven years. Full of energy with no pause button to be found, Boss is quite the handful and has plenty of nicknames including “Bossy,” “Bossydoodle” and even “Boo Bear!” You also might be impressed to hear that Boss can clear a 4.5” fence; he’s “like a gazelle.” Dr. Stoltz Steadman also had a pet growing up, a Yorkie named Spanky, who lived to be 17 years old!

When asked about pet allergies, Dr. Stoltz Steadman shared that she is mildly allergic to dogs but is able to control her symptoms with medicine and has likely built up a small tolerance to her allergies from Boss.  We asked her to give us a few tips for pet-lovers who struggle with allergies:

What advice do you have for someone with pet allergies longing for a pet?

“Expose yourself to different breeds, seek an animal out that sheds less. Keep them out of your bedroom, that will give you a short break from the allergens. I would definitely recommend getting started on an immunotherapy treatment prior to getting an animal so your symptoms will be better controlled. These treatments help alleviate your symptoms and often lead to complete relief from pet allergies in many of our patients.”

Indiana

This fluffy pup, known as Indiana or “Indy” belongs to Dr. Meredith Moore. He’s been with the family since December 2013! As a labradoodle, Indy is boisterous and energetic but he’s never met a person or animal that he didn’t fall in love with…except for a cat, that is.

Dr. Moore also shared how her family has dealt with pet allergies in their home:

Are you, or is anyone in your home, allergic to dogs? If so, what do you do?

“Yes, my oldest son is allergic to dogs. We had another dog that was a rescue and had her when Finn was growing up but we were moving so much when I was in the military that the dog went to live with grandparents. During this time, Finn developed his allergies to pets and we were unaware. When we settled, we rescued another dog and Finn had a terrible time with sneezing and wheezing so we were unable to keep that dog.  The family was so sad. We started Finn on allergy shots to try to combat this. After he was on for three years, we entertained the idea of getting another dog. We spent time with a friend’s labradoodle and also went and met a breeder and Finn did fine without any symptoms. Even in a room of 15 dogs! So, that’s how Indy joined our family.

There is no data that supports the term ‘hypoallergenic’ in terms of animals. All animals release allergens via saliva, skin, and urine that can affect people. It’s not uncommon for me to take care of patients who say they can tolerate their own dog but are symptomatic around other people’s dogs. Anecdotally, people claim they develop a ‘tolerance’ to their own animal.”

What advice would you give someone who is allergic to pets?

“It would be beneficial to you to treat the allergy first. If people have an animal already, we want to do whatever we can to have the allergic person and the animal tolerate one another. There are lots of things we can do and immunotherapy (IT) is the most effective. You can modify the home environment, as well, by limiting the animal’s indoor roaming space, effective cleaning and air filters. If you do not have the pet yet, then it’s better to treat with allergy shots before you get an animal and get it home. It’s not uncommon for patients to have mild reactions to animals but once the animal is home, it can be up to six months before your symptoms become intolerable.”

Cider

Dr. Carolyn Word’s pup Cyder is a 6-year-old American field black lab, but don’t let her age fool you, she is still very much a puppy! Cider loves to play fetch and could care less about meeting new dog friends, she just loves to throw her ball around. Dr. Word also shared her love for pets when she was growing up. Her family always had labs as pets and even had some rabbits and a feral cat named Simba!

Dr. Word’s family has also experienced pet allergies:

Are you or is anyone in your home allergic to dogs?

“My husband was allergic but completed allergy shots and he no longer has symptoms. I still remember when we were dating in high school, I would sit and wait with him for 30 minutes after receiving his allergy shots. That’s how we got to know each other.”

What advice do you have for someone who has pet allergies but wants a dog?

“Come visit us! I’ve seen so many patients that have pets, developed symptoms, and we were able to help them gain relief with allergy shots. If a pet licking your face is what will make you happy, we’re here to make that happen for you!”

If you’re longing for a pet but believe you might be suffering from pet allergies, our team of board-certified allergists is here to help. No need to sacrifice your love of your furry friends! Consider getting tested for allergies so that our team can help you with the next steps to find relief. Request an appointment with our team today.

 

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