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Dr. David Shulan

Allergy and Immunology
Albany,NY , NY
43 years experience male

About

Bio

I have retired.

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

80 Answers
69 Agrees
The number of answers this doctor has agreed with.
A 30-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Yes: Hypoallergenic means that it may be less likely to case allergies but it still can.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Likle hives: Hives are usually itchy red spots that comes and goes quickly. They can be caused by allergy, viral infections, and autoimmunity ( reacting to yoursel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Type 3: I assume you mean a type 3 immune reaction which is caused by immunoglobulins (antibodies) binding specific materials (antigens) forming a complex tha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Yes: The plain zyrtec (cetirizine) should be safe but avoid zyrtec (cetirizine) d. Zyrtec (cetirizine) could cause drowsiness in some people.
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old female asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Often confused: Bronchitis is an inflammation of the bronchial tubes. Frequently in smokers, a bacterial infection can be present and antibiotics help. Viral respirat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Control dust: Specific allergy covers for the mattress , box spring and pillows can help. Low humidity in winter kills the dust mites. Try to avoid carpeting and si... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Leaky vessels: Hives are caused by the activation of cells that release histamine and other inflammatory mediators that cause fluid to leak into surrounding tissue. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Best to avoid: If you wash off the juice from poison ivy in 30 minutes you can avoid the rash otherwise corticosteroids topical or if extensive oral steroids are nee... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Yes: Ampicillin is a penicillin. Studies in the past have shown that most people can loose penicillin allergy over time ( nearly 80% ten years or more afte... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Yes: Loratadine has an excellent track record for safety.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Usually no: Zyrtec (cetirizine) is rated by the food and drug admistration as category b in pregnancy. Animal reproductive studies have not demonstrated a risk. T... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Hard to say: Steven johnson syndrome is the end manifestation of a severe skin allergic reaction. Many times the syndrome does not develop if the offending agent i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Depends on the cause: Allergic reactions, asthma, parasitic infections, vasculitis (inflation in blood vessels), tuberculosis, fungal infections, eosinophilic pneumonia and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Depends on the cause: A runny nose can be from allergies, a condition with reflexes causing a runny nose (vasomotor rhinorhea), a common cold, rarely head trauma can cause ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Multiple things: An appropriate history, chest x-ray ANS appropriate blood tests are often needed. If the exposure that causes it can be identified avoidance of the ex... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
See pulmonologist: Many people with significant asthma, copd/emphysema can have at rest clear lungs. There can be other causes of shortness of breath.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Many cause: If you have itching without a rash many causes are possible. It could from dry skin to other more serious conditions. You should have this checked out... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Corticosteroids: First, you must avoid the exposure and wash all clothing and tools that might have the sap on them as the sap can be active for up to 6 months. Mild c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Depends on Norms: Pft normals are based on your age, height, weight, race with what is normal for this group. Normals change with age. What may be.Normal for you, could... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Multiple ways: Avoid peak pollen times which are in the morning. Air conditioning can help. Low or non sedating antihistamines can help (such as loratadine, Cetirizi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Allergy: Individuals can develop antibodies that activate inflammatory cells when the antibody binds to materials from horses. It can occur with even very smal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Possible cold: A viral respiratory tract infection can affect the inner ear and cause dizziness. I would suggest you have this checked with your physician to be sure... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Depends : If the reaction is a drop in blood pressure, hives and wheezing with fire ant bites, an allergist can desensitize the individual to decrease the likel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Yes: The main potential problem with taking antihistamines the same day is drowsiness. Claritin (loratadine) ( generic Loratadine ) have very low potential... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Usually not: There are very small pricks and possibly small injections. If you hold still , it is ifairly painless. The tough part is itching with a positive test.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Depends: Immedite type reactions can occur i minutes. Contact allergies can take several days to show itself. Some drugs reactions can appears as long as 2 w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
I have not seen it: True allergic reactions to sudafed are rare. More commonly people will not tolerate the drug effects of the medication. This can include heart racing,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old female asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Possible Reflux: Esophageal reflux is a common cause of throat clearing, post nasal dip and a mucousy cough with a clear nose. Treatment of reflux with diet modificati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Yes: Allergic reactions usually occur within minutes to an hour after a sting rarely the reaction can occur as long as 24 hours after a sting. Infections a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Vasodilation : Alcohol has drug effect making more blood to be pumped to the skin by dilating blood vessels in the skin ( vasodilation). With hives you have leaky b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Multiple causes: First do you smoke, if so stop. If an albuterol inhaler helps, asthma could be present. Addition treatment may be needed. Pneumonia can cause a cough ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Not currently: During my fellowship we used a hansel stain for eosinophils on nasal secretions. I have not used this procedure in our office in over 25 years.
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old male asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Asthma: Allergies can trigger asthma. Antihistamines will not help asthma.. Albuterol is a first line medication to relieve the spasms of airway muscle that ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Alskinlessl breeds: The allergens (the materials that you are allergic to) are present in nearly all breeds. Some cats produce more of the allergen than others. The mater... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Treat: Individuals who develop allergies have a genetic tendency to develop new allergies. If you move, you would likely develop new allergies. New generatio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Yes: It not a bad idea to have a bracelet. If you have a seizure and cannot give a history, this will help treading doctors avoid a medication that is not ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Very variable: It depends on what organs are involved. Fatigue, increased blood coagulation, enlarged liver, strokes can occur, problems with nerves such as numbness... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Major immunoglobulin: Igg is the main immunoglobulin, a protein that binds to invading or toxic materials, to prevent infection or damage. It's effect is very important in ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Yes: Lactose intolerance becomes more common as one gets older.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Likely a "cold": You could be starting a respiratory tract infection. If symptoms worsen, you may want to see your physician.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old female asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Indirectly : Severe nasal congestion caused by nasal allergy, respiratory tract infections and other causes can block the tube that goes to the inner ear. This ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Possibly both: Patch testing is very useful for identifying a contact allergy on the skin. It may be helpful for identifying foods with eosinophilic esophagitis. Wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Usually skin testing: With skin testing the allergist usually pricks the skin with a small amount of the material you may be allergic to. A positive test is a hive. Sometim... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 54-year-old female asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Potentially serious: Have you checked with your physician? If your physician is unavailable, i would have this evaluated in the emergency room or an urgent care center.
Created for people with ongoing healthcare needs but benefits everyone.
A 87-year-old male asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Aspiration Pneumonia: This is caused by stomach contents leaking up one's esophagus and going into your trachea (wind pipe) and going into the lungs. The stomach contents c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Unlikely to help: For nasal allergies adding Claritin to xyzal (levocetirizine) would be unlikely to have much of additional effect. Rarely for hives it can have an add... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Antihistamines: Usually dermatographism is a type of hive. Antihistamines are usually effective. I usually recommend a non sedating antihistamine such as Loratadine o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Not unusual : This can happen. Discuss this with your physician. Local reactions can occur. If bothersome, modifying doses of the injection can help. Sometime takin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Not many: Unfortunately most home remedies have not been shown to be effective. There is promising evidence for some chinese herbal remedies. Avoiding things y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. David Shulan
Allergy and Immunology 43 years experience
Not a true allergy: Red wine can trigger headaches by affecting blood vessels. It is not an allergic reaction as it is due to a non-immune mechanism, but you would still ... Read More
Created for people with ongoing healthcare needs but benefits everyone.

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

2
Recommendations
248
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Shulan is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Shulan is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
That's the problem, I'm stuck in China on a work trip and cannot see a physician here, I just don't feel comfortable, won't be back home until summer next year. With an onset of hives during my period...Read More
HealthTap member
Thank you. There wasn't anything to clear in this instant though. And only an hr..I thought allergy, but it has not occurred again with same
HealthTap member
since Monday, I take claritin and atarax, They're still there so I don't think thats clearing up cuz I've had em 3 days...

Education & Training

Medical/Graduate school

University of Toledo College of Medicine, OH
Graduated 1980MD

Residency

northwestern u

Awards

HealthTap Scholar
HealthTap ClubMD
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