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Dr. Robert Ramirez

Allergy and Immunology
San Antonio, TX
19 years experience male

Locations

CERTIFIED Allergy & Asthma of San Antonio -Medical Center

San Antonio, TX

Address

8285 Fredericksburg Rd, San Antonio, TX, US
Directions

My office hours

Wednesday: 8:00am - 5:30pm
Show more

Insurances accepted

Aetna

Blue Cross Blue Shield of Texas

Tricare

Cigna

Medicare

Medicaid

UMR

Bankers Life and Casualty Company

Coventry Health Care

Golden Rule Insurance Company

Health First Health Plan, Inc

Oxford Health Plans

Physicians Mutual Insurance Company

Standard Life and Accident Company

Trustmark Insurance Company

WellCare Health Plans

UnitedHealthcare

CERTIFIED Allergy & Asthma of San Antonio -Lincoln Heights

San Antonio, TX

About

Bio

Dr. Robert Ramirez trained in Internal Medicine at University of Texas Health Science Center in San Antonio, and completed his training in Allergy and Immunology in 2009 at University of Texas Medical Branch in Galveston, TX. He has since been in practice serving both adults and children in the San Antonio area with compassion and respect. His clinical interests include many forms of allergic and immunologic diseases including rhinitis and sinus disease, respiratory diseases, skin rashes, food and medication allergies, among others. At the same time he aims to improve his medical practice with his involvement in clinical research on various allergic and respiratory diseases.

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

85 Answers
37 Agrees
The number of answers this doctor has agreed with.
A 31-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Very different: A hypersensitivity is generally what we call an allergic reaction. This is mostly to things you find in the environment, and most of the time is driv... Read More
A member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Maybe: There are genetic defects that can lead to immunodeficiencies for example, that can present with recurrent sinus infections. Usually these diseases w... Read More
A 47-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Very mild asthma: More and more we are shying away from using that term. It is usually used to label very mild asthma that flares up very infrequently, usually due to a... Read More
A 33-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Not great: They are certainly not great as an adult. In children what we do see is that the younger you are when you develop the allergy, the more likely it is ... Read More
A 22-year-old female asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Yes: Some people find that older antihistamines like Benadryl (diphenhydramine) work better for their allergies than the "second generation" antihistamines... Read More
A 40-year-old male asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
15-30min: Antihistamines in general can take up to 30min or so to work. It should not take you more than a couple of days to know if that medicine will work fo... Read More
A 36-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Yes: Yes it can, specially if you have post-nasal drip.
A 29-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Yes: Reactions are usually caused by an allergy to the mosquito saliva. Systemic reactions like anaphylaxis are rare. Usually what we see are large local r... Read More
A 39-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
No: Being allergic to walnut tree pollen is not the same as being allergic to the nut. You have as much of a chance of being allergic to the nut as anyon... Read More
A 36-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Diary: I would not recommend that you simply "explore" on your own, specially if the symptoms are severe. Keeping a detailed diary on patterns of flareups, ... Read More
A 40-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Moisturizer/steroid: There is no actual cure, unless specifically caused by an allergen or two (check foods, dust mites, etc). Focus on the dryness and the inflammation. W... Read More
A 38-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Talk to ENT: I would certainly talk to your ent. This may be as simple as a new sinus infection, but it could be a complication from the surgery.
A 33-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Yes: Any antihistamine should. If it is not working, talk to your doctor who may recommend you increase it to up to 4 times a day, add "h2 blockers" like ... Read More
A 32-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Yes: Unfortunately yes, just like any food. Apple allergy is somewhat rare though compared to nuts and seafood for example. Just in case, check to see if y... Read More
A 41-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Yes: They are unrelated, and there are no significant interactions. Yes you can take both. In fact, usually i'll recommend a similar combination for hayf... Read More
A 39-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Moisturizer/steroid: If you look at eczema as a problem with inflammation and dryness, you define what you are treating more easily. Whether it's mild or severe, you shoul... Read More
A 35-year-old female asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Not always: You can technically go directly to a sinus infection, without having clear drainage first. Without getting a culture from your sinuses, it can be cha... Read More
A 31-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Internet: One of the best resources out there for this: http://www.Acaai.Org/allergist/pages/locate_an_allergist.Aspx.
A 34-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
No: The allergens in the food and in the pollen are different. Just like pecan tree and pecan nut, you should be fine because of that reason. Talk to yo... Read More
A 27-year-old female asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Maybe: There are many reasons for that sensation you describe. It could be eustachian tube dysfunction, specially if it feels like you can't "pop your ears"... Read More
A 25-year-old female asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Dust Mites: Classically, nasal symptoms that only affect you in the morning "then get better as the day goes along", are from dust mite allergies. These microsco... Read More
A 32-year-old female asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Asthma itself: Mucus production is one of the main symptoms of asthma. It is just a sign of airway inflammation generally from an allergen or even an infection. Th... Read More
A 54-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Neither: So i agree with the previous answers. But, if those were the only 2 you had during an attack, use symbicort (budesonide and formoterol). The long-ac... Read More
A 32-year-old female asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Many things: There are many things that can give you hoarseness. Allergies certainly. Other things to consider: gastric reflux, straining your voice, infections ... Read More
A member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Microbes...: Microbes: most commonly viruses, and occasionally bacteria.
A 37-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Yes: Yes you can. Beware of the side effects like drowsiness from benadryl (diphenhydramine).
A 38-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Yes, but...: ...The combination will likely make you very sleepy. If you are needing 2 medications that are essentially the same to be able to control your sympto... Read More
A 34-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Very different: Hp is a hypersensitivity reaction usually to some organic material usually mold, but also food particles, bird droppings, pets, grains, etc. Asthma p... Read More
A 30-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
2 at least: Two of the ones i more commonly see are vitals.Com and healthgrades.Com. There are many more that are slowly growing in popularity like avvo.Com.
A 45-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
About 1 week: Acute sinusitis can be cured in about 1 week with augmentin (amoxicillin and clavulanate). Chronic sinusitis (sinus infections that hang around for a... Read More
A 44-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Multiple: Otc cold medicines can alleviate almost every symptom: -pain/pressure (acetaminophen, ibuprophen) -congestion (phenylephrine, pseudoephedrine) -draina... Read More
A 41-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Almost anything: Triggers can basically be divided into allergens and irritants. Allergens will include pollen from trees, weeds, and grasses. Also mold, dust mites an... Read More
A 22-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Allergy Shots: Food allergy in general can't be "cured". Avoidance is your best bet for preventing the problem. Now, allergy shots have been shown to be effective f... Read More
A 29-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Difficult: Other than frequent hand-washing to prevent the spread of viruses and bacteria and avoiding sick contacts, there isn't a lot more you can do. Certain... Read More
A 39-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
No: For the reasons stated by dr machtinger. Keep in mind that even if testing confirms that you are allergic to honeybee stings, you may not benefit fro... Read More
A 43-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Reflex: This is a sort of nerve reflex, not a food allergy as some think. Capsaicin trigger a signal that then leads to increased secretions... Saliva, mucus... Read More
A 23-year-old male asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Yes: You may have a form of non-allergic rhinitis. This includes many different causes like having "irritant reactions" to smoke, dust, strong smells, cle... Read More
A 48-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Poor airflow: Some ways that this could happen include having persistent congestion or nasal polyps that could interfere with airflow in your nose, even after recov... Read More
A 46-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Yes: Like any allergy avoidance is key. But assuming you want to be around them, antihistamines, nasal antihistamines, nasal steroids, and antileukotriene... Read More
A 29-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Controversial topic: This topic is highly controversial, which means that no study has shown a conclusive relationship. Eg. Food allergy/intolerance and adhd, has been sh... Read More
A 18-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Saline irrigation: If talking about nasal allergies, nasal irrigation with saline is excellent. I highly recommend using a squeeze bottle like neilmed's, instead of the... Read More
A 40-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Yes: They are not in the same family of medications, but i can see why maybe you are asking: both singulair (montelukast) and Aspirin interfere with the a... Read More
A 36-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Maybe shots: There are more and more studies showing that allergy shots to horse hair may help. Talk to an allergist that might offer this (not all do). It's not ... Read More
A 32-year-old male asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Depends: It depends on what allergens you are sensitive to. An Allergist can help figuring that out. As a general rule of thumb: -Vacuum with a HEPA filter:... Read More
A 38-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Anything else: Allergic rhinitis is rhinitis symptoms (congestion, runny nose, sneezing, postnasal drainage) from allergens (plant pollen, mold spores, dust mites). ... Read More
A 32-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Yes: Yes, but i would only recommend it for conditions like urticaria (hives) and angioedema. If you are treating nasal symptoms with this combination, i ... Read More
A 33-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Multiple: Congestion, purulent nasal discharge, facial pain or pressure over frontal or maxillary sinuses. This pain can also be felt around temporal area, and... Read More
A 46-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
True allergy?: Are you truly allergic? Are you having any allergy symptoms when you eat them? Just because you see a positive result on skin or blood test, doesn't... Read More
A 36-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
No: They are not physiologically addictive, like the opiates can be for example.
A 43-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 19 years experience
Multiple: There are many because the causes of urticaria are many. Some of the tests are actually physical stimuli (temperature, vibration, etc). Most others w... Read More

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

5
Recommendations
266
Thank you notes
HealthTap member
Jun 25, 2012
He gave a very accurate and prompt answer. Aftering seeing 4 doctors personally and not getting a diagnosis much less a treatment, Dr. Ramirez suggested such a seemingly simple yet highly effective so...Read More
HealthTap member
Jun 25, 2012
He gave a very accurate and prompt answer. Aftering seeing 4 doctors personally and not getting a diagnosis much less a treatment, Dr. Ramirez suggested such a seemingly simple yet highly effective so...Read More
HealthTap member
Jun 25, 2012
He gave a very accurate and prompt answer. Aftering seeing 4 doctors personally and not getting a diagnosis much less a treatment, Dr. Ramirez suggested such a seemingly simple yet highly effective so...Read More
HealthTap member
Thanks so much! I used triamcinolone acetonide nasal spray and i felt the effect in about a half hour. I live on Brazil and the doctors I've seen here have only perscribed me ear drops and doing heari...Read More
HealthTap member
Thanks! I had posted another question suggesting that that is what I had thought it could ve and another doctor sugested using this nasal spray. thanks, i should really just pay the money to get it ta...Read More
HealthTap member
This was very helpful. Thanks! My son has type 1 diabetes and has a low IGM. I hope everything works out and he is perfectly healthy. Thanks again

Education & Training

Medical/Graduate school

University of Puerto Rico School of Medicine, PR
Graduated 2003MD

Residency

University of Texas Health Science Center San Antonio
Completed 2006

Awards

Fellow American College of Allergy Asthma and Immunology

Affiliations

American Academy Allergy Asthma and Immunology
American College of Allergy Asthma Immunology
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