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Allergy, Asthma and Sinusitis P.C

top-allergist-sinusitis-nycOur practice, Advanced Allergy, Asthma and Sinusitis P.C., is located in the heart of Manhattan, New York, just a block away from Grand Central Station. It is a new type of practice dedicated to providing the most up-to-date treatment for adult and pediatric patients with allergy, asthma, sinus disease or disorders of the immune system. We offer world-class expertise and the highest standards in diagnostic testing and treatment for allergy, asthma and sinus disease.

Our treatment plans are based upon the latest practice parameters and recommendations in our field as published by the American Academy of Allergy, Asthma and Immunology and the American College of Allergy, Asthma and Immunology.

Best Allergist NYC Midtown

At Advanced Allergy, Asthma and Sinusitis P.C., we make extraordinary efforts to stay current in our field by attending relevant regional, national and international conferences and reviewing the current literature, textbooks and online databases. Dr. Boyan Hadjiev is fellowship-trained and board-certified in Internal Medicine and Allergy and Immunology. We firmly believe that having a board certification makes the physician more proficient and knowledgeable in the field of allergy/immunology and sinus disease.

Please visit our Common Allergic Problems page for a list of conditions we treat and their descriptions.


Telemedicine Services

 


Visit our main site at www.drsneeze.com

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Chronic Sinusitis

If you’re suffering from a stuffy nose and are finding it difficult to breathe properly, you’re probably suffering from chronic sinusitis. In chronic sinusitis, your sinuses suffer from excessive inflammation and swelling. There are many causes and treatments for chronic sinusitis. If you’re suffering from chronic sinusitis and want to learn about how you can treat it, you should definitely read this article further on. This way, you can also educate and help others around you who might be suffering from chronic sinusitis.

Chronic Sinusitis Allergist

What Causes Chronic Sinusitis

Mentioned below are the reasons that contribute to the build-up of chronic sinusitis:

1.     Polypus

Polypus is a tear drop-like growth in the passage of your sinuses that contributes to the inflammation in the nose and nearby areas.

2.     Allergic Reactions

If you develop an allergic reaction to an irritant or contaminant, your nose develops a blockage, which leads to inflammation. Hence, allergies could also be a partial reason for chronic sinusitis.

3.     Deformed Nasal Septum

If the wall between your nose is crooked, there could be a high chance of blockage in your sinus system, making it harder for you to breathe, which causes further inflammation. This wall is known as the septum.

4.     Flu

Infections such as flu and fever most often cause more bacteria to grow in your nose, allowing further inflammation. The inflammation blocks the drainage of mucus, making room for more bacteria.

5.     Other Medical Conditions

Other medical conditions can also trigger chronic sinusitis. These conditions include immune system diseases, cystic fibrosis, and HIV.

Symptoms Related to Chronic Sinusitis

There are many different symptoms that you start to develop if you are experiencing chronic sinusitis. These symptoms include:

  • Postnasal Drainage – experience huge drainage from the throat
  • Excessive inflammation in the nasal tract
  • Excessive and heavy discharge from your nose
  • No sense of smell or taste due to blockage
  • Difficulty in breathing
  • Congestion
  • Swelling and pain in facial features such as in the nose, eyes, and forehead
  • Pain in upper teeth
  • Earache
  • Dried up and painful throat
  • Fatigue
  • Bad Breath

As you can see, you may experience many symptoms during chronic sinusitis. However, the most common symptoms are inflammation and breathing issues.

Chronic Sinusitis Allergies

How to Get Chronic Sinusitis Treated

·     Nasal Steroids

Nasal steroids come in sprays. These sprays help to subside the inflammation in your nostrils. You can mix the steroid with a saline solution for a better effect, but only if your doctor recommends you to do it. Examples of available nasal sprays are mometasone, budesonide, fluticasone, and triamcinolone.

·     Oral or Injected Steroids

You can use these steroids if your sinusitis worsens, and inflammation persists. These are best for nasal polyps but you may experience some side effects, especially if you use it for a longer period of time.

·     Aspirin Desensitization

You receive this treatment only if you develop chronic sinusitis due to heavy aspirin intake. During this treatment, you take heavy doses of aspirin in order to increase your tolerance. This procedure takes place under medical supervision.

·     Nasal Cleanse

You can clean your nasal passages to reduce and cleanse drainage while relieving any allergies. You can use solutions or nasal sprays to carry out the nasal irrigation.

·     Immunotherapy

Opt for immunotherapy if your allergies are contributing to chronic sinusitis, and it keeps worsening. Immunotherapy is commonly known as allergy shots.

·     Antibiotics

Your doctor may prescribe you an antibiotic if other treatments are not working. This is especially if you have a bacterial infection.

·     Surgery

If your sinus doesn’t heal through medication or other treatments, you may have to go for endoscopic sinus surgery. In this surgery, the doctor removes the tissue or polyp that is blocking your nasal passages.

Conclusion

If you’re suffering from extreme chronic sinusitis and need professional help, you can seek medical assistance from New York’s best allergist, Dr. Boyan Hadjiev. To book an appointment, just visit DrSneeze.com or call us at 212-319-5282.

Best Allergist NYC

Are you looking for the best allergist in NYC? Allergies are a disaster and can sometimes get really out of hand by affecting your body’s internal systems. Hence, it is always best to visit a professional allergist who can help you out with your allergies by providing you with a thorough medical procedure or prescribing proper medication.

Best Allergist in NYC New York

New York City is constantly busy and bustling. Here, you will find some of the top highly-qualified allergist specialists. But it is not easy choosing the right one, especially when you have so many allergists around you. Mentioned below is a guide that will help you navigate through the process of choosing the best allergist. This will ensure that whoever you choose will cater to all your allergies in a very professional and efficient manner.

Characteristics of a NYC Best Allergist

Mentioned below are a few characteristics you should look for in every allergist.

§  Experience

Any type of doctor you go to should always have the experience, no matter a dentist, pediatrician or an allergist. The more experienced the doctor is, the more effective the treatment will be. Your allergist should know when and how to carry out a test and should be an expert at reading results. It is very important for an allergist to have technical experience, because without it, they may misdiagnose your allergy .

§  Sympathy

Your allergist should be sympathetic towards you so that he doesn’t only treat you like a patient but he looks beyond and tries their level best to give you the right treatment and also goes out of their way. It is very important for your doctor to have sympathy, as this trait can lead to a very effective treatment.

§  High Interests

An allergist should be completely invested in knowing every detail about your allergy. He should first listen to what you have to say and then diagnose and should be very considerate when it comes to talking about some personal issues that could be due to the allergy. Their office should call you for different visits. This shows that they are eager to track your recovery and check up for anything that may not be going the right way.

Factors to Keep in Mind While Choosing an Allergist

1.    Carry Out Research

The first thing you should do when you find a potential allergist is to look them up online. Go to their website and find out the qualification of the allergist. You can also go through online reviews that will tell you how good or bad the allergist is when it comes to giving the right treatment to patients. Doing your homework can also help you check how expensive or cheap the allergist is. Remember not to go for an allergist who charges too low a fee as they might not use the right high-quality instruments during treatment.

2.    References

Ask your close family, friends,  patients, and other health care professionals to refer highly experienced allergists or ask them about the ones you have already shortlisted. Referrals give you a clearer insight into the allergist’s experience.

3.    Research Quality of Hospital

It is important to know about the staff and the inside workings of the clinic before you book an appointment. Also, pay attention to the location; see if it’s located in a commercial or safe area as going to the outskirts of town won’t be a very reasonable thing.

Best Top Allergist in New York NY

4.    Insurance Covers

Some allergists are very expensive. Hence, you should choose an allergist who takes your insurance plan into consideration; it might get extremely expensive for you to pay from your pocket.

Who is the Best Allergist in NYC?

Dr. Sneeze is a well-known allergy center that holds New York’s top allergist Dr. Boyan Hadjiev. Dr. Hadjiev is a very knowledgeable and well-trained allergy specialist who has been a practicing physician for over 10 years. To date, he and his clinic have been providing high-end medical services to thousands of patients. Dr. Hadjiev is known to cater to his patients needs individually and has an extremely pleasant bedside manner.

If you want to diagnose or treat your allergies, schedule an in-person or online appointment with Dr. Hadjiev today.

Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

Dr.Sneeze.com

Your Allergist May Be Trained But Is He Board Certified?

Allergies are common to the residents of America; these are the 6th main cause of chronic illness in the country. If you are suffering from any allergy, know that you are not the only one as 50 million Americans are affected by allergies every year.

Sometimes allergies can be simple to handle but can become severe in some cases. In such cases, don’t waste time and see an allergist immediately. For diagnosis and treatment of an allergy, you have to make the best choice as it’s about your health.

Here is all you need to know to choose the right allergist.

Basic Academic Qualification

Allergies can be life-threatening and you deserve the best physician to help you with your allergies. We cannot afford to go to any random doctor, be sure if he has all the credentials on his portfolio.

A four-year premedical degree is a basic requirement for any medical field. After graduation, an immunologist needs to enroll in a medical school for another four years. These years of hardship and dedication earns him a degree of Doctor of Medicine (MD) or doctor of Osteopathy (DO).

Becoming an allergist is not a piece of cake. The journey does not end here.

Board Certified Allergist: Training and Certification

When you are scheduling an appointment with an allergist, be sure he has undergone special training.  After earning a post-graduate degree from medical school, a doctor needs to complete a three years intensive training program in internal medicine or pediatrics. If he passes the exam –either from the American Board of Internal Medicine (ABIM) or the American Board of Pediatrics (ABP) –only then he qualifies for the next training.

A pediatrician who wants to have expertise in the field of allergy/immunology then enrolls himself in a two-year allergy training program called a fellowship.

The last thing you need to check is the certification. Your immunologist must have cleared the board-certification exam by the American Board of Allergy and Immunology (ABAI).

If your allergist meets all these requirements, he is a board-certified allergist now, and you are good to go.

Interpersonal skills

Academics do matter when it comes to search for the best doctor. But, some personal qualities are equally significant. A good doctor reduces half the pressure a patient goes through.

Looking at the credentials helps little to know if your doctor is compassionate or not. However, you will find this on the first visit only. We expect our doctors to be a cooperative and good listener as we confidante in them. We trust them with all our medical problems and difficulties. An immunologist must be friendly in manners as he needs to have an insight into your allergenic record.

Sometimes we may mistake the symptoms of a regular disease to an allergy. Your allergist must have a detailed history of your allergies –symptoms, family history, home environment –everything. An allergist must have the ability to think critically. He must know to comprehend the results of our allergy tests to suggest the best medication.

Conclusion

Now you know that your allergist must not only be trained and board-certified, but that he/she must also possess good communication skills. It can be a huge mistake on your part to pick an allergist without knowing their credentials.

Contact us today to schedule an appointment with the fellowship-trained and board-certified Allergist in Internal Medicine and Allergy and Immunology at Dr. Sneeze in NYC.

Do You Have A Sinus Infection?

A Sinus infection is a common health problem around the world. Many people who fall victim to it have allergies, structural blockages in the nose or sinuses, asthma, or just a weak immune system.

Sinus is a cavity in any tissue or organ of the human body. Sinus terminology is also referred to as an abnormal cavity caused by the destruction of tissues. Commonly, the word sinus refers to the paranasal sinuses. It is the air cavity in the cranial bones, especially bones near the nose.

Sinus Infection | NYC Allergist 2020-2021
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A sinus infection occurs when the membrane linings in the sinus cavities suffer from inflammation or infection. If not treated, it can get severe and eventually affect the lungs.

More than 30 million people are diagnosed with a sinus infection each year in the United States. A sinus infection usually occurs from early fall to early spring. Rhinosinusitis affects 35 million individuals per year in the United States 14% of whom are adults.

Symptoms of Sinus Infection

The signs of a sinus infection are as follows:

  • Headache
  • Fever
  • Cough
  • Sinus pressure behind the cheeks and the eyes
  • A runny nose
  • Bad breath
  • Mucus with green colors and thickness
  • Fatigue
  • Sense of smell reduces

Types of Sinus Infection

An allergen, virus, and bacteria can be the cause of sinus. There are various types of sinus infection.

1.     Viral Sinusitis

Viral infection can lead to infection, called viral sinusitis. It affects the membrane lining of your nasal cavity, ear, or nose. It mostly occurs when the upper respiratory got infected.

The symptoms of viral sinusitis are the same as a cold. That includes a sore throat, sneezing, runny nose, coughing, and nasal congestion. Mucus is commonly clear or slightly colored during a sinus infection.

Do You Have A Sinus Infection?

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Antibiotics are not effective for viral infection. The best treatment is that you take rest as much as you can and drink more fluids. Use saline nasal sprays and take pain relievers for relief during the treatment process.

Viral sinusitis typically resolves in 7-10 days.

2.     Bacterial Sinusitis

Bacterial sinusitis is a bacterial infection of the paranasal sinuses. Paranasal sinuses are the hollow spaces in the bones of the face and nose.  Bacterial sinusitis is when bacteria inflame the mucous membrane lining of the sinuses.

There are four pairs of paranasal sinuses called the maxillary sinuses, ethmoid sinuses, frontal sinuses, and sphenoidal sinuses. Maxillary sinuses usually suffer from bacterial infection.

Symptoms of bacterial infection are thick green or yellow nasal discharge. The nasal passage is swollen, and mucus drips down the back of the throat; this is called post-nasal drip. Some people also feel facial pain and pressure.

3.     Chronic Sinusitis

During chronic sinusitis, symptoms persist for a long time. Symptoms like nasal congestion and post-nasal drainage are more common. If a person coughs at night or when they wake up, it is a symptom of chronic sinusitis. This means that you have a severe sinus infection.

People who have nasal polyps can get infected by chronic infection. For the treatment, nasal steroid sprays are usually suggested by doctors.

4.     Allergic Sinusitis

This infection usually occurs in childhood. It is a reaction of inhaling allergens like dust, smoke, and animal dander. If you have a family history of sinuses, you are more likely to suffer from allergic sinusitis. You are more sensitive to allergens and food.

Acute allergic sinusitis can last up to four weeks and chronics last more than eight weeks. Symptoms include nasal congestion, headache, and pain around the cheeks, forehead, and nose and between the eyes. You may also feel itchiness in eyes, nose, and throat. You may face sleeping problems and a reduced sense of taste and smell.

The Bottom Line

You may have a sinus infection if you are experiencing a headache, pain in the eyes, nose, and throat, or thick mucus. Sinus infection can be very painful and requires instant treatment so that it doesn’t get worse.

If you have symptoms of viral, allergic, bacterial, and chronic sinusitis, call the best NYC Allergist Dr. Sneeze to treat your sinus infection. We are the top specialists in New York to diagnose and treat sinus infections.

Visit our website or call us for an in-person or tele-medicine appointment 212-319-5282.

Best Allergist | Post-Nasal Drip

Do you have post-nasal drip? Our nose produces about one and a half liter of mucus a day. The glands in our nose and throat produce a normal, slimy, fluid substance. This is mucus.

To some, this may sound gross, but in fact, it plays a very important role for us. Mucus acts as a moisturizing layer moistening the sensitive nasal membrane. It helps fight off infections, trap, and destroys foreign particles like bacteria, dust, smoke and viruses, among many others. Not to mention, it helps filter out foreign matters and prevents bacteria and other particles from building up.

Post-Nasal Drip

When our body produces more mucus than normal levels, and in different consistency than normal, it becomes thick and more noticeable. Without even realizing it, you swallow excess mucus at least 2 to 3 times each minute. At other times, it simply drips down your throat; this phenomenon is post-nasal drip.

Best Allergist - Post-Nasal Drip
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To state it medically, Post-nasal drip is a condition in which a person suffers from mucus buildup and feels mucus constantly running down their throat from their nose. It is such a common condition that no one can claim to have never had it. Everyone gets a post-nasal drip at some point in their lives.

Causes of Post-Nasal Drip

Here are the most common causes for post-nasal drip:

  • Allergies
  • Sinus infection
  • Inflammation of sinuses (sinusitis)
  • Viral infection like cold or flu
  • Sudden change in your atmosphere or the weather like cold temperature and dry air
  • Pregnancy
  • Irritants like chronic smoking and intense alcohol intake
  • Spicy food

It can also happen as a side effect of certain prescription medications like blood pressure and birth control medicines. Sometimes, it is not the excessive mucus build-up that causes post-nasal drip but the inability of your throat to clear it.

Even though post-nasal drip is not a serious condition in itself, it could be a symptom of something else. That is why, if any one of the causes sounded familiar to you, you should consider booking an appointment with an otolaryngologist. Try to find out the root cause of your condition and educate yourself with its triggers in your case. This will aid you in taking precautionary steps and preventing yourself from letting it happen again.

Symptoms

If you are not sure about the cause but still suspect post nasal drip to be your condition, review the most common symptoms to be sure.

  • Constant urge to clear the throat, or swallow
  • Cough which is more intense during the night
  • Sore, scratchy and constantly itchy throat
  • Nauseous feeling form excessive mucus going in your stomach
  • Bad breath

Natural Treatments

Serious condition or not, it’s an irritating and very uncomfortable condition nonetheless. The good news is that post-nasal drip is treatable both in natural and medical ways. People who have a firm belief in home remedies usually opt for natural treatment while people who want quick results prefer medical treatments.

1.     Steam Inhaling

Post-Nasal Drip - Best Allergist NYC
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Inhaling steam can work wonders on your mucus membranes. You can do this by putting a towel over your head as you hover over a bowl of boiling water. You can also inhale the steam as you are enjoying a hot or warm cup of any drink like tea or even chicken soup.

2.     Hydration

This is probably the most crucial one. Keeping yourself hydrated works not only for post nasal drip but also for your overall body fluid balance. This helps in diluting or thinning out the mucus, making it easier to swallow.

3.     Avoid Smoking and Alcohol Intake

Alcohol causes dehydration and infection. Smoking, on the other hand, can badly irritate your nasal mucosa lining, leading to excess mucus production and intense coughing.

4.     Sleeping Habits

Sleeping with your pillow slightly elevated can also help prevent mucus collection and promote proper drainage.

5.     Salt Water Gargle

Gargling salt water can help in diluting thick mucus that is collected at the back of the throat and helps in killing the irritants that cause this.

When to Seek Medical Help?

If your symptoms continue even after 10 days of home treatment or if you are noticing unusually strong symptoms like mucus with a strong odor, wheezing, or a fever, it’s time to visit a doctor and get medicinal help.  Your body may be hinting towards bacterial infection.

Bottom Line

However annoying it may be, Postnasal drip is a benign condition and can be treated easily. But, if it’s accompanied by additional symptoms, an appointment to an allergy specialist may be due.

If you are concerned about a post nasal drip and/or additional symptoms, call today:

Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016
212-319-5282

Are You Suffering From Occupational Asthma?

Occupational asthma occurs when you are exposed to chemicals, dust, gases, and other substances in the workplace. It is also called work-related asthma. It is the most common disease in the US. It affects 15% of asthma adult patients in the United States.

Occupational Asthma Doctor

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They feel difficulty in breathing and feel tightness in the chest. Symptoms can emerge at the time of exposure to chemicals or even after the months. It can reduce your productivity and disturbs your daily life.

If occupational asthma is not treated on time, it can continue and worsen. The best way to treat occupational asthma is to change the environment that is causing asthma. This way, you can avoid substances or irritants that trigger them.

People who have allergies or a family history of allergies are more likely to suffer from asthma. If this type of asthma is not properly treated, it can cause permanent lung damage, disability, or even death.

Causes of Occupational Asthma

Occupational asthma occurs due to swelling in the lungs air passage. When you suffer from an asthma attack, the muscles around the air passage become tight, and the lining of the airways start swelling. Hence, air passages become narrower and prevent air from passing through it, causing difficulty in breathing and tightness in the chest.

People who have genetically sensitive air passages are more likely to suffer from asthma. They can suffer from an asthma attack by inhaling substances called triggers.

Occupational asthma occurs because of the triggers present in the workplace environment . Wood dust, animal dander, chemicals, fungi, and grain dust are common triggers that can cause asthma.

People working in the following places have high chances of getting affected by triggers.

  • Farmers
  • Drug manufacturers
  • Bakers
  • Chemical manufacturers
  • Plastic manufacturers
  • Metalworkers
  • Millers
  • Laboratory workers

Symptoms and Signs of Occupational Asthma

You may notice that you feel better at home and start to feel sick at work. This is because you are sensitive to the workplace environment. Your symptoms can get worse if you don’t treat the root cause.

Occupational asthma has the following signs:

  • Coughing
  • Shortness of breath
  • Runny nose or rhinorrhea
  • Inflammation around the eyes or conjunctivitis
  • Thick green mucus or phlegm

You can see the above symptoms vary when you are at work or somewhere else. A severe type of occupational asthma is called reactive airways dysfunction syndrome (RADS). This asthma occurs when the patient is exposed to various concentrated chemicals at a single time. Patients suffering from this type of asthma feel chest tightness and shortness of breath. They need medical attention within 24 hours. But even after they recover, they will remain sensitive to chemicals and irritants.

Diagnose and Treatment of Occupational Asthma

It’s common for medical professionals to misdiagnose people with severe asthma as having bronchitis . Early diagnosis and treatment of asthma are important. Otherwise, you may experience permanent changes in your lungs.

An allergist is the best physician to diagnose you if you are suffering from asthma or allergy. They will give you a proper treatment plan to reduce your symptoms.

Occupational Asthma Treatment NYC

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Treatment of occupational asthma includes avoiding exposure to substances that trigger an asthma attack. Patients should avoid inhaling gases like nitrogen dioxide, sulfur dioxide, or chlorine.

Occupational asthma treatments also include:

  • Physical therapy
  • Breathing aids
  • Medications like inhaled corticosteroids and leukotriene modifiers

The ultimate treatment plan depends on your age, symptoms, and frequency of asthma attacks. After completing the treatment plan, make sure to work in an area where you can’t face exposure to chemicals.

Conclusion

Occupational asthma occurs because of the irritants present in the workplace environment. Irritants can include toxic gasses, dust, chemicals, or animal dander. People who are sensitive or have allergies can suffer from occupational asthma. You can prevent the onset of asthma by avoiding exposure to irritants.

If you are experiencing any of the signs mentioned above, you need to see a doctor. NYC doctor Boyan Hadjiev is a highly skilled allergist who can formulate a treatment plan and help you prevent asthma attacks.

Book a telemedicine appointment on our website or call us at 212-319-5282.

Do you Have Nasal Polyps?

Have you ever felt like you can no longer breathe, and your nose is just going to explode? Well, that feeling is due to the teardrop-sized growth in our nasal passages known as Nasal Polyps. Nasal Polyps are a type of growth that usually occur in the lining of our sinuses or nasal. They often lead the way to different allergies, sensitivity, asthma and immune disorders. If you want to learn more about these nasal growths and the different ways to treat them, then you should definitely continue reading this article.

Allergist for Nasal Polyps

What Leads to Nasal Polyps?

There is no one single cause of Nasal Polyps, the real cause is unknown, but certain factors can lead to you experiencing nasal polyps. As we already know, Nasal polypus occurs in our nasal passages.

A few of the main factors that lead to nasal polyps are:

·      Allergic Reactions

Many of us experience different allergic reactions that could be due to a certain food or the environment. Most of these allergies lead to excessive sneezing, itching, and irritation in the nose that leads to inflammation. The symptoms of allergies can be a reason for Nasal polypus but this cause is still a controversial debate.

·      Infections

Infections such as sinus, acute infections, chronic infections, asthma and cystic fibrosis may also lead to nasal polyps as these infections cause excessive irritation and dryness in the nose that usually triggers their growth.

·      Age

People who are often above 40 are prone to develop cystic fibrosis, which may lead to the growth of polypus. Many researchers have concluded that men are more prone than women to develop Nasal polyps.

·      Genetic

It’s likely that nasal polypus is hereditary. Scientists link nasal polypus to genetics because of the way genes cause the mucosa to react to inflammation.

Symptoms of Nasal Polyps

Mentioned below are the symptoms that occur during Nasal polyps:

  • Constant Sneezing
  • Runny nose
  • Blocked nose
  • Unable to sense any smell
  • Postnasal drip
  • Irritation in eyes
  • An ache in facial features
  • Different infections
  • Lack of taste buds
  • Nosebleeds
  • Snoring
  • Upper teeth pain

The most common symptoms of Polyps is a runny/blocked nose and sneezing. However, other symptoms are also equally experienced depending on person to person.

Nasal polyps also causes your asthma to aggregate and worsen your sinus, which may sometimes lead to a change in the structure of your nose due to the constant rubbing and itching.

Treatments for Nasal Polyps

Medications

Different kinds of medication can relieve the inflammation built in your nose and help with your runny nose. One of the best medicines for nasal polyps is a nasal steroid. They work by instantly relieving any uneasiness or irritation in the nose. There are different types of nasal steroids that you can use.

If these nasal sprays don’t work due to excessive symptoms, you can take an injectable or oral steroid.

Treatments for nasal polyps

You can also take antibiotics to treat your sinus and inflammation.

Surgery

If you feel like your symptoms are getting worse despite taking medication, you should consider going to the doctor. The doctor may carry out a surgical procedure known as a Polypectomy. The doctor will only consider surgery depending on the size of your nasal polyps. The surgery involves removing the soft tissues like the mucosa with a microbender or a small suction device.

If your polyps are too large, the doctor will carry out a different procedure called endoscopic sinus, which involves using a thin endoscope with a few tools and a tiny camera. The procedure involves enlarging the opening of your sinus cavities and then removing the polypus.

Tips to Prevent Polyps

Mentioned below are a few ways you can prevent the return of Polyps:

  • Keep track of your hygiene at all times
  • Keep a humidifier in your house
  • Take medication for asthma and allergies
  • Avoid polluted environments
  • Use nasal rinse

Conclusion

If you are experiencing any of the symptoms mentioned above and feel like your polyps is worsening, contact Doctor Sneeze. Visit our website and book your appointment right away! Our experts are skilled at reducing uneasiness and irritation due to nasal polyps with proven effective treatments.

All about Sinusitis

All about Sinusitis | Best Allergy Doctor NYC

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Sinusitis is also known as rhinosinusitis (RS). It is the inflammation of the lining membrane in the sinuses. Infection, allergies, and air pollution can cause sinusitis. It occurs because of the blockage of airflow in the sinuses due to contaminants like pollen and dust.

It is a common disease globally and sometimes needs to be treated as early as possible. In 2018, 28.9 million adults in the US show symptoms of sinusitis that is 11.6%.

Types of Sinusitis

1.     Acute sinusitis

Acute sinusitis is most common in people. In this type of sinusitis, the person suffers from short term inflammation in the membranes. It doesn’t last longer than four weeks. It occurs because of viral infections.

2.     Subacute Sinusitis

This takes more time than acute sinusitis to heal. It usually caused by viral and bacterial infections. This can be completely cured with proper treatment. Symptoms last from four to twelve weeks.

3.     Chronic Sinusitis

This is the most painful and severe form of sinusitis and needs immediate treatment. It may even require surgery. It can last longer than three months. It occurs because of the swelling in the nose. You will experience difficulty in breathing. Sometimes, doctors suggest surgeries for chronic sinusitis.

Symptoms of Sinusitis

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You feel pain in your Sinusus

It is the most common symptom. You have various sinuses near your eyes and nose. Swelling and inflammation in your sinus lead to pain and pressure in the nose. You may also feel pain on your upper jaw, teeth, and forehead.

Excessive Nasal Discharge

You feel the need for nasal discharge very often because the infection in your sinuses results in discharge from your nasal passages. Your mucus will look green or yellow and cloudy during the infection.

You will also feel sore throat and itchiness. It causes you to cough at night and once you wake up. Your voice also changes and sounds hoarse.

Severe Headaches

Sinusitis-induced headaches can be very painful. It occurs because of the swelling and pressure in the sinuses.

Sinus headaches are the worst headaches. You will feel more pain in the morning because mucus collects throughout the night that leads to pain. Your headaches also increase when your environment conges suddenly because of the biometric pressure.

Sinusitis also causes pain in the ear, jaws, cheeks, and around the teeth.

Difficulty Breathing

You may also feel difficulty in breathing because of inflamed sinuses. Sinus blocks the air passage. You may also face a problem in smell or taste. Your voice also changes due to the infection.

Irritation in the Throat

Sinus discharged drains down in the throat, which causes irritation in your throat. This irritation remains for a longer time. You cough worsens and gets more painful at night.  You may face difficulty in sleeping. Sleep upright to reduce the cough and itchiness in the throat.

Your Voice May Become Hoarse

Sinusitis leads to a sore throat. A hoarse voice is also the symptom. Your voice becomes stuffy. You also feel difficulty in talking because of a sore throat.

Treatments of Acute and Subacute Sinusitis

Acute sinusitis mostly resolves without the need for treatments. Nonetheless, sinusitis is uncomfortable, which is why people use home remedies and over-the-counter (OTC) medications. They commonly use nasal decongestant spray.

You can also use steroid nasal spray, which is safer for longer periods of use. Use medication that contains decongestants and antihistamines. They will help relieve a sinus infection.

Herbal treatments are also helpful. Some medicines available in the market contain essential oils and sinupret. They can also help alleviate symptoms

Treatments of Chronic Sinusitis

Chronic sinusitis can occur because of allergies. Since prevention is better than cure, avoiding allergens as pollen or dust prevents you from developing an infection in the first place. You can also use chronic sprays but consult your doctor before using it. Antibiotics don’t resolve chronic sinusitis since it is not a bacterial infection.

Surgery of the sinus is necessary if there are polyps in the sinus. Functional endoscopic sinus surgery (FESS) is a common treatment. If you’re suffering from other complications, other surgeries can also resolve issues. Septoplasty is recommended to treat a deviated septum. Surgeries should always be the last option for treating chronic sinusitis.

Conclusion

Sinus is a painful medical condition. You feel pain in the head, nose, ears, and even around the teeth. It is important to diagnose and treat it properly. Acute and subacute sinuses are not as harmful as chronic and often cured without treatment. However, chronic is much more painful and harmful if it is the result of a deviated septum.

NYC Allergist Boyan Hadjiev offers the best sinusitis treatments. We will suggest the best treatment for your type of sinusitis, and will prescribe medication where necessary or advise natural remedies.

Book an allergy telemedicine appointment today!

Boyan Hadjiev, MD
212-319-5282

Immunotherapy

Immunotherapy is also known as biological therapy. This therapy helps your immune system fight cancer. Your immune system and lymph system’s tissues and organs are made up of white blood cells. They help your body fight off diseases. Immunotherapy increases the strength of the immune system to eliminate cancer. It boosts white cells ability to attack cancer cells.

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Doctors and researchers have approved various immunotherapy drugs and prescribe them according to the patient’s type of cancer. If your doctor is suggesting immunotherapy for you, you should discuss many things before opting for it

How Does Immunotherapy work?

This therapy takes up many forms, such as targeting antibodies, tumor-infecting viruses, cancer vaccines, adoptive cell transfer, and cytokines. Immunotherapy uses various substances from living organisms or laboratory-made formulas to fight and control cancer.

Immunotherapy treatment adopts various techniques like genetic engineering and gene therapies. Medical professionals can combine this technique with surgery, radiation, chemotherapy, or targeted therapies to improve their results. A patient’s body undergoes different situations during immunotherapy. Immunotherapy works in the following ways.

  • This therapy educates the immune system to recognize and kill cancer cells
  • It increases the production of white cells and boosts the present cells to prevent cancer.
  • It gives body necessary components to enhance the response of the immune system.

Types of Immunotherapy Treatments

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The following are the types of immunotherapy treatments:

  • Topical: This therapy comes in a cream.
  • Intravenous: This includes Intravenous therapy (IV) to deliver fluids directly in the vein. For this type of therapy, injections and syringes can be used at higher pressure to increase effects.
  • Intravesical: This therapy delivers specific drugs to the bladder.
  • Oral: This treatment includes capsules or pills.

After the treatment, you have to go for regular checkups, scans, and blood tests to know the results of treatments. The response of the treatment depends on the patients. There are chances of some patients not responding to the therapy as well as others.

Pros of the Treatment

There are many benefits of immunotherapy because white blood cells play a great role in preventing and control cancer. Immunotherapy is the best treatment for cancers because of the following reasons.

·       Immunotherapy May Be Best Treatment for You

Sometimes radiation or chemotherapy doesn’t respond to various cancers like skin cancer. However, Immunotherapy has a higher chance of responding to skin cancer.

·       Immunotherapy Boosts Other Treatments

It helps various treatments work better. This includes chemotherapy, which begins responding early when combined with immunotherapy.

·       Fewer Side Effects Compare to Other Treatments

It has fewer side effects compared to other cancer treatments because it only targets your immune system.

·       Prevents Cancer Cells

Immunotherapy educates immune cells to go after cancer cells and kill them. They remember the cancer cells; this is called immunological memory. This therapy helps your body to prevent the development of cancer for a longer time.

Cons of the Treatment

Immunotherapy is not as dangerous as other treatments of cancer, but it has some effects and reactions.

·       Side Effects

Some types of immunotherapy have side effects like flu. Some people also experience diarrhea, swelling, stuffiness, and weight gain.

·       Effects on Organs

Sometimes, the immune system attacks your various organs e.g.: intestine, heart, kidney, and other organs.

·       Bad Reactions

You may have to face pain, redness, itching, swellings, and soreness during the treatment. But it only occurs in areas where medication is applied.

·       Long Treatment

Sometimes it takes longer than any other treatment.

·       Don’t Work On Some People

Some patients don’t respond to this therapy. Half of the people don’t get results of immunotherapy.

·       Stop Working

In some cases, it provides only short-term effects and stops working.

Immunotherapy Is Better Compared to Other Cancer Treatments

Immunotherapy doesn’t have the same side effects of chemotherapy and radiation. It is a better way to treat your cancer.

  • Immunotherapy only targets the immune system, while chemotherapy or radiations also target other areas.
  • Conventional treatments like radiation and chemotherapy affect cancer cells and healthy tissues because of radiological and chemical therapy. In return, you experience negative side effects.
  • Side effects of immunotherapy depend on its type. The side effects are also minor, like misdirection of the immune system. On the other hand, radiation and chemotherapy induce long term effects.

Rhinoscopy

Rhinoscopy or nasal endoscopy is the procedure of examining the nasal cavity. Rhinoscope or nasoscope is the instrument used to examine in this procedure. It is a tube-like tool, and it includes a light and lens to view the inside of the nose. It also contains a tool to remove the tissue from inside of the nose.

This procedure helps determine abnormalities in the nose. The two types of rhinoscopy are anterior and posterior rhinoscopy. Anterior rhinoscopy only gives exposure to the anterior nose. Posterior rhinoscopy allows examining the whole nasal cavity. It is commonly performed by the Otoryngolgoists to examine the sinusitis, anosmia, epistaxis, or other symptoms of rhinitis. It also helps to determine head and neck cancer.

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Types of Rhinoscopy

Anterior and posterior are two types of rhinoscopy. This procedure reveals different sinus, nasal, and structural diseases in the space between the nose and throat.

·       Anterior Rhinoscopy

It is an examination of the nasal cavity. This procedure helps doctors notice swelling of the turbinate, nasal secretions, properties of the mucosal surface or presence of foreign bodies. They also examine the position of the nasal septum.

·       Posterior Rhinoscopy

In this procedure, doctors examine the back of your nasal cavity through a rhinoscope by putting it in your mouth. They examine the nasal cavity above the soft palate. They also use it to inspect the oropharynx below the soft palate.

Purpose of Rhinoscopy

Rhinoscopy helps doctors  treat diseases in your nose like sinusitis. The main purposes of rhinoscopy are.

  • To examine the sinuses, septum, nasal passage, vocal cords.
  • To visually inspect the nose structure from inside for abnormalities like nasal polyps, blockage, structural defects, or laryngeal injury.
  • To diagnose sinus infection and to treat the current infection
  • To remove polyps from the throat and nose
  • To drain the antibiotics and sinuses
  • To determine the cause of discharge from the nose like nosebleeds or sneezing, snoring, or noise while breathing.
  • To determine the cause of inflammation in the nasal mucous membrane.
  • To take a sample from the nose for a laboratory test.

Procedure of Rhinoscopy

A special medical instrument called nasal speculum also helps to perform the procedure. Otorhinolaryngologists are ear, nose, and throat specialist. They examine each nostril to diagnose your problem. They examine the nasal cavity through the nostrils.

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The doctors keep one hand on your head and have a speculum on the other hand if they are performing a rhinoscopy from the front. In front and back rhinoscopy, doctors use short-term anesthesia as an endoscopic procedure. Rhinoscopy instruments can also have a camera and a light source to examine the mucous membrane. It also examines the changes in the nasal mucosa and nasopharyngeal space to check the presence of a foreign body.

This procedure also includes taking samples like tissue and nose secretions for different analyses. Otorhinolaryngologists can use a rhinoscope to remove foreign particles trapped in the nose. During this procedure, they may use certain drugs in the nose to treat bacterial or fungal infections.

After Rhinoscopy

  • While inspecting, doctors will notice abnormalities like blood, growth, or inflammation. After the examination, they will diagnose your problem.
  • During the procedure, any tissue samples taken will be sent to a laboratory.
  • After a proper diagnosis, the doctor will suggest a treatment plan.
  • If more inspection is needed, your doctor may recommend an MRI or a CT scan.

Conclusion

Doctors treat interior disorders of the nose, ear, and throat with rhinoscopy. For the procedure, they use an instrument called a rhinoscope. Using this method, doctors treat sinuses, polyps, and blockages in the nasal cavity etc.

If you are searching for a doctor to inspect and diagnose your ear, throat, and especially nose problems, we have experts to help you. They have years of experience and can treat or diagnose your medical issue.

If you want to book an appointment, visit the best NYC Allergist’s at drsneeze.com or call us at 212-319-5282

ALLERGIC RHINITIS

You might know Allergic rhinitis as hay fever. These types of reactions occur when your body overreacts to allergens like dust, tree pollen, smoke, odor, etc. These allergens only affect a specific group of people. In this condition, you experience an inflammatory burn-in nasal membrane that causes sneezing, nasal itching, congestion, etc. Your immune system considers allergens as harmful substances by mistake. It lasts for weeks, months, or in some conditions, for years, as your body recognizes various allergens as a threat to the body.

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Allergens That Cause Hay Fever

Different people suffering from Allergic rhinitis are allergic to different allergens. Your oversensitive immune system sees one or more allergens as harmful to your body. Depending on the allergen causing the reaction, your symptoms can differ from some other patient with the hay fever.

Here are some of the Allergens that cause Allergic rhinitis:

1.    Rag Weed, Grass, and Pollens

One of the most common triggers is tree pollen, which causes pollen allergies and affects allergic patients quite frequently. Pollens cause seasonal allergy. Plants release tiny pollen grains to fertilize during spring, summer, and fall. Pollen powder is easy to inhale as it flies through the wind. Birch, cedar, and oak trees are the producers of the strongest allergy-causing pollens. In addition to these trees, various types of grasses, weed pollen, and ragweed also release pollens that are dangerous for people with allergic rhinitis.

Sagebrush, tumbleweed, and pigweed are some sources of weed pollen. Pollen can cause various symptoms of allergy. An affected person will have a runny nose and excessive mucus production. Sneezing, stuffy nose, watery eyes, dark circles, swelling around eyes, itchy nose, eyes, ear, and mouth are also signs of the allergy. To avoid exposure to pollen, you need to ensure your indoor environment is clean. Make sure you close windows and doors during the pollen season. You should wear a face mask while going out during this season.

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2.    Mold

Mold is a type of Fungi. Allergies from molds are seasonal. If you often show signs of hay fever during specific seasons, you might be allergic to spores of mold. Mold usually forms in damp places. A mycotoxin is a toxic component that molds produce and release in the atmosphere. These Mycotoxin spores, when inhaled by allergic rhinitis patients, can cause a lot of trouble to them. An allergy from these spores can cause cough, itchy eyes, nose and throat, dry skin, runny and stuffy nose, etc. Mold infection can severely affect you if you also have asthma. Symptoms of asthma are wheezing, shortness of breath, chest tightness, and coughing.

3.    Animals and Pets

Furry pets contain proteins in skin cells, saliva, and urine. You need to avoid or reduce exposure to the animals if you have a pet allergy. Allergies from pets can also be a result of the dander. When pets shed dead flakes of skin, you need to stay away. Never allow your pets on your bed or carpets if you have allergic rhinitis. You should even avoid wearing clothes that have come in contact with animals that are shedding dander.

4.    Dust and Smoke

Dust mite and smoke can also infect you with this allergy. You should maintain a clean environment around you. Symptoms for allergy to dust and smoke are itchy and watery eyes and nose, continuous sneezing, and stuffy nose. Dust mite lives in your bedding and carpets and feeds on the skin that humans shed every day. Dust mite survives in warm temperatures and high humidity. You might also have these allergic symptoms due to tobacco and fuel smoke. Usually, in polluted areas, people are allergic to smoke. To avoid that, change your environment, and cover your nose and mouth while you are outdoors. Stay away from people who smoke cigarettes.

Conclusion:

It is always important to know the allergens that you are allergic to. The reason why you are suffering from Allergic rhinitis for long periods is that you are unaware of the causes of the condition. If you think you have symptoms of allergic rhinitis, contact an expert NYC Allergist at our allergy offices today. 

Boyan Hadjiev, MD
30 East 40th Street
(Btwn Madison and Park)
Suite 1200
New York, NY 10016
212-319-5282

Asthma Doctor

Asthma is a condition in which a patient has trouble breathing. The blocked air passages become narrow, swell, inflamed, and start producing extra mucus. An asthma attack can be life-threatening. It doesn’t have a permanent cure. But you can take certain measures to avoid asthma attacks.

Asthma doctor is a specialist who has specialization in just asthma. A doctor can help you to come up with a treatment plan that is better for you. Treatments depend on the type of asthma you have. Some people have allergic asthma, adult-onset asthma, occupational asthma, and others.

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Types of Asthma Doctors

There are different types of asthma specialists who have expertise in various types of asthma.

> Allergist

An Allergist is an internist who has additional training in allergies. It has a specialization in both asthma and allergy. This type of doctor treats allergies, asthma, and allergic asthma.

> Pulmonologists

A pulmonologist specializes in diagnosing, treating, and preventing diseases of the lungs and respiratory system. Asthma is one such disease. They can treat you better because of their expertise. They can diagnose your diseases in-depth. Pulmonologists give you a comprehensive diagnosis compared to primary care physicians. Pulmonologists are usually pediatric lung doctors.

> Pediatrician

A pediatrician is a specialist who has three years of training for caring children. They are specialized in treating children from birth to college. They can diagnose and treat children’s asthma. They also prescribe medications for asthma.

They have specialization in children’s care. Many family physicians also treat pediatric patients. They can conduct a simple test, diagnose, and give treatments to patients. They can refer children to other asthma doctors.

>  Pulmonary Rehabilitation Therapists

They are not physicians. These therapists are nurses who have training in pulmonary rehabilitation techniques. They can give you asthma support like diagnosing the disease. These therapists can give you information about lung functions and asthma exercises. Pulmonary specialists can educate you about the respiratory system and how you can care for it.

>  Respiratory Therapists

Respiratory therapists’ main job is to identify and diagnose breathing problems. Unlike other doctors mentioned above, they don’t give you medication for asthma. They specialize in diagnosing issues in the lungs and respiratory system. They treat asthma by asthma exercises to remove blockages in the air-way. They treat asthma and similar disorders to  restore function in the respiratory system. They also give asthma treatments in the hospitals and also have asthma education.

How to choose an Asthma Specialist?

Before going to a doctor, think about which doctor will work for you. Also, consider your age, medical history, and type of asthma before making a decision. Check the above-mentioned specialists before choosing your doctor.

Some patients need more than one specialist because of the type of asthma. For instance, if your child has allergic asthma, then you may want your child to get a checkup from an allergist and pediatrician.

How doctors Diagnose Asthma?

There are many ways to diagnose asthma. Doctors usually consider the following types of ways to diagnose asthma.

·       Physical Exam

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Your doctors will conduct a physical exam first. They will ask various questions about symptoms, signs, and the history of asthma in your family. After checking, your doctor will recommend various treatments according to your symptoms.

·       Tests of Lungs

Your doctor might also conduct a test to see how well your lungs are working. The following are two tests of lungs:

Spirometry: This test checks the baronial tube. It checks how much air you are inhaling and how fast you can exhale.

Peak flow:  it is a device that measures your breath. Readings that are reaching the highest point or lowest point both imply that your lungs may not be working. These readings also tell you that your asthma is getting worse.  Your doctor will also teach you to determine readings.

Doctors recommend many other asthma tests based on the patient’s needs.

You can count on us if you are looking for Asthma doctors who can treat your asthma accurately and help you deal with symptoms to reduce the chances of asthma attacks. Our doctors have immense expertise and have specialized in their respective fields from the best institutes. Dr. Sneeze, the best NYC Allergist can treat all type of age groups for asthma; from children to adults.

IMMUNODEFICIENCY

The immune system helps your body protect you from bacteria, viruses, and parasites. Harmful and harmless bacteria are always present in and around your body. White cells protect you from harmful bacteria. Your body organs release lymphocytes. Lymphocytes or white cells are of two types. B type cells release antibodies when your body detects disease, and T-cells are responsible for destroying foreign or abnormal cells. If your body prevents you from fighting these infections and diseases, you have a disorder, namely immunodeficiency. Lack of protein causes a weak immune system.

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Types of Immunodeficiency Disorder

There are two types of immunodeficiency disorders: primary and secondary immunodeficiency disorder. Both types are mentioned below with further subcategories:

1.     Primary Immunodeficiency Disorder

Primary Immunodeficiency disorder or PIDDs are genetically transferred disease. There are more than 200 different types of PIDD disorders. If you are suffering from PIDD, different types of white cells or proteins are missing in your blood, and this leads to severe infections. This deficiency may attack the respiratory system, brain, spinal cord, and urinary or gastrointestinal tracts. Some PIDD diseases affect body organs, cells, and tissues. If you find these symptoms, you might have PIDD:

  • Loss of weight
  • Having problems treating infections
  • Lack of growth
  • Autoimmune disease

a)    X-linked Agammaglobulinemia ( XLA)

This condition can cause a reduction in B-cells. When B-cells lack in your body, you will be a target of various infections, and the treatment is difficult. Even after you treat these infections, there are chances of getting them again. The most common bacterial infections that you might face are lung infections, ear infections, sinus, and pink eye. If your child is suffering from this immune deficiency, he or she will be fine for 1 to 2 months. He or she gets protection from antibodies that their mother transfers to them while giving birth. Once these antibodies are out of their bodies, they are at risk of infections.

b)    Common Variable Immunodeficiency (CVID)

nyc-allergist-for-immunodeficiency-02This disease can cause permanent damage to the respiratory tract because of severe and repeated infections. This deficiency occurs when the body opens to bacteria and viruses and is unable to defend itself. The infections affect the ears and the respiratory tract. In many cases of CVID, diagnosis is not possible at an early stage. If you are suffering from CVID, you might have higher risks of getting cancer. This disease can affect both males and females, and severity may vary from one victim to another.

2.     Secondary Immunodeficiency Disorder

Diseases that come under secondary immunodeficiency disorders are a result of environmental factors. Examples include HIV, malnutrition, and severe burns. These are more common than PIDD. If your immune system is infected by external factors like drugs, metabolic diseases, or environmental conditions, this may cause a deficiency in your body. If your body has limited access to food, you might end up suffering from malnutrition, which can result in decreasing the production of T-cells. Your body is prone to various infections if you lack T-cells, as these cells help protect your body from abnormal cells.

a)    AIDS

Human Immunodeficiency Virus or HIV is a type of virus that causes AIDS. Your immune system is a defense mechanism for your body. The healthy immune system can control many viruses with the help of T-Cells. HIV targets these cells and causes them to make copies of viruses that damage your immune system. The advanced stage of HIV disease is AIDS. It is a deadly disease that occurs when HIV is not controlled, and the body loses too many T-Cells. That makes your body’s immune system weak, and you are unable to fight infections.

b)    Leukemia

When cancer infects the tissues that form blood, the result is Leukemia. This type of cancer occurs in both children and adults. This affects your bone marrow and the lymphatic system.

Conclusion

Immunodeficiency is a severe condition, and you should take it seriously. Any ignorance in its treatment can cause serious problems. Some of these diseases can be fatal. For a consultation regarding this deficiency, you can contact us.

Call or book an appointment with our NYC Allergist to get help with your condition.

Boyan Hadjiev, MD
30 East 40th Street
(Btwn Madison and Park)
Suite 1200
New York, NY 10016
212-319-5282

What Is An Allergy Test? Are There Different Types?

Allergies are widespread these days as the seasonal change is occurring. Coughing, sneezing, headache, and swollen faces are a common sight in this weather.

These are common symptoms of hay fever, but it is important to know that not everyone experiencing this condition is suffering from allergic rhinitis. Interestingly, one out of three affectees of rhinitis is non- allergic.

Test Before Medication

You may mistake the common symptoms of non-allergic rhinitis as allergic rhinitis. Proper examination of symptoms helps to clear the confusion.  After the diagnosis of allergic disease, see an allergist for further testing.

Allergists are highly qualified trained physicians who not only diagnose immune system disorders but also help in preventing, managing, and treating allergenic reactions.

Allergy Tests – What Are the Available Options?

As the name implies, allergy tests help to diagnose different allergy conditions. Allergy tests give a better picture to Allergists of how the subject’s body reacts to specific allergens –such as pollen, animal dander, certain food, or medication.

The most authentic and practiced method of allergy testing is the Skin Test. Radioallergosorbent testing (RAST) –a blood test –is another way.

Allergy Skin Tests

Skin tests date back to the last century. These are still the primary source to diagnose an allergic disease –especially those spread by air, including pollen, dust mites, and dander. Food allergies are complexed sometimes, and skin test may prove to be of little help in diagnosing these allergies.

Skin tests are safer for people of all age groups. Though there is not much risk involved, skin testing is prohibited if the patient has sensitive skin, is on antihistamine or specific blood pressure medication, or have a heart or lungs disease.

Skin Prick Test

The most commonly used skin testing technique is the Skin Prick Test, also known as Puncture or Scratch test. Allergistsuse a hypoallergenic pen tomark an area of the forearm then put tiny drops of an allergen on that part.

Within a span of half-a-minute, the allergists observe if the allergen triggers any reaction. Immunologists can check allergic reactions to as many as 40 substances in one test.

Intradermal Test

In this type of test, allergist injects a small amount of an allergen in the patient’s arm with a needle. He then observes the injected area after 15 minutes for the signs of allergic reactions. Intradermal reactions help diagnose drug and environmental allergies.

Patch Test

Patch testing does not require needles. Instead, the allergist applies as many as 20 to 30 allergens to a patch which he places on the patient’s arm. The patch remains in contact with the skin for 48 hours. During this time, you should avoid bathing or any activity causing heavy sweating. Irritation on the skin after the removal of patches suggests that you are allergic.

These tests help detect delayed allergenic reactions.

Radioallergosorbent testing (RAST)

People with severe skin conditions can opt for a blood test instead of skin allergy testing. RAST is an expensive and time taking method as compared to skin testing. This method is particularly useful in examining food allergies.

The allergists draw a sample of the patient’s blood to measure specific allergic antibodies. This test does not indicate the severity of the reaction but helps diagnose allergic reactions.

Conclusion

It has become easier than ever before to diagnose, manage, and treat your allergies. For primary allergy testing to treatment, contact us, and schedule an appointment with the best Immunologists at Dr. Sneeze in NYC.

Boyan Hadjiev, MD
30 East 40th Street
New York, NY 10016
212-319-5282

What Does An Allergist Do?

Since the weather is changing, you might have a runny nose or are sneezing all day. Your eyes might be itching, making it difficult to keep them wide open and do your work. If that is the case, you probably contracted hay fever. The last thing you should do is to worry, as hay fever is quite common. You are not the only one sneezing away. This condition affects 30% of adults and up to 40% children. This is just the one type of allergy you may have to deal with in this weather.

However, you are likely to find relief from the allergy by consulting an allergist, rather than your primary physician.

What Is An Allergist?

An allergist, also referred as an immunologist, is a physician skilled in diagnosing, managing, preventing and treating allergies. Besides allergies, immunologists have the expertise and training to deal with all types of immunological disorders, including asthma and any immunodeficiency diseases passed down from your ancestors.

How Do Allergies Happen?

It is difficult to pinpoint why allergies affect exactly some of us and some do not. Your body may react to a substance differently than perhaps your loved ones. You might develop an allergy because of one small peanut while your friend could win a peanut eating competition without any adverse effects on at all.

You may be allergic to some particular food or medication or may simply be at risk of a particular allergy due to genetics. In addition, if you suffer from asthma, you are vulnerable to allergies. Allergies are likely to hit you during your childhood or early adulthood. However, you can develop allergies during any phase of life.

How Do Allergies Affect You?

Allergies attack people of all ages; they do not discriminate. For instance, if you are constantly wiping your teary eyes due to hay fever at the workplace, you might end up infecting your co-workers. Allergies not only affect your daily routine but also weaken your immunity system.

An invasion of allergies on your immune system may compel you to stay in bed for the whole day, doing nothing. Allergies are common and in rare cases may affect your organs, including sinuses and nasal passages, skin, and digestive system, to the extent that your life might be at risk.

You may counter mild seasonal allergies on your own, but for severe allergies, a visit to a qualified allergist is must.

Types of Allergies Allergists Treat

There are many different types of allergies. Allergists have the experience and expertise to diagnose the root case of your allergy. They find out what triggered your body to behave abnormally or which dangerous invader attacked your immunity. Weather is not the only factor causing an allergy, as you may be allergic to some medication, food or animals.

  • Allergic rhinitis, commonly known as hay fever, may leave you with a runny nose and cause sneezing, itching and red-swollen eyes.
  • Asthma patients are most likely to develop allergies. Difficulties with breathing can cause tightness of the chest. If you have asthma, your airways are narrower than normal, leading to wheezing.
  • Sinusitis can be acute or chronic, depending on how long the condition affects you, causing inflammation of the sinuses.
  • Anaphylaxis is a severe form of allergy developed as a reaction to a medication, some food or an insect sting. A person suffering from anaphylaxis may run out of breath, feel nausea, experience a drop in blood pressure, or even lose consciousness. The condition is potentially life threatening.

Bottom Line

Allergies are common but consulting an allergist can help you overcome them. Let us help you determine the triggers causing allergies and treat them effectively. Contact us today and schedule an appointment with the best allergist in NYC.

Natural Ways To Decrease Allergic Reactions

The sniffling season has arrived in the US. Like your fellow Americans, you are probably coughing with tears rolling down your cheeks. In Spring, the higher count of pollen ragweed in the air may have caused blockage in your airways, a sore throat, or a stuffy nose –or all of these.

If you have any of the symptoms mentioned above, then you are among millions of other Americans who have contracted Rhinitis or Hay fever.

Nature Has Help To Offer

When the pollen count is higher, it is natural for your body to react; not to miss pollen is a major irritant substance. Your body may behave abnormally to an innocent foreign body seeing it as a threat. Your body then releases chemical like Histamine causing allergenic symptoms.

Along with medication, you can take help from various natural sources to prevent your allergies, strengthen your immune system, and nipping the triggers.

Use Your Natural Anti-Histamines

When your body actively releases Histamines, it exhibits allergic symptoms. AntiHistamine drops are easily available, but they may cause nausea and drowsiness. How about using some naturally occurring anti-histamines to relieve your allergy.

Vitamin C

Vitamin C is your natural weapon to fight against hay fever. Not only it serves as an antihistamine, but may also help you with inflammatory reactions. Most citrus fruits like orange, lemons, and grapefruits have Vitamin c.

Butterbur

Another option for treating your hay fever or migraine is butterbur- a plant extracted from a shrub. If you are North American, you may easily find one for your allergies. However, it may cause minor side effects such as fatigue, itchy eyes, or diarrhea.

Pro-biotics

Probiotics may help your immune system in maintaining a balance of gut bacteria. These micro-organisms may assist your body against the allergens.

Honey

Raw honey may prove to be an instant relief for your allergy. You may keep the intake from teaspoon to tablespoon, whatever suits your body.

Warm fluids

fluids such as soups and tea may also help.

Don’t Let Pollens In Your Home

Airborne allergens – specially pollens, are the major cause of Hay fever, try to avoid them:

Shut the Windows

The pollen count is at the highest in the morning. Staying indoor surely helps but don’t keep a door open for pollens to come in. The best way is to keep the windows shut at this time.

Cover your face

Do not forget to wear a mask while going out –this will help you to inhale a lesser amount of allergens.

Wash allergens away

Make sure to take a bath every time you come back home. Your hair may have carried an allergen. Washing your face and hair may also wash the allergen away.

Use HEPA filters

Keep the air you are breathing in clean, and HEPA filters are the best choice for this.

Rinse Your Nasal Cavaties

Rinsing your nasal using saline or a neti pot helps you clean mucus from the nose relieving allergy symptoms.

Steaming also clears your nasal passages making it easier to breathe.

Acupuncture

Acupuncture –ancient Chinese technique – may also help in getting rid of allergies. To what extent it may relieve your allergies is, however, debatable.

Be aware of your allergens

Prevention is better than cure. If you don’t want your allergies to worsen with time, the best way is to avoid the known triggers.

Conclusion

While it is true that natural treatments help to lessen your allergy symptoms, they cannot outweigh your allergy medication. You may take help of nature for your allergies, but you can only treat them if you know the causative allergen.

For diagnosis and treatment of your allergic symptoms, contact us and schedule an appointment with the best allergist in NYC Dr. Sneeze.

Most Common Allergies in NYC

It is the time of the year where the New Yorkers, like the rest of the Americans, are under the attack of pollens –a major cause of allergic rhinitis. Being a New Yorker, you must have experienced the discomfort linked with allergic reactions.

According to a survey conducted by the National Center for Health Statistics, 19.9 million Americans are diagnosed with this seasonal fever. Rhinitis, commonly known as hay fever, is not the only reaction you may be facing in this season.

If you have a hypersensitive immune system, you are at the potential risk of acquiring sinusitis, asthma, and other allergic reactions. Living in a city like New York increases the danger of contracting environmental and dietary reactions too.

How Allergies Happen

Allergies occur when our immune system overreacts to a harmless substance mistaking it as a foreign invasion. It then produces Immunoglobulin E (IgE) bodies against the allergen. These antibodies travel in the cells releasing chemicals like histamine, causing the allergy to happen.

The sensitivity of the reaction varies from person to person. The allergic symptoms may appear within a few minutes or may take time to be visible. The nature of the reaction is dependent upon the type of allergy and a person’s health record.

Is There Any Allergen Distinctive To New York?

Seasonal allergies are common to most of Americans. There is NO such allergen which is exclusive to New York, but we are prone to allergies more than any other American. There are several factors which make this city one of the most difficult ones to live during seasonal change –such as the weather, quality of air in the city, and the congested spaces.

Let us breakdown the common allergies and the factors aggravating them for New Yorkers.

Rhinitis (Hay Fever)

It is rare to be safe from hay fever, especially if you live in this part of the world. Rhinitis affects people of all ages. The common symptoms of hay fever are itching on the nose and mouth, swollen red-itchy eyes and runny nose.

  • Air carries pollen –a microscopic grain that plants produce for reproduction. Pollens are the root cause of spreading allergic reactions. A plant may pollinate itself, or the pollens may be transferred to another flower by wind or animals. The pollen count is different throughout the year. The higher the pollen count, the higher the chances of catching allergies.

Simple plants with no showy flowers produce the types of pollen that trigger allergies. These include trees, weeds, and grasses. One ragweed plant can produce as many as million pollen grains per day.

Male trees produce more pollens than their female counterparts. Ailantus (TK) trees, found in abundance in New York, generate relatively heavy pollens. Pollination usually takes place between 6a.m. and 10 a.m.  Avoid unnecessary outings during this time. Also, use air conditioners in rooms to filter pollens.

  • New York City is home to millions of people from different parts of the world. The apartments are smaller in size, and the space restrictions leave a little room for pets’ dander to hide. It is difficult to avoid contact with indoor pets. However, if you have a mild pet allergy, consider using vacuum cleaners to reduce the pet dander buildup.

Drug Allergies

Our bodies do not always react in conformity to medicines. Instead, the reaction is adverse. It usually happens when our immune system shows an inflammatory reaction to a certain medicine. The most common drug allergens are Pen—lin and sulfur.

Pen—lin comprises of six carbon benzene rings. On the other hand, Sulfur is found in water pills, anti-arthritis drugs & others.

The general symptoms are skin rash, itching, and facial swelling. If exacerbated, drug allergies lead to anaphylaxis – a life-threatening medical condition.

Food Allergies

New York is one of the most thickly populated cities of the world and offers a variety of scrumptious dishes to food lovers around the world. Having a food allergy is the last thing you would want to happen. If you are already allergic to a certain food, it is better to avoid it.

There are certain proteins in food that can trigger allergenic reactions. The reaction can be mild, causing a rash on the skin, tingling in the mouth or sore throat. In rare cases, a small bite of food you are allergic to can cause a drop in blood pressure, irregular heartbeat, dizziness, breathing difficulties, loss of consciousness, and life.

Bottom Line

If you are a resident of New York City, stick to the basics –keep your house clean, avoid going out during pollination, and skip the food causing allergenic reactions.

 If the problem persists, contact us to schedule an appointment with the best allergist in NYC Dr. Sneeze.

Boyan Hadjiev, MD
30 East 40th Street
New York, NY 10016
212-319-5282

How Can You Prevent Allergies Living In A Big City?

When spring arrives in the US, and so have the miseries of people affected by allergies. You probably have smelt the fragrance of flowers along with breathing in some pollen. The changing season and presence of high-level of allergens in the air have made breathing difficult.

If you live in a big city like New York, which has male trees in abundance, your sneezing season is here. After all, male trees produce more pollen as compared to female trees.

Some Common Allergies

Pollens are not the only culprit behind allergenic reactions –there are many. The air you are breathing in carries various allergens, including dust mites, mold, animal dander and of course pollens. Besides airborne allergens, you are likely to develop a dietary allergy, environmental, or a drug allergy.

Rhinitis (Hay Fever)

Most common allergy during season change is allergic rhinitis. Pollens most commonly attack your nasal passage. You probably feel itching on the nose, mouth, and eyes. You may become too tired to do anything except for sneezing as a result of hay fever. Teary-red eyes may compel you to wash them several times during a day with high pollen count.

Sinusitis

Asthma patients and children are vulnerable to allergies more than any other group. Having a fever increases your risk of acquiring sinusitis. Sinusitis blocks your nasal passages. It may also cause thick nasal discharge and breathing difficulties. Sinusitis may be acute or chronic, depending on how many days it lasts.

Food Allergies

Food allergies are complexed to diagnose. Most food allergies happen during childhood. When your body reacts to the protein in a food item, it may cause inflammation on the skin. Your tongue, face, and throat may sore because of the allergen.

Drug Allergies

You may suffer an adverse medical reaction as it is common. Sulfur and others are the most common allergen drugs. Certain drugs may cause itching on skin, and rashes may appear. You may wheeze due to chest tightness and experience breathing difficulties.

If your food or drug allergy worsens, it may put your life in danger causing anaphylaxis.

How Can You Prevent Allergies?

Bigger cities have bigger problems. Several factors contribute to aggravate allergies for the residents of big cities. Besides the weather, the air quality of your city, the occupied environment, and congested spaces may also expose you to a higher amount of allergens than natives of small cities.

Do not panic; there are ways to relieve the symptoms.

  • Plants mostly pollinate in the morning between 5 am to 10 am. Try to stay at home during this time.
  • Your indoor air should also be clean and pollen-free. Keeping the windows close reduces the chances of breathing pollens. Also, filter the air using high-efficiency particulate air (HEPA) filter
  • If you are allergic to an animal, don’t keep a pet in the first place. But if your allergy is mild, use vacuum cleaners to reduce the buildup of animal dander.
  • Control your craving and avoid the food that triggers allergenic symptoms. If you have a severe pollen allergy, eating raw and fresh fruits may be troublesome. Avoid them.
  • Keep track of food items that cause or worsen your allergic symptoms.
  • Never use any medicine unless prescribed by your allergist. It is safe to undergo an allergy test to discover the allergen triggering the reaction.
  • Whenever you go out during this season, carry a small allergy-relief kit –including eye drops, nasal sprays, and antihistamine drops.
  • Consult an allergist before your allergy becomes a potential threat to your life.

Conclusion

Allergies have hit New Yorkers harder than other US citizens. The weather worsens when there is a high pollen count. Be prepared. Contact us and schedule an appointment with the best Allergist NYC.

212-319-5282

Do We Inherit Allergies?

Do We Inherit Allergies? With the arrival of Spring, many allergies have also made their way to America. Along with fruits and flowers, this season brings miseries for the people suffering from allergies. Runny noses, sore throats, and swollen faces are a common sight.

But, you can’t only blame the season for your blocked airways or nasal congestion. Yes, environmental factors matter but some allergies may be genetic and passed down to generations.

How Allergies Happen

Your body has an inbuilt defense system that keeps you protected from any foreign invaders. It has a force of antibodies which fights with the harmful substances. However, sometime, your body may mistakenly react against a substance causing no harm.

Your immune system then produces Immunoglobin E (Ig E) bodies to battle out the allergen. These bodies travel in the cells, releasing Histamine and other chemicals causing mild to severe allergenic reactions –depending on the type of allergen your body encounters.

If your allergy is mild, it will cause you itching, rash on the skin, or congestion. However, in severe allergenic case, you may experience varying degrees of mouth and throat swelling. You may suffer severe abdominal pain with vomiting and nausea. In rare cases, a patient may lose his life.

Air transports some of the allergens, such as –pollen, dust mite, mold, and animal dander. You may suffer an allergy to a particular food, medication, or pet.

Are All Allergies Inherited?

Allergies develop due to several reasons. Why you don’t show an allergenic reaction to a substance your sibling may exhibit is unknown. Allergies can hit people of all age group at any time. You are most likely to become allergic to things, especially food during childhood. However, some allergies sit down with time.

Some allergies tend to travel through genes; you may potentially inherit an allergy from your parents or grandparents –such as allergic asthma. Relax and take a deep breath. If you or your partner has an allergic condition, it does not mean that it will affect all your children. Likewise, your kid may develop an allergy even if none of your family members is affected.

Allergic asthma

If your airways are inflamed and you are having difficulty with breathing, you are under an asthma attack. This breathing disorder occurs when you inhale an allergen, thereby exhibiting allergenic symptoms –narrowed airways, breathing difficulties, chest tightness with wheezing, and coughing.

Genes, along with other environmental factors, play a major role in administering allergic asthma. Different research suggests that as many as 100 of your genes may have a connection to allergic asthma. While most of the associated genes involve your body’s immune response, some play a part in lungs and airway functions. There is no specific inheritance pattern for allergic asthma.

Interestingly, not everyone with a variation of one of an allergic asthma-associated gene tends to develop the condition. You may develop allergic asthma because of prolonged exposure to allergen irritants present in the environment.

Food allergies

Though most of the food allergies are specific to an individual’s body composition, you may share a certain food or drug allergy with your family. Food allergies affect as many as two million (8%) of the children in the US.

If both of your parents are allergic to a certain food –let’s say peanut –then you are also likely to develop an allergy to it. However, it is not the case always. It is quite possible that you don’t develop an allergy to peanuts at all.

Conclusion

If you suffer from any seasonal allergy or have inherited one because of your genes, do not fear. Your allergies may not be completely wiped out, but you can manage them with your doctor’s help. Contact us and schedule an appointment with the best allergist in NYC Boyan Hadjiev MD.

Do Allergies Intensify With Age?

Do Allergies Intensify With Age? Allergies affect one out of five Americans. In your early childhood, you probably have experienced an allergy to milk, eggs, fish, or some other edible. You may have suffered from other allergies too –such as hay fever, or a drug allergy. As a child, your body tends to develop more allergies than it does in any other age group.

But does that mean once you hit puberty or reach adulthood, you are free from allergies? It’s a YES and a NO.

Is Your Allergy Chronic?

An allergy occurs with your body’s exposure to an allergen. Your immune system may not have reacted earlier to the substance –either contacted through skin, inhaled or swallowed –it is now considering as an invader. When it does so, your immunity system retaliates producing antibodies against the allergen, thereby causing allergenic symptoms.

Allergies are not age specific –they can hit you at any time in life. You may outgrow an allergy you experienced as a kid, or your allergy may reappear in later life –which doesn’t go easily. Some allergies like hay fever or nasal allergies are seasonal, or you may inherit because of your genes.

What Makes Your Allergy Worse? Do Allergies Intensify With Age?

How an allergen reacts on your body and how long the symptoms may appear varies from person to person. It usually depends upon your immune system. With a weak immune system, you are likely to adopt allergies more often and for a longer period.

Some factors that can make your allergy worse are

Longer Exposure to Allergens

Some of your allergies may chide away for some time, but, they can lighten up again with constant exposure to the irritant substance. Food allergies tend to become worse more than other allergies.

Let’s assume that consuming one or two strawberries don’t cause you much trouble. But if the count exceeds four, your immune system may come into the attack –causing itching on the skin or break out in hives. Once you have discovered the culprit food, it is better to avoid it as a severe food allergy may pose a potential threat to your life.

Similarly, longer exposure to airborne allergens may trigger severe allergic symptoms. It all may start with a swollen nasal passage or a runny nose but may lead you to allergic asthma. Stay indoors during pollination and try to keep the air in room clean. Do not forget to keep antihistamine drops, nasal sprays, and eyedrops with you when you go out.

If an insect sting has triggered an allergy, the symptoms –swelling, itching, hives, or skin rash –may disappear once you are not exposed to the allergen anymore.

Deteriorating Digestive System

Your body may breakdown at any age, causing your immune system to weaken. Your digestive system may deteriorate as early as in your 20s –accounting to junk food consumption. Your digestion problems may cause you to have constipation or irritable bowel syndrome (IBS).

Indigestion leads to allergies and worsening of existing allergies. With aging, your stomach produces less Hydrochloric acid (HCl) than the body’s requirement, increasing the risk of developing allergies.

An Already Existing Allergy

If you are struggling with an allergy which is worsening with time, you may potentially have contracted another allergy. The situation may deplete letting one allergy produce another. You may be allergic to ragweed, but if the symptoms have become severe, your immune system is possibly reacting to another allergen at the same time.

Hereditary Allergies

You may develop an asthmatic allergy because of a variation of an allergic-asthma associated gene. You are more likely to develop an allergy if both of your parents are allergic. Allergens present in the air may trigger your asthma. It attacks your airways, making it difficult to breathe.

Your sinusitis may be acute or chronical. You are more likely to have sinusitis if you are suffering from hay fever.

Bottom Line

You can prevent your allergies from worsening by taking immediate steps –one of which is consulting a trained allergist. Contact us and schedule an appointment with the Dr. Sneeze, the best allergist in NYC.

212-319-5282

Serving all of New York City and the Tri State Area including Zip Codes: Top Allergist NYC Midtown, Chelsea and Clinton: 10001, 10011, 10018, 10019, 10020, 10036 | Gramercy Park and Murray Hill: 10010, 10016, 10017, 10022 | Greenwich Village and Soho: 10012, 10013, 10014 | Lower Manhattan: 10004, 10005, 10006, 10007, 10038, 10280 | Lower East Side: 10002, 10003, 10009 | Upper East Side: 10021, 10028, 10044, 10128 | Upper West Side: 10023, 10024, 10025