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Dr. Stephen Kimura

Allergy and Immunology
Pensacola, FL
36 years experience

Locations

Office

Pensacola, FL

Address

2114 Airport Blvd., Ste. 1500, Pensacola, FL
Directions

Practice website

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Allergy and Immunology

Languages spoken

English

Doctor Q&A

74 Answers
8 Agrees
The number of answers this doctor has agreed with.
A 35-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Yes: You can overdose on any medication. Everybody feels that if a little is good, then more is better. Everything in moderation. You can even "overdose... Read More
A 41-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Lots of reasons: It may be due to increased awareness of the disease, so instead of calling it something else we are diagnosing asthma. It may also be due to our envi... Read More
A 45-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Yes: But bee and wasp venom is different so because you reacted to one does not mean you will react to the other. You can however develop allergies to was... Read More
A 31-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Sedation: One of the most common side effects of an older antihistamine like Hydroxyzine is drowsiness. This can often be a problem as sometimes people are fee... Read More
A 32-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Yes: These medications all work in different was to help control allergies and asthma. They all are approved to use in someone 3 years old. Usually we li... Read More
A 32-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Allergy or Irritant?: This could represent a contact allergic reaction due to preservative, and fragrances in the cosmetics. Even "hypoallergenic" products can cause a rea... Read More
A 38-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Usually nothing: Allergic contact dermatitis is a reaction, typically to chemicals which come in contact with the skin. A classic example is poison ivy. If you don't... Read More
A 26-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Allergies: Allegra and xyzal are two different types of antihistamines. They are called non sedating antihistamines as older antihistamines like Benadryl (diphe... Read More
A 28-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Yes: Allergens are most commonly a protein although other molecules can sometimes be recognized as an allergen. So, yes most foods are allergens. An alle... Read More
A 47-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Possibly: The active ingredient is loratidine, a newer antihistamine. Typically it is unusual to be allergic to an antihistamine, however there are more ingred... Read More
A 16-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Allergies and Asthma: Singulair (montelukast) was first approved for the treatment of asthma, but was later found to effective and was approved for the the treatment of all... Read More
A 42-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Variable symptoms.: Classically asthma patients complain of chest tightness, like someone is sitting on their chest. It can feel like you are not "getting air to the bot... Read More
A 40-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Fluticasone : Fluticasone propionate is the name. Not to be confused with Veramyst which is fluticasone furoate.
A 40-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Avoidance: If you are reacting to something you are putting on your face, stop. It is difficult for many females to stop using their cosmetics, completely, unti... Read More
A 24-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
No: You should not have much of a problem missing just one dose of alavert. It is a long acting antihistamine, so likely the most you might notice is an ... Read More
A 36-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
No: Spiriva is in a class of medications termed anti-cholinergics. These medications when inhaled induce some bronchodilation as well as some "drying" of... Read More
A 34-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Yes: If you are allergic to peanuts (or anything else), you have specific ige that recognizes the peanut protein (or the allergen that you are sensitive to... Read More
A 44-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Yes: You are correct Pseudoephedrine has lots of side effects, such as shakiness, anorexia, palpitations and increased blood pressure. It is a very good d... Read More
A 44-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Asthma: Allergies can trigger asthma, which causes breathing problems, so it is all related. Asthma occurs when the tissues of the airways become inflammed, ... Read More
A 38-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Side effects: The second generation antihistamines were developed to try and decrease the side effects of the first generations. Many are "purified" first generati... Read More
A 45-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Cross into brain: Older antihistamines, such as diphenhydramine, or chlorpheniramine, actually cross the barrier between the bloodstream and the brain. This causes many... Read More
A 28-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Yes.: Yes, we do see allergies in families. Your risk of allergies increases if one parent has allergies, and is even higher if both parents suffer from all... Read More
A 47-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Yes.: Yes, however it is somewhat limited. The only fda approved antibiotic that we can skin test for is penicillin. It is tested in small amounts by scratc... Read More
A 30-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Possibly: If your son truly has eczema, it is likely just eczema causing his miserable condition. It could possibly be parasites, or parasites on top of eczema... Read More
A 33-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Safe Medications: Its very important to manage asthma as aggressively as possible during pregnancy as you are dealing with two patients now. You and and your baby. Ge... Read More
A 37-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Should be: Xyzal or levocetirizine is a newer antihistamine. Often the labels indicate to use caution with lung disease as theoretically antihistamines (especia... Read More
A 39-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Possibly help.: According to the clear eyes website they have 12 different types of eye drops. Some appear to be just a moisturizing drop. I would avoid regular use... Read More
A 29-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Tiny amounts!: If you are truly food allergic, minute amounts of a food protein can cause a serious reaction. That is why some airlines quit serving peanuts because... Read More
A 50-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
24 hours: Alavert is approved as a once daily antihistamine.
A 27-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Crosses into brain: There is a blood:brain barrier and medications can cross through this barrier to cause people to feel "hungover". People complain of feeling drowsy o... Read More
A 43-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Metabolite: Clarinex (desloratadine) is des-loratadine and Claritin is loratadine. Clarinex (desloratadine) is the active metabolite of claritn. So (according t... Read More
A 30-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Don't use at all!: The fda has reported cases of anosmia (loss of sense of smell) with the use of zicam. So i would recommend not using them at all.
A 21-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
History: History of symptoms tends to be very important in children. Cough with exertion, laughing or crying, cough with uris, wheezing, or cough at night, al... Read More
A 24-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Cool compresses: A damp washcloth over your eyes a few times a day can be very effective in relieving the swelling due to allergic rhinitis. The nasal steroid sprays,... Read More
A 52-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Allergies: Alavert, also known as loratidine, is used to treat allergies or allergic reactions. It is a newer antihistamine.
A 21-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
A level of pollen: The pollen counts you see are done by collecting pollen on special equipment, staining the pollen, and manually calculating the number of different po... Read More
A 21-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Moisturizers: Keeping the skin well hydrated can help. After bathing only drip dry, and then moisturize the skin well. Crisco shortening can be used to seal in th... Read More
A 52-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Possibly: It is really not the snow that will affect the child, but the cold temperature. Inhaling cold, dry air can be a trigger for many asthmatics.
A 40-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Category A , B drugs: Nobody wants to do any studies on pregnant women, so there is little data on newer allergy medications in humans. Category b means that animal studie... Read More
A 35-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Delayed reaction: If it is truly a pollen allergy and you have high exposure through the day, you may be experiencing a delayed reaction to the earlier exposure. This ... Read More
A 32-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
CT, rhinoscopy: Chronic sinusitis can be caused by anatomically defects, which cause the sinuses to become infected. This can include, narrow drainage areas, septal d... Read More
A 31-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Yes: Yes, blood can be sent to test for allergies, however the "gold standard" is allergy skin testing. This identifies the important allergens in your are... Read More
A 46-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Yes.: Yes, however the otc nasal decongestants can cause problems if used continuously. They cause what is termed, "rebound". People get used to the deconge... Read More
A 37-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Controversial: Some recent studies are suggesting that there is not much that can be done about environmental control for dust mites. I usually recommend washing be... Read More
A 46-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Possibly: If you are deficient and symptomatic (recurrent infections), they can possibly help your body fight infections better. Just because you have an igg d... Read More
A 30-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
1-2 puffs each side.: In kids from 4-12 typically 1 puff, each side, daily is given. In adults you can go up to 2 puffs each side, daily, but when allergies improve, you c... Read More
A 40-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Stop taking it.: The half life of Allegra (fexofenadine) is 14.5 hours in normal individuals. It is metabolized mainly through the liver and GI tract so if you have l... Read More
A 32-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Maybe: Allegra (fexofenadine) is metabolized mainly through the liver so the dosage will need to be adjusted. It will depend on how severe the liver disease... Read More
A 34-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
Depends: How big an overdose? If its just a few extra sprays a few times, likely nothing will happen. If it is many sprays a day over months or years, you ru... Read More
A 38-year-old member asked:
Dr. Stephen Kimura
Allergy and Immunology 36 years experience
A reaction: This is your body reacting to what it determines is a foreign protein in your body. Everybody is "programmed" to react to different things or sometim... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
274
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Kimura is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Kimura is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Infound this interesting because I do not have any allergies and I don't think my children's father.
HealthTap member
Thank you, your answer was very helpful! Thank you. I will go ahead and get them.
HealthTap member
Thanks for your quick reply! I never thought that can be genetic

Education & Training

Medical/Graduate school

University of Kansas School of Medicine, KS
Graduated 1986MD

Awards

HealthTap Founding Doctor
HealthTap ClubMD
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less