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Doctor insights on: What Is The Overall Approach To Patients With Allergies And Asthma

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What is the overall approach to patients with allergies and asthma?

What is the overall approach to patients with allergies and asthma?

Avoid allergens: 1.Avoidance one should avoid things to which you are allergic. Also avoid irritants like cigarette smoke and air pollution. 2. Medication medications control inflammation and symptoms, but do not cure. It is important to take medications regularly. 3. Immunotherapy for environmental allergies, allergy shots are effective. New research shows oral desensitization effective for food anaphylaxis. ...Read more

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Dr. John Chiu
2,637 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


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What is the best way to optimize lung function with chronic asthma?

What is the best way to optimize lung function with chronic asthma?

Optimizing lung func: aerobic exercise is a definite factor in improving lung function. Swimming seems to play a role. Deep breathing exercises such as yoga have had conflicting findings however it does seem to show modest benefit. Weight loss and supplementation with vitamin D seem to be helpful and lung function. ...Read more

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What is the best way to manage asthma in children ages 4-9years old? Also would a specific diet be required?

What is the best way to manage asthma in children ages 4-9years old? 
Also would a specific diet be required?

Varies: Asthma is a disorder of variable intensity and trigger factors. It can vary from unrecognized to chronic and life threatening. Each patient must be evaluated and treated based on their individual findings. No two patients have responded exactly the same to any treatment.As such, it is unrealistic to list a "best" medication or plan.Find what works and keep track of triggers ; a written action plan ...Read more

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What types of dogs or cats would be the best option for someone with allergies and asthma?

What types of dogs or cats would be the best option for someone with allergies and asthma?

?? allergies ??: You could have tests done to see if you had allergies to either dogs or cats, since just having allergies doesn't mean they would be a problem. However, warm blooded furry pets all shed dander which can aggravate asthma just like dust or smoke. Consider a fish tank. ...Read more

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Why can not use antihistamines and decongestants in patient with thyroid disease ? What is the machanism of action? What medicine can use to relief ?

Why can not use antihistamines and decongestants in patient with thyroid disease ? What is the machanism of action? What medicine can use to relief ?

Decongestants may: Decongestants may complicate and exacerbate hyperthyroid states. In general I do not recommend oral decongestants to any age group as there is a higher risk of cardiovascular disease with decongestant use. Antihistamines alone may be used in thyroid disease in general. ...Read more

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What types/breeds of dogs or cats would be the best option for someone with allergies and asthma?

What types/breeds of dogs or cats would be the best option for someone with allergies and asthma?

None really: If you have a specific allergy to dogs and/or cats, the best advice is not to have one. There is a misconception that dogs with hair that don't shed are "hypo-allergenic; however, the allergen comes from the animal's salivary glands. The pets clean themselves by licking and the allergen gets on there hair, fur, & skin. This is also why a reaction is worse when the pet licks you. ...Read more

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What is the best way to deal with a patient with interstitial lung disease?

What is the best way to deal with a patient with interstitial lung disease?

Depends on the cause: Interstitial lung disease is not one problem, it's many problems with numerous causes. When you know the cause the best thing to do is treat the underlying cause, but when the cause is unknown it's referred to as "idiopathic". Idiopathic interstitial lung diseases are often incurable, and in particular idiopathic pulmonary fibrosis has no treatment. Many are referred for lung transplantation. ...Read more

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What is the best approach to manage and or minimize the symptoms of chronic prostatitis?

What is the best approach to manage and or minimize the symptoms of chronic prostatitis?

Antibiotics: Are typically required to resolve this condition and does commonly recur.Your doctor can help you manage this. ...Read more

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What is the best diet for patients with gastroparesis?

What is the best diet for patients with gastroparesis?

Amount matters: The more important issue with gastroparesis is to eat small portions. Certainly difficult to digest foods can cause problems as well as foods that promote gerd such as chocolate, caffein, alcohol and citrus/acid foods. Those should be avoided. ...Read more

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What is the safest occupation for someone with asthma attacks, occasionally?

What is the safest occupation for someone with asthma attacks, occasionally?

Depends...: An asthmatic needs to avoid whatever triggers an acute exacerbation in their case. An asthmatic can find out what their individual triggers are by the history of their exacerbations as well as an evaluation by an allergist. Once triggers are known, an occupation that avoids their triggers can be sought. ...Read more

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Can an adult develop seasonal allergies and why. What is the best to care for allergies.?

Can an adult develop seasonal allergies and why. What is the best to care for allergies.?

Yes: One common reason for development of seasonal allergy as an adult is moving to a new area. Pollens are different in different areas of the country and on different continents. ...Read more

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What is the best and safest probiotic for Crohn's disease patients with a dairy allergy?

What is the best and safest probiotic for Crohn's disease patients with a dairy allergy?

May be none: Benefit of probiotics for lactose intolerance or patients with crohn's disease remains unproven. Cost is another issue for patients that they may not want to buy it. ...Read more

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What is the right diet and exercises for people who has asthma?

What is the right diet and exercises for people who has asthma?

Asthma: Be sure that that you use your maintenance inhaler as directed. A well balanced diet is good for any person. Avoidance of things you are allergic too is also of prime importance. Taking adequate vitamin d3 ( 1000 units per day) has been found to maintain wheeze-free states. If your asthma is well-controlled, any kind of aerobic exercise will be helpful. Sports that involve running is preferable. ...Read more

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What is the best and safest migraine medicine for patients with arrhythmia/heart disease?

What is the best and safest migraine medicine for patients with arrhythmia/heart disease?

? and Beta-blockers: Treatment for migraines can be divided into abortive and preventative categories. Abortive migraine treatment is given at the onset of symptoms. Preventative treatment is given on a regular basis to reduce the frequency and severity of migraines. In patients with frequent migraines, beta blockers are the safest medications used to prevent migraines in patients with arrhythmia and/or heart disease. ...Read more

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How can cough be avoided in patients with copd? Is antibiotics the first line of treatment each time there is a cough?

How can cough be avoided in patients with copd?  Is antibiotics the first line of treatment each time there is a cough?

One of many: To treat exacerbation of copd, yes, but often along with other medications such as atrovent (ipratropium) inhaler, etc. Antibiotics are used often and early for acute exacerbation of COPD because of the propensity of this patient population to develop subsequent pneumonia. I assume this person is under treatment by a physician for these problems? If not, seek one out immediately. ...Read more

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What is the best kind of vacuum cleaner to use for asthma and allergy issues?

With HEPA filter: A vacuum cleaner with a hepa filter puts out pollen-free, dust-free air from its exhaust end. A vacuum cleaner that blows exhaust upward instead of sideways or backwards has less of a tendence to blow dust from the floor into the air, while one is vacuuming. It's best to wear a mask during vacuuming (available at all drugstores), and to use a room hepa filter afterwards to clear the air. ...Read more

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Do you have experience with people with bad reactions to most medications, especially psychiatric? What can be the reason and the cure? My body has bad reactions to most of the medications despite severe cognitive problems and pressure in the head.

Do you have experience with people with bad reactions to most medications, especially psychiatric? What can be the reason and the cure? My body has bad reactions to most of the medications despite severe cognitive problems and pressure in the head.

See below: Sorry your having cognitive problems and difficulty with medication. It would be helpful to know what type of cognitive problems you are having? Sometimes bad effects may be because the dose of the medication was too strong, or because it was the wrong medicine for your for your condition. You need to find a skilled psychiatrist whom you trust. Don't hesitate to get another opinion. ...Read more

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What is the best diet and exercise plan for someone with hashimotos disease?

What is the best diet and exercise plan for someone with hashimotos disease?

Unrelated: Hi. People with Hashimoto's hypothyroidism, treated with the correct dose of thyroid hormone replacement to normalize TSH and free T4 can eat whatever they want! I ALWAYS recommend healthy diet and regular exercise, but that's because it's GOOD for them, not because of any influence on their thyroid hormone replacement! Live healthily because it's GOOD for you!!! Holy cow! ...Read more

Dr. Sue Ferranti
3,035 doctors shared insights

Asthma (Definition)

A disease of the lungs caused by chronic inflammation of the airways most often caused by allergies. This inflammation results in airway swelling and hyperactivity leading to difficulty breathing, shortness of ...Read more