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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

Blog Posts are Below:

How to Choose the Right Allergist: Tips for Finding the Best Care

How do you choose the right allergist? Allergies can be a serious and sometimes life-threatening condition. Choosing the right allergist is an important decision that can impact your health and well-being. With so many options out there, it can be overwhelming to know where to start. In this blog post, we will discuss some tips for finding the best care and how Boyan Hadjiev MD, an allergist located in New York City, may be the right choice for you.

Choose the Right Allergist

Tip #1: Check Credentials and Experience

When choosing an allergist, it’s important to check their credentials and experience. Look for an allergist who is board-certified in allergy and immunology and has experience in treating your specific allergy. Dr. Boyan Hadjiev is board-certified in allergy and immunology and has been practicing for over 20 years. He has treated a wide range of allergies and has experience in both pediatric and adult allergy care.

Tip #2: Look for Personalized Care

Your allergist should take the time to get to know you and your specific needs. They should develop a personalized treatment plan that is tailored to your individual needs. An expert allergist understands that each patient is unique and he takes the time to develop a personalized treatment plan for each patient. They offer comprehensive allergy testing to determine the specific allergens that are causing your symptoms and develops a personalized treatment plan that may include medications, allergy shots, and lifestyle changes.

Tip #3: Consider Accessibility and Convenience

When choosing an allergist, it’s important to consider accessibility and convenience. Look for an allergist who is located close to your home or work and offers flexible appointment times. Dr. Hadjiev is conveniently located in Midtown Manhattan and offers flexible appointment times, including early morning and evening hours. He also offers telemedicine appointments for added convenience.

Tip #4: Read Reviews and Ask for Referrals

One of the best ways to find a reputable allergist is to read reviews and ask for referrals from friends and family. Look for an allergist with positive reviews and testimonials from patients. A top NYC allergist will have excellent Google and ZocDoc reviews and testimonials from his patients, who  will generally praise the doctors care and treatment plans.

Choosing the Right Allergists 2023 2024

Tip #5: Consider Insurance Coverage

When choosing an allergist, it’s important to consider your insurance coverage. Look for an allergist who accepts your insurance plan or offers affordable payment options. An experienced allergist in NYC will accept most major insurance plans and offer affordable payment options for patients without insurance.

Choose the Right Allergist: Dr. Boyan Hadjiev for Your Allergy Care Needs

If you’re looking for an allergist who offers personalized care, experience, and convenience, look no further than Dr. Boyan Hadjiev. With over 20 years of experience, he has the expertise to diagnose and treat a wide range of allergies. He offers comprehensive allergy testing, personalized treatment plans, and flexible appointment times to ensure that you receive the best possible care.

Contact his office today to schedule an appointment and take the first step towards managing your allergies.

Dr. Boyan Hadjiev
Allergy, Asthma and Sinusitis P.C.
30 East 40th Street, Suite 1200
New York, NY 10016

Call 212-319-5282 or visit https://drsneeze.com for more information.

Allergy Shots: What to Expect and How They Work

In this post, we’ll discuss what an allergy shot is, how it works, and what to expect during treatment. If you suffer from allergies, you know how frustrating and disruptive they can be to your daily life. Fortunately, there are effective treatment options available, including allergy shots. Allergy shots, also known as immunotherapy, are a type of treatment that can help reduce and even eliminate allergy symptoms.

Allergy Shot

What are Allergy Shots?

Allergy shots are a form of immunotherapy that involves injecting small amounts of allergens into the body to help desensitize the immune system. The goal of allergy shots is to help the immune system build up a tolerance to the allergens over time, ultimately reducing or eliminating allergy symptoms. Allergy shots are typically recommended for individuals with moderate to severe allergies that are not effectively managed with other treatments, such as medication or avoidance of allergens.

How Do Allergy Shots Work?

Allergy shots work by introducing small amounts of allergens into the body over a period of several months to years. The dose of allergen is gradually increased during this time to help the immune system build up a tolerance to the allergen. The immune system produces antibodies in response to the allergen, which ultimately help reduce or eliminate allergy symptoms.

It’s important to note that allergy shots are not a quick fix for allergies. It can take several months to see improvement in symptoms, and full treatment typically lasts three to five years. However, for many individuals, the long-term benefits of allergy shots are well worth the commitment.

What Are the Different Types of Allergy Shots?

There are two main types of allergy shots: subcutaneous immunotherapy (SCIT) and sublingual immunotherapy (SLIT). SCIT involves injections of allergen extracts under the skin, while SLIT involves placing drops of allergen extracts under the tongue. Both types work by gradually exposing the immune system to small amounts of allergens over time, in order to desensitize the body and reduce allergic reactions.

What to Expect During Allergy Shot Treatment

Allergy Shots how they work allergist NYCAllergy shot treatment typically involves two phases: the buildup phase and the maintenance phase.

During the buildup phase, the dose of allergen is gradually increased over several weeks or months. This allows the immune system to slowly build up a tolerance to the allergen. You will typically receive allergy shots once or twice a week during the buildup phase.

Once you reach the effective dose, you will enter the maintenance phase. During this phase, you will receive allergy shots less frequently, usually once every two to four weeks. The goal of the maintenance phase is to help maintain the immune system’s tolerance to the allergen.

Are Allergy Shots Effective?

Studies have shown that allergy shots can be highly effective in reducing and even eliminating allergy symptoms. One study found that 85% of patients experienced a significant reduction in allergy symptoms after three years of allergy shot treatment.

Allergy shots are particularly effective for individuals with allergies to pollen, dust mites, and animal dander. However, they may be less effective for individuals with food allergies.

Conclusion: Contact an Experienced Allergist for the Best Treatments

Allergy shots can be an effective treatment option for individuals with moderate to severe allergies that are not effectively managed with other treatments. While the treatment process can be lengthy, the long-term benefits can be significant, ultimately improving quality of life for allergy sufferers.

If you are interested in learning more about allergy shots or other allergy treatment options, contact Dr. Boyan Hadjiev, also known as “Dr. Sneeze”, an experienced allergist located in New York City. Dr. Hadjiev and his team at Allergy, Asthma and Sinusitis P.C. provide comprehensive allergy testing and treatment services to help you manage your allergies and improve your quality of life.

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016


Effectiveness of Immunotherapy in Allergy Treatment

Effectiveness of Immunotherapy in Allergy Treatment

What is the effectiveness of immunotherapy in allergy treatment? Allergies can be a real nuisance and can severely affect your quality of life. They can cause symptoms like sneezing, runny nose, itchy eyes, and even more severe symptoms like anaphylaxis. While there are many different treatment options available for allergies, one treatment option that has gained popularity in recent years is immunotherapy. In this blog post, we will explore what immunotherapy is, how it works, and its effectiveness in allergy treatment.

What is Immunotherapy?

Immunotherapy, also known as allergy shots, is a treatment that involves exposing a person to small amounts of an allergen over time, with the goal of reducing their sensitivity to that allergen. The process typically involves regular injections, usually given over a period of several years.

How Does Immunotherapy Work?

The immune system is the body’s defense against harmful substances, including allergens. When the immune system encounters an allergen, it produces antibodies that trigger an allergic reaction. Immunotherapy works by exposing the immune system to small amounts of the allergen, which over time helps the immune system build up a tolerance to the allergen. As the immune system becomes desensitized to the allergen, the severity of the allergic reaction is reduced.

Effectiveness of Immunotherapy

Immunotherapy has been shown to be an effective treatment option for allergies. According to the American Academy of Allergy, Asthma, and Immunology, immunotherapy can reduce allergy symptoms in up to 85% of patients. It can also help prevent the development of new allergies and reduce the risk of asthma in children with allergies.

While immunotherapy can be a highly effective treatment option for allergies, it is important to note that it is not a quick fix. The process can take several years to complete, and results may not be noticeable for several months. Additionally, not everyone is a candidate for immunotherapy, and it is important to discuss your options with an allergist or immunologist.

Types of Immunotherapy

There are two main types of immunotherapy:

Subcutaneous immunotherapy (SCIT)

SCIT involves injecting small amounts of the allergen into the patient’s skin, usually in the upper arm. The injections are given on a regular schedule, typically once or twice a week for several months, followed by less frequent injections over a period of several years.

Sublingual immunotherapy (SLIT)

SLIT involves placing a small amount of the allergen under the patient’s tongue. The allergen is absorbed through the mucous membranes in the mouth. SLIT is typically given daily and can be continued at home.

Is Immunotherapy Right for You?

If you suffer from allergies, immunotherapy may be a good option for you. However, it is important to talk to an allergist or immunologist to determine if you are a good candidate for the treatment. They will take into account your medical history, the severity of your allergies, and other factors to determine if immunotherapy is right for you.

Effectiveness of Immunotherapy in Allergy Treatment: Conclusion

Immunotherapy can be an effective treatment option for allergies, and it is important to discuss your options with an allergist or immunologist. While it may take several years to complete, immunotherapy can help reduce allergy symptoms and improve your quality of life.

Contact Dr. Boyan Hadjiev, also known as “Dr. Sneeze” today for allergy testing and to discuss your allergy treatment options:

Dr. Boyan Hadjiev
Allergy, Asthma and Sinusitis P.C.
30 East 40th Street, Suite 1200
New York, NY 10016

Call 212-319-5282 or visit https://drsneeze.com for more information.

Anaphylaxis: Causes and How to Respond

Anaphylaxis Causes responseIn this blog post, we will discuss what anaphylaxis is, what causes it, and how to respond in case of an emergency. Anaphylaxis is a severe, potentially life-threatening allergic reaction that requires immediate medical attention. It can happen quickly, within minutes or even seconds, and can affect multiple organs in the body.

What is Anaphylaxis?

Anaphylaxis is a severe allergic reaction that can cause a range of symptoms, including:

  • Skin reactions such as hives, itching, and flushing
  • Swelling of the face, lips, tongue, and throat
  • Difficulty breathing, shortness of breath, or wheezing
  • Chest pain or tightness
  • Abdominal pain, nausea, or vomiting
  • Dizziness or fainting

These symptoms can develop quickly and progress rapidly, making it essential to seek medical attention immediately.

What Causes Anaphylaxis?

Anaphylaxis occurs when the body’s immune system overreacts to an allergen. The most common allergens that can cause anaphylaxis include:

  • Food, especially peanuts, tree nuts, shellfish, and dairy
  • Insect stings, such as from bees, wasps, and hornets
  • Medications, including antibiotics, aspirin, and chemotherapy drugs
  • Latex, which is found in gloves, balloons, and other products
  • In some cases, exercise, cold weather, or emotional stress can trigger anaphylaxis

How to Respond to Anaphylaxis?

Anaphylaxis is a medical emergency that requires prompt treatment. If you or someone around you experiences symptoms of anaphylaxis, follow these steps:

  • Call 911 or your local emergency number immediately.
  • If the person has an epinephrine auto-injector (such as EpiPen), use it right away as directed.
  • Make the person lie down and elevate their legs if possible.
  • Loosen tight clothing and cover them with a blanket.
  • Do not give anything to eat or drink, as it can obstruct the airway.
  • Monitor the person’s breathing and be prepared to perform CPR if necessary

Allergic Anaphylaxis emergency what to do and look for

Preventing Anaphylaxis

If you have a history of anaphylaxis or severe allergic reactions, it’s crucial to take steps to prevent future episodes. Here are some tips:

  • Identify and avoid triggers: Work with an allergist to determine the specific allergens that cause your anaphylaxis and learn how to avoid them.
  • Carry an epinephrine auto-injector: Make sure to have your epinephrine auto-injector with you at all times and know how to use it correctly.
  • Wear a medical alert bracelet: A medical alert bracelet can inform others about your anaphylaxis and provide emergency contact information.
  • Develop an emergency action plan: Work with your allergist to develop an emergency action plan that outlines the steps to take in case of anaphylaxis.

Causes & How to Respond to Anaphylaxis: Conclusion

In conclusion, anaphylaxis is a severe and potentially life-threatening allergic reaction that requires immediate medical attention. Understanding the causes and symptoms of anaphylaxis is important in order to prevent and respond to it effectively. If you or a loved one has experienced anaphylaxis, it is important to seek medical attention right away and follow up with an allergist for further evaluation and treatment.

At Allergy, Asthma and Sinusitis P.C, Dr. Boyan Hadjiev provides comprehensive allergy testing and treatment services, including immunotherapy, medication management, and personalized care plans tailored to each patient’s unique needs. With his expertise and experience, Dr. Hadjiev can help patients identify their specific allergens and develop strategies to avoid them, as well as provide emergency plans and epinephrine auto-injectors to prevent and manage anaphylaxis.

If you or a loved one is experiencing allergies or has a history of anaphylaxis, do not hesitate to contact Dr. Hadjiev and his team at Allergy, Asthma and Sinusitis P.C. They are committed to providing the highest quality care and helping patients live healthy, allergy-free lives.

Contact them today to schedule a consultation and take control of your allergies.

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016

Sinusitis and Allergies: Understanding the Link and Effective Treatments

Sinusitis and allergies are two common conditions that are closely linked. In fact, many people who suffer from allergies also experience chronic sinusitis. In this blog post, we will explore the link between these two conditions and discuss effective treatments that can help you find relief.

Sinusitis and Allergies | Best doctor NYC 2023-2024

What is Sinusitis?

Sinusitis is an inflammation of the sinus lining that can cause a range of symptoms, including facial pain and pressure, congestion, headaches, and a reduced sense of smell. It can be caused by a variety of factors, including bacterial or viral infections, allergies, or structural abnormalities in the nasal cavity.

What are Allergies?

Allergies occur when the immune system overreacts to a foreign substance, such as pollen or pet dander. Common allergy symptoms include sneezing, itching, runny nose, and watery eyes. For some people, allergies can also trigger sinusitis.

The Link between Sinusitis and Allergies

The sinuses are connected to the nasal passages, and allergies can cause inflammation in the nasal cavity that can lead to sinusitis. When someone with allergies is exposed to an allergen, such as pollen or dust mites, their body releases histamines. Histamines are responsible for causing allergy symptoms, but they can also cause the blood vessels in the sinuses to become inflamed, leading to sinusitis.

Treatments for Sinusitis and Allergies

If you are experiencing symptoms of sinusitis or allergies, it is important to seek treatment from an experienced allergist. They can help you identify the cause of your symptoms and develop an effective treatment plan. Some common treatments for sinusitis and allergies include:

  • Antihistamines: These medications block the effects of histamines, reducing allergy symptoms and preventing sinus inflammation.
  • Decongestants: Decongestants work by shrinking the blood vessels in the nasal cavity, reducing congestion and pressure in the sinuses.
  • Nasal corticosteroids: These medications reduce inflammation in the nasal cavity and sinuses, helping to alleviate symptoms of both allergies and sinusitis.
  • Immunotherapy: Immunotherapy involves exposing the body to small amounts of an allergen over time, helping the immune system build up a tolerance and reducing allergy symptoms.
  • Surgery: In some cases, surgery may be necessary to correct structural abnormalities in the nasal cavity that are causing chronic sinusitis.

Prevention Tips

Links between Sinusitis and Allergies | TreatmentsWhile there is no guaranteed way to prevent sinusitis or allergies, there are steps you can take to reduce your risk of developing these conditions. Some tips include:

  • Avoiding allergens: Identify the allergens that trigger your symptoms and take steps to avoid them as much as possible.
  • Keeping the home clean: Regularly clean your home to remove dust, pet dander, and other allergens that can trigger symptoms.
  • Staying hydrated: Drinking plenty of fluids can help keep mucus thin and flowing, reducing the risk of sinusitis.
  • Using a humidifier: Adding moisture to the air with a humidifier can help soothe irritated nasal passages and reduce congestion.
  • Getting regular checkups: Regular checkups with an allergist can help identify and treat allergy and sinusitis symptoms before they become chronic.

Sinusitis and Allergies: Conclusion

In conclusion, if you are experiencing sinusitis symptoms, it’s important to schedule an appointment with a top NYC allergist like Boyan Hadjiev MD, who can help diagnose and treat the underlying cause of your condition. By taking a comprehensive approach that considers both allergies and other factors that may be contributing to your sinusitis, Dr. Hadjiev can help you find long-term relief and improve your overall quality of life. Don’t suffer through sinusitis symptoms any longer.

Contact Dr. Sneeze at Allergy, Asthma and Sinusitis P.C. to schedule a consultation today.

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016

Hay Fever: Symptoms, Treatment, and Prevention

Hay Fever symptoms and treatment best allergist nyc 2023Hay fever, also known as allergic rhinitis, is a common condition that affects millions of people worldwide. It is caused by allergens such as pollen, dust mites, and animal dander. When these allergens enter the body, the immune system overreacts, causing a range of symptoms.

If you’re experiencing symptoms of this type of allergic reaction, it’s important to seek treatment from an allergist like Boyan Hadjiev MD, located in New York City. In this blog post, we’ll explore the symptoms, treatment options, and prevention methods for “hay fever”.


Symptoms of Hay Fever

Symptoms can vary from person to person, but they typically include:

  • Runny or stuffy nose
  • Sneezing
  • Watery or itchy eyes
  • Itchy throat, mouth, or ears
  • Ear congestion
  • Headache
  • Fatigue
  • Difficulty sleeping

Treatment Options for Hay Fever

There are several treatment options available for hay fever, including:


These medications block the effects of histamine, a chemical that is released during an allergic reaction. Antihistamines can help relieve symptoms such as sneezing, itching, and runny nose.

Nasal corticosteroids

These medications reduce inflammation in the nasal passages and can help relieve symptoms such as congestion, runny nose, and sneezing.


These medications can help relieve nasal congestion by narrowing the blood vessels in the nasal passages.


Also known as allergy shots, immunotherapy can help desensitize the immune system to allergens over time. This can reduce the severity of allergy symptoms.

Prevention Methods for Hay Fever

Prevention methods for hay fever include:

Avoiding allergens

Try to avoid exposure to pollen, dust mites, and animal dander as much as possible. Stay indoors on days with high pollen counts and use air conditioning to filter out allergens.

Keep your home clean

Regularly vacuum and dust your home to reduce the amount of allergens in the air.

Wear a mask

If you need to do outdoor activities such as gardening, wear a mask to reduce your exposure to allergens.

Allergy prevention tips

Take medications as prescribed

If you have hay fever, it’s important to take your medications as prescribed by your allergist.

Allergy Treatment from Top NYC Allergist Boyan Hadjiev MD

If you’re experiencing hay fever symptoms, it’s important to seek medical attention from an allergist like Boyan Hadjiev MD. Dr. Hadjiev can perform allergy testing to determine what allergens are causing your symptoms and develop a treatment plan tailored to your individual needs.

Don’t let allergies control your life – seek treatment from Dr. Sneeze today!

Contact Dr. Sneeze

Boyan Hadjiev MD also known as “Dr. Sneeze”
30 East 40th Street, Suite 1200
New York, NY 10016


Asthma and Allergies: Managing Symptoms and Avoiding Triggers

Asthma and Allergies specialist NYCLiving with asthma and allergies can be challenging, especially when it comes to managing symptoms and avoiding triggers. Fortunately, Boyan Hadjiev MD, an allergist located in New York City, is here to help patients with asthma and allergies lead a healthier, happier life.

In this blog post, we will discuss the common triggers of asthma and allergies and the treatment options available to manage symptoms. We will also provide tips on how to avoid triggers and maintain good respiratory health.

What is Asthma and What Are Allergies?

Asthma is a chronic respiratory condition that affects the airways. People with asthma experience inflammation and narrowing of the airways, which can lead to symptoms such as wheezing, coughing, and shortness of breath. Allergies, on the other hand, occur when the body’s immune system overreacts to a harmless substance, such as pollen, dust mites, or pet dander.

Common Triggers of Asthma and Allergies

There are several common triggers of asthma and allergies that patients should be aware of. These triggers can include:

Pollen and Mold

Pollen and mold are common allergens that can trigger asthma and allergy symptoms. Pollen is released from trees, grasses, and weeds, while mold grows in damp areas such as bathrooms and basements.

Dust Mites and Pet Dander

Dust mites and pet dander are also common allergens that can trigger asthma and allergy symptoms. Dust mites are tiny insects that live in bedding, carpets, and furniture, while pet dander is the dead skin cells that animals shed.

Smoke and Air Pollution

Smoke and air pollution can irritate the airways and trigger asthma and allergy symptoms. This can include cigarette smoke, wildfire smoke, and pollution from cars and factories.

Managing Symptoms and Avoiding Triggers

Best Asthma allergistThere are several treatment options available to manage asthma and allergy symptoms. These include:


Medications such as inhalers, nasal sprays, and antihistamines can be effective in managing asthma and allergy symptoms. These medications work by reducing inflammation and opening up the airways.

Allergy Shots

Allergy shots, also known as immunotherapy, can help reduce the body’s reaction to allergens over time. This treatment involves injecting small amounts of allergens into the body to help build up immunity.

Lifestyle Changes

Lifestyle changes can also be effective in managing asthma and allergy symptoms. These can include avoiding triggers, maintaining good indoor air quality, and practicing good respiratory hygiene.


In conclusion, asthma and allergies can be challenging to manage, but with the help of a qualified allergist like Boyan Hadjiev MD, patients can lead a healthier, happier life. By understanding the common triggers of asthma and allergies and utilizing the appropriate treatment options, patients can manage symptoms and avoid triggers.

If you are in need of allergy treatment in general or related to asthma, contact Dr. Hadjiev today:

 Allergy, Asthma and Sinusitis P.C.
30 East 40th Street, Suite 1200
New York, NY 10016


Eczema and Allergies: Understanding the Connection and Treatment Options

Eczema and Allergies

If you or someone you love is experiencing eczema, you may wonder if allergies play a role. Eczema is a common skin condition that causes red, itchy, and inflamed skin. It affects people of all ages and can be caused by a variety of factors, including genetics, environmental factors, and lifestyle choices. In this blog post, we will explore the connection between eczema and allergies and discuss treatment options.

What is Eczema?

Eczema, also known as atopic dermatitis, is a chronic skin condition that causes patches of dry, itchy, and inflamed skin. It can appear anywhere on the body, but is most commonly found on the hands, feet, face, neck, and upper chest. Eczema can be caused by a combination of genetic and environmental factors. It is often associated with other atopic conditions, such as asthma and hay fever.

The Connection Between Eczema and Allergies

Allergies and eczema are closely related. In fact, many people with eczema also have an allergic condition. This is because eczema is often triggered by allergens, such as pollen, dust mites, and pet dander. When an allergen comes into contact with the skin, it can cause an immune system reaction that leads to eczema symptoms. In addition to environmental allergens, certain foods can also trigger eczema symptoms in some people.

Allergy Testing for Eczema

If you have eczema, it is important to identify any underlying allergies that may be contributing to your symptoms. Allergy testing can help determine what allergens you are sensitive to. There are a few different types of allergy tests, including skin prick tests, blood tests, and patch tests. Your allergist can recommend which type of test is best for you.

Treatment Options

Treatment for eczema and allergies may involve a combination of approaches, including avoidance of triggers, medications, and lifestyle changes. Here are some common treatment options:

Avoiding Triggers

If you have identified specific allergens that trigger your eczema, avoiding them is an important step in managing your symptoms. This may involve using air purifiers, washing bedding frequently, and avoiding certain foods.


Treatment allergist for EczemaThere are several medications that can be used to treat eczema and allergies. Antihistamines can help relieve itching and inflammation, while corticosteroids can reduce inflammation and redness. Topical immunomodulators can also be used to reduce inflammation.

Lifestyle Changes

Making lifestyle changes can also help manage eczema and allergies. Keeping the skin moisturized with creams and ointments can help prevent dryness and reduce itching. Avoiding harsh soaps and detergents can also help prevent flare-ups.

Allergy Immunotherapy

Allergy immunotherapy, also known as allergy shots, is a treatment option for people with allergies. It involves receiving regular injections of allergens to help the body build up immunity. This can help reduce the severity of allergy symptoms over time.

Allergies & Skin Conditions: Conclusion

Eczema and allergies are closely related, and identifying and managing underlying allergies is an important step in managing eczema symptoms. If you are experiencing eczema or suspect that you have underlying allergies, it is important to seek the advice of a qualified allergist, such as Dr. Boyan Hadjiev.

Also known as “Dr. Sneeze”, Dr. Hadjiev is a board-certified allergist located in New York City who has years of experience diagnosing and treating eczema and allergies. Dr. Hadjiev takes a personalized approach to care, working closely with each patient to develop a treatment plan that is tailored to their unique needs and lifestyle.

If you are struggling with eczema and allergies, don’t suffer in silence. Contact Dr. Boyan Hadjiev at Allergy, Asthma and Sinusitis P.C. to schedule an appointment and take the first step towards finding relief.

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
(Btwn Madison and Park)
Suite 1200
New York, NY 10016


Best Allergy Testing: What to Expect and How it Can Help

How do you get the best allergy testing? Allergies can be a frustrating and sometimes even life-threatening condition for many people. The good news is that with proper diagnosis and treatment, it is possible to manage and reduce symptoms. Allergy testing is a crucial part of this process, as it helps to identify specific allergens that may be causing an individual’s allergic reactions. In this blog post, we will explore the importance of this type of testing and what patients can expect during the process.

allergies and testing methods

What is Allergy Testing?

Testing for allergies is a medical procedure that helps to identify the specific allergens that trigger an individual’s allergic reactions. There are several different types of tests, including skin tests, blood tests, and patch tests. Testing for allergies can be performed for a wide range of allergens, including pollen, dust mites, pet dander, and certain foods.

Why is Allergy Testing Important?

Allergy testing is important because it helps to identify the specific allergens that are causing an individual’s allergic reactions. Once these allergens are identified, patients can take steps to avoid exposure to them and reduce their risk of allergic reactions. This type of testing can also help to inform treatment plans, including the use of medications and immunotherapy.

What to Expect During Allergy Testing

The specific procedure for allergy testing may vary depending on the type of test being performed. However, there are some general things that patients can expect during the process.

Types of Allergy Tests

best allergy testing nyc 2023Skin tests

Skin tests are one of the most common types of allergy testing. During a skin test, a small amount of an allergen is applied to the skin, usually on the back or forearm. The skin is then pricked or scratched to allow the allergen to enter the skin. If the patient is allergic to the specific allergen, they will develop a raised bump or redness at the site of the test.

Blood tests

Blood tests are another common type of allergy testing. During a blood test, a small sample of blood is drawn and sent to a laboratory for analysis. The laboratory will test the blood for specific antibodies that are associated with allergic reactions.

Patch tests

Patch tests are typically used to identify allergies to substances that come into contact with the skin, such as certain metals, fragrances, and preservatives. During a patch test, small patches containing potential allergens are applied to the skin, usually on the back. The patches are left in place for 48 hours before being removed. If the patient is allergic to one of the substances, they will develop a reaction at the site of the patch.

Preparing for the test

Patients may need to stop taking certain medications, such as antihistamines, in the days leading up to allergy testing. This is because these medications can interfere with the results of the tests. Patients should also avoid wearing tight clothing or jewelry that may irritate the skin on the day of the test.

Allergy Testing: Conclusion

In conclusion, allergy testing is an important part of managing and treating allergies. By identifying specific allergens, patients can take steps to avoid exposure and reduce their risk of allergic reactions. If you are experiencing symptoms of allergies, it is important to speak with an allergist and consider undergoing testing.

If you are in the New York City area and looking for a qualified allergist, Boyan Hadjiev MD, also known as “Dr. Sneeze,” can help. Dr. Hadjiev offers a range of allergy testing and treatment options.

Allergy, Asthma and Sinusitis P.C
30 East 40th Street (Btwn Madison and Park)
Suite 1200
New York, NY 10016


Food Allergies: Common Triggers and Effective Treatment Options in 2023

Food allergies are a growing concern in the United States, with an estimated 32 million Americans affected. If left untreated, food allergies can cause serious health problems, including anaphylaxis. That’s why it’s important to seek medical attention if you suspect that you have a food allergy. Boyan Hadjiev MD, an allergist located in New York City, can help you identify the triggers of your food allergies and provide effective treatment options. In this blog post, we’ll discuss common food allergy triggers and how Dr. Hadjiev can help you manage them.

Types of Food Allergies

Common Food Allergy Triggers

The most common food allergies are to peanuts, tree nuts, milk, eggs, soy, wheat, fish, and shellfish. However, it is possible to be allergic to any food. Symptoms of a food allergy can range from mild to severe and can include hives, swelling, abdominal pain, vomiting, diarrhea, and difficulty breathing.

Peanuts and Tree Nuts

Peanuts and tree nuts are among the most common food allergens. People who are allergic to peanuts may also be allergic to tree nuts, such as almonds, walnuts, and cashews. Symptoms of a peanut or tree nut allergy can range from mild to severe and can include anaphylaxis, a life-threatening reaction.

Allergic to Peanuts-Allergic triggers 2023

Milk, Eggs, and Soy

Milk, eggs, and soy are also common food allergens. Symptoms of a milk allergy can range from mild to severe and can include hives, abdominal pain, and vomiting. Symptoms of an egg allergy can include hives, abdominal pain, and difficulty breathing. Soy allergy symptoms can range from mild to severe and can include hives, abdominal pain, and anaphylaxis.

Fish, Shellfish & Wheat

Wheat, fish, and shellfish are other common food allergens. Wheat allergy symptoms can range from mild to severe and can include hives, abdominal pain, and anaphylaxis. Fish allergy symptoms can include hives, swelling, and difficulty breathing. Shellfish allergy symptoms can range from mild to severe and can include hives, abdominal pain, and anaphylaxis.

Effective Treatment Options

The most effective treatment for food allergies is to avoid the foods that trigger your symptoms. This can be challenging, especially if the food is a common ingredient in many foods. Dr. Hadjiev can help you identify the specific foods that trigger your allergies and provide guidance on how to avoid them.

In some cases, Dr. Hadjiev may recommend immunotherapy, which involves gradually exposing you to small amounts of the allergen over time to build up your tolerance. This can be done through allergy shots or sublingual immunotherapy (SLIT), which involves placing a tablet under your tongue.

Food Allergies-Top NYC Allergist 2023

Emergency Treatment

If you experience a severe allergic reaction, such as anaphylaxis, you should seek emergency medical attention right away. Dr. Hadjiev can provide you with an emergency action plan and prescribe an epinephrine auto-injector, which can be used to treat anaphylaxis.

Food Allergies – Triggers and Effective Treatment Options in 2023: Conclusion

Food allergies can be life-threatening, but with the help of Boyan Hadjiev MD, you can identify the specific triggers of your allergies and learn how to manage them. If you suspect that you have a food allergy, don’t hesitate to seek medical attention.

Contact Dr. Hadjiev at Allergy, Asthma and Sinusitis P.C. by calling 212-319-5282 or visiting his website at https://drsneeze.com.

Seasonal Allergies: How to Identify and Manage Common Triggers

If you’re one of the millions of people who suffer from seasonal allergies, you know how frustrating and uncomfortable it can be. The good news is that with the help of an allergist like Dr. Boyan Hadjiev, you can identify your triggers and manage your symptoms more effectively. In this blog post, we’ll explore some common seasonal allergy triggers and how to manage them.

Seasonal Allergies-Best Allergist NYC 2023

What are seasonal allergies?

Seasonal allergies are a type of allergic rhinitis, also known as hay fever, that is triggered by environmental allergens such as pollen, mold spores, and dust mites. Symptoms can include sneezing, runny or stuffy nose, itchy eyes and throat, and fatigue.

Identifying your triggers

The first step in managing your seasonal allergies is to identify your triggers. This can be done through allergy testing, which can be done through a skin prick test or a blood test. Once you know what you’re allergic to, you can take steps to avoid or reduce your exposure to those allergens.

Common seasonal allergy triggers


Pollen is a common trigger for seasonal allergies, particularly in the spring and fall. Trees, grasses, and weeds release pollen into the air to fertilize other plants, and when you breathe it in, it can trigger an allergic reaction.

Mold spores

Mold spores are another common trigger for seasonal allergies, particularly in the spring and summer. Mold thrives in warm, humid environments, and can be found both indoors and outdoors.

Dust mites

Dust mites are a common trigger for year-round allergies. These microscopic creatures live in household dust and can trigger allergies when their waste and dead bodies become airborne.

Seasonal allergies-Dust mites-Best Allergist NYC 2023

Managing your symptoms

Once you’ve identified your triggers, there are several steps you can take to manage your symptoms.

Avoid allergens

The best way to manage your seasonal allergies is to avoid exposure to your triggers as much as possible. This may involve staying indoors on high pollen days, using air conditioning instead of opening windows, and keeping your home clean and free of dust.

Take medications

Over-the-counter medications such as antihistamines, decongestants, and nasal corticosteroids can help relieve your allergy symptoms. Dr. Hadjiev can work with you to determine which medications are best for your specific symptoms and medical history.

Seasonal Allergies-NYC Allergist

Consider immunotherapy

Immunotherapy, also known as allergy shots or sublingual immunotherapy, can help desensitize you to your allergens over time. This involves regular injections or oral drops that gradually expose you to increasing amounts of your allergens, with the goal of reducing your sensitivity and symptoms over time.

Seasonal Allergies: Identifying & Managing Triggers: Conclusion

Seasonal allergies can be a frustrating and uncomfortable condition, but with the help of an allergist like Dr. Boyan Hadjiev, you can identify your triggers and manage your symptoms more effectively. By avoiding allergens, taking medications, and considering immunotherapy, you can reduce your symptoms and improve your quality of life.

If you’re in the New York City area and looking for a knowledgeable and experienced allergist, schedule an appointment with Dr. Sneeze, Dr. Boyan Hadjiev today!

Allergy, Asthma and Sinusitis P.C
Boyan Hadjiev, MD
30 East 40th Street
(Btwn Madison and Park)
Suite 1200
New York, NY 10016

Understanding Allergies in 2023: Causes, Symptoms, and Diagnosis

In this article we will help you understand allergies along with their causes, symptoms and diagnosis. Allergies are a common condition that affect millions of people worldwide. If you’re experiencing allergy symptoms, it’s important to understand what’s causing them and how to treat them effectively. That’s where Dr. Boyan Hadjiev, also known as “Dr. Sneeze”, comes in. As an experienced allergist based in New York City, he can help diagnose and treat your allergies, so you can feel better and live a healthier life.

Allergies Causes, Symptoms and Diagnosis 2023

What Are Allergies?

Allergies occur when your body’s immune system reacts to a substance that it perceives as harmful. These substances, called allergens, can include pollen, dust mites, pet dander, and certain foods. When you come into contact with an allergen, your body produces an antibody called immunoglobulin E (IgE). This triggers the release of chemicals in your body, such as histamine, which cause allergy symptoms.

Common Allergy Symptoms

Allergy symptoms can vary depending on the allergen and the severity of the reaction. Common symptoms include:

  • Sneezing
  • Congestion
  • Runny nose
  • Itchy or watery eyes
  • Skin rash or hives
  • Difficulty breathing or wheezing

If you’re experiencing any of these symptoms, it’s important to see an allergist like Dr. Hadjiev for an accurate diagnosis.

Diagnosing Allergies

Dr. Hadjiev can perform a variety of tests to diagnose your allergies. Skin tests are a common method, where a small amount of allergen is placed on your skin and your reaction is observed. Blood tests can also be used to detect allergen-specific IgE antibodies in your blood. Once the allergen is identified, Dr. Hadjiev can work with you to develop a personalized treatment plan.

Pet Allergies Causes, Symptoms Diagnosis NYC 2023

Treating Allergies

Pollen allergies-Best Allergist NYC 2023There are a variety of treatments available for allergies, depending on the allergen and the severity of the reaction. Treatment options can include:

  • Allergy shots or immunotherapy
  • Antihistamines or decongestants
  • Nasal corticosteroids
  • Oral corticosteroids
  • Epinephrine for severe allergic reactions

Dr. Hadjiev can work with you to determine the best treatment option for your specific needs.

Allergies Causes, Symptoms, and Diagnosis: Conclusion

If you’re suffering from allergies, it’s important to seek the help of an experienced allergist like Dr. Boyan Hadjiev. With his expertise and personalized approach to treatment, he can help you manage your symptoms and live a healthier, happier life.

Don’t suffer from allergies any longer. Contact Dr. Hadjiev today today to schedule a consultation:

Allergy, Asthma and Sinusitis P.C.
30 East 40th Street (Btwn Madison and Park)
Suite 1200
New York, NY 10016


What Is A Food Sensitivity Test?

What is a food sensitivity test and how does it work? To find out if you are sensitive to certain foods, you can get an idea by noticing how long your body takes to react when you eat them. Unlike food allergies, food sensitivity reaction takes a longer time to happen. Food sensitivity means that you have difficulty digesting certain types of foods, and there are various causes to why that may be.

Absence of an Enzyme

Nearly all types of foods need enzymes to properly digest. Each type of food contains components that every specific enzyme digests. For example, Lactase is an enzyme that digests the protein found in milk, which is lactose. Therefore, a person who doesn’t have sufficient amount of lactase will have intolerance or sensitivity towards milk.

Chemicals in Food

Some people are biologically intolerant or sensitive towards certain chemicals found in foods. Such as caffeine, which you can commonly find in coffee, tea or energy drinks.

Food Poisoning

Some foods contain poisons that are naturally present in them. To avoid an intolerant reaction towards them you have to cook them properly. Some foods can also cause a toxic effect in your stomach when you eat them undercooked.

Food Sensitivity Test


Some individuals are sensitive to naturally occurring histamines. Poorly stored fish can accumulate a lot of naturally occurring histamines as it rots. If a person who is sensitive to histamine eats it, they are likely to experience abdominal cramps, diarrhea, vomiting and nausea

Other common types of food substances that people are mostly sensitive towards include gluten, wheat, artificial sweeteners and coloring.

Difference between Food Sensitivity and Food Allergy

People usually confuse the two but there is a vast difference between them. Food allergy is an immediate immune response to certain foods. Therefore, the symptoms are much more severe and immediate.  A person with a peanut allergy cannot even inhale a tiny bit of peanut dust without swelling up like a balloon.

On the other hand, you may have food sensitivity to certain foods and may not even realize it throughout your lives. Unlike food allergy, the symptoms to food sensitivity can take much longer to reveal themselves. Symptoms may include bloating, migraines or diarrhea. To sum it all up, food sensitivity is not necessarily life threatening and may or may not include an immune response.

Here are some certain sensitivity tests that can come in handy for identifying issues:

Food Sensitivity Test: Elimination Test

This is a simple yet effective way of identifying whether you are sensitive to certain foods. For this, you have to follow an elimination diet. You follow this diet in order to avoid certain types of foods that your dietician may believe is problematic for you.

This test requires extreme commitment and dedication from you since you are limited to have certain foods and eating out can be a problem. It also requires you to record each and every food you eat. The elimination diet may continue for a couple of weeks before you stop showing symptoms. After that, you may have to go through an oral challenge.

The foods you avoid in an elimination diet can vary depending on the person following it.  Your practitioner will guide you about the avoidance and reintroduction of the foods in your diet.

Food Sensitivity Test: Cell Based Tests

Cell based blood tests include MRT and ALCAT. In these types of tests, the doctor collects your blood from your veins, using a needle. They then test your blood by inserting certain food antigens in it and observing the white blood cells. If your white blood cells shrink in reaction to certain food antigens, this means that you are sensitive to that particular food.

What is a Food Sensitivity Test?

The doctor then bases your diet on the MRT or ALCAT tests with the help of dieticians, nutritionists and health practitioners. You have to follow this by the elimination diet test that the practitioner directs based on the MRT test.

Food Sensitivity: Other Tests

There are several other tests that could determine food sensitivity. Most of them differ from the traditional cell based tests but are equally effective. Alternative practitioners like chiropractors and environmental medicine doctors use other methods to test food sensitivities. The most common alternative tests are muscle response testing, provocation tests and electro dermal screening.

Muscle Response Test

This test involves a person to hold a food antigen in one hand while extending the other hand parallel to the floor. The practitioner then pushes their extended hand towards the floor. If the practitioner easily pushes down the extended hand without any restraint, this indicates weakness towards the food antigen. The practitioner then draws conclusions based on these observations.

Electrodermal Screening

For this test, you have to hold a brass tube on one hand, which works as an electrode. The practitioner connects this tube to a computer that generates digitalized frequencies of the food. Then, they press a probe to your other hand. This probe transmits electrical frequencies on your skin. The practitioner then deduces a numerical analysis of your skin’s resistance to those frequencies and concludes whether you are sensitive to a specific food antigen.

Food Sensitivity Test: Consult An Experienced Allergist

Food sensitivity tests are able to conduct a detailed analysis of your body’s reactivity to certain foods. Some tests require blood samples and produce instant results while other alternative methods may take more time and lack validity.

If you believe you are sensitive to certain foods, consider visiting Dr. Sneeze for a proper consultation, or call 212-319-5282 to schedule an appointment.

What Causes Allergic Reactions On Skin?

What are the causes of allergic reactions on your skin? The body has a complex immune system. When the immune system works fine, the cells responsible for immunity will defend you from toxic substances and alert you about the threat. However, when your body’s immune system doesn’t work correctly due to a disease or in normal condition, your immune cells will consider certain substances to be a threat and initiate a reaction. These substances are allergens.

You may react to allergens by consuming, touching, or breathing certain substances, leading to reactions on the skin. According to AAAAI or American Academy of Allergy, Asthma and Immunology, 50 million people suffer from one or another allergic condition in the US. An immunologist can use triggering allergens to test how you react to various substances. They will inject allergens in your body to see a reaction. Then, they diagnose you with an allergy. Furthermore, they also use various allergens for treatment.

Causes of allergic reactions on skin

Causes of Allergic Reactions on Skin

Our body’s skin acts as a defense mechanism and keeps any threats from entering the body. Human skin contains various special cells that provide immunity and protect the skin and the body from viruses, bacteria, and other dangerous pathogens.

When our skin detects an unknown substance that might cause a threat, they react and inflame the infected area. This inflammation is dermatitis or a rash, which can lead to itching and sore.

The reaction depends on the immune cells, the substance, and how they react to something. Sometimes, your infection or health condition leads to allergies. Rashes can be of various types. You may experience irritation, patches or blisters, redness or pain in the infected area. Itchiness can be of various types. It may occur in a specific region or all over the body and can be a symptom of various conditions. Here are some causes of allergic reactions:

1.    Nickel

Various items have nickel construction, such as cutlery and jewelry. Nonetheless, many people experience an allergic reaction to this material. When they come into contact with the material, their skin starts to rash and turn red and itchy. You are prone to this allergy if you work as a house cleaner, caterer, retail clerk, hairstylist, or your tasks include interacting with various metal items.

This allergy is non-treatable. Of course, you need to avoid any contact with this material if you know or experience any reaction towards it. If you want to wear nickel-based accessories, add a layer of nail paint to create a barrier between your skin and nickel, avoiding direct interactions.

2.    Poison Sumac, Oak, and Ivy

Oil from these plants is very reactive to the skin. The leaves release the oil, urushiol when they suffer from bruising or damage. When your skin comes in contact with the oil, it initiates an allergic reaction by turning itchy and red. Urushiol will cause blisters, bumps, and rashes. You can treat the reaction in various ways. For instance, you can apply a wet cloth, oatmeal bath, hydrocortisone cream, and calamine lotion. However, you should visit the immunologist immediately before the condition gets worse.

3.    Medications

You may have noticed that after taking various medications, you experience itchy skin and rashes all over your body. Itchiness and rashes are a result of skin allergic reactions. Some ointments can lead to symptoms like itchiness as well. The allergic reaction indicates that the ingredients are not suitable for your skin type or your allergic condition. Hence, you need to consult an immunologist to determine what items and materials you are allergic to.

Causes of allergic reactions on skin allergist

4.    Fragrances

Fragrances are the main components of deodorant, cologne, and perfume. You use such products to conceal unpleasant smells. You can also find this product in soaps and other skincare products. You may find difficulty choosing a product when you have a fragrance allergy, as most products do not include fragrance as an ingredient. Companies even add a small quantity of fragrance in unscented products. Physical therapists and massage therapists are more likely to develop skin allergy to fragrance as they consistently use products containing fragrance.

5.    Preservatives

Various ingredients in beauty products are reactive to your skin. Two examples are formaldehydeparabens and releaser. Although these products make the product long-lasting, your skin may be reactive to these products. These products usually present in the following items with the names quaternion-15, PABA, isothiazolinone, Diazolidinyl urea, bromonitropropane:

  1. Stickers and fake tattoos
  2. Cosmetic items
  3. Hair dye
  4. Sunscreens
  5. Moisturizers and lotions
  6. Shampoos and conditioners.

Before buying products, always check the ingredients. If you are not allergic to these types of preservatives, you can rely on these products naturally.

Causes of Allergic Reactions on Skin: Conclusion

Allergists & immunologists have education and practice in handling conditions related to the immune system, such as allergic reactions. They can diagnose you and check for which items trigger an immune response and lead to skin reactions.

Are you looking for a top immunologist in New York City? If so, give us a call at 212-319-5282. Visit Dr. Boyan Hadjiev, better known as Dr. Sneeze, for a consultation on treating & controlling the allergic reaction on your skin.

Boyan Hadjiev, MD
30 East 40th Street
Suite 1200
New York, NY 10016




What Are Immunologists?

Have you wondered what immunologists are and do? Immunology involves studying the immune system and its process of protecting the body from various infections and viruses. The immune system provides essential defensive capabilities. An active immune system functions automatically and eliminates any external element that is a threat to the body. If your immune system doesn’t work properly, you are prone to various diseases. Scientists and immunologists research how our body mechanisms protect us from new diseases and how you can improve your immune system.

What Are Immunologists?

What do Immunologists do?

Immunologists help diagnose and treat allergies and other diseases related to the immune system. When your immune system overreacts or doesn’t work properly, an immunologist can help you maintain the system.

If you are suffering from allergies, you need to consider visiting and consulting an immunologist. Allergies occur when your immune system reacts to substances that are not harmful, thinking that they’re a threat.

What is an Immune System

The immune system provides protection from various pathogens and harmful substances that can cause a disease or allergy. Some of the most common pathogens that the immune system provides protection against include viruses and bacteria, which can cause infections. The immune system involves cellular and molecular activities. Your body contains two types of immunity. The first is innate immunity, which is the first line of defense, and adaptive immunity, which is the second line of defense.

Conditions that Immunologist can Treat

Below, you will find some conditions related to the immune system that Immunologist can treat:

1.    Allergic Rhinitis

In this condition, you may experience an allergic reaction affecting your airways and nose. Allergic Rhinitis will cause inflammation to the regions of your body that are part of the breathing process. Another name for this condition is hay fever, which is a common condition. The symptoms of this condition also include sneezing, itchy or stuffy nose, etc. This occurs when your body overreacts to an allergen.

2.    Allergic Conjunctivitis

When you are in contact with allergens in this condition, you will experience inflammation around your eyes. You will feel itching, redness, tearing, and swelling of the eyes. Another name for the condition is a pink eye, and it is the result of a bacteria or a virus.

3.    Asthma

Asthma is a chronic condition and can be fatal. In this condition, you may find it difficult to breathe. In this condition, your airway swells and produces excessive amounts of mucus. The narrow airways lead to impossible or difficulty in breathing. You will also experience a whistling sound, triggering cough and tightness of the chest.

What Are Immunologists? | Best Allergist NY

4.    Anaphylaxis

This is another condition related to a breathing disorder. This condition is also fatal, and other symptoms include vomiting and low blood pressure. Stings from various insects, foods, latex, and medications can cause Anaphylaxis. Many people are also allergic to peanut butter and berries. After encountering these allergens, your immune system will release large amounts of chemicals that lead to a shock. To minimize the symptoms, doctors prescribe Injectable epinephrine to people with allergies. Whenever they encounter the allergen, they use the epi-pen to avoid symptoms.

5.    Atopic Dermatitis

With this allergic reaction, you may experience itchy and red skin with rashes. Sometimes, this condition can lead to hay fever or asthma. Moreover, medical professionals and researchers have yet to develop a cure for this condition. This eczema-type condition usually affects children, and its triggers include food and environmental conditions. This is a chronic condition, and the reaction can grow worse over time. Other symptoms of atopic dermatitis are sweating, a rise in body temperature, stress, and irritation. Various treatments and avoiding allergic substances can lower the risk of developing such a condition.

6.    Urticaria

People also know this allergic condition as hives. This occurs when your body comes into contact with medication or food allergens. Your skin will turn red and itchy. You may also develop welts through various environmental allergens. Chronic urticarial will remain for around six weeks.

7.    Eosinophilic Esophagitis

This is a chronic disorder of the immune system. In this condition, white blood cells build up in your food pipe or esophagus, causing tissue damage and chronic inflammation.

Immunologists: Conclusion

An immunologist can treat, manage, and diagnose all the above-mentioned conditions. Besides, they can help with your allergic reactions and other immunodeficiency conditions as well. Immunologists also develop new treatments and tests to help your immune system work normally by combining their academic research and clinical experience. They are also involved in research and analysis other than treating conditions related to the immune system.

If you are suffering from an immune system related condition, or are experiencing any of the symptoms of the above-mentioned conditions, visit our clinic.

Allergy specialist Dr. Boyan Hadjiev will diagnose your condition and devise a treatment plan. His extensive experience and understanding of the field allows him to offer the best suited treatments.

Contact us at 212-319-5282 or fill out a contact form.




Types of Allergic Reactions

What are the different types of allergic reactions? The immune system in the body is responsible for protecting us against bacteria and viruses. This system consists of certain components that make up your blood, and fight against any harmful substances that are a threat to your body. This defense mechanism enables your body to eliminate unfavorable substances.

In some cases, your immune system may respond to substances that are not exactly a lethal threat to your health. This happens when you have an immune system that is highly sensitive to foreign substances that enter your body.

The medical term for these substances is allergens. When allergens find ways to enter your system, you experience physiological changes in your body. These changes are due to an allergic reaction. You create a path of entry for these allergens by touching, inhaling or eating them. Each person can be allergic to specific substances. However some substances are more common than others.

Doctors also use allergens for diagnosis and treatment. The method of vaccination involves injecting micro doses of allergens to manipulate an immune response that can be helpful for you.

Types of Allergic Reactions

Types of Allergic Reactions

People may experience allergic reactions of different types depending on their condition. Some allergic reactions classify under immediate reactions. These reactions do not take time to occur and happen rapidly. On the other hand, allergic reactions classify under delayed allergic reactions, and these can typically take about 24 hours to occur.

Anaphylactic Reaction

This type of allergic reaction is one of the most severe reactions. It can happen within minutes of exposure and can be life threatening. Doctors may also call this an anaphylactic shock and it is a serious medical emergency. People who suffer from anaphylactic reaction may go through swelling, difficulty in breathing, and changes in blood pressure.

A person may experience this reaction due to the exposure of pollen, certain foods or insect bites. Furthermore, a patient with bronchial asthma is very susceptible to an anaphylactic shock.

Types of Allergic Reactions | NYC Allergist

Immunocomplex Reactions

Just like anaphylactic reaction, antibodies and proteins mediate an immunocomplex reaction. In this reaction, antibodies bind with allergens to form immunocomplexes, causing an allergic reaction in a person. This reaction is also an immediate response, commonly seen in people with lupus and serum sickness.

Cytotoxic Reaction

This type of reaction is also an immediate reaction. Patients with autoimmune blood disorders like anemia or ITP suffer from cytotoxic reactions. This reaction initiates when the antibodies activate the complement system in our bodies. This system is a component of our immunity, which causes the antibodies to work against the favor of your system, resulting in cell damage. Therefore, the cyctotoxic reaction is an autoimmune response to allergens.

Cell mediated Reactions

These types of allergic reactions are delayed allergic reactions, and the symptoms for these reactions can take 24 hours or more to appear after the exposure to allergens. Long-term infectious diseases like tuberculosis and certain fungal infections produce cell mediated reactions.

Types of Allergic Reactions: Triggers

Certain external substances are responsible for triggering an immediate allergic response in people. These include:

  • Certain foods, such as peanuts, milk, red meat, fish, shellfish, wheat
  • Dust particles
  • Pollen particles
  • Latex
  • Insect bites
  • Cockroaches
  • Pet dander
  • Certain plants
  • Medications, such as aspirin, ibuprofen, penicillin
  • Certain type of metals
  • Grass

Symptoms of an Allergic Reaction

An allergic reaction is symptomatic, and some of the common symptoms include:

  • Sneezing, runny rose, excessive production of mucus, blocked nasal passages. You can experience these symptoms when you have allergic rhinitis
  • Itchy, red and watery eyes (Allergic conjunctivitis)
  • Headache and migraines
  • Tightness of chest, difficulty in breathing, coughing
  • Red itchy rashes on skin(hives)
  • Chest congestion
  • Swelling on face, lips, fingers or feet
  • Stomachache, diarrhea, vomiting,

Diagnosis and Treatment

An allergist specializes in the diagnosis and treatment of allergies. They use different approaches for diagnosis and treatment depending on the severity of the condition. Professionals can diagnose acute allergic reactions by simply observing the symptoms, while chronic conditions may require special tests and blood work.

When an allergist identifies the triggers, they come up with the most suitable treatment for you. These treatments range from pharmaceutical drugs to natural remedies. While there is not really a cure for allergic diseases, temporary solutions can immensely help you live your life unbothered.

Types of Allergic Reactions: Conclusion

Regardless of the treatments, it is important to keep in mind that prevention is better than cure. Therefore, avoiding allergic triggers is the best way to go about. An immunologist or allergist specializes and practices specifically for immune related conditions.

If you suffer from problems such as allergies, asthma, autoimmune disease, or any immunodeficiency disease, you should book an appointment with Dr Sneeze to find an adequate solution and get relief as soon as possible.

Call today for an appointment 212-679-1200.

Hives on Face

Can you get hives on the face? Hives are itchy, red skin rashes that appear on your skin. The medical term for hives is urticaria, and they mostly present on the face. Hives on your skin can appear in response of an allergen or sometimes without any cause at all. For those who don’t know, allergen’s cause allergic reactions.

Biological Mechanism

Hives are predominantly an allergic response, and this reaction causes your body to release histamines, which is a protein. When your body releases histamines, the tiny blood vessels under your skin leak a fluid that accumulates in the skin and causes a red itchy rash.

Types of Hives

There are two types of hives, ordinary hives and chronic hives

Ordinary Hives:  This type of hives is quite normal in people. You may experience it due to the exposure of certain external stimuli. It lasts a couple of hours and goes away.

Chronic Hives: This type of hives is mostly idiopathic. This means that no one can tell the cause of it and it may even last a couple of months.

Hives on Face Allergist

Hives on Face: Symptoms

The symptoms of hives include swellings or wheels appearing as a rash on the surface of your skin. They are round in shape and their color is pinkish or red. You will experience extreme itchiness on these rashes as they begin to appear. Furthermore, they are likely to appear on your face in big numbers, and can also show up on your hands, legs, fingers, toes and fee.

Symptoms can normally diminish in 24 hours but there is always a change of re-appearance. They can appear in different parts of the body at the same time. Some people with chronic hives will experience symptoms that could last for months and even years.

Hives on Face: Causes

There are certain causes for hives that are more common than others, these include


Some people cannot tolerate certain medications and may exhibit an allergic response to them. These medications may include penicillin, aspirin, ibuprofen and blood pressure medications.

Airborne Allergens

Airborne allergens are tiny particles that hover along with the air. Breathing the air that contains these allergens can cause an allergic reaction in the form of hives. These allergens are specific to individuals but the most common ones are pollen and dust particles.


Some foods can trigger hives in certain people. These include peanuts, eggs, milk, soy and others.


Certain environmental stimuli can have adverse affects in the form of hives. These may include over-exposure to sunlight, vibrations by machines, insect bites, stress and certain fabrics of clothing.


Doctors also link hives with stress. Being stressed out could massively worsen inflammatory responses. Therefore, chronic stress is can ultimately worsen the allergic reaction that is Hives.

Hives on Face: Diagnosis

The doctor is likely to diagnose and treat acute urticaria and chronic urticaria differently. This is because of the pathological differences between them. Chronic hives can be idiopathic and auto immune. This means that no one can tell the cause and the person’s own immune system may be making it worse. While on the other hand, acute urticaria or hives is much less severe and occurs as a response to external factors.

Acute Urticaria Diagnosis

The doctor will diagnose acute Urticaria by simply examining the rashes and ask the patient basic information of the occurrences of this allergic reaction. If the patient is aware of the triggers and has a history of previous occurrences, the health profession will likely appoint the patient to an experienced allergist.

NY Allergist for Hives on Face

Chronic Urticaria Diagnosis

For this type of Urticaria, the doctors are likely to conduct specific tests on the patients. These may include blood test, liver function test, stool sample test and thyroid test. The doctors conduct these tests to look for any dysfunction or deficiency that a person may have that is causing this issue.

Hives on Face: Treatment

In some cases, taking over the counter drugs can be helpful for people with Urticaria. However, these may only be able to provide temporary relief. While other helpful methods reside in the form of home remedies, these include using cold object to compress your skin. This is helpful because it can alleviate you from the burning and itchy sensation on your skin. There are also anti-itch bathing products, which you can use to minimize this issue. Furthermore, you use many natural anti-inflammatory products to apply on your skin like Aloe Vera.

To Conclude: Consult With Dr. Boyan Hadjiev, NY’s Top Allergist

There are many natural and over the counter options that can provide you with temporary relieve from the hives on your face. However, the best and most efficient solution for acute urticaria is prevention and precaution. Avoiding the stimulus that triggers the allergic reaction should be your first choice of prevention.

If you suffer from hives and want to learn the best options for treatment, contact Dr. Boyan Hadjiev, New York’s most experienced and trusted allergist.

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

What Is The Relationship Between ENT Doctors & Allergists?

Do ENT doctors and allergists services overlap? Many people do not understand when they need an allergist and when to visit an ENT doctor for their condition. This confusion is a result of both doctors treating similar symptoms. Most allergies, such as hay fever, have symptoms like a blocked nose, sneezing and coughing, and require treatment from an allergist. In this article, you will understand the relationship between an allergist and an ENT surgeon.

When you have any problem related to structural problems and require surgery in the ear, nose, and throat, visit an ENT doctor. They will analyze your complexity and look for the cause behind the symptoms. Their training involves treating conditions related to the bone and cartilage. When you have trouble breathing due to nasal blockage, a sore throat, or scrappy voice, an ENT surgeon can help you. However, most of these problems may be the result of one or another allergy. Even half of the sinus difficulties involve allergies, and the symptoms may be allergic or non-allergic. Sometimes when you visit an ENT specialist for a breathing problem, they recommend an allergist to find out about the allergies you might have.

ENT doctors & allergists relationship

Allergists & Immunologists

An allergist or immunologist can help you with the conditions related to your immune system. That involves chemical reactions in the body due to foreign particles or something your immune system thinks is a threat to the body. However, your body overreacts and causes various symptoms.

When you Need to Visit an Allergist

Allergists have special training to diagnose and treat conditions such as allergic inflammation. However, they cannot perform surgeries. You may develop allergies when your body decides that a substance is harmful. Even when the substance is not threatening to the body, the defense mechanism or antibodies signal the body, so the immune system starts overreacting, causing an allergic reaction. The symptoms of allergies vary depending on the allergen. Environmental allergens are widespread and cause facial pressure, nasal congestion, throat clearing, drainage, and sneezing. People with environmental allergies are prone to chronic sinus pain and headaches.

No matter how old you are, but allergies have a significant impact on your quality of life. Sometimes, when it is hard to find the allergen you are allergic to, your condition can worsen. That is where an allergist helps. They identify the reason for the allergic reaction and help you avoid interaction with the allergen and manage the symptoms. Here are some conditions in which you need to visit an allergist for better treatment:

  • Food allergies
  • Immunodeficiency
  • Atopic dermatitis
  • Recurring bronchitis
  • Wheezing, shortness of breath, or asthma
  • Chronic coughing
  • Hoarseness or change of voice
  • Postnasal drainage
  • Water, red, or itchy eyes
  • Itching throat or ears
  • Sneezing
  • Runny nose
  • Nasal congestion and difficulty in breathing
  • Facial or sinus pressure
  • Sinus infections

ENT Surgeon

When you have issues with your nose, ears, or throat, along with your neck and head, you need to visit an ENT specialist. They can also diagnose allergic conditions that relate to your ears, nose, and throat. They treat conditions such as hearing loss, facial reconstructive surgery, and tonsillitis, etc.

What is the relationship ent doctors allergists?

When you Need to Visit an ENT Specialist

They perform ENT surgery to fix the defects and injuries in the painful, infectious regions and cause breathing and listening issues. You can visit an ENT surgeon if you have an ear infection. Below, you can find how an ENT surgeon will help with your ear, nose, and throat:


An ENT specialist can diagnose and treat ear disorders such as tinnitus, vertigo, pain in the ear, and ear infections. They can also treat birth disabilities related to ears.


An ENT specialist treats issues that affect your breathing, smell, and physical appearance of your nose. They can also help you with the nasal cavity, sinuses, and other nose related conditions.


If you have problems regarding speech, digestion, swallowing, and eating, an ENT doctor can provide solutions. They manage all throat-related problems.

Head and Neck

They also help you with trauma, deformities, face, head, and neck problems. They also perform cosmetic surgeries. An ENT surgeon can also help with treating facial movement, hearing, sight, and smell. You should visit an ENT specialist if you are suffering from the following conditions:

  • Deviated septum
  • Cleft palate
  • Voice or swallowing problems
  • Hearing Impairment
  • Ear infections
  • Chronic sinusitis
  • Tinnitus
  • Dizziness
  • Balance issue
  • Breathing problem due to throat or nose
  • Injury or pain in the throat, ear, and nose
  • Head and neck tumors or cancer

What is the Relationship Between ENT Doctors & Allergists? Conclusion

Allergists and ENT surgeons usually work together for better results. They understand the similarities of conditions. Sometimes, an allergist might refer you to an ENT doctor when you need surgery, and sometimes, an ENT specialist will recommend you to an allergist for an allergic reaction.

If you have allergic concerns, contact us for an appointment in person at our offices in Midtown Manhattan, or to schedule a telemedicine call. Dr. Boyan Hadjiev is the top allergist in NYC.

Boyan Hadjiev, MD
30 East 40th Street | Suite 1200
New York, NY 10016




Anaphylactic Shock

Anaphylactic shock occurs due to Anaphylaxis. This condition occurs when your body severely reacts to a substance, and on contact, you start experiencing a life-threatening reaction. When this happens, your body will release some chemicals. There are various serious consequences and complications for these conditions. If you are unable to visit an immunologist in time, this can be very dangerous as anaphylactic shocks can be fatal.

Anaphylactic Shock | Allergist

Causes of Anaphylactic Shock

When your antibodies consider or overreact with food or any other harmless substance called allergens, it causes Anaphylaxis. Antibodies are the special body cells that attack and destroy infections such as bacteria or viruses that enter the body. You may not react when you come in contact with it as this will make antibodies active. However, when the next time that substance enters your body, the immune system overreacts and causes symptoms.

Children mostly suffer from anaphylactic shock due to food. The most common food children react to include wheat, soy, eggs, milk, fish, shellfish, or peanuts. However, in adults, peanuts, tree nuts (such as almonds, pine nuts, pistachios, cashews, hazelnuts, and walnuts), or shellfish, can lead to anaphylactic shock as well.

You may experience Anaphylaxis due to various allergens. Allergens are substances that are not harmful, but your body treats that substance as a threat. Here are some allergens that your body may find allergic:

  • Pollen from grass, tree, and ragweed
  • Touching and inhaling protein particles from latex. These protein particles are available in balloons, gloves, and rubber bands.
  • The sting from insects can also cause you a severe anaphylactic shock.

The immune system of many people also reacts to the following substances:

  • Hazelnut
  • Celery
  • Kiwi
  • Potato
  • Peanuts
  • Melons
  • Chestnuts
  • Papaya

Sometimes a combination of various foods along with breathing allergens can cause severe anaphylactic shock. So you need to be aware of what things you are allergic to and avoid those substances.


When you are in contact with a substance you are allergic to, you will start experiencing the symptoms immediately. The initial symptoms include runny nose and uneasiness. However, if you are still in contact with the substance, you will develop severe symptoms such as:

  • You will experience an increase in your heartbeat
  • You might faint
  • You will experience dizziness
  • You will start vomiting
  • Difficulty in breathing and tightness in the chest
  • The mouth will also swell
  • You may also develop hives

When your condition is worse, you may faint and stop breathing. You might lose your consciousness and require urgent medical attention.

Treatment for Anaphylactic Shock

When you are experiencing an anaphylactic shock, the first thing that you need to do is to inject epinephrine, which will give you a bit of control. After that, you need to visit the immunologist so that you can receive more adrenaline through IV. Antihistamines and glucocorticoids are also effective with this condition. These medications will help you reduce the inflammation in your esophagus and restore your ability to breathe.

Immunologists might also give you beta-agonists so that you can breathe easily. You can get enough oxygen by receiving supplemental oxygen. An immunologist will also treat any complication that you may experience after having an anaphylactic shock.


You can avoid anaphylactic shocks by preventing the following practices:

  • You can wear a tag or a card around your neck. This will show everyone that you are allergic to specific substances.
  • Always keep your emergency kit along with you so that you can relieve from anaphylactic shocks and contact the immunologist. There are various injectors and shots that you can always carry for use when you are in an emergency.
  • You need to alert your immunologist whenever you go through anaphylactic shock.
  • Allergies from the sting of the insects need more care. For instance, you should wear long sleeves while going out, keep your windows and doors closed, etc.
  • For food allergies, you need to read the ingredients of the product you are using.
  • While visiting the restaurant, you should inform the waiter about the food that is allergic so that they can suggest only the food that does not include that item as an ingredient. You should remember that even a small quantity can trigger your allergy.


When you find someone experiencing anaphylactic shock, you need to immediately contact an immunologist and seek help. Sometimes when you take epinephrine doses, you still need medical attention or further care, so visit the immunologist after the attack. Various medications can help you relive instantly. However, before using any medication, always consult with the immunologist to avoid any risk of reaction.

Do you need to consult with an immunologist about an allergic reaction? If so, please contact us at 212-319-5282, or visit our offices in Midtown New York City. You can also schedule a telehealth consultation with our immunologist, Dr. Boyan Hadjiev, to discuss your condition.




Do You Have An Allergy? Here Are The Signs

What are the signs and symptoms of an allergy? You may feel irritated with continuous itchy skin or eyes, rash, pain in the throat, or any other allergic symptoms. You can develop a rash due to various reasons, such as poison ivy, which is the oil extract of a specific plant’s leaves. Allergies can give you itchy skin, or your body can even overreact when you eat specific food items.

You can also develop a rash through illnesses such as chickenpox and measles. Hives and eczema are allergies that commonly cause skin rashes. If you are suffering from rashes because of allergies, then you need to visit an immunologist. An immunologist will diagnose your condition and treat it accordingly so that your immune system works perfectly.

Allergy signs, symptoms & treatments

Signs and Symptoms of Allergies

Your allergic symptoms depend on allergens and the type of allergies you are prone to. For instance, dust allergies will cause different symptoms than latex allergy. Here are some types of allergies and their symptoms to help you identify what you are experiencing and why.

1.    Hay Fever

Allergic rhinitis or hay fever can cause cold symptoms—for instance, itchy eyes, runny nose, sinus pressure, sneezing, and congestion. You develop a cold because of a virus. However, hay fever occurs due to an overreaction of the immune system. Allergens such as dust mites, pollen, a pets’ saliva, and pets’ dander are a few reasons why you are experiencing allergies. Below you will find some signs of hay fever:

  • Tiredness
  • Headache
  • Loss of smell
  • Earache
  • Coughing and sneezing
  • Blocked or runny nose
  • Itchy ears, nose, mouth, and throat
  • Itchy, watery, and red eyes
  • Pain in your forehead and temples
  • Headache

People with asthma may experience the following signs as well:

  • Cough and wheezing
  • Shortness of breath
  • Tightness in the chest

2.    Dust Allergy

Dust mites are prevalent in every house. You may develop hay fever if you are allergic to dust mites. These tiny bugs can lead to difficulty in breathing, runny nose, and sneezing. Some signs of dust allergies are:

  • Cough
  • Postnasal drip
  • Itchy skin
  • Itchy throat, mouth, or nose
  • Stuffy nose
  • Watery, red, or itchy eyes
  • Runny nose
  • Sneezing

If you have asthma, then you might experience the following symptoms:

  • Wheezing, coughing, shortness of breath
  • Difficulty in sleeping
  • Wheezing and whistled breaths
  • Pain and tightness of chest
  • Difficulty in breath

3.    Mold Allergy

When you are allergic through the year in various seasons, you might be allergic to mold or fungi. You will find mold everywhere. When you upset the source of the mold, it will spread spores into the air. When you inhale those spores, it triggers allergies, and you start showing signs. You may experience mold allergy commonly from July till fall. However, fungi are available throughout the year, so you may develop this allergy throughout the year. Here are some signs and symptoms of mold allergy:

  • Watery eyes
  • Itchy throat, eyes, and nose
  • Postnasal drip and cough
  • Stuffy and runny nose
  • Sneezing
  • Scaly and dry skin

4.    Pet Allergy

There are proteins in the urine, skin, and saliva of various animals that can cause you an allergic reaction. You can also experience allergy through pet dander (skin or dead flakes). People are mostly allergic to dogs and cats because of the fur. You may experience various signs due to swelling of the nasal passage. Here are some of those signs:

  • Cough
  • Postnasal drip
  • Itchy throat, the roof of your mouth, and nose
  • Nasal congestion
  • Itchy or watery red eyes
  • Runny nose
  • Sneezing
  • Pain and pressure on the face
  • Insomnia
  • Blue skin and swelling under the eyes

You can experience the following symptoms if you have asthma:

  • Wheezing, coughing, and shortness of breath, making it hard to sleep
  • Extreme wheezing and whistling
  • Pain and tightness of chest
  • Difficulty in breath

5.    Food Allergy

If you are allergic to some food items, even the smallest amounts of that food and your immune system will overreact. You will experience various symptoms, such as swollen airways, hives, and digestive disorders. For some people, food allergies can be deadly. Symptoms of food allergies include:

  • Itchy eyes and sneezing
  • Diarrhea or abdominal pain
  • Vomiting or nausea (feeling of sickness)
  • Lightheaded and dizziness
  • Shortness of breath and wheezing
  • Difficulty in swallowing
  • Swollen throat, mouth, and face
  • Rash, red and itchy skin
  • Itchy and tingly mouth

Allergy signs & symptoms | NYC Allergist

Allergy Signs: Conclusion

Allergies can sometimes become severe. Various allergies can be deadly. To avoid any severe reaction, you need to identify the allergens for your allergy. An immunologist will help you identify the allergens you are allergic to. They will also help you with the treatment to reduce the reaction of your allergies.

Dr. Boyan Hadjiev is one of the best immunologists in New York City. You can make an appointment with him by calling us at 212-319-5282. Dr. Hadjiev also offers telemedicine apponitments.




Common Big City Allergies

What are the common city allergies? It’s common for large cities to suffer from overpopulation and pollution. Every year the Allergy and Asthma Foundation of America publishes a list of cities every year. This list ranks cities according to the pollen count and the use of allergic medication.

Allergies occur when your immune system overreacts to allergens such as pollen and consider these substances harmful for the body. The body’s reaction to these harmless substances causes breathing problems, sneezing, and coughing, among other problems. As cities suffer from overpopulation, they contain numerous allergens, leading to negative reactions within the body. Below we will discuss some allergies that are common in big cities:

Common Big City Allergies

1.    Seasonal Allergies

Seasonal allergies, such as hay fever, go by many names, one of which is allergic rhinitis. According to the American Academy of Allergy, Asthma, and Immunology reports, about 8 percent of Americans experience seasonal allergy in the United States (Source).

When your body reacts with outdoor allergens, it triggers your immune system’s abnormal response and causes an allergic reaction. The most common seasonal allergens include pollen from weeds, grass, trees, and other sources. However, various plants consist of heavy pollens that do not trigger any allergic reaction.

The name hay fever comes from the season of hay cutting, which happens in the summer season. That is when many people living in big cities experience symptoms of hay fever. In winter, there are fewer chances for seasonal allergies to trigger.

Many people experience this condition throughout the year. Your condition depends on where you live and how severely your body reacts to allergens.


Here are some symptoms of seasonal allergies that you need to consider:

  • Postnasal drainage
  • Ear congestion
  • Itchy ear canals, throat, and sinuses
  • Itchy and water eyes
  • Stuffy and runny nose
  • Sneezing

Below you will find some less common signs of seasonal allergies:

  • Coughing
  • Wheezing
  • Shortness of breath
  • Headache

People who suffer from hay fever also develop asthma. Their condition gets worse when they have both conditions together, triggering an asthma attack.

2.    Pollen Allergies

Allergic people in the United States are mostly allergic to mold. You will find these substances near parks and areas with weeds, grasses, flowers, and trees. When a person allergic to pollen breathe in the tiny pollens from the air, their body’s immune system overreacts and develops these symptoms.

The immune system mostly defends your body from bacteria and viruses, but sometimes it overreacts to various substances called allergens. There are various symptoms of pollen allergies. The following symptoms are familiar:

  • Watery eyes
  • Stuffy nose
  • Sneezing

3.    Food Allergies

Cities in the United States are full of restaurants and food chains. A massive population of people, on average, consumes a single meal from these restaurants every day. Most people are not aware of the ingredients used in making food.

When they consume it, they are allergic to it. Their body starts showing signs of allergy. Food allergies can cause severe symptoms, and sometimes, this can be life-threatening. Symptoms of food allergies can be mild and severe, depending on the condition of the person. Here are some of the symptoms and signs of food allergies:

  • Teary eyes
  • Runny nose
  • Diarrhea
  • Nausea
  • Wheezing
  • Itchy or red skin
  • Skin rash
  • Swelling of face and lips
  • Burning sensation of mouth and lips
  • Mouth tingling

You can avoid food allergic reaction by wearing a tag with a list of items you are allergic to and checking the ingredients of the food items you consume.

Common US City Allergies

4.    Mold Allergy

The spores of mold float in the air. Mold is a type of Fungi and found near damp areas. They live on four things food, suitable temperature, air, and water. You can also find mold outside your house in your garden. Breathing mold is standard, and in cities, everyone breathes the spores in. However, this can trigger your immune system if you are allergic to it.

The immune system treats molds as allergens and makes your body overly react to this harmless substance. Here are some of the symptoms and signs that you may experience during the allergic reaction to mold:

  • Postnasal drip
  • Itchy and watery eyes
  • Congestion
  • Coughing
  • Sneezing

Many people confuse their mold allergy to a sinus infection or cold. However, symptoms of both the conditions are similar, but the causes are different.

Conclusion: Consult Dr. Sneeze bout Your Allergy

People living in cities are at a higher risk of developing allergies. So they need to care more and maintain their lifestyle. An immunologist can help you with your allergic conditions. They will help reduce the symptoms, allowing you to focus on your life.

If you are looking for an immunologist in New York City, consult top nyc allergist Dr. Boyan Hadjiev. He will provide a complete diagnosis and treatment plan for your allergies. To make an appointment, you can call us at 212-319-5282 or visit our website for more details about allergies. You can also consult with our doctor from anywhere around the world through our telemedicine services.


Can You Cure Any Allergies?

While there’s no cure for allergies, you can alleviate symptoms. Prevention is easier when you know which allergens you are allergic to. You should try various methods and techniques to avoid any contact with allergens. For instance, if you are allergic to insect stings, cover all the windows and doors and avoid walking barefoot in your backyard or front lawn.

You can also take medications for allergies. However, if you take too much medication, you may develop an allergic reaction to them. Immunologists will help you in finding the best medication, depending on your allergy and condition. You can also follow disease-modifying treatments. Talk to an immunologist about immunotherapy, and they will help you understand the procedure. These therapies cannot cure your condition but will provide relief and reduce the sensitivity against allergens you are allergic to.

Can You Cure Any Allergies?

Why We Get Allergies

Your body’s immune system creates antibodies to protect you from harmful substances. To eliminate threats and foreign particles, the body generates IgE or Immunoglobulin E. This chemical messenger signals to cells that they need defenses against the threat. If you are allergic to environmental allergens such as dander or pollen, you might have more IgE levels. Even food allergies can cause a high level of IgE.

After some time of exposure, your immune system develops a memory of the allergen. This can be helpful in many conditions, such as responding quickly. Your medication works due to this response. However, when you are allergic to an allergen, the response increases, and your immune system overreacts. This will cause allergic symptoms such as coughing, sneezing, and a runny nose. For every allergen, there’s a specific type of IgE. That is why we are prone to more than one allergen.

Why Are Allergies so Hard to Cure?

When your immune system overreacts to allergens such as pet dander or peanut butter, it makes specific IgE, such as peanut IgE or dander IgE. Then, your immune system memorizes that allergen for future attacks—the IgEs link to mast cells. Then, the mast cells release histamine whenever an allergen enters your body, which causes your body to overreact. Hence, responses to allergens become a part of your immune system. The more you react with the allergen, the stronger the response gets. That is why it is impossible to change this process of the immune system.

General Treatment of Allergies

Below, you will find some treatments for allergies:

1.    Immunotherapy

An immunologist will recommend this technique if they are not aware of allergens you are allergic to or your condition is severe. They will inject shots of adrenalin of other allergen extraction methods. Furthermore, they might also recommend pills that you need to place under your tongue.

2.    Medications

Immunologists plan your medication to reduce the symptoms of your allergy. This will help you prevent your immune system from overreacting. An immunologist might provide eye drops, nasal sprays, liquid suspensions, or pills. Usually, pollen allergies require these types of treatments.

3.    Allergen Avoidance

This is the best preventative method for allergic reactions. In this method, immunologists will determine the substance you are allergic to. Then, they will develop strategies to avoid the reaction. This method can drastically reduce the occurrence of symptoms.

4.    Emergency Epinephrine

When your condition is serious, you need to keep injections of adrenaline along with you. So whenever a triggering substance triggers your allergy, you can inject the shots to instantly alleviate symptoms.

Can You Cure Any Allergies?

Changes in Lifestyle

Many allergy symptoms improve through various adjustments you can follow at home.

·       Humidity

When the reason for your allergy is humidity, you can install ventilation fans in your washroom to keep the damp locations dry. Furthermore, you can fix leakages in your house to keep humidity levels low.

·       Dust Mites

You need to keep your home clean from pet dander and dust mites. Wash the toys and beds with hot water, and vacuum your home regularly, especially when you have carpet. Remember, carpets can store large amounts of mites and dander.

·       Sinuses

You need to rinse your sinuses with water and salt solution. This will improve your nasal irrigation. People use net bottles when they experience allergies from infection.

Conclusion: Consult an Experienced Allergist

You cannot completely treat your allergies, but an immunologist can help identify the allergen and design ways to avoid it. This will not only protect you from overreacting but also increase the chances of recovering from your allergy. However, recovery is very rare.

Are you looking for an immunologist? Dr. Boyan Hadjiev is one of the best immunologists in New York City. He is capable of diagnosing and managing your allergies with expertise. To make an appointment, call us at 212-319-5282 to schedule an appointment at our offices. You can also consult with our experts through telemedicine from anywhere on the globe.


What Is A Latex Allergy?

What is a latex allergy? Manufacturers make latex from a rubber tree, and it includes various proteins that can trigger an allergic reaction. Latex is not a harmful substance, but when you have a latex allergy, your immune system considers the material to be harmful. A latex allergy can induce reactions that include hives and itchiness. Other than that, this allergy can also lead to anaphylaxis and have a life-threatening effect on your body. When you have anaphylaxis shocks, you will find it difficult to breathe as your throat will swell. An immunologist can diagnose and identify if you have a latex allergy. They can also identify if you’re at risk of developing one. You can prevent allergic reactions and serious consequences by understanding more about this condition. This article will help you understand more about latex allergy.

What is a Latex Allergy?

Symptoms of a Latex Allergy?

When your body comes in contact with latex, you may experience an allergic reaction at the region of contact. You can call this rash or dermatitis. Here are some of the symptoms of latex allergy so that you can identify this health condition:

  • Eczema (cracking and weeping skin)
  • Hives
  • Skin rash
  • Itchy hands

These are temporary reactions and will go away naturally over time. The proteins in latex also become airborne. When this happens, the person allergic to it inhales and develops a severe condition. Symptoms of this condition are:

  • Dizziness
  • Rapid heartbeat
  • Vomiting
  • Diarrhea
  • Abdominal pain
  • Shortness of breath
  • Stuffy or runny nose
  • Red skin
  • Tongue, lips, and skin swells


Your body considers latex as a threat to the body and triggers immune cells or antibodies to fight. When you face latex exposure again, antibodies signal the immune system that something is not right. Your body’s immune system releases chemicals, including histamine, which results in various symptoms. The symptoms grow worse if you are continuously in contact with latex. This condition is called sensitization. Latex will affect your body in different ways, depending on the condition. Below you will find those ways:

Through Direct Contact

This is the common reason to develop latex allergy. When you touch the latex material, you start reacting to the protein components. The items include balloons, condoms, and latex gloves.

Through Inhalation

All latex products, especially gloves, release airborne particles. When you inhale those protein particles, your immune system starts reacting, causing an allergic reaction. The quantity of airborne particles differs from one brand to another.

Manufacturers develop various latex products from man-made latex or synthetic latex, such as latex paint, which is mostly non-allergic.

Latex Allergy Diagnosis

Whether you develop any symptoms of an allergic reaction or not, your blood or skin tests will indicate if you are suffering from latex allergy. An immunologist will diagnose you by asking about any symptoms and conducting tests. Symptoms of an allergic reaction include trouble breathing, irritation, teary eyes, hives, skin rashes, and itching upon contact with latex or other rubber products. They will also perform various skin tests to check if you really have a latex allergy.

Treatment for Latex Allergy

Unfortunately, there is no treatment for this allergic condition. When you have a latex allergy, the only way to avoid any reaction is by preventing contact with the material. If you experience serious skin irritation, you can take corticosteroid medicines or antihistamines. However, if your condition is severe, you can control the reaction through IV fluids, epinephrine, and consulting a medical professional such as an immunologist. Some immunologists also recommend carrying epinephrine shots in case of an emergency. Other than that, you should carry around a card or a tag that informs passersby about your latex allergy.

What is a Latex Allergy? Allergies

Visiting the Doctor

When you make an appointment with an immunologist or doctor, you need to inform them about your latex allergy. This way, your physician or dentist will avoid using any instrument that contains latex, such as gloves, etc. If your health condition requires that you stay in the hospital, they will keep you in a separate room without any product containing latex.

Food Triggers

Some fruits and vegetables contain proteins similar to those of latex. That can also trigger Latex allergy when you touch, smell, or eat that food. Some of these foods include wheat, tomato, potato, pineapple, hazelnut, kiwi, grape, cherry, banana, avocado, and many more.

Conclusion: Contact Top NYC Allergist Boyan Hadjiev

Sometimes, latex allergy triggers anaphylaxis, which can be life-threatening. In this condition, your esophagus swells, and you will experience difficulty in breathing. While experiencing an allergic reaction, you should immediately visit an immunologist as they are experts in handling and treating conditions related to the immune system.

You can contact our offices to make an appointment with a professional immunologist. We also provide telemedicine so that you can avail of treatment through online live video chat and consult with Dr. Boyan Hadjiev instantly or call us at 212-319-5282.



Causes of Hives

What are the causes of hives? People suffering from the Hives or Urticaria will feel their skin swell and turn red. You may also feel itchy when your body reacts to allergens without any reason. Allergens are harmless, but our bodies consider them to be threats. This abnormality is still unknown, and there is no cure for allergic reactions other than prevention. When you experience hives, you will feel a burning sensation. Hives can appear throughout your body. These are simply a rash that develops due to an allergic reaction.

Causes Of Hives

Symptoms of Hives

Whenever you react to a substance that you are allergic to, you will start experiencing various symptoms, which is the body’s way to indicate that something is wrong. These symptoms are severe itching, stress, change in temperature, painful swelling inside the throat, eyelids, and lips, etc. This condition can be acute or chronic. In a chronic condition, the symptoms become autonomous. However, researchers and immunologists are not yet aware of the real reason for this.

Causes of Hives

When your body considers a harmless substance a threat and signals the body about the threat, it overreacts. Allergens are normal substances such as pollen, latex, some fruits and vegetables. When that substance enters your body, it will signal the antibodies (also known as lysosomes, immune cells, and T-cells).

These cells signal the immune system about the intruder. After that, the body releases histamine and various other chemicals. Due to the secretion of histamine, the inside layer of the skin starts to inflame, and fluid accumulates for protection. Below you can find some of the causes and triggers of the hives.

1.    Medications

There are various types of medication that many immune systems do not accept and treat as a harmful substance. This can trigger an allergic reaction, for instance, ACE inhibitors (for high blood pressure), aspirin (and other non-steroidal anti-inflammatory drugs or NSAID), and some antibiotics.

2.    Food Items

This is another common cause of hives that triggers the immune system of the body to react—a lot of food items included in this list. However, the items differ among people. For instance, some are allergic to peanut butter, and some react to strawberries. Here are some of the examples of food items that commonly trigger hives:

  • Wheat products
  • Strawberries
  • Eggs
  • Food additives
  • Shellfish
  • Nuts
  • Peanut butter
  • Rice

3.    Infections

Various infections, such as bacterial or viral, can also trigger hives and cause allergic reactions within the body. Some examples of health conditions that trigger hives include the common cold, influenza, hepatitis B, glandular fever, strep throat, and urinary tract infections, etc.

4.    Temperature Change

Sometimes when your body temperature suddenly changes, your immune system considers this as a threat and starts reacting. This will trigger the symptoms of hives.

5.    Animal Dander

Many people are prone to the dander of animals, such as horses, cats, and dogs. When they come in contact with these animals, they start sneezing, triggering other symptoms.

6.    Latex

Latex is a material that comes from the rubber tree contains protein. This protein is synthetic, and when you inhale or even touch the material for so long, your body starts to react to those protein particles.

7.    Pollen

This is another common allergen that the body does not accept. You might have noticed that many people start sneezing when they are in the garden with flowers. Even though pollen is harmless to the body, the immune system treats it as a threat.

8.    Insect Stings and Bites

When insect bites or sting the surface of the skin, it starts to turn red, itchy and painful for a long time.

9.    Plants

Some plants can also trigger an allergic reaction and develop hives. For instance, oil from leaves of the oak, ivy, and nettle tree can cause a reaction.

Other Causes of Hives

Below you will find more causes of hives:

  • Exercise
  • Scratching
  • Water on the skin
  • Exposure to sunlight
  • Chronic diseases such as lupus or thyroid diseases
  • Dust mites
  • Intestinal parasites
  • Cockroaches and wastage
  • Various chemicals

Causes Of Hives | NYC Allergist


It is hard to find the main reason for the reaction. That is why an immunologist will help you in understanding the main cause and finding the best solution to avoid that allergen. If you are looking for an immunologist, you can contact us at 212-319-5282. Dr. Boyan Hadjiev will consult you about your condition and will provide you complete assistance.

Dr. Boyan Hadjiev is a top NYC immunologist who is an expert in identifying and treating diseases related to the immune system. Contact Dr. Hadjiev with a telemedicine live video call session or in person office appointment.

For more information visit our website: https://DrSneeze.com/



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.


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.

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