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Dr. David Shulan

Allergy and Immunology
Albany,NY , NY
42 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 42-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Yes for some: Penicillin allergy often can clear over time. In past clinical studies nealy 80% of adults loose their sensitivity over 10 years. Nearly half of child... Read More
A 35-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Yes: Allergy injections with standardized cat extract can be effective in reducing cat allergies. Medications such as nasal steroids, antihistamine, leukot... Read More
A 34-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
How long ?: True hivesj come and go over hours. If individual bumps last more than 24 hours, other conditions need to be considered. Do antihistamines clear the b... Read More
A 33-year-old male asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Possible hives: I assume you mean ceterizine and atarax (hydroxyzine). You should see your physician for this or if refered an allergist. Viral infections, autoimmune... Read More
A 27-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
It depends : Methotrexate is commonly used in some autoimmune diseases needs to be monitored for liver problems as well as bone marrow and kidney problems. There a... Read More
A 42-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
It may protect: The medical community have done some flip flops on this topic. We previously recommended avoiding exposure. There has been some recent evidence that e... Read More
A 33-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Several causes: Multiple myeloma, early infections, rheumatoid arthritis and some kinds of kidney disease can cause this. The likely causes can vary with the age of t... Read More
A 32-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
History and tests: Unfortuneatly the current available skin and blood tests can too frequently test negative when latex allergy is present. These tests are useful if pos... Read More
A 44-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
The combination help: Pulmicort is an inhaled steroid that reduces inflammation in the lung. Serevent (salmeterol) is a long acting bronchodilator that when used with an in... Read More
A 44-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Maybe: Other potential causes are dust mites and mold. Allergy testing may be helpful.
A 38-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Pretty good: The test is fairly accurate. A common cold within 6 weeks before the test can cause a false positive. Many people with nasal allergies will have a pos... Read More
A 32-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Reflux: If you have recurrent hoarseness, post nasal drp with a clear nose, acid and or nonacid reflux disease could be a cause. People with this problem are ... Read More
A 28-year-old male asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
A first generation: It is first generation antihistamine. It can cause significant drowsiness , and antichiolinergic effects (can cause problems with an enlarged prostate... Read More
A 21-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
? Reflux: If you have a clear nose and no sinus pain, gastroesophageal reflux could be the cause. Treated reflux can clear symptoms. Check with your physician.
A 20-year-old male asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Barometric pressure : It is likely the changes in barometric (air pressure) is affecting you. Talk with your physician about prescription nasal sprays that can keep open y... Read More
A 20-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Could be reflux: Nasal medications and prescription nasal sprays can help. If your nose is clear but have throat clearing and a post nasal drip, reflux could be a caus... Read More
A 40-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Not sure: What kind of problems do you have with antihistamines? Some adverse reactions to antihistamines may not be an allergy. I you get hives with antnihita... Read More
A 40-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Not true: Most people who are sensitive to Aspirin (also to nsaids such as Ibuprofen ) react to the way these medications block inflammatory pathways. Desensit... Read More
A 60-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Usually yes: Many people find relief with nasal irrigation. Be sure the water came from a sterile source, such as boiling , if you are making the solution yourself... Read More
A 35-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
It slows healing: Steroids can slow wound healing.
A 28-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
It may not be hives: Hives usually are itchy red bumps that clear over minutes to hours. If the rash you have lasts for 2 weeks, this could either be an iriitant or a cont... Read More
A 31-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 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
A 38-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Generally yes: One must have asthma or a tendency for asthma. Environmental allergies can trigger asthma , such as pollen, dust mites, and pet exposure. Non allergic... Read More
A 34-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Avoid lactose: I assuming you are talking about milk. Most people who have bloating with milk and milk products are lactose intolerant. A lactase enzyme replacement ... Read More
A 45-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Usually not: If you have adequate nutrition, supplements rarely help. Zinc with a common cold may help if started early in the infection to shorten the infection. ... Read More
A 41-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Usually yes, but why: Taking the two together though usually does not offer much in the way of additional benefit for nasal allergies.
A 48-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Asthma or COPD: Advair is a combination of an inhaled steroid and a long acting bronchodilator. It is used in asthma when an inhaled steroid alone is not adequate to ... Read More
A 44-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 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
A 30-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Multiple causes: Steroids are very helpful for a vasculitis and some allergic and autoimmune hives. Lower sedating antihistamines such as Cetirizine (zyrtec) can often... Read More
A 54-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 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.
A 87-year-old male asked:
Dr. David Shulan
Allergy and Immunology 42 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
A 28-year-old male asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Not necessarily : Many people have antibodies against their thyroid. These people are at a greater risk of developing thyroid disease and need periodic checks to see if... Read More
A 17-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 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
A 47-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 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
A 30-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 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
A 45-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Prescription: Nasonex (mometasone) is a prescription only topical nasal steroid.
A 30-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
It is strictly OTC: It is non prescription and is approved at varying doses from age 2 an up. If you buy the Allegra (fexofenadine) d , that has Pseudoephedrine which ha... Read More
A 21-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 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
A 27-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 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
A 38-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 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
A 29-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 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
A male asked:
Dr. David Shulan
Allergy and Immunology 42 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.
A 39-year-old member asked:
Dr. David Shulan
Allergy and Immunology 42 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
A 39-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 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
A 28-year-old male asked:
Dr. David Shulan
Allergy and Immunology 42 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
A 34-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 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
A 27-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 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
A 19-year-old female asked:
Dr. David Shulan
Allergy and Immunology 42 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
A member asked:
Dr. David Shulan
Allergy and Immunology 42 years experience
Likely a "cold": You could be starting a respiratory tract infection. If symptoms worsen, you may want to see your physician.
A 49-year-old male asked:
Dr. David Shulan
Allergy and Immunology 42 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

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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
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