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Dr. Duane Gels

Allergy and Immunology
Annapolis, MD
38 years experience male

Locations

Annapolis Allergy & Asthma at Chester

Chester, MD

Address

1630 Main Street, Suite 230, Chester, MD, US
Directions

My office hours

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

Practice website

Fax

410-573-5841

Insurances accepted

Aetna

Alliance Health

CareFirst Blue Cross Blue Shield

CIGNA Health Care

Coventry Health Care

Golden Rule Insurance Company

Group Health Incorporated (GHI)

John Hancock Life Insurance Company

United HealthCare Insurance Company

Annapolis Allergy & Asthma at Centreville

Centreville, MD

Annapolis Allergy & Asthma, LLC

Annapolis, MD

About

Bio

Highly trained and experienced specialist in allergy, asthma, sinus and respiratory disease. Relates well to patients; down to earth, approachable, easy to understand, compassionate and caring. Teaching staff at Hopkins but prefers caring for patients over research and academics. At ease with all ages, young children (married, has 2 of his own) and seniors. Sees HealthTap as a way to be more available to many devoted patients an hour away.

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

Pediatric Allergy and Asthma

Licenses

United States: Maryland

Doctor Q&A

318 Answers
158 Agrees
The number of answers this doctor has agreed with.
A 33-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Simple things first: Most people would use moisturizing creams if weather is dry or it's wintertime, or over the counter steroid creams and antihistamines. If continues, m... Read More
A 20-year-old female asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Treat both: Difficulty with breathing is termed dyspnea. Wheezing, coughing and dyspnea associated with chronic rhinitis (runny nose) can well be the beginnings o... Read More
A 64-year-old male asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Used to be in US: Years ago triamcinolone was available via MDI with an attached spacer in the US and used as an asthma controller, but it was taken off the market, for... Read More
A 41-year-old female asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
No test avail: Can't diagnose specifically in this forum, but, in general, I've prescribed benzonatate since it came out and haven't seen anyone experience rash from... Read More
A 29-year-old male asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
I would say no: Autoimmune studies typically are difficult to interpret. It's not that the laboratory is "wrong"; often the assay is detecting something that is truly... Read More
A 37-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Antihistamine: Typical traditional antihistamine side effects. Drowsiness, sleepiness (or paradoxical excitation, insomnia), slowed reaction times, dry mouth, retain... Read More
A 48-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Indeed a puzzle: Hives are extremely irritating. When they last, and the days turn to weeks and months, they become what we call "chronic" hives (or urticaria, the sci... Read More
A 44-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Appropriate 4 adult: Typical adult dosage is 25-50 mg every 4-6 hours. Beware drowsiness, do not drive or operate machinery.
A 22-year-old female asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Hard to guess: Derm answers start with timing &appearance of the rash. Tiny red dots appearing suddenly on face of 22yo healthy girl: yes, acne flare; cycle? but... Read More
A 45-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Eye doc ASAP: Herpes of the eye is serious; get seen as soon as possible. Forget antihistamines, treat the infection. You need antivirals, like yesterday, and close... Read More
A 61-year-old male asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Consider not allergy: Non-allergic rhinitis is seen in the clinic all the time. Assuming no history of head trauma (can cause spinal fluid leak - I've seen this!), a 61yo w... Read More
A 44-year-old female asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Sweat?: Probably misnamed. Consider heat hives, excercise hives, eczema worsened by sweat or others. When hives are triggered under conditions we sweat, watch... Read More
A 51-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Several things: Intrinsic conditions, such as atopic dermatitis, dry skin, viral rashes; extrinsic conditions such as allergic dermatitis (cosmetics, fragrances), foo... Read More
A 41-year-old female asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
For comfort's sake: It's certainly not harmful to treat a fever; we do so mostly to make patients more comfortable. Any benefits to fever are mild and theoretical. I susp... Read More
A 52-year-old female asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
It saps energy: Suspect you mean respiratory allergy attacks, but all allergies are our immune systems mounting a defensive response against what it believes is a ser... Read More
A 40-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Makes it go nuts: A hapten is molecule that is too small on its own to be recognized by the immune system, but attaches to larger molecules, such as proteins, making th... Read More
A 20-year-old male asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Not completely, & no: There is much duplication within the immune system. That said, the spleen is important, especially for handling certain bacteria. Special vaccinations... Read More
A 42-year-old female asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
OB in charge, but: Whoever managing your pregnancy should be aware of all medications, as interactions are important. That said, FDA labels medications for safety in pre... Read More
A 33-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Poison control: Any concerns about overdose (in the US) call poison control right away ("Mr. Yuk"), and call 911. But cetirizine is an antihistamine related to hydrox... Read More
A 64-year-old male asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Often, not always: cough is usually present, as excess mucus from inflammation is a problem. But some predominantly wheeze. Some cough exclusively (cough asthma). But - ... Read More
A 48-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Million $ question: Yup, the question I get asked most. All food allergies are up, and in particular the top 8 (egg, cow's milk, wheat, soy, peanut, tree nut, fish and sh... Read More
A 65-year-old male asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Not Claritin (loratadine) Clear?: Hi, Member837. Loratadine is safe, effective (versus placebo), and rated as "non-sedating" (though I've had some say they get sleepy). Used to be pres... Read More
A 31-year-old female asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
CT sinuses, Rx: Some would treat empirically first with antibiotic 10-14 d, systemic decongestants (Sudafed), nasal steroids - and then get the CT afterward. Depends ... Read More
A 19-year-old male asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Prob ok short term: Steroid creams work better on dermatitis than hives. Besides, if the hives are chronic, they aren't from external causes. Chronic hives are extremely ... Read More
A 24-year-old female asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Often xerosis: Dry sky (xerosis) is common on extensor surfaces (the "outside" of knees, elbows, arms, forearms, shins, etc) particularly during dry winters or frequ... Read More
A 65-year-old male asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Prob ok: Antihistamines have been around for decades, and certainly many more potent than loratadine. They say worldwide the most common drug taken is diphenhy... Read More
A 21-year-old female asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Get checked: A foreign body sensation often lingers for <1hr after it has been coughed out. No Qtipping! Aspiration of food particle can and does happen, even ... Read More
A 19-year-old male asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Keep it moving: And of those issues, only constipation would seem to be of concern. Barium itself can be constipating; it even can solidify stool. Yeah. So be consist... Read More
A 22-year-old female asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
No: Delayed anaphylaxis to red meat occurs in association with allergy to a particular carbohydrate allergy acquired usually from frequent tick or chigger... Read More
A 18-year-old female asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Trace nose bleeds: I see this a lot with steroid nosesprays. A thorough examination is important. Trace of blood could be from low humidity, nosesprays, cocaine, trauma,... Read More
A 24-year-old female asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Back pain/rib pain: Afraid you need a good exam and likely a couple tests such as chest x-ray, pulse oximetry and pulmonary function tests. Lung examination; inflammation... Read More
A 58-year-old female asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Call your allergist : Biggest question is whether it was within minutes or a couple hours after your allergy shot (or drops); raises the possibility of anaphylaxis. Food, m... Read More
A 21-year-old male asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Individual drugs: It's fluticasone propionate and azelastine combo. First is OTC now, second needs Rx, but cheap; call doc for a script. I know other docs have their pa... Read More
A 60-year-old male asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Depends on risk: We can't give specifics in this forum. Poison ivy is contact dermatitis; peaks around 3-5 days after exposure, lasts 14-21d. Assuming "shot" is system... Read More
A 25-year-old male asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Your choice....: Since you are young you may see a dentist more often, and therefore easier to get it when you have the sores. Treatment is not always too helpful, tho... Read More
A 17-year-old female asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Prolly grass pollen: Classic signs of respiratory allergy, Tiffany. And given the time of year in the US, if you're feeling it outdoors, it's pollen - both grass and trees... Read More
A 39-year-old female asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Layering a-histamine: Shouldn't have any problem taking these two together, though you are duplicating antihistamine coverage. Allergra (fexofenadine) and loratadine togeth... Read More
A member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Focus on IgG: The goal of replacement IgG is to provide total IgG levels approximately in the normal range, and sustain them throughout the interval between injecti... Read More
A 32-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Absolutely!: Allergic conjunctivitis is very common, especially now in spring. Itching, red, burning associated with pollen, animals, dust, mold. Responds to aller... Read More
A 48-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Technically, minutes: Once the test is placed, it is read in 10-15 minutes. However, most patients are tested to a number of different allergens reflecting their food or en... Read More
A 39-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
One causes the other: The two walk together. Asthma commonly is caused by allergies affecting the lower airways - the bronchial tubes tighten, become swollen and become con... Read More
A 31-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Await result: If a regular pulmonary function test (PFT) fails to detect signs of asthma, a methacholine challenge can be used to identify whether or not a cough is... Read More
A 40-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Good question: Hay is grass; grass is an airborne pollinator, and produces heavy amounts of it in late spring in the upper latitudes of the US. Fever is an urban myt... Read More
A 30-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
We see this. A lot. : We understand more of how, than why allergies develop. Not sure that alcohol does anything to accelerate the process. Not unusual that tree nut or pea... Read More
A 57-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
No. Urban myth.: Radiocontrast media (RCM) reactions are in no way linked with shellfish allergy.
A 30-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Indirectly: We don't understand fibro well. It's hard to study. No simple blood test, biopsy result, imaging finding or genetic testing confirms dx. There are cri... Read More
A 40-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
No: Not enough to help, even in allergic asthma, which you might find surprising. Oh, they've tried; trials Seldane at super-high doses in '90's before be... Read More
A 29-year-old male asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Pollen allergy: Hay fever, or pollen-induced allergic rhinoconjunctivitis, is a is common (40%), usually self-limited illness, typically associated with seasonally hi... Read More
A 35-year-old member asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
The story and tests: Allergy testing can be done via skin or blood testing. Both have their advantages, but either way, without a story suggesting food allergy one cannot ... Read More
A 38-year-old female asked:
Dr. Duane Gels
Allergy and Immunology 38 years experience
Good to consider: Allergies can also trigger nasal and sinus fullness, congestion, pressure-like discomfort. In fact, the two are related; allergies make sinus infectio... Read More

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

9
Recommendations
196
Thank you notes
Jan 24, 2015
A relative newcomer to HealthTap, but quite a find! He provides spot-on Answers with a tongue-in-cheek, practical, easy-to-understand style that makes you want more! And, he clearly knows his stuff....Read More
May 30, 2015
Highly recommend Dr.Gels for his dedication, commitment and excellence in the field of Allergy/Immunology and I greatly appreciate his insights and advice that he shares on Health Tap.
Jun 3, 2015
Great source of information about allergic disorders. Gladly refer to Dr. Gels if need allergy information
HealthTap member
This was very helpful. Thanks! I did a lot of research and found this info. The real question given the risks is can I use topical around the eye and can I go off oral after shot.
HealthTap member
This made me feel good. Thanks! The neurologist put me on the medicine. and Yes the Mri was of my head and entire spine!
HealthTap member
Thank you, your quick reply made me feel good! My orthopedic surgeon told me never have cortezone shot w/my reaction

Education & Training

Medical/Graduate school

Northwestern University Feinberg School of Medicine, IL
Graduated 1984MD

Residency

RHODE ISLAND HOSPITAL
Completed 1987

Awards

Fellow, American Academy of Allergy and Immunology
Fellow, American College of Allergy, Asthma, and Immunology
Top Doc, What's Up Annapolis

Affiliations

Anne arundel medical center
Johns hopkins hospital
Anne Arundel Medical Center
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