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Dr. Jay Kashkin

Allergy and Immunology
Avenel, NJ
39 years experience male

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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

Doctor Q&A

50 Answers
16 Agrees
The number of answers this doctor has agreed with.
A 26-year-old male asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Very much so: I can tell you from both a professional and personal standpoint that acid reflux can be and is responsible for chest tightness, a sensation that a ... Read More
A 38-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
No: Meds used for relief of common cold symptoms are usually geared to either decongest, loosen or mobilize mucus or dry secretions associated with the sy... Read More
A 21-year-old male asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Many possibilities: A non specific itchy rash on the neck can be due to so many different processes. In children, eczema is at the top of the list. If it persists or in... Read More
A 24-year-old male asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Markers: GP41 (GlycoProtien 41) is a marker of of the envelope GlycoProtien seen in retroviruses, HIV is a retrovirus. GP 46 is a marker of HTLV I and II.... Read More
A 19-year-old male asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Control but no cure: Identification and avoidance are still the gold standard of allergy control but not always possible. There are multiple options regarding treatment ... Read More
A 47-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Yes: 75% of HAE pts have the disease based on genetics (autosomal dominant). 25% have a spontaneous mutation. 50% of pts will have an attack by age 10 ye... Read More
A 29-year-old female asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Not asthma: Over my 32 years of practicing allergy and Immunology I have seen dozens of patients with a sense that "I can't get a satisfying breath"! I always as... Read More
A 22-year-old female asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Sinusitis: The typical hallmark of seasonal or year round allergies are sneezing, runny nose and itchy eyes. The symptoms might respond to a single medication o... Read More
A 30-year-old female asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Yes and no: Angioedema is defined as swelling of the mucous membranes and deeper layers of the skin because of "leaking" from blood vessels. If the cause is a me... Read More
A 35-year-old female asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Yes: I would not adjust your thyroid med without guidance from your doc. You are clearly experiencing side effects with 75mcg and should speak with your H... Read More
A 34-year-old male asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Single use: Each time a pft is done the mouthpiece is changed. To my knowledge there are only 2 reports globally of reinfection with COVID. Also, symptoms usual... Read More
A 29-year-old female asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
History most impt: Allergy testing is used as a tool to confirm or eliminate allergens as a cause for allergies. The most common way to test is either on the skin or in... Read More
A 40-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Genetic/acquired: The easiest way to describe the differences between primary (born with based on genetics or gene mutations) and secondary (associated with for example... Read More
A 23-year-old male asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Allergy testing: Very simply, when someone exhibits symptoms of allergy's , the question is always to what. An allergist will have the expertise to ask you historica... Read More
A 37-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Dermographism?: Demographics is one of the most common causes of itching, botching and hiving not due to an allergy. This falls under the category of "physical urti... Read More
A 48-year-old female asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
H2 blocker: Chronic hives are one of the most challenging and frustrating processes to treat. There are 100's if not 1,000's of potential causes. Treatment is f... Read More
A 16-year-old male asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Get to a doctor ASAP: Testicular pain should be addressed ASAP. There are a number of different causes and some need to be addressed AS SOON AS POSSIBLE meaning once you r... Read More
A 29-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Avoidance: The hallmark and gold standard of controlling allergic reactions is simple avoidance. Alcohol or ethanol can actually mimic an allergic response (whic... Read More
A 43-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Voice change, tremor: Everyone is different and most people tolerate Advair Diskus (salmeterol and fluticasone) without any adverse reactions. However some people may exp... Read More
A 40-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
36 to 48 hours: Typically a pt who has a hist of HAE attacks can "sense" hours or even a day or two before. The swelling is noted over a 6-24 hour period and typical... Read More
A 46-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Control allergy Sx's: A spontaneous pneumothorax is most common in tall, lanky men in the their late teens who have a "bleb" or "blebs" on their lung tissue. Relating to s... Read More
A 25-year-old female asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Patch testing. : A dermatologist or allergist can help you to identify what material is causing the reactions if in fact it is actually due to a contact allergy. Onc... Read More
A 44-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Avoidance: After someone has an allergic reaction the most prudent step is to try, as hard as it might be at times, to identify the allergic trigger and avoid fu... Read More
A 43-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Identification: A plus sign when referring to CD or cluster of differentiation are identifying markers on specific cells (like CD4) that help to differentiate between... Read More
A 31-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Anything not PCN ok.: Actually the incidence of a true IgE mediated reaction to Penicillin is less than 1% of the population at large. Thankfully there are many alternativ... Read More
A 46-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Rescue/maintenance: Albuterol is a rescue medication (unless used before exertion) and it's frequency of use dictates the status of ones airways. Ideally albuterol shoul... Read More
A 17-year-old female asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Get tested/ see GYN: As with any painful process you should seek medical attention. Painful intercourse is caused by any number of reasons. Of some particular urgency is ... Read More
A 41-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Yes: If one parent is allergic there is a 30-50% chance of their child being allergic. If both are allergic there is a 50-90% of their child having some a... Read More
A 38-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Not at all: You always heard your mom say "you're going to get sick if you don't bundle up" has been shown to not be accurate. Exposure to cold temperature in ty... Read More
A 23-year-old female asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
No way to know: Since dermographism falls under the label of "physical urticarias" avoiding triggers is key. Heat, vibration, pressure and cold can trigger both loca... Read More
A 48-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Generic for Zyrtec (cetirizine): The most common side effects of Cetirizine are sedation and dry mouth. Children typically tolerate the sedative effects better than adults but parents... Read More
A 48-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Nickel very common: An allergist or dermatologist can usually determine if you are having a contact reaction to components of faux jewelry by history. It can usually be ... Read More
A 36-year-old female asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Physical : Dermographia (skin writing) is the most common cause of hives. Triggered by heat, vibration and pressure (sometimes cold) it is often associated with ... Read More
A 22-year-old female asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Serum tryptase level: You're certainly describing an entity that sounds histamine mediated but of course can be due to other causes and mediators. Does she have urticaria... Read More
A 50-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
24-96 hours: Contact reactions to hair dye are similar to that of poison ivy although the distribution is usually limited to the scalp, neck, shoulders and sometim... Read More
A 30-year-old female asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
No: Typically "HIV dermatitis" is not itchy at all and usually located on the upper trunk (chest) and occasionally on the palms and soles. Since people w... Read More
A 41-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Allergic crease: An allergic crease is a very common physical sign seen in people with nasal allergies and itching who perform an "allergic salute". This action creas... Read More
A 39-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Recall: Protecting us from getting chicken pox 12 times for example is something called an anamnestic response or a memory response. The immune system when f... Read More
A 40-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Non allergic swells: HAE is a deficiency or dysfunction of C1 esterase inhibitor. It results in the unregulated release of "bradykinin" a potent vasodilator. 75% of pts ha... Read More
A 30-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Genetic disorder: HAE is genetic disorder resulting in unpredictable swelling of any part of the body. It is not caused by histamine, but a chemical caused bradykinin.... Read More
A 33-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
2 weeks and 4 weeks: We make 2 different antibodies in response to viral infections. The 1st is IgM within about 2 weeks of exposure. At 4-6 weeks IgG against COVID appea... Read More
A 34-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Unpredictable: Unfortunately this is one of the most difficult if not impossible questions to answer. For hives as a result of a food allergy they should only last ... Read More
A 43-year-old female asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Probably not: An allergy is an event that in its basic definition is mediated by an allergic (IgE) antibody specifically programmed for a foreign protein. In the i... Read More
A 31-year-old male asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Don't substitute!: The best advice anyone can give you is "Don't use and go to a meeting". You need support and people who understand what it's like to withdraw. One o... Read More
A 36-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Avoidance: Since the infancy of the science of allergy and immunology, the hallmark of controlling allergies are identification and avoidance whenever possible. ... Read More
A 39-year-old member asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
A day to weeks: There are 2 types of "allergic" reactions, meaning an immune response, that we typically see with penicillin. However there are numerous non allergic... Read More
A 31-year-old male asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Nasal congestion: Often people with ear discomfort have it based on nasal stuffiness and eustachian tube dysfunction (similar to pressure on descent on a plane). Call ... Read More
A 22-year-old female asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
Alpha gal: The long and short answer is yes! There is something called an "alpha gal" allergy. Different from usual allergens which are proteins, these are car... Read More
A 30-year-old female asked:
Dr. Jay Kashkin
Allergy and Immunology 39 years experience
No sudafed: Anyone with high blood pressure, even if controlled on medication, should avoid "decongestants" because of the effect on blood pressure.

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

2
Recommendations
83
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Kashkin is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Kashkin is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Please explain anti-high affinity FC-epsilon receptor antibody test.
HealthTap member
Thank you very much for your response. It does respond to steroids.
HealthTap member
Appendix testis torsion. Diagnosed today! Glad it wasn’t worse!

Education & Training

Medical/Graduate school

universidad CETEC (Dominican Republic)
Graduated 1983MD

Residency

The Albert Einstein College of Medicine. Bronx, NY
Completed 1986

Residency

Albert Einstein College of Medicine
Completed 1986

Awards

Top Allergist and Immunologist , Second Place, New Jersey - Fall
2014
Top Doctor, Third Place, Newark Region - Fall
2014
Thought Leader, Second Place, Newark Region - Fall
2014
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