Many of you may have seen articles in the press recently about a “new” treatment for allergies: sublingual immunotherapy (SLIT), which has been available in Europe for more than 50 years and used in the United States for 45 years. Like allergy shots, it gives the patient the same small amount of allergen to reprogram the body to become less allergic. (more…)
Summer is the season when New Yorkers tend to eat more fruits. Certain fruits, vegetables and nuts can cause oral itching and other symptoms in people with various pollen allergies, particularly tree pollen. The symptoms, which may also include nasal, eye and even gastrointestinal symptoms, usually occur within minutes of eating the food. Rarely, the food exposure can result in anaphylaxis, a more generalized life-threatening reaction marked by low blood pressure, hives and wheezing. (more…)
What is a deviated septum, and do I have one?The septum is the cartilage and bone that divide the right side of the nose from the left—it is the “tent pole” that holds the nose up. When this structure is deviated, it simply means it is shifted to one side, the other or both. Everyone has a deviated septum to some extent; even after septal surgery, the septum will never be perfectly strait. It may be very mild and not noticeable or severe enough to compromise the nasal breathing. (more…)
Question:Why am I always coughing? Is it allergy? Is it asthma? Do I have an infection? I took 2 courses of antibiotics but my chronic cough did not go away, so I had a chest X-ray, which was normal. I took allergy medication, and it still did not go away. My doctor gave me inhalers to treat asthma and the cough is still there. The only thing that helps is cough syrup, but I am tired of taking that. Some days I feel better and I think the problem has resolved, but the next day the cough is back. (more…)
In the summer, we are outdoors—and hopefully exercising—more often. About 10% of people who exercise will get exercise-induced bronchospasm (EIB). Symptoms may include wheezing, excessive shortness of breath, chest tightness, or just coughing beginning 5 to 10 minutes after exercise. EIB occurs most frequently in persons with asthma, particularly those whose asthma is not well controlled. Various studies show that up to 90% of people with asthma have EIB. But it can also occur in isolation—in a person without asthma. (more…)
Yes. The cause of shortness of breath, recurring bronchial infections and chronic asthma in most patients is acid reflux. In fact, 85 percent of all patients diagnosed with asthma have acid reflux as an underlying cause.
If all patients with acid reflux presented with heartburn and indigestion, the diagnosis would be easy. As a result, patients would take over-the-counter reflux medication for their uncomfortable, “classic” reflux symptoms. But, what happens when you don’t experience these “classic” symptoms? What if you feel short of breath or keep getting bouts of bronchitis? Naturally, you would go to the doctor, possibly have a breathing test and find that your breathing is not good.
Often these patients are diagnosed with allergies or asthma, but their allergy medications and inhalers are not working. They are frequently given recurring courses of antibiotics for bronchial infections. In most cases the diagnosis is not correct and the underlying cause — acid reflux — of all of the symptoms is missed.
Inspiratory breathing (in-breath) problems are caused by acid reflux; expiratory breathing (out-breath) problems are symptoms of asthma. Ask yourself: “Do I have more trouble breathing in or breathing out?” When breathing problems are recurring for you and you are frustrated with the symptom management, ask your otolaryngologist (ENT) if you have “silent” reflux.
Conservative management, including avoiding eating 3 hours prior to bedtime, elevating the head of the bed and reducing highly acidic foods, can be very helpful. Some patients require reflux medication. The proper diagnosis and treatment can be very helpful and life-changing for many people.
