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Doctor insights on: Can Silent Reflux Be A Reaction To Allergy Immunotherapy

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Dr. Michael Palumbo
1,127 Doctors shared insights

Immunotherapy (Definition)

Encompasses subcutaneous, patch or sublingual treatment with increasing amounts of specific allergen. Used for allergic rhinitis, allergic asthma, and hymenoptera hypersensitivity (and in ongoing trials for food allergy). Specific IgE-mediated disease must be proven. Indications are lack of symptom control despite medication/avoidance, reduce risk of anaphylaxis, or ...Read more


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My son has silent reflux he has had a bad cough since I changed his formula should I use a formula with ha for allergies and he's on losec (omeprazole) 2 daily?

My son has silent reflux he has had a bad cough since I changed his formula should I use a formula with ha for allergies and he's on losec (omeprazole) 2 daily?

Hydrolyzed formula: Try a hydrolyzed milk protein or soy formula for a couple of weeks to see if this helps. The history suggests that he is allergic to the new formula. Is there a history of allergic disease in either parent? ...Read more

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What is cows milk protein allergy? What foods to avoid? What's best baby formula to use he also has silent reflux on ranitidine and domperidone

What is cows milk protein allergy? What foods to avoid? What's best baby formula to use he also has silent reflux on ranitidine and domperidone

Any cow milk product: Cow's milk is present in most cheeses, yoghurt, cream, butter and hence virtually all dairy. You must read the labels to know for sure. Soy based formulas are the most common alternatives. Your pediatrician should help you select a formula that is milk-free. It may be possible later in childhood to introduce sheep and goat milk products but wait for your pediatrician to give the ok. ...Read more

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My son 9mon allergy, dairy causing silent reflux, soya wheat gluten and egg, got runny nose & chest wheezy had contact with dogs? Could he be allergic

My son 9mon allergy, dairy causing silent reflux, soya wheat gluten and egg, got runny nose & chest wheezy had contact with dogs? Could he be allergic

Yes he could: Food ; environmental allergies can develop at that early age like your 9 months old child although symptoms present differently from foods and environment allergies. Food allergies can be dangerous and need to be evaluated. Since he has mulpitle symtoms already including childhood wheezes and congestion, I would suggest you bring him/her to see an allergist. A detailed history/exams/test is needed. ...Read more

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My 3 month son has silent reflux doctor thinks he has milk allergy will a stool sample confirm this also why does s/r cause my bby to cough & wheeze?

My 3 month son has silent reflux doctor thinks he has milk allergy will a stool sample confirm this also why does s/r cause my bby to cough & wheeze?

No / reactive airway: A stool sample is unlikely to provide any significant information on reflux or wheezing. Reflux is a universal event, a burp is a dry reflux from the stomach while the wet ones cause most of the problems. Your windpipe has a flap designed to close & let you swallow fluids/food. When you reflux, it can get a little fluid past the flap & trigger cough, wheezing & occasionally a pneumonia. ...Read more

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Does Lpr (silent reflux) cause lung cancer and how likely is it? If I take quick deep breathes after eating I hear a little wheeze no allergies too

Does Lpr (silent reflux) cause lung cancer and how likely is it? If I take quick deep breathes after eating I hear a little wheeze no allergies too

No: LPR does not cause lung cancer. Unless the acidity of the reflux is quite high (<3.9 pH), it probably would not increase the risk for esophageal cancer either. Do realize that reflux can worsen asthma symptoms and aspiration of stomach content can lead to infection in the lung. By the way, is the wheezing associated with breathing problem? Does it occur when breathing in or breathing out? ...Read more

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Constantly clearing my throat, feel like lump & spasms to throat, fluid in ears, difficulty breathing. Dr thinks allergies\rads. I think silent reflux.

Constantly clearing my throat, feel like lump & spasms to throat, fluid in ears, difficulty breathing. Dr thinks allergies\rads. I think silent reflux.

Silent Reflux: You described your symptoms beautifully and these are exactly the symptoms patients complain of when they suffer with larygopharyngeal reflux, also known as silent reflux. Part of the exam that you need is a laryngeal exam, either with a mirror or a flexible scope. This should provide the "missing link" that should lead to the correct diagnosis and treatment. Your description is spot on. ...Read more

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Will I have to undergo immunotherapy for allergies shots?

Will I have to undergo immunotherapy for allergies shots?

Discuss w/ your doc: It is a rather complex issue to decide if you need immunotherapy, and it is impossible to discuss with you here. We have to base on different considerations. What type of allergic diseases you are suffering from? How bad is your symptoms? Do you have allergies based on testing? Successful rate... You need to discuss it with your local allergist specialist. ...Read more

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How effective are allergy shots, immunotherapy injections or drops?

How effective are allergy shots, immunotherapy injections or drops?

Depends: The efficacy of allergy shots (immunotherapy) can be maximized by seeing a board certified allergist. Allergists receive extensive training in treating with allergy shots. In the right patient, they can be curative, and hopefully decrease or eliminate the need for allergy medications. Allergy drops have also been shown to be very effective, but are not yet fda approved. ...Read more

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Can you get allergy desensitization/immunotherapy shots for allergies to foods?

Yes: This is usually done with small incremental challenges of the food rather than shots. ...Read more

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What can I do if my son is 2 years and has a nut allergy. Can this allergy be cured by immunotherapy?

See below: The jury is out on this one. My daughter has a peanut allergy. There are programs in my state to desensitize her with minute doses of peanut dust, but the studies are not yet definitive. I would suggest caution, carry an epi-pen and educate your child on foods to avoid. If you can get the school on board this will make your life easier. Good luck. ...Read more

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How often does allergy immunotherapy fail? (in terms of not being able to build immunity to allergen?)

Rarely: Immunotherapy when administered by a board certified allergist who has tested for relevant allergens and builds to an appropriate concentration with extracts is successful in up to 85% of patients for desensitization. ...Read more

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I have symptoms of laryngopharyngeal reflux. Would a pH test diagnose this (differentiate it from allergies) and how is it done?

I have symptoms of laryngopharyngeal reflux. Would a pH test diagnose this (differentiate it from allergies) and how is it done?

GI: The GI specialist would scope your esophagus and place a probe or two on it. YOu will be wearing a portable receiver to record the pH and frequency of reflux. The probe would come out with your bowel movement within a couple of days. Most of the time, LPR has some typical laryngorhinoscopic findings also. ...Read more

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Recently, reflux every time I had dairy. I found this out after much discomfort. Eliminated milk, been well since. Possible milk allergy?

Recently, reflux every time I had dairy. I found this out after much discomfort. Eliminated milk, been well since. Possible milk allergy?

Milk is culprit: If the symptoms of acid reflux resolve after a milk elimination diet, this suggests milk was the cause. Whether the mechanism of the reaction is "allergy" or "intolerance" is still a little unclear. Frequently milk allergy has other symptoms like hives or itching. Also true milk allergy is more common in kids. If some dairy products are still tolerated, that is more suggestive of intolerance. ...Read more

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I'm extremely tired. I was recently diagnosed with severe indoor and outdoor allergies. I started immunotherapy a couple weeks ago. Is it the shots/me?

Need more info: Yes, allergies can be associated with fatigue and allergy shots (when provided by a board-certified allergist) can do wonders but take several months to get results. Do note that about 20% of the people do not respond to allergy shots. In the meanwhile, your allergy problem can usually be controlled with medications. If you do have chronic sinusitis issue, have an allergist take a look at you. ...Read more

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What doctor do I go to for immunotherapy for allergies?

What doctor do I go to for immunotherapy for allergies?

Allergist: A board certified allergist is specifically trained and uniquely qualified to determine who is a good candidate for allergen immunotherapy, to administer and to monitor the effectiveness of allergy injections. ...Read more

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Does acid reflux cause allergies or vice versa?

Does acid reflux cause allergies or vice versa?

Neither: These are two entirely separate conditions. However, if the reflux is so bad that it reflexes all the way up to the back of the throat it can produce and aggravate allergy symptoms. ...Read more

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Can you tell me about immunotherapy for allergies shots?

Can you tell me about immunotherapy for allergies shots?

Same: Immunotherapy is allergy shots. It is a series of increasing strengths of serum composed components of which you are allergic. Over time there is a shift of the immune system to prevent allergic responses when you come in contact with these components. ...Read more

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Help please! Could bronchiatal allergy cause acid reflux in food?

Help please! Could bronchiatal allergy cause acid reflux in food?

The other way around: Acid reflux may cause uncontrolled bronchial asthma but not the other way around. However, if you have uncontrolled bronchial asthma requiring oral or systemic corticosteroid, acid reflux symptoms can be worse due to the side effects of steroid. ...Read more

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Are there any allergy sufferers who have been truly cured by immunotherapy?

The allergy cure: Appropriately utilized immunotherapy (allergy injections) can significantly modify the immature immune response that causes ige antibody production to inhaled proteins. In 3/4 of patients on high dose immunotherapy for 3-5 years they can be discontinued with little or no recurrence of symptoms or medication requirements. ...Read more

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Will probiotics help acid reflux and allergies?

Will probiotics help acid reflux and allergies?

Maybe: Everybody is different, so they might provide some relief but currently there is no concrete evidence or scientific data to support the benefit of probiotics in either condition. ...Read more

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Can you get immunotherapy shots for food allergies?

Can you get immunotherapy shots for food allergies?

No: Immunotherapy shots are used to help your body make immunologic changes that enhance your ability to tolerate exposure to a substance. In the case of food, gram quantities are ingested, vs inhalant allergens, in which much smaller quantities like nanograms or micrograms are inhaled. Food desensitizations are being done now by mouth as opposed to with shots. These methods are in the early stages. ...Read more

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Is immunotherapy very successful for getting rid of allergies?

Is immunotherapy very successful for getting rid of allergies?

Allergy shots: Allergy injections help a significant number of people develop tolerance to their allergies with a decrease in symptom. The response varies from person to person. ...Read more

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Pls can u advice what is an oral immunotherapy which is used for food allergies?

Experimental: At this point. You can look at what centers are offering clinical trials to participate. ...Read more

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About how much would it cost to get allergy testing and immunotherapy for allergies?

About how much would it cost to get allergy testing and immunotherapy for allergies?

Insurance?: Insurance may dramatically effect your out of pocket cost for allergy testing & treatment. With insurance the out of pocket cost can be close to $0. Without insurance there is some variation based on charges set by the provider, and the number of things to which you are allergic. Ballpark figure for maximum is $3500 to $5000 for 3 testing and 3 years of treatment. But you save on future meds. ...Read more

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About how much would it cost to get allergy testing and immunotherapy for the allergies?

About how much would it cost to get allergy testing and immunotherapy for the allergies?

Can't Answer: This is not an answer that can be provided on a format as this. It would be best to contact a local allergist and ask them. ...Read more

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What to do if I have acid reflux and have other food allergies what should I buy that is healthy?

What to do if I have acid reflux and have other food allergies what should I buy that is healthy?

Food allergies: You did not specifiy what you were allergic to, but you need to avoid fatty and greasy foods, to help your reflux. ...Read more

Dr. Oscar Novick
3 Doctors shared insights

Reflux (Definition)

Acid reflux is defined as the presence of acidic gastric contents in the esophagus causing irritation. It's cause is blamed on the a lax gastroesophageal shpincter that permits usch regurgitation. Vesicoureteral reflux is regurgitation (backing up) of urine in the bladder into the ureter ...Read more


Dr. John Chiu
2,638 Doctors shared insights

Allergies (Definition)

Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more