Oral Allergy Syndrome: Why does my mouth itch when I eat certain fruits, nuts and vegetables?

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 Deviated Nasal Septum?

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…)

Chronic Cough: Why Am I Always Coughing?

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…)

Exercise-Induced Bronchospasm: Cause and Treatment

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…)

Can Acid Reflux Cause Shortness of Breath?

Could acid reflux be the cause of my shortness of breath?

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.

But I don’t have heartburn — isn’t that a symptom of acid reflux?

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.

Why doesn’t my allergy medicine help?

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.

How can I tell if acid reflux is the cause?

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.

How can I manage my symptoms?

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. 

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Tree Pollens: Why May Is Allergy and Asthma Awareness Month

Pollens — the microscopic plant particles that cause seasonal allergies in many people — come from three general types of plants: trees, grasses and weeds. In general, trees pollinate in the late winter/early spring; grasses often overlap the trees at the end of their season and extend late into the summer; and ragweed, the most important of allergenic weeds, starts pollenating in mid-August through September. (more…)

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