Dr. Robert Ramirez

Allergy and Immunology
San Antonio, TX
20 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

Thursday: 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 43-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Hydrogen Peroxide: It's hydrogen peroxide. It is indeed the stuff used for scrapes and cuts.
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
No: No allergy shot is permanent. But you can get significant long-term relief with immunotherapy, specially to cat allergen.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Yes: Macrolide antibiotics like ees (erythromycin ethyl succinate) will be safe. But if your allergic reaction was some time ago, you may want to consider... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
It can be: Ibuprofen and other non-steroidal anti-inflammatory drugs (nsaid's) are amongst the top allergenic drugs. This list includes: ibuprofen, aspirin, nap... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Unusual: Food allergy can present as gastrointestinal symptoms, but usually nausea, vomitting and/or diarrhea. Pain by itself is not enough to make a diagnosi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Rare: It is indeed rare, but it can happen. Talk to an allergist for further recommendations and workup.
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Depends: This will require an evaluation by an allergist. They would ask you many questions like: -what are your typical nasal allergy symptoms? -what did you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Maybe: You have about a 2-5% chance to also be allergic to cefuroxime. You may want to talk to your allergist about testing to penicillin first to confirm t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Yes: Yes, these should have the allergen in them.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Depends and depends: When we talk about honeybee allergy, usually we mean allergy to the venom. Eating honey therefore should be fine as long as there is no venom in it. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Symptoms?: It is important to identify the symptoms, whether they were simply local (redness, swelling at the sting site), or systemic (hives, anapylaxis). An a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Yes: It is actually healthcare workers who are at a higher risk of this, because of their prolongued exposure.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Maybe: It can be. When suspecting allergy, this type of rash is usually a form of contact dermatitis. He may be having a contact allergy likely to a food. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Maybe: Sinus infections can certainly do that. Are you having any nasal symptoms like congestion, purulent nasal discharge, facial pain? There are many othe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
No: There is indeed crossreactivity, but: -if you are allergic to cephalosporins like cephalexin, and have had penicillin with no problem in the past, mos... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Get it checked: This could be as simple as damage to the ear canal from the use of cotton swabs. Sounds like you need someone to take a look in there.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Unrelated: They are unrelated. Low IgM is usually not clinically significant (depending on how low of course). Talk to an allergist immunologist to figure this... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Blood test: Usually doctors will start with getting a history. There is more to gluten sensitivity than just "stomach problems". Then they might order a blood t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
The same allergen: Whether a fruit is organic or not, does not matter for conventional food allergies. The allergen in the fruit will be the same. Bottomline, always avo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Yes: Ringing in your ears from any kind of nasal issue is usually from having congestion in your nose. This can then lead to eustachian tube dysfunction w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
10% chance: You have about a 10% chance of being allergic to those if you are allergic to penicillin.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Yes: Yes indeed if you are having nasal congestion and/or problems over the frontal sinuses (like sinusitis). Are you having nasal symptoms with this? Ke... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
No: It does not provoke a physiological addiction like narcotics for example.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Moisturizer/steroids: Moisturizers (aveeno, eucerin, even vaseline) are always a good idea to treat the dry skin in atopica dermatitis. Topical steroids are what are going... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Same day...: ... If your doctor is available when performing the test. They should be able to tell you immediately the results.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
It's hard: An experienced physician, pulmonologist, allergist, etc. Is able to tell when patients are not putting enough effort into a test.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Initial vs long term: Generally we see IgM as the initial antibody that we make in response to an infection. Igg is the antibody that provides long-term protection.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Definitively: Because we see this all the time, and are specially trained to diagnose and treat it. Keep in mind though that most cases will end up being diagnosed... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Microbes...: Microbes: most commonly viruses, and occasionally bacteria.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 years experience
Internet: One of the best resources out there for this: http://www.Acaai.Org/allergist/pages/locate_an_allergist.Aspx.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Robert Ramirez
Allergy and Immunology 20 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
Created for people with ongoing healthcare needs but benefits everyone.

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

5
Recommendations
267
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