Category Archives: best allergist nyc

How to Choose the Right Allergist

What is an Allergist?

An allergist is a certified doctor who is specializes in dealing with asthma, immune-deficiency and people with severe or mild allergies. They can help quickly diagnose your allergies, evaluate and identify symptoms and prescribe a treatment plan to help you steer clear of suffering an allergic reaction. The most common way an allergist determines the cause of allergies is by conducting different skin and blood test.

A majority of people don’t know whether they’re suffering from allergies or not and go to a physicians, who is qualified enough to prescribe a temporary treatment plan. However, an allergist can help you determine what kind of allergies you have and everything that can trigger them.

They will design a comprehensive treatment routine for you and indicate what foods or environmental hazards you should steer clear of. For example, asthma patients are told to stay indoors during the pollen seasons or wear a breathable mask when going outside. Allergists will help you get better by keeping you away from possible triggers so that you don’t have to depend on medication.

Take reference

The best way to select the right allergist is to consult with your physician or doctor. Or you could ask for some references from your friends or family. You can even do research online, targeting clinics near your locality. Moreover, if you have health insurance you can ask the organization to give you a list of immunologists.

Fact-Check the Credentials

After you make a short list of the allergists under consideration, the next step is to authenticate and v validate his credentials. You can either ask your doctor if he is familiar with a particular allergist or you can check if the professional has a website. If he does you can read patient testimonials and whatnot.

Patient surveillance

You can thoroughly ask patients about the doctor’s behavior and medicinal practices. Moreover you can also conduct health surveillance on a small scale in order to determine how beneficial his treatments plans have been for his patients.

Determine communication style

Observe the communication style of the allergist or immunologist when you are talking about your allergic condition. Contemplate how he diagnoses you. Check allergist tools and method of application by which you feel comfortable. These factors are extremely important when it comes to treating children.

Consider prior allergist experience

If you’ve had a bad experience with an allergist, it is important to ensure the new doctor’s success rate and whether or he facing charges for negligence or malpractice.

Bottom line

All in all, the aforementioned strategies will help you to select an appropriate allergist to help eliminate your allergic symptoms and to live a worry-free and healthy life.

Call our offices at 212-319-5282 to schedule an appointment with the best allergist in New York City.

Common Signs and Symptoms that You Have an Allergy

Allergy symptoms occur when a person’s immune system overreacts to something that is innocuous to most people. It sparks a reaction in anyone who is sensitive to it. This ‘something’ is referred to as an allergen. Allergies are usually seasonal (intensifying during certain times of the year, like pollen allergies in springtime, but can also be perennial (occurring throughout the year). Common allergens include grass or weed pollen, animal dander, dust mites, insect stings, mold and a number of food types, like grains, nuts, shellfish, and eggs. If you are exposed to something that you are allergic to, your immune system will take as a danger sign and release a chemical known as histamine to counteract it.

This release of histamine is the reason behind various allergy symptoms, including headaches, skin rash, swelling, a runny nose, diarrhea, and nausea. Anaphylaxis, a severe allergic reaction, can prove to be fatal.

Common Signs and Symptoms of Allergy

When it comes to allergies, there are all kinds of causes and all kinds of symptoms and reactions. Nevertheless, there are several different signs and symptoms commonly associated with allergies that will tell you to go see a medical practitioner immediately. These are:

    • Sneezing and an irritated, clogged or a runny nose
    • Red, itchy, watering eyes
    • A wheezing or tight chest
    • Swollen eyes, face, lips or tongue
    • Stomach aches, nausea, diarrhea or vomiting
    • Red, cracked, and dry skin
    • Mental confusion
    • Difficulty swallowing
    • Dizziness
    • Postnasal drip

The symptoms may vary depending on what you are allergic to and the way you came in contact with it. For instance, you may have a leaky nose if you were exposed to pollen, develop a skin rash if you have skin allergies, or feel nauseous if you eat something you are allergic to.

Dealing with Allergy Symptoms

Depending on the type of allergy you have, you might be able to prevent some if not all allergy symptoms by having certain medication. If you suffer from seasonal allergies, for instance, you may want to discuss the problem with your physician and start taking a prescription allergy medication that will prevent the symptoms from developing or worsening.

An appointment with a board-certified allergist is a better option since they are specialists who will help you determine the intensity of the problem, discuss your symptoms and medical history, and may use skin or blood tests to identify if you have an allergy and what is exactly causing it. Medications (prescription and OTC) and immunotherapy may provide relief, and making changes to your lifestyle and environment can also be greatly helpful.

Are your allergies impacting the quality of your life and making daily tasks difficult to perform? If so then it is definitely time for you to see a reputable allergist. Contact us today to schedule an appointment and we will help you get in touch with the best allergist in New York!

Call our offices at 212-319-5282 to schedule an appointment.

What Is Immunotherapy for Allergies?

For some people, preventing allergic reactions is not the only type of treatment available. It may also be possible to treat the condition. Allergen immunotherapy is one solution. More commonly known as allergy shots, this type of treatment can work to reduce the symptoms a person has to some types of allergies, such as allergic rhinitis, conjunctivitis, insect allergies, or allergic asthma. The process works to desensitize the immune system to the threat, therefore reducing or eliminating the response from it. If you have heard this may be an option for you, call our offices to schedule a consultation with our allergist.

Who Will Benefit from Allergy Shots?

Allergy shots can help many people. They are often used in both children and adults as a treatment option. Whether or not you should have this treatment is dependent on a variety of factors including:

  • Whether or not you want to continue to take long term medications, which this treatment can eliminate
  • Whether you suffer from allergies long term or whether you only suffer minimally or seasonally
  • The severity of the allergy
  • How well your condition is controlled using medications
  • How much help you obtain from environmental control of your symptoms
  • The cost of the shots and the availability of the treatment with your insurance
  • The amount of time available for the treatment, since the process can take a significant amount of time.

For those who are suffering from an allergy, it can seem very hard to overcome. However, allergy shots are often very effective. Over time, your doctor will provide you with an increased amount of allergen. At first, you will have only a small amount of exposure. Over time, the amount of the injection increases, until your body develops more of an immunity to it. The process of build-up can take from three to six months requiring one or two shots each week. After this point, you will need to maintain this. This ensures the condition does not require. During this phase, you may need fewer treatments.

If you would like to learn more about immunotherapy and how well it can work for your needs, call our offices to schedule a consultation. When you do, you’ll learn what to expect, if it can work for your needs, and how long you may need care. Schedule a consultation with our New York City doctor today.

Call our offices at 212-319-5282 to schedule an appointment.

Understanding Anaphylaxis

Perhaps one of the most worrisome concerns for people suffering from allergies or asthma is the threat of anaphylaxis. This is a life threatening condition and one that can lead to long term limitations even when it is treated. Avoiding this is crucial, but it is never easy to understand or treat. Anaphylaxis is a life threatening condition and a type of allergic reaction to a substance. However, every individual’s triggers for this type of risk are different. Working with an allergy doctor, it is possible to understand your risks and minimize your potential risks.

What Causes Anaphylaxis?

In short, this condition occurs when the entire body reacts to a chemical that is ingested or otherwise comes into contact with it. Anaphylaxis is a very severe reaction. In most cases, the body has developed an allergy to that substance and, when exposed, a very severe reaction occurs. Keep in mind that some instances of anaphylaxis is actually brought on by poison, such as venom or a chemical added to the body. Technically, your body is allergic to these substances, but they are also substances that will impact all people.

When you are exposed to this substance, such as a bee sting, your body’s immune system reacts to it. The initial instance in which exposure occurs, the body’s immune system becomes sensitized to it. Then, when it occurs again, that exposure creates an allergic reaction. Anaphylaxis generally begins to occur right away as the exposure occurs. And, the entire body can be impacted.

The tissues throughout the body react to the exposure. They release histamines and other substances that cause the airways throughout the body to tighten up. And, this creates additional symptoms.

There are many types of substances that can cause this type of reaction. In some cases, the problem is brought on by a drug. Foods, insect bites, insect stings and even pollen can cause this type of reaction in some people. It is rare for pollen or other allergies like it to cause these advanced symptoms.Anaphylaxis

Anaphylaxis requires immediate treatment in an emergency room. The condition will cause abdominal pain, anxiety, difficulty breathing, coughing, chest discomfort, difficulty with swallowing, hives, and dizziness.

If you need emergency help, call 911. If you are worried about these symptoms and want help for treating your condition, schedule a consultation with our New York City allergist to take steps to reduce your risks.

Call our offices at 212-319-5282 to schedule an appointment.

How to Prevent Atopic Dermatitis in Children

Atopic dermatitis, also known as eczema, is a common condition in babies and small children, but most of them outgrow it as they become older. Eczema results in itching on the skin that starts with dryness and leads to a rash that can become severe. Children facing the condition may feel irritated or different, particularly if they have diet restrictions that prevent it from occurring.

Causes of Eczema

The exact cause of atopic dermatitis is not known and there could be a wide range of reasons that trigger it. In some children, it is because of a family history of allergies while some of the other causes could include:

  • Dust mites or animal dander
  • Harsh soap
  • Dry or cold weather
  • Sweating in hot weather
  • Foods such as milk, peanuts, eggs, or wheat products

Symptoms of Eczema

Itching is the main symptom of atopic dermatitis, which can be severe, and recurring, leading to a rash. A rash is like a red patch on the skin and it may be dry, itchy, or scaly. It may also become rough and thick from continuous scratching or develop into a fluid filled sore.
The most common areas affected by eczema in children are the neck, legs, arms, scalp, and face. In babies from 2 months to 2 years, the rash may ooze fluid and occur in winters when the weather is dry, leading to red patches on the skin. For children who are older than 2 years, the rash may be dry and cause the skin to thicken.

How to Prevent Atopic Dermatitis

To prevent atopic dermatitis in children, you must be very careful about the products used on their skin and not use any product that is not meant for children’s use. Always use mild and soft shampoos, soaps, and creams that contain moisture. If your baby is younger than 6 months, breastfeeding will help build their immunity and protect against allergies if it runs in the family. Keep an eye on your child’s diet as well to see if any of the foods you feed them are causing rashes.

Excessive washing is also harmful to the skin as it peels off the top layer. Make sure you are not bathing your child too much and not leaving them in the tub for too long. A bath of 10-15 minutes is sufficient. Always make sure you dry your child’s skin carefully after a bath especially in areas where the skin folds such as under the arms, back of the knees, etc, as these areas are more prone to eczema. Keep your child’s skin moisturized with a product made for children.

If you see your child suffering from atopic dermatitis, make sure you consult an allergist to prevent it from spreading. Contact us at 212-319-5282 to set up an appointment with one of the best NYC allergists today.

Side Effects of Allergy Shots

Dr. Hadjiev, one of NYC’s top allergy doctors, often treats patients with allergies by using allergy shots, also known as immunotherapy. These shots are usually considered only after attempts to avoid the allergen, or substance causing the allergic reaction, have been unsuccessful. Sometimes, it’s impossible to avoid ubiquitous allergens, like pollen.

Allergy shots work by regularly exposing a person with allergies to the allergen, or substance causing the allergy. This desensitizes the immune system, which reduces the allergic reaction when the person is exposed to an allergen.

When Dr. Hadjiev treats his patients with immunotherapy, the exposure to the allergen is carefully regulated by scheduling it on a routine basis, with only small amounts of the allergen given to the patient over time, gradually building up the dose.  As a result, the immune system produces blocking antibodies (IgG) and decreases the level of the IgE antibodies that produce allergic reactions.

Allergy shots do have side effects, although they are generally safe and have no long-term complications associated with treatment. Some of the risks of allergy shots include a small chance of an allergic reaction. Some people may have slight swelling or redness at the site of the injection, which occurs immediately or within several hours of injection, but usually resolves within 24 hours.

Other types of allergic symptoms may result from allergy shots, including runny nose, itchy eyes, stuffiness, and sneezing. A more significant risk is the risk of a severe allergic reaction.

Severe allergic reactions can result in wheezing or trouble breathing. When patients have a severe allergic reaction, they may experience chest tightness or a rapid heart beat. Throat tightness may occur, and some patients become dizzy or light-headed, and may faint or lose consciousness. In cases of very severe allergic reactions, death can occur from anaphylaxis. For this reason, it is highly recommended that you consult a top allergy specialist, like Dr. Hadjiev , for treatment with allergy shots. You should stay on schedule when getting allergy shot treatment. A top allergy professional will be sure that you don’t receive too much of the allergen when you get a shot, and you will be monitored to be sure you don’t have symptoms of a severe allergic reaction, for at least twenty to thirty minutes after receiving an allergy shot at Dr. Hadjiev’s clinic, one of the top allergy clinics in New York City.

Although the risk of a severe allergic reaction is a rare side effect of allergy shots, Dr. Hadjiev is cautious to avoid this potentially fatal complication, and if it should occur, emergency medical treatment is at hand in our clinic. Call 212.319.5282 today for safe administration of your allergy shot treatments.


Dr. Hadjiev, one of New York’s leading allergy doctors, is a specialist in allergy and immunology. Immunology is the study of diseases that result from problems in the immune system. The immune system, which is made up of white blood cells that are formed in the bone marrow and travel in the blood stream and lymphatic system, is the body’s way of reacting to foreign and potentially dangerous substances in the blood and body tissues. When someone has an immune disorder, their immune system can be overactive or under-active.

The Immune Systemimmunology

A foreign substance in the body is called an antigen. The immune system sees an antigen and develops proteins called antibodies that are produced in white blood cells and released to fight off the foreign substance. Usually, this happens in response to bacteria, viruses, and other pathogens, but sometimes the immune system develops antibodies to harmless substances, resulting in allergies. At other times, the body may even develop antibodies against its own tissues, which is what happens in autoimmune diseases like rheumatoid arthritis. Finally, the immune system may stop working. One example is AIDS, which caused by suppression of certain cells in the immune system by the Human Immunodeficiency Virus (HIV). This results in an inability to fight off infection.

Dr. Hadjiev sees many patients who have allergies to substances which are usually harmless. These patients develop antibodies, and when they are exposed to the substance, their body reacts as though they are fighting off an illness caused by a virus of bacteria. The reactions can be mild or very severe.

Allergy Specialist

Allergists are specialists in diagnosis, treatment, and management of allergies, asthma, and immune disorders. Some of these disorders include hay fever (allergic rhinitis) and sinusitis, skin problems like hives or eczema, adverse drug reactions, disorders of the gastrointestinal tract caused by food allergies or sensitivities, and diseases that are associated with autoimmune responses to body tissues, like arthritis. Allergists also treat people with immune deficiencies.

Immune deficiencies, like HIV, refer to diseases that cause part of the immune system to function improperly. Perhaps part of the immune system is missing, as occurs in some genetic diseases of immune deficiency.

Dr. Hadjiev, one of New York City’s leading allergy doctors, warns that patients with immune system deficiencies may have symptoms like frequent infections, or infections that are difficult to treat. Sometimes people with immune system deficiencies acquire unusual infections that other people rarely get. Children with poor growth patterns, recurrent ear infections, recurrent pneumonia or sinusitis, may have an immune deficiency disorder. Swollen lymph nodes and an enlarged spleen are sometimes signs of an immune deficiency.

If you have any of the signs mentioned above, you should consider a consultation with Dr. Hadjiev, a top New York allergy doctor who is trained to diagnose, treat, and manage disorders of immune deficiency. Call 212-319-5282 today for your initial consultation.

Pediatric Allergy Specialists

Dr. Boyan Hadjiev, a leading allergy doctor in New York City, is a specialist in the treatment of children and infants with allergies and immune system problems. Allergists are physicians who have advanced training in the diagnosis and treatment of allergies, asthma, and other diseases of the immune system. Pediatric allergy specialist not only undergo 3 years of additional training in pediatric medicine after completion of medical school, but they also spend at least two additional years studying allergies and immunology.

Allergies in Children

Allergies are responsible for many chronic health problems among infants and children. In fact, between 8 percent and 10 percent of children have asthma, and between 15 percent and 25 percent of children have hay fever, also known as nasal allergies or allergic rhinitis. As many as 6 percent of all children have allergies to different types of foods, and skin rashes that result from allergies are seen commonly in both infants and children. If you suspect that your child has allergies that result in rashes, cold-like symptoms, coughing, or wheezing, you should consult a top NYC allergy doctor. Dr. Boyan Hadjiev has successful treated many infants and children with problems caused by allergies, including rashes and asthma.

Pediatric Allergy Specialist

A pediatric allergy specialist uses a variety of methods to diagnose the source of the allergic reaction. These methods include skin tests, patch tests, blood tests, and elimination diets. After making an accurate diagnosis of your child’s allergy, Dr. Boyan Hadjiev, a leading NYC allergy doctor, can recommend the best management and treatment option for your child.

It’s important to recognize allergies to airborne particles and foods, insect stings, some common medications, and other substances. These allergies can leave your child feeling miserable, with stomach complaints, rashes, wheezing, and fatigue. A top NYC allergy doctor, Dr. Boyan Hadjiev will work carefully to determine what substances are contributing to your child’s symptoms.

It’s especially important to know if your child might be at risk for a life-threatening allergic reaction. Sometimes, death results quickly from undetected allergies to things that range from nuts to shellfish to bee stings. In cases where a child has an allergy that can potentially result in a severe life-threatening reaction, Dr. Boyan Hadjiev will recommend use of an epinephrine auto-injector, which you should carry with you always in case of unavoidable or accidental exposure of your child to a substance that can cause him or her to have a severe allergic reaction that might result in death.

In addition to identifying substances that cause day to day symptoms for your child, a visit to a pediatric allergy specialist can be life-saving.

If you suspect your child is suffering from allergies, call Dr. Boyan Hadjiev, one of New York’s top allergy doctors, today at 212.319.5282.

Insect Sting Allergy

Allergy Specialist

Dr. Boyan Hadjiev, one of New York’s leading allergy specialists, frequently treats people who discover that they may suffer a fatal reaction from an insect sting allergy. There are five insects that can cause a severe allergic reaction in some people, simply by injecting venom into the skin. These insects are hornets, wasps, honeybees, yellow jackets, and fire ants. Many people may have pain and even swelling from an insect sting, but some people have reactions that are potentially life-threatening. In fact, 3 percent of adults in America have severe allergic reactions to insect stings, and these potentially fatal reactions also occur in 0.4 to 0.8 percent of children in the United States.

Insect Sting Allergic Reaction

If you have an allergic reaction to an insect sting, you may experience significant pain and redness at the site of the sting, and sometimes swelling can occur in areas that extend beyond the immediate site of envenomation. Flushing or hives, in reaction to a sting, suggest an allergy, and if you have not previously had a severe allergic reaction, this may be a sign that you could potentially develop one. Itching is another sign of an allergy to venom from an insect. It’s important to recognize insect allergies, because they can lead to an uncommon reaction called anaphylaxis, which can cause the body to go into shock and can make it difficult to breath. Because anaphylaxis can easily result in death, if you have had any signs of an allergic reaction to an insect sting, you should consult Dr. Boyan Hadjiev, New York’s top allergy doctor, to determine if you should take measures to protect yourself.

Insect Sting Allergy

There are a variety of things that you can do, if you are diagnosed with an insect allergy. Dr. Boyan Hadjiev can recommend allergy shots, known as immunotherapy, to desensitize your immune system to the toxic venom of these insects. In addition to avoiding insects, people with severe allergies to insect stings should carry a special drug, called epinephrine, to inject immediately if they begin to experience signs of anaphylaxis after an insect sting. Epinephrine injections can only be prescribed by a doctor, and an allergy specialist like Dr. Boyan Hadjiev should evaluate you in case of an insect sting allergy to determine if you are a candidate for epinephrine emergency treatment.

If you have had a severe allergic reaction to an insect sting, you may have another reaction that can be even worse if you experience another sting. You should always carry an epinephrine auto-injector, and it is essential for people who think they have an  allergy to insect venom to see an allergist for recommendations.

Dr. Boyan Hadjiev, one of New York’s leading allergy doctors, will be able to test you, using a skin-prick test, to determine if you have an allergy.  There are simple ways to avoid insect stings, but it’s not always possible. Be prepared to protect yourself with an epinephrine auto-injector. Call our office today to determine if you are at risk for a severe and life-threatening reaction to an insect sting.

Spice Allergies

Spice allergies are troublesome food allergies that occur in as many as 2% of people who experience food allergies, but they may be very difficult to diagnose, in part because the spices used in prepared foods are often a “secret blend,” and are not listed on the ingredient label. Some of the spices that may cause an allergic reaction include garlic, paprika, cumin, and coriander. Mustard and celery seed are common causes of allergic reactions to spices. If you have had allergic symptoms associated with meals or snacks, you should visit Dr. Boyan Hadjiev, a top New York allergy doctor, to determine if the hidden cause of your allergy is a simple spice that is consumed in your diet.

Many spices actually have specific actions on the cells of the body, which means that they may be more likely to cause sensitization and allergic reactions. When Dr. Boyan Hadjiev, a leading New York allergist, test patients for hidden food allergies, he tests broadly for allergies to spices, which are flavoring ingredients for food that come from leaves, seeds, bark, roots, fruit, or buds of a plant. He also tests for allergic sensitivity to herbs, which are substances that flavor food that come exclusively from plant leaves.

Usually, you will be exposed to spices when you eat, but you can also have a reaction to spices that contact your skin, including spices in foods that you handle and from cosmetics that sometimes have spices as one of the ingredients. Some natural cosmetics may have spices in them. If you work in the food industry, you may inhale spices that are airborne. Any contact with a spice in a person with an allergy or sensitivity can result in symptoms.

Symptoms of spice allergy do not include the runny nose or watery eyes you may experience if you eat something spicy like a chili pepper. If you sneeze from black pepper, this is not caused by an allergic reaction. These things are caused by the affects of irritant substances on your mucus membranes, like the skin inside your nostril.

Dr. Boyan Hadjiev, one of New York’s top allergy doctors, warns that some people who are allergic to spices may have hives or swelling in the tongue or mouth, and sometimes people with spice allergies have wheezing or other asthmatic symptoms. Rarely, people develop anaphylaxis, with shock and breathing difficulties, resulting from an allergic reaction to spices.

When you visit a top allergy doctor for a consultation, you should bring a list of symptoms you may have experienced, and Dr. Boyan Hadjievcan perform allergy testing to many spices. Patch testing and blood tests for antibodies to certain spices can be performed, in addition to other allergy tests.

If you suspect that your allergic symptoms may result from hypersensitivity or allergy to a spice or an herb, it can be difficult to diagnose. This is why you should contact a top New York allergy doctor like Dr. Boyan Hadjievfor a thorough evaluation. Call our office today at 212-319-5282 to schedule your initial consultation at one of the city’s top allergy clinics.

Gluten Allergies

Dr. Boyan Hadjiev, one of New York’s top allergy doctors, treats many patients with some form of gluten allergy. Gluten is a protein that is found in wheat and other grains. It is estimated that one of every seven Americans have some type of intolerance or allergy to gluten. This can range from mild sensitivity to a severe autoimmune disorder known as celiac disease.

Gluten Allergic Reaction

The inflammation caused by an allergic reaction to gluten can result in debilitating health consequences. Dr. Boyan Hadjiev, one of New York City’s top allergy doctors, uses a simple blood test to determine if a person has antibodies to gluten in the blood, which is an indication of gluten insensitivity. However, many people who have chronic symptoms of fatigue, malaise, and irritability, resulting from mild allergic reactions or sensitivity to gluten protein, may not have antibodies circulating in the blood at a measurable level. An elimination diet may help Dr. Boyan Hadjiev determine gluten sensitivity in these patients.

Foods that contain gluten are common in our Western diet.

Some foods that cause a reaction in people with gluten sensitivity include:

Wheat germ
Wheat bran
Graham flour
Veggie burgers

Other common foods that contain small amounts of gluten, like soy sauce, salad dressings, chicken broth and malt vinegar Common seasonings and spice mixes

Severe gluten insensitivity and celiac disease can result in an inability to absorb important arthritis. Dr. xxx, a leading New York allergy doctor, cautions patients with arthritis that there is a link between gluten and arthritis in some patients!

What To Do If You Have a Gluten Allergy

If you have a gluten sensitivity or allergy, your health will improve quickly when you learn about how to avoid gluten in your diet. There are many foods that you can learn to substitute for gluten-containing grains. Quinoa, sorghum, rice, millet, buckwheat, and corn flours can all be used when baking, and you may need to substitute xanthan gum or guar gum for gluten when you are cooking. Unprocessed foods that are fresh and natural will help you keep your diet gluten-free and will keep your intestine healthy. When dining out, you can avoid gluten-containing foods by ordering grilled meats, fishes, and steamed vegetables, but you’ll have to avoid many sauces and fried foods, including foods that are fried in the same pan as gluten-containing foods.

The health benefits you will derive from avoidance of gluten will change your life! Dr. Boyan Hadjiev, one of New York’s top allergy doctors, has seen remarkable changes in patients who have discovered that they have gluten allergies and have learned to avoid gluten-containing foods. If you suspect you have a gluten sensitivity or allergy, call Dr. Boyan Hadjiev at 212-319-5282 today to schedule your consultation.

Nasal Allergies

Nasal allergies result in sneezing and congestion that can ruin your day. This condition is often known as hay fever, and the medical term is allergic rhinitis. If you are tired of apologizing for sneezing and sniffling, and you are ready to find a long-lasting solution for your nasal allergy, we can help you! Dr. Boyan Hadjiev is one of New York City’s leading allergy specialists, and he has helped many patients achieve relief from the misery of allergies.

Many people hesitate to seek help for their allergies, but symptoms can increase over time, when they are not treated. There are five symptoms of nasal allergies that should alert you to seek professional help with a top allergist, like Dr. Boyan Hadjiev. These symptoms include:

  • Runny nose or stuffy nose
  • Sinus pressure
  • Sneezing
  • Itchy eyes
  • Postnasal drip

One of the most common symptoms we treat at Dr. Boyan Hadjev’s office is runny nose, or stuffiness. Although many people try to relieve congestion or a runny nose with over the counter medications, they have many side effects. If you consult a top allergist, like Dr. Boyan Hadjiev, you can identify your triggers for an allergic reaction, and learn to avoid them. Symptoms that don’t improve within a week should prompt a consultation with an allergy specialist. Sinus pressure that continues for longer than a week should be discussed with an allergist, and even uncontrollable sneezing can be successfully treated with a prescription medication. Itchy eyes occur commonly among patients with nasal allergies, and postnasal drip is caused by thick mucus from an allergic reaction. All of these symptoms cause a diminished quality of life, particularly when they continue over an extended period of time.

Allergies that result in symptoms of allergic rhinitis can be the result of exposure to seasonal pollen and even mold spores. People who have allergic rhinitis year-round may be reacting to pet hair or dander, dust mites, mold, or cockroaches. Prescription medications are available that can help you reduce your allergic symptoms. If you’d like to restore a better quality of life, call us today for a consultation with Dr. Boyan Hadjiev, a top New York City allergist.

If you suffer from symptoms of nasal allergy that are recurrent or persistent, isn’t it time that you addressed your concerns with a top allergy specialist in NYC? Help is available. There is no reason to suffer continuously from the symptoms of allergic rhinitis or nasal allergies. There are steps you can take, and we are standing by to help you. Call 212-319-5282 to arrange your consultation with Dr. Boyan Hadjiev, a leading NYC allergist.

Doctor for Sinusitis NYC


If you have chronic pain or congestion in your sinuses, you may suffer from sinusitis. Sinusitis affects over 35 million people each year and is one of the most common medical conditions in the United States. The condition can be acute, which means it comes on suddenly. Some people also suffer from chronic sinusitis.

What is Sinusitis and What Causes it?

Sinusitis is inflammation of the sinuses. The sinuses are the air spaces around the bones of your nose. Although they are hollow, they produce mucus. Normally the mucus drains into the nose. But when sinusitis develops the sinuses become swollen and mucus may become trapped and unable to drain into the nasal passage, which leads to infection. A large number of cases of sinusitis are caused by a cold or allergies.

Sinusitis Symptoms

The most common symptoms of sinusitis include pain or pressure over the nose or face. Nasal congestion, bad breath and yellow mucus production may also be signs of sinusitis. In some cases, a fever and fatigue may also develop. Symptoms of acute sinusitis generally last up to about four weeks. If symptoms persist longer than four weeks, the condition is referred to as chronic sinusitis.

Doctor for Sinusitis Treatments

Treatment for sinusitis can include both drug treatment and non-drug treatments. Flushing the sinuses with saline rinses or sprays may help reduce congestion and decrease symptoms. It can also help flush allergens, such as pollen out of the nose.

Steroid nasal sprays may also be recommended by an allergist in order to decrease inflammation in the sinuses. Decongestants may also help reduce pain and pressure in the sinuses. Depending on the severity of symptoms and length of time they have been present, antibiotics may be advised to treat the infection.

Whether sinusitis is acute or chronic, symptoms can be painful. Contact one of New York City’s best allergists today to schedule an appointment and determine what sinusitis treatment would be best for your situation.

Allergy Testing

If you have symptoms of an allergic reaction, such as itchy eyes, sneezing, wheezing or hives, your doctor may recommend you undergo allergy testing. Different, substances known as allergens, may trigger an allergic reaction, which can lead to a variety of symptoms. Although some people may suspect they have allergies or guess what they are allergic to, allergy testing is the best way to determine the culprit.

What is Involved in Allergy Testing?

Once you see an allergist and have your allergies properly diagnosed, you can be treated more effectively and have symptoms controlled.  On your first appointment with an allergy doctor, a physical exam will be performed, and a medical history taken. The allergist may then suggest certain types of allergy tests in order to confirm the diagnosis. Allergy tests are considered safe for people of all ages including young children.

Types of Allergy Tests

An allergist may recommend a few different types of allergy tests depending on a person’s symptoms. IgE skin tests are one of the most common types of allergy tests performed. An IgE skin test involves introducing a very small amount of a suspected allergen into the skin through a needle. If a person is allergic to the substance injected, slight swelling, itching or a hive at the site of the skin prick will develop. The allergic reaction is usually localized and confined to the spot of the skin prick and resolves in less than an hour. In many instances, IgE skin tests can be performed in the allergist’s office.

In addition to the skin test, challenge tests may also be recommended. Challenge tests involved ingesting or inhaling a small amount of a suspected allergen. This type of allergy testing is usually done when a medication or food allergy is suspected. Challenge testing should always be carefully supervised by an allergist to monitor the patient for a severe allergic reaction.

Blood tests may also be done to help confirm a diagnosis. Blood tests may especially be helpful if other types of allergy tests are unable to be performed or are considered unsafe.

Allergy tests are generally painless, and results are often quick. Determining what you are allergic to can start you on the road to getting the right treatment and feeling better.  Call 212- 679-1200 today in order to schedule an appointment with the best allergy doctor in New York City.

Allergy Shots  

Suffering from allergy symptoms, such as a runny nose, congestion, watery eyes and sneezing is not only annoying, it can interfere with your quality of life. The good news is an allergy doctor can provide treatment including allergy shots.

Why Have Allergy Shots?

When you are allergic to a certain substance, referred to as an allergen, your immune system is hypertensive to it.  Your immune system reacts as if the substance was harmful even though it is not. The immune response triggers the release of certain chemicals in the body, which causes typical allergy symptoms.

Unlike taking an antihistamine, which may decrease symptoms temporarily, allergy shots are a long-term treatment. Allergy shots involve injecting a small amount of the allergen into the body repeatedly over the course of months. The goal is to decrease person’s sensitivity to the substance.

How Allergy Shots Work  

Allergy shots may be given once or twice a week over the course of a few months. The level of the allergen is gradually increased in order for you to build up a tolerance to the substance. This tolerance or decreased sensitively often decreases allergy symptoms. After the buildup phase is reached and decreased sensitivity has been achieved, maintenance shots are often administered every few months. Your allergist will determine the best schedule depending on what you are allergic to and your symptoms.

Side Effects of Allergy Shots

Allergy shots are considered safe and serious side effects are uncommon. Redness at the injection site or swelling may occur in some people. Although rare, systemic reactions including wheezing or chest tightness are possible. Your allergy doctor will monitor you after the shot to make sure you do not have a serious reaction.

Allergy symptoms can interfere with your day to day life and make you miserable. Medications can help, but in some cases, it is not the best treatment option. Allergy shots may be a great way to reduce taking allergy medication and be especially helpful if it is impossible to avoid the allergen. For more information or to schedule an appointment with the top allergist in New York City call Dr. Boyan Hadjiev today!

Allergic Skin Conditions

Although anyone can develop skin irritation occasionally, when a particular substance causes the reaction, it is likely due to an allergic skin condition. Allergic skin conditions can cause an immediate skin reaction or a delayed skin reaction. Either way, annoying and uncomfortable symptoms can develop.

Types of Allergic Skin ConditionsAllergic Skin Reactions

One common type of allergic skin condition is hives. Hives are generally raised, itchy bumps on the skin. Most cases of hives are acute and occur shortly after exposure to the allergen. Insect bites and food allergies are common causes of hives.

Another common allergic skin condition is dermatitis. Symptoms include an itchy rash. The skin can also become crusty and dry. Contact dermatitis usually develops after an allergen touches or comes in contact with the skin.

Dermatitis symptoms may develop immediately after contact with the allergen or symptoms may be delayed. When delayed dermatitis symptoms develop, they usually occur a day or so after exposure to the allergen. Nickel and latex are common causes of contact dermatitis.

Treating Allergy Skin Conditions

If you think you have an allergy skin condition, it is best to have your diagnosis confirmed by an allergy doctor. Skin tests may be performed in order to determine what substances you are allergic to.

Once your allergist has identified the cause of your allergy symptoms, appropriate treatment will be recommended. In some instances, the best solution may be to avoid the allergen. For example, if certain cosmetics cause a skin allergy reaction, not using the products may be all that is needed.

In other cases, a person may have many different triggers or allergens, and it may be difficult to avoid all of them. Antihistamines and both oral and topical medications may reduce itching and redness.

Skin allergy symptoms can usually be well managed. Contact one of New York City’s best allergy doctors, Dr. Boyan Hadjiev. Call today to schedule an appointment.

Allergic Nasal Conditions (allergic rhinitis, hay fever)

In the United States alone about 50 million people suffer from allergic nasal conditions, such as allergic rhinitis and hay fever. The conditions occur when your immune system is hypersensitive to an inhaled substance, such as pollen. For many people, allergic nasal conditions occur seasonally. But for others, the condition is present year-round.

Causes of Allergic Nasal Conditions

Your immune system fights off substances, which can harm the body, such as bacteria. But in the case of allergies, your immune system overacts to a substance, called an allergen, which is not harmful. When the immune system overacts, chemicals are released into the bloodstream, which create an allergic reaction.

When an allergen is inhaled, it irritates the nasal passages and can cause a variety of symptoms. Although your allergy doctor will determine what you are allergic to, common allergens include pollen, grass, ragweed and fungus. Indoor allergens often include dust, household mites and mold.

Nasal Allergy Symptoms

Symptoms of allergic nasal conditions including allergic rhinitis are similar to a cold. Symptoms include nasal congestion, runny nose and post nasal drip. Coughing, fatigue and a headache can also develop. Symptoms may range in severity and can even interfere with day to day activities.


In order to get an accurate diagnosis of allergic nasal conditions, it is important to see an allergist. An allergy doctor can test you for an allergic reaction to a variety of substances and determine the cause of your symptoms. Testing may include skin tests, which involves pricking the skin and injected a small amount of a suspected allergen. If you are allergic to the substance administered during the skin test, you will likely develop a reaction, such as redness or a raised bump.


Treatment may be multifaceted depending on what you are allergic to and the severity of your symptoms. Your allergy doctor will likely educate you on ways to reduce exposure to allergens and prevent symptoms. For example, being aware of the pollen count if you are allergic, and staying indoors when counts are high may reduce allergy symptoms.

In addition to education and tips to reduce exposure to allergens, treatment may include medication, such as decongestants, antihistamines or a combination of drugs. Allergy shots may also be an option for some people. The shots consist of small doses of the allergen, which is gradually increased overtime. The purpose of the shots is to allow your immune system to get used to the allergen, which prevents a hypersensitive or allergic reaction from occurring.

If you have suffered from allergic nasal conditions, you know how annoying it can be. But effective treatment is available. For more information or to schedule an appointment call Dr. Boyan Hadjiev one of the best allergists in NYC.

Allergic Eye Conditions (allergic conjunctivitis)

Allergic eye conditions, also often referred to as allergic conjunctivitis or ocular allergies, are common eye conditions. If you are sensitive to a certain substance, such as pollen or dust, it can cause allergy eye symptoms.

Causes of Allergic Conjunctivitis

An allergen is a substance, which although usually harmless, the body identifies it as harmful. As a result, a chemical reaction occurs, which can cause allergy symptoms. If the allergen irritates the conjunctiva, which is the membrane covering the inside of the eyelid and the eye, symptoms can develop.

Common causes of allergic eye conditions include mold spores and pollen. Pet dander and dust are common indoor allergens, which may cause allergy eye symptoms. Some people are also allergic to chemicals in makeup or facial creams. In order to determine exactly what is causing an eye allergy, it is best to see an allergist.


Symptoms of an allergic eye condition usually start quickly after exospore to the allergen. Symptoms may include itchy and watering eyes. The eyes may also become swollen, red and sore or burn. Some people also develop sensitivity to light. The condition is annoying but does not cause any vision changes or damage. It can be easy to confuse allergic conjunctivitis with other types of conjunctivitis, such as bacterial or viral. But allergic conjunctivitis is not contagious.

Allergic Eye Condition


Treatment for allergic eye conditions starts with a trip to the allergy doctor to determine the allergen. If possible, avoiding the irritating substance may be enough to decrease symptoms. But in some cases, it may be impossible to eliminate the allergen. Medications, such as antihistamines may be recommended. Eye drops or artificial tears may help reduce dryness and irritation. Steroid eye drops may also be used to decrease inflammation. In some instances, your allergist may recommend allergy shots to help you become immune to the allergen.

Certain serious allergic eye conditions, such as infections, may have similar symptoms, so it is important allergic eye conditions are properly diagnosed. Call Dr. Boyan Hadjiev, one of New York City’s best allergists to find the right treatment.

Administration of Immunomudulatory Agents

In many instances, asthma symptoms are linked to allergies. If you suffer from allergic asthma, you know how quickly symptoms can develop if you are exposed to an allergen. Symptoms, such as wheezing, chest tightness, coughing and shortness of breath can range from mild to severe. Asthma medications may reduce allergic asthma symptoms. But for some people, asthma symptoms continue to persist and may frequently occur. In addition to medications, such as steroids and bronchodilators, administration of immunomudulatory agents may be recommended to treat allergic asthma.

Why Immunomudulatory Agents are Given?

Immunomudulatory agents are a class of drugs, which modify one or more functions of the immune system. Certain immunomudulatory agents have been used to treat some types of cancer. Currently, the FDA has approved an immunomudulatory agent to treat persistent and moderate asthma.

During an allergic asthma attack, the immune system recognizes an allergen as harmful, and an immune system response occurs. Part of the response of the immune system is to release a substance called immunoglobulin E (IgE). The release of IgE is thought to play a role in the development of allergy asthma symptoms. Certain immunomudulatory agents work by decreasing the action of IgE, which in turn reduces allergic asthma symptoms.

Procedure for Administration of Immunomudulatory Agents

The immunomudulatory agent is administered through a subcutaneous injection in the skin. The number of injections needed and the frequency will be determined after a visit with an allergist. If you have allergic asthma symptoms, which are not controlled by a steroid inhaler, administration of an immunomudulatory agent may reduce the number of asthma attacks due to allergens.

Side Effects

After administration of an immunomudulatory agent, you will be monitored to make sure you do not have an allergic reaction. The most common side effect after the injection is redness or soreness at the site.

For more information on administration of immunomudulatory agents or other asthma or allergy treatments, call Dr. Boyan Hadjiev, one of NYC’s top allergists. Call today to schedule your appointment.

Contact Dermatitis

Contact dermatitis is a skin condition that appears in two ways: allergic contact dermatitis and irritant contact dermatitis. Allergic contact dermatitis is caused by coming in contact with a specific substance the person is allergic to. Irritant contact dermatitis is caused by coming in contact with common irritants.

These two types of contact dermatitis present different symptoms, but neither of them is life-threatening. They usually clear up in a couple of weeks, although they may come back after another contact with the allergen or irritant.

A break-out of contact dermatitis should be discussed with an allergy doctor to determine the best course of treatment, or determine the allergen in the case of allergic contact dermatitis.

Causes of contact dermatitis

Allergic contact dermatitis is caused when a person’s skin comes into contact with an allergen, including:

  • Some antibiotics
  • Balsam of Peru, a compound used in production of cosmetic products
  • Metals, such as nickel and gold
  • Rubber or latex
  • Certain plants, such as poison ivy and poison oak

Irritant contact dermatitis is the more common of the two. It is caused when a person’s skin comes into contact with an irritant, which can be:

  • An acid
  • Soaps, detergent, or fabric softeners
  • Hair dyes
  • Cement
  • Rubber
  • Pesticide or weed killers

Symptoms of contact dermatitisBestAllergistNYC4

Allergic contact dermatitis symptoms:

  • An itchy rash
  • Blisters
  • Oozing and draining
  • Scaly, raw skin

Irritant contact dermatitis symptoms:

  • Skin redness and a rash
  • Itching, pain and burning
  • Dry and rough skin

The first symptom, which is usually the rash, appears faster in the case of irritant contact dermatitis than in the case of allergic contact dermatitis. The symptoms of allergic contact dermatitis are usually confined to the area that came into contact with the allergen, while symptoms of irritant contact dermatitis tend to spread beyond the contact area. The rash caused by an irritant will tend to be more painful that the one caused by an allergen, and there will also be a burning sensation in the area.

Treatments for contact dermatitis

Treatment options for contact dermatitis include:

  • Topical corticosteroids
  • Oral corticosteroids
  • Oral antihistamines

The first thing that needs to be done in the case of contact dermatitis is to remove the irritant or the allergen. This may include washing the affected area. The mildest cases usually don’t require any other treatment and don’t require a visit to an allergy doctor.

It’s also important to hydrate the skin properly, so moisturizer creams should be used. Topical steroids are used to reduce the inflammation in moderate cases. Steroid creams shouldn’t be used for longer periods of time though, as they may cause the skin to become thinner. Oral corticosteroids are used in more severe cases, and oral antihistamines are used to manage severe itching.

If you came in contact with an allergen or an irritant, contact us today to schedule an appointment with the best Allergy Doctor in NYC.

Allergic Skin Conditions

What are Allergic Skin Conditions – Allergic Contact Dermatitis

BestAllergistNYC2Allergic contact dermatitis is a skin condition that appears in people who are hypersensitive to certain substances. When these people come in contact with those substances, an allergic reaction appears on their skin. The initial contact with a substance that is an allergen is not usually followed by a break-out of symptoms; the symptoms appear on the second and subsequent exposures. After the contact, the immune system overreacts in its response to what is perceived to be an attack.

With the allergic process, a number of chemicals are released, including histamines, which cause an inflammation. Allergic contact dermatitis is not a life-threatening condition, however, a visit to an allergy doctor may be needed to determine the allergen and get advice on the treatment.

Causes of allergic contact dermatitis

Allergic contact dermatitis can be caused by coming in contact with a number of allergens, some of which are:

  • Nickel, gold, and chromium
  • Balsam of Peru, used in production of lotions and perfumes
  • Neomycin and bacitracin, topical antibiotics
  • Allergens that trigger allergic contact dermatitis found in cosmetic products and jewelry
  • Citrus fruit, the peel especially
  • Other plants, such as poison ivy or poison oak

Symptoms of allergic contact dermatitis

Symptoms of allergic contact dermatitis include:

  • A rash on the skin in the area that came into contact with the allergen
  • Itchy skin
  • Skin redness, and possible oozing, drainage, or scaly skin

Allergic dermatitis symptoms usually appear sometime after coming into contact with the allergen. The area that came into contact with the allergen is usually the area where the symptoms appear and they usually start off with an itchy rash, this may ooze or drain. The skin on the area may become scaly. Sometimes it will only be a little red or it can be blistery. The area can swell and feel warm.

Treatment of allergic dermatitis

Allergic contact dermatitis is an incurable condition. After the first exposure to the allergen, the person will have an allergic reaction after every subsequent contact for the rest of their life. The treatment options are aimed at managing the symptoms. An allergist may prescribe the following courses of treatment:

  • Topical corticosteroids – These are the most commonly used treatment for mild to moderate cases.
  • Oral steroids and antihistamines – These are used in more severe cases.

The mildest cases of allergic contact dermatitis usually don’t require any medical treatment. The area should be gently wiped with a damp cloth to make sure all of the allergen is removed from the skin. Topical corticosteroids are used to reduce inflammation in mild to moderate cases, but they should be applied with caution because of their side-effects. Severe cases require steroid and antihistamines to be introduced orally.

The most important thing is to determine the allergen and remove it from your environment. Contact us today to schedule an appointment with the best Allergy Doctor in NYC.

Allergic Nasal Conditions (Allergic Rhinitis)

What is Allergic Rhinitis

Allergic rhinitis is a common health condition that looks and feels much like a common cold. The condition is the result of contact with an allergen, which causes the person’s immune system to overreact in defense. This leads to well-known symptoms of sneezing, itching, and runny nose. If the person is allergic to a number of grasses used in the production of hay, the condition is called hay fever, although it does not present with a fever. Hay fever is treatable and is not life-threatening, but it can lead to a number of complications. During a visit to an allergist, the doctor will determine what caused the allergic reaction, which can be helpful when treating it.

Causes of Allergic Rhinitis

Allergic rhinitis is caused by a number of allergens – pollen, dust mites, animal material, and mold. Hay fever is caused by grass pollen in most cases. After the allergen is inhaled, the immune system sends signals to a type of cells called mast cells to start producing histamines – chemicals that cause inflammation. The immune system overreacts, and the mast cells end up producing more histamines than needed, and doing other things to the body, all of which lead to the cold-like symptoms.

Signs and Symptoms of Allergic Rhinitis

The most common symptoms of allergic rhinitis include:

  • Runny nose
  • Sneezing
  • Watery eyes
  • Itching in the eyes, nose, throat, or ears

Sneezing is usually repetitive when having allergic rhinitis, and is also usually worse in the morning. The nose is runny with clear and watery secretion, although the secretion may change if complications develop. Eyes are watery and itchy, and the nose, throat and ears will also possibly be itchy. Less common symptoms include swelling of the eyelids, nasal obstruction, headaches, coughing, and dark circles under the eyes.

Treatment of Allergic Rhinitis

Since there’s no cure for allergic rhinitis, treatment is usually aimed at the symptoms, and includes:

  • Nasal corticosteroid sprays – These are usually one of the first treatment options considered by allergists. They are very effective in the treatment of allergic rhinitis, and are usually a safe choice, but they need some time to start working. Oral or intramuscular steroids are also sometimes used, but their effects are short and they shouldn’t be used for a longer time.
  • Decongestants – These can help relieve a stuffy nose, but they shouldn’t be used for more than a few days.
  • Antihistamines – Both nasal and oral, antihistamines can also be used to treat symptoms of allergic rhinitis.
  • Allergy Shots – Also called immunotherapy, allergy shots are done when it’s not possible to avoid the allergen, so an increasing amount of the allergen is introduced into the system via the shots, hoping that it will desensitize the immune system and reduce the symptoms of the allergy.

If you want to discuss your treatment options for hay fever, contact us today to schedule an appointment with the best Allergy Doctor in NYC.

Allergic Conjunctivitis

Conjunctivitis is an inflammation of the thin tissue that covers the inner sides of the eyelids and the white part of the eye. This thin tissue, called the conjunctiva, can become inflamed for a number of reasons, one of which is an allergic reaction.

Allergic conjunctivitis is not life threatening. It is more unpleasant than painful and is easily treated, but it should prompt a visit to an allergy doctor for a recommendation on the best course of treatment.

 Causes of Allergic Conjunctivitis

When a person who has an allergy comes in contact with certain substances they trigger an overreaction of the immune system. That reaction is called an allergic reaction and the substances are called allergens. Many different allergens can cause allergic conjunctivitis, including:

  • Different kinds of pollen
  • Dust mites
  • Smoke
  • Animal matter

After coming in contact with an allergen, the body will start an allergic reaction specific to that allergen. In the case of allergic conjunctivitis, the reaction in the eye is caused by types of cells called mast cells, which release histamines that cause the inflammation, and make the eye tear and itch.

Signs and Symptoms of allergic conjunctivitis

Allergic conjunctivitis is characterized by the following symptoms:

  • The white part of the eye, or the inner part of the eyelids become red,
  • Tearing of the eyes,
  • Itching of the eyes,
  • Swelling of the eyelid

These symptoms will most often appear in both eyes if the conjunctivitis is due to an allergic reaction. One eye may be affected more than the other. Conjunctivitis is also commonly called pinkeye because of the color of the white part of the eye may turn red. This is due to widening of the blood vessels in the eye.

The most common symptom is itching, and others include redness, swelling and tearing. Some pain may be present, as can be sensitivity to light and feeling of a foreign object in the eye.

Treatment of Allergic Conjunctivitis

The symptoms are common for most types of conductivities, so it’s important to visit an allergist to determine what exactly caused the inflammation. Treatments vary depending on the cause. If you’re prone to allergic conjunctivitis, you should visit an allergist, who may recommend one of the following treatments:

  • Antihistamines, both topical and for oral use
  • Mast cell stabilizers
  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Steroids, both topical and for oral use

When dealing with allergic conjunctivitis, the most important thing to do is to remove the allergen. A cold compress is the best first aid treatment, as it soothes and removes some swelling. An allergist may prescribe antihistamine eye-drops, mast cell stabilizing medications and non-steroidal anti-inflammatory drugs in mild to moderate cases. In severe cases, oral anti-histamines or steroids may be introduced as treatment options.

If you’re experiencing any of the symptoms of allergic conjunctivitis, contact us today and schedule an appointment with the best Allergy Doctor in NYC.

What are Hives?

NYC’s Top Allergist discusses Hives

Hives Treament Top Allergist NYC1Hives are a rash that emerges as red, raised itchy bumps on the skin. The most commonly known cause of hives is an allergic reaction. They can also appear for unknown reasons. Hives are usually harmless, but they can sometimes be followed by another skin reaction called angioedema – swelling of deeper layers of skin. Angioedema can be possibly be life-threatening if it affects the tongue or throat and block the airways.

Hives are also known as urticaria. Hives can be classified in two forms: acute, which lasts for up to six weeks, and chronic, which lasts for more than six weeks.

Triggers of Hives

Hives can be caused by a number of different triggers. The most common causes of hives are allergens, such as:

  • Medications: such as aspirin, ibuprofen, and blood pressure drugs
  • Foods: such as peanuts, shellfish, tree nuts, eggs and milk
  • Naturally occurring: such as pollen and animal material

Other common causes are environmental conditions, such as exposure to cold, heat, wind, sunlight, stress and even exercise. Dermatographia, which literally means “skin writing,” can also cause hives, and scratching the skin will produce skin redness in the form of the scratch. Chronic hives usually develop for an unknown cause, but they may also develop as an autoimmune response.

Symptoms of Hives

Hives appear with the following symptoms:

  • Raised areas of the skin that are red in their base called wheals
  • Itching and possibly burning skin
  • If hives are followed by angioedema, the skin will swell and hurt
  • In severe cases of angioedema, difficulty breathing or swallowing may be present

The common symptoms include wheals and itching. Wheals may go down and new ones may develop before the rash subsides, which makes it look like the condition is moving. Hives usually affect larger areas of the skin. A small percentage of people with acute hives, and about a half of people with chronic hives, will also have angioedema. Angioedema is a painful swelling of the inner layers of the skin. This can cause serious life-threatening health issues and obstruct breathing and swallowing.

Treatments for Hives

Treatment options for hives include:

  • Antihistamines
  • Oral corticosteroids
  • Epinephrine in cases of severe angioedema

For acute hives caused by allergies, it’s important to determine the allergen and avoid it.

Antihistamines, both over-the-counter and prescribed by an allergy doctor, are the most effective treatment for mild to moderate cases of hives. More severe cases of hives are usually treated with oral corticosteroids, which reduce swelling and itching.

Cases of severe angioedema, especially if the swelling blocks the airways, have to be treated immediately with a shot of epinephrine to prevent worsening of the symptoms and death.

If you have suffer from hives, contact us today to schedule an appointment with the best Allergy Doctor in NYC.


Asthma Doctor

Asthma is a chronic inflammatory medical condition that affects the airways. A common medical condition, asthma is characterized by episodic symptoms that are usually referred to as asthma attacks. Symptoms of asthma consist of wheezing, coughing, tightness in the chest, and shortness of breath. Asthma is an incurable medical condition, but its symptoms can be managed. Still, asthma is considered to be a potentially dangerous condition, and possibly even fatal. When suffering from asthma, it’s important to have regular checkups with an asthma doctor.

Causes and Symptoms of Asthma

The symptoms may change over time and it’s important to adequately change the course of treatment. The cause of asthma is still not entirely understood. Doctors believe that there are several risk factors that may lead to the development of asthma. These factors could be divided into two groups – environmental and genetic. Environmental risk factors include:

Allergens, such as dust mites, animal material, mold and cockroaches
Air pollutants, such as tobacco and traffic smoke pollution
Organic compounds, such as formaldehyde. Genetic risk factors, such as having asthma in the family, have also been shown to be relevant. Also, people with atopic diseases, such as atopic eczema and allergic rhinitis, are more likely to develop asthma at some point in their life. Symptoms:

  • Wheezing
  • Shortness of breath
  • Coughing
  • Chest tightness

These symptoms usually appear more – and are worse – in the morning and the evening, after exercise and when exposed to cold air. Asthma attacks are also triggeredby certain substances, most notably allergens, tobacco smoke, sulfite containing foods and air pollution.A wheezing noise is produced during an attack because the airways become tighter. This interferes with normal passage of air, which in turn causes the feeling of shortness of breath. A person with asthma will also have an inflammation of the bronchial tubes. This inflammation has to be treated because it may play a part in potential lung damagethat can be caused by asthma. An asthma doctor should evaluate it and recommend treatment. Treatment

Treatment of Asthma

Treatment options for asthma symptoms include:

  • Short Acting Beta Agonist (SABA) medications are the first line of defense
  • Anticholinergic drugs are most effective with SABA
  • Corticosteroids can be used for long term treatment
  • Adults can use long-acting beta-adrenoceptor agonists (LABA)

Leukotriene antagonists, can be used in addition to corticosteroids and LABAAsthma medications are usually administered by inhalers.

SABA as well as anticholinergic drugs are used for in the short-term type of treatment for symptoms. Anticholinergic drugs should only be used by people that can’t tolerate SABA. Corticosteroids are the most common medications used for long term treatment of asthma, and are also usually administered by inhalers, unless in very severe cases, when they are administered orally.

If you want to learn more and get medical advice, contact us today to schedule an appointment with the best Allergy Doctor in NYC

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