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Suggest Treatment For Atopic With Environmental Allergy

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Posted on Mon, 5 May 2014
Question: Dr. XXXXXXX I accidentally closed my query. I don't know if you remember me but I am the one who had urticaria and did skin biopsy.. Your last response kindly told me to wait for my biopsy result. I need to get back to you. I had numerous Eosinophil, I kept asking my question to doctors here online, I got some good advise. I am afraid I would progress my allergy to other organ if I am not treated right with proper medication in the future. I need your opinion too because the choice of most affective medication would be the problem. So far I got this fact by testing. I have a very high total IgE, and I am Atopic. with environmental Allergy, such as dust mite, cats dog, cockroaches, weed and tree pollen and numerous Eosinophil in my skin. I was on oral Prednisone in December but my doctor needs to stop it in the middle of therapy because of loaded of side effect with hives on my neck, they said I am sensitive to it. Right after that, my doctor put me on Allegra and Tagamet. My hives has been more often, I stopped taking them since after the day before the biopsy on 4//4. I got reaction during the Patch testing on 4/2, then you gave me an good advice about. Thimerosal. The skin was taken for biopsy from the hives that I had during the patch testing. Food and medication allergy was not tested yet, but it seems to me that my diet has not been changed but I have no new urticaria since after the last episode on 4/2. Do you think patch testing would have caused my last hives? I also had a bad reaction such as headache, hives nausea breathing problem, tightness of chest while I was working on 3/6 and I was sick next day. My work is over night shift, closed winter environment with heat and not vent in the assisted housing set up, carpeted floor, old couch to lay down and rest, I do house cleaning (I had to sweep floor often including carpeted area) and personal hygiene along with passing medication to the resident. I feel like dust mites caused my bad allergic reaction that night. Again I want to ask you your recommendation of medication or other therapy I can have for desensitization. I know finding more allergen would help, button so far I got this test result and experience with my urticaria.
doctor
Answered by Dr. Raju A.T (5 hours later)
Brief Answer: yes, patch test is the cause Detailed Answer: Hi, Thanks for your query. Yes, the symptoms you had post patch test are due to the test itself. The test involves exposing you to considerable amount of allergen you are sensitive to. This releases chemical mediators which result in symptoms like you had. Steroids would have been a good choice for treatment, since you are allergic you might opt for medications which act generally. Mast cell stabilizers and Leukoteriene antagonists are amongst. Desensitization may not be a good choice as it is preferred in cases where there is reaction to a single or only few allergens. You have atopy a generalized response to most of the allergens. Here desensitization is not practical. Hope, I answered your query. Please let me know if there are any queries. regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Raju A.T (22 minutes later)
Thank you very much for the answer I will follow up as I move forward with my local doctors. I have several favorite doctors alredy with HealthCare Magic. Dr, XXXXXXX you are one of my favorite. Thank you very much it has been greatley helpful. See you again XXXXX
doctor
Answered by Dr. Raju A.T (7 minutes later)
Brief Answer: I am here to help you. Detailed Answer: Thanks for your feedback. I shall wait to discuss further. Wish you good health. Regards,
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Raju A.T

General & Family Physician

Practicing since :2008

Answered : 4927 Questions

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Suggest Treatment For Atopic With Environmental Allergy

Brief Answer: yes, patch test is the cause Detailed Answer: Hi, Thanks for your query. Yes, the symptoms you had post patch test are due to the test itself. The test involves exposing you to considerable amount of allergen you are sensitive to. This releases chemical mediators which result in symptoms like you had. Steroids would have been a good choice for treatment, since you are allergic you might opt for medications which act generally. Mast cell stabilizers and Leukoteriene antagonists are amongst. Desensitization may not be a good choice as it is preferred in cases where there is reaction to a single or only few allergens. You have atopy a generalized response to most of the allergens. Here desensitization is not practical. Hope, I answered your query. Please let me know if there are any queries. regards,