At MicroCare Allergy Specialty Clinic, we believe in empowering your immune system to fight off allergens and improve your quality of life. Our comprehensive allergy assessment process helps identify the root causes of your allergic reactions, whether they are due to dust, food, or environmental allergens. After a thorough evaluation, we create a personalized treatment plan based on international evidence-based practices and the latest advancements in allergy care.
At MicroCare Allergy Specialty Clinic, we take a holistic approach to allergy management. Each patient receives a thorough clinical examination followed by a series of specific allergy tests designed to identify their sensitivities to certain allergens.
The skin prick test is one of the most accurate and reliable methods used to detect allergies. During this test, small amounts of potential allergens are applied to the skin, and a slight penetration of the skin is made. If a patient is allergic to the substance, a small raised bump will form, indicating a positive allergic reaction. Additionally, blood tests may be performed when necessary to confirm or further investigate specific allergies.
Beyond testing, one of the most valuable aspects of our diagnostic approach is listening to our patients. We gather detailed information about their lifestyle, habits, and environmental exposures. This comprehensive approach helps our specialists provide an accurate diagnosis and develop the most effective allergy management strategy, balancing prevention, medications, and immunotherapy.
Allergists at MicroCare Allergy Specialty Clinic are experts in the treatment of allergic diseases, asthma, and related respiratory conditions. While many physicians may treat allergic conditions, our specialists have advanced training in allergy testing, identification of triggers, and the best treatment methods.
We are equipped with the latest allergy testing technologies and have the expertise to provide targeted treatments, including immunotherapy (allergy shots or drops). This helps desensitize the immune system to specific allergens, providing long-term relief from symptoms. Our ENT surgeons, highly skilled in upper respiratory tract management, are uniquely trained to handle both medical and surgical complications associated with allergies.
One key concept in allergy progression is the Allergic March, a term used to describe the progression of allergic diseases in children, starting with conditions like eczema, progressing to asthma, and later developing into hay fever. Understanding this progression is critical to preventing long-term complications and providing the right treatment at every stage.
Our goal at MicroCare Allergy Specialty Clinic is to provide comprehensive care that balances prevention, medication, and immunotherapy. We use the most effective treatments, tailored specifically to your needs, to manage allergies without the side effects commonly associated with conventional treatments.
Whether you’re dealing with seasonal allergies, food sensitivities, or environmental triggers, our clinic offers solutions that build immunity and help you live free from allergies. Our treatments aim to reduce your reliance on medications over time, giving you long-lasting relief and a better quality of life.
While general physicians can treat allergies, our team of allergy specialists is equipped with a deeper understanding of the complexities of allergic diseases. The ENT specialists at our clinic are especially trained to diagnose and treat upper respiratory complications, providing the best possible care for conditions related to the nasal passages, sinuses, and airways.
Our goal is to help you build your immunity and live allergy-free. We provide treatment that minimizes side effects, ensuring you can manage your allergies with minimal disruption to your lifestyle. Whether it’s through allergy shots, oral medications, or lifestyle changes, we tailor our treatments to your specific needs, improving both your immediate symptoms and long-term immune health.
At MicroCare Allergy Specialty Clinic, your health and comfort are our top priority. Our team of experts is here to guide you through the process of managing and overcoming your allergies, helping you live a healthier, more comfortable life.
Allergies are an overreaction of the immune system to substances known as allergens that are generally harmless to most people. Common allergens include pollen, dust mites, pet dander, mold, and certain foods or medications. Allergic reactions can range from mild symptoms like sneezing and itching to more severe manifestations such as anaphylaxis.
The first and most important step in managing allergies is avoiding allergens that trigger symptoms. By minimizing exposure to these harmful substances, individuals can reduce the frequency and severity of allergic reactions. While it may not always be possible to eliminate allergens completely, certain lifestyle changes can significantly help manage allergic symptoms:
Regular cleaning and use of air purifiers to reduce airborne allergens.
Keeping windows closed during high pollen seasons.
Using hypoallergenic bedding and washing bed linens frequently in hot water to reduce dust mites.
Maintaining a pet-free zone in the bedroom and cleaning pets regularly.
By staying away from allergens, individuals can manage mild to moderate allergy symptoms without the need for medical intervention.
For individuals who cannot avoid allergens completely, medications are often required to alleviate symptoms and reduce inflammation. Various types of medications can be prescribed based on the severity and nature of the allergic reaction. These include:
These medications provide quick relief from acute allergic reactions, while others help manage chronic symptoms. It’s essential to work with an allergist to determine the most appropriate treatment for each patient’s unique condition.
For patients with persistent or severe allergies that do not respond well to medications, immunotherapy is an effective long-term solution. Immunotherapy works by gradually desensitizing the immune system to specific allergens, reducing the severity of allergic reactions over time.
Immunotherapy offers a more permanent solution for individuals with seasonal allergies or perennial allergic rhinitis who wish to reduce their dependency on medications and improve their quality of life.
At MicroCare ENT, we understand that allergies can significantly impact daily life. Our holistic approach to allergy management involves a combination of allergen avoidance, medications, and immunotherapy, tailored to each patient’s specific needs. Whether you’re dealing with seasonal allergies, food sensitivities, or environmental triggers, our expert team is here to help you breathe easier and live comfortably.
Contact us today to schedule an appointment and explore the best allergy treatment options for you.
Our Allergy super speciality clinic offers comprehensive allergy management to help in the diagnosis and treatment of allergy problems
The ideal way that we can manage an allergy is to avoid the substances that cause the allergic symptoms. It is, therefore, very important that first identify the substances (allergens) causing the allergic reaction
The patient’s description of the allergy and to be careful questioning by the doctor goes 90% of the way to a correct the diagnosis. This is usually followed by brief examination of the relevant organs such as nose, eyes, lungs, glands and skin. Allergy tests are done to confirm the suspected allergy detected from the history.
Once diagnosed, you need to understand nature, causes and the implications of the allergy which will make future allergy control much more successful. A follow-up consultation is helpful for it that provides an opportunity to discuss the problems associated with the allergy and to reinforce need for the treatment.
Specific Allergy that related Immunoglobulin E (IgE) is the antibody will found in our blood and in the tissues which mediates allergy. Allergy sufferers have raised the levels of IgE and can be measured in the blood by RAST tests and also with Skin Prick Tests.
We can perform Skin Prick tests for common Inhalant and Food allergens or measure Total IgE in the blood. Over 450 individual RAST tests are available. We can measure another allergy cell, the eosinophil in the blood, in the sputum and also in nasal samples.
This is one of the oldest allergy tests and is the cornerstone of primary allergy diagnosis. This test is still most highly sensitive allergy that available. It tests for specific IgE antibodies to inhalants including House dust mite, pollen, cat and dog dander but can also be used to test for food, venom and drug allergy. A positive result is the typical raised wheal and red flare reaction on the skin. The results are immediately available. It is used to either diagnose or exclude the specific IgE mediated cause for the patient’s allergic symptoms.
How are the tests performed:
We use standardized glycerinated extracts of the various allergen extracts such as House dust mite, tree, grass and weed pollen and fungal spores. There is also a negative control (for reference).
The reactions are read after 15 to 20 minutes and a positive reaction should have at least 3mm of raised wheal. All oral antihistamines should be avoided for 2 – 3 days before hand, as they suppress skin reactivity. The kit has a six-month shelf life and should be stored in a refrigerator.
There is the original old Total serum IgE blood test, which has been superseded by the newer multi-allergen screening tests. The inhalant allergy screen is called a UniCAP Phadiatop, There are over 450 individual RAST (Radio Allergo Sorbent Test) available for everything from sheep dander to sesame seeds. These are now called Unicap RAST tests and measure specific IgE in the serum to different food allergens. To simplify matters, there are various screening panels.
The advantages of this new test include improved accuracy, better safety and being less invasive.
Allergy is an adverse immune reaction to an allergen (or protein) in our environment, which is normally harmless to the non-allergic person. Or simply put it is hypersensitivity to foreign substances which are normally harmless but which produce a violent reaction in the allergy sufferer.
Allergy develops after the repeated exposure to causative allergen. Sensitization takes place on initial exposure (a process that may take up to 6 weeks to develop) and no adverse reaction appears to occur during this sensitization. On repeated allergen exposure, the full-blown allergic reaction will occur some time later.
During initial exposure (sensitization), Antibodies (IgE) are produced by our white blood cells and on re-exposure these IgE antibodies bind the allergen and attach to Mast Cells, which release Histamine. Histamine triggers the beginning of the Allergic Reaction, which may manifest with anything from a mild itch of the skin, Wheeze, anaphylaxis and to death. Late phase reactions also may follow 6 to 24 hours later with Inflammation and tissue swelling.
It may present as mild itching of the skin, wheeze or even progress to full-blown reaction and death
The most common of these problems is hay fever or allergic rhinitis in which the patient suffers from nasal congestion, running nose, sneezing, nose and eye itching and a post nasal drip. Patients also complain of loss of smell, loss of taste and nasal bleeding.
Typical allergic reactions are hay fever, asthma, allergic cold, recurrent sinusitis digestive disturbances, conjunctivitis, urticaria, eczema, allergy to Medication such as Penicillin.
Almost any substance can cause this allergy in an individual. Common allergens will include the house dust, pollen, certain foods, especially milk, wheat and eggs, pollens, moulds, cosmetics and certain food additives.
Exposure to house dust, a major cause of year long suffering, intensifies as people head indoors for winter. Symptoms of an allergy to house dust are often mistaken for colds as they include running nose, nasal congestion, itchy and watery eyes.
House dust can been suspected as an allergen from many centuries, but it was formerly seen as a simple substance. Today, its complexity is recognized – a conglomeration of living and non-living material including fabric fibers, animal dander, food particles and insect remains.
“Mattresses will contain the highest concentration of dust mites, whose primary food source is flakes off human skin. The tiny creatures can be found in the pillows, clothing, carpeting and upholstered furniture.”
Most people cannot control the dust conditions where they work or spend their daytime hours, but to a large extent everyone can eliminate dust from their bedroom. This is the single most important and effective step in treatment but it can become a costly exercise.
When symptoms suggest an allergy to the dust mites, it will be very less expensive to see an allergist for testing for the specific allergen than to refurbish the bedroom on the suspicion that dust is at fault.
Only a small proportion of the population can be exposed to an allergen will develop an allergic reaction. Some families trend to develop an allergic sensitization because of genetical transmission.
The cause of allergy seems to be an entangled web of 3 factors like, genetic predisposition, environmental triggers and locally found in protein allergens.
Your genetic background will play a major role i.e, family history of allergies are very significant, smaller families with fewer children will favour the development of allergy. Males are more likely to develop allergies than females, and prenatal maternal diet and smoking seem to play a role. Obesity also seems to be a risk factor for developing allergies.
The home environment in the first year of life is very important. Parental cigarette smoking triggers allergy, Infant diet and early introduction of allergenic foods may play a role. Air Pollution can been implicated, early use of the day-care institutions, and also early use of broad spectrum antibiotics and birth just before the spring pollen season all it seems to promote this allergic sensitization. Living near a farm especially livestock farming seem to prevent allergies developing. This highlights the “hygiene theory”, whereby the children living so-called “clean western lifestyle” are at greater risk for developing allergy. Recent studies are also suggesting that the heavy exposure to the dog and cat allergens in the home may actually prevent the allergies developing in infants (they also suggest having two or more pets in the home!)
And finally, the modest exposure for the local aero allergens and also for allergenic foods in conjunction with the other factor may leads to sensitization in early life and clinical allergy then develops. Evidence now it can exists for very high allergen exposure during the early life having a “protective” effect (for example to cats and dogs). However, the minimal exposure during the first year of life is still recommended “rule of thumb” for allergy prevention.
The Allergic March is the term used to describe the chronological progression of one clinical manifestation of allergy to the next. Early life allergy under the age of 3 years can usually involves in eczema and food allergy, this usually can resolves as asthma develops in the middle childhood years. As asthma begins to stabilize, allergic rhinitis becomes a common manifestation of allergy in the adolescent years. Asthma often returns at about the age of 40 just as Hay fever is settling down.
Reactions to food additives such as Colouring agents, Preservatives and Flavorings are not IgE mediated, their mechanism is largely unknown.
Allergic reaction to foods varies from person to person. One particular food when allergic to somebody, you may not have the same type of allergic reaction. Allergy is there in genes.
Food allergic reactions may vary from immediate itching or swelling of the lips and/or tongue, to hives, coughing and wheezing. These reactions usually happen within a few minutes after eating the food, sometimes up to an hour. Sometimes food allergies may cause stomach cramping and diarrhoea hours later.
Food allergies can be life-threatening, especially if one is allergic to shellfish or peanuts. You know the icon of martial arts Bruce lee died of some food allergy, a form of shellfish used by Chinese for headache caused the death of the real hero.
Unfortunately, there are no safe and effective forms of allergy treatment for food allergy at this point of time. The only treatment is to avoid them.
You must be careful to differentiate between “food allergy” and “food intolerance.” Per example, people have gastrointestinal symptoms upon eating milk products that means they are having lactose intolerance which is causing the symptoms. Other examples of food intolerance include a runny nose from eating spicy foods or headaches from drinking wine.
Your home, workplace, school or outside environment may contain substances that can cause an allergic reaction. These environmental allergens are
Pollen allergies usually occur in certain seasons when more concentration of pollen exists in the environment, and is called seasonal allergy. Other substances cause allergy problems all the year called perennial allergy.
Allergy treatment becomes harder as the true allergy to dust mites, mold or pollen is superimposed on the non-allergic effects of the pollution, ozone and humidity. That means you should pay equal attention to avoid dust mites that you are allergic to, and to avoid non-allergic triggers (e.g. cigarette smoke, perfume, etc.) and to seek medical help.
Drug Allergy:
Drug allergy is also a common allergic reaction that many people experience to prescription and over-the-counter medicines. Adverse allergic drug reactions present with body rashes, itching, swelling and wheeze.
Adverse drug reactions can be divided into three groups:
Not related to the drug at all: these are but coincidental and related to factors other than the drug. Rashes, headache or nausea are associated with the disease and not the medication.
Side effects: these are caused due to taking excess dose or due to interactions between other medicines taken at the same time.
Less common and unpredictable reactions: allergic reactions that involve the immune system that may be either immediate or delayed.
Drugs which cause allergies:
Why Drug allergy testing is difficult:
To confirm a drug allergy, initially intradermal skin testing has to be performed followed by a specific Drug Challenge test in a hospital setup. This procedure is very time consuming and expensive and may trigger a more severe allergic reaction and lead to more complications.
What are Drug Allergy Symptoms:
Most drug allergic reactions occur rapidly and may cause body rashes, itching or swelling. Sometimes a severe life-threatening drug allergic reaction may occur causing fever, joint pains and generalised skin blistering with peeling. It may occasionally progress to life threatening anaphylaxis and even death. Delayed reactions can occur later after 2 weeks after the drug exposure with generalised skin rash and swelling and damage to vital organs such as the kidneys, liver and blood cells.
Drug allergy treatment:
Stop the implicated drug immediately, followed by strong antihistamine medication and then consult your doctor or nearby physician immediately.
Prevention of drug allergies
If you are allergic to a group of drugs like penicillin or aspirin, then all other members of that group should be avoided. Use the alternative medications. And always inform your doctor when you meet him for any heath problem purpose.
Anaphylaxis:
Anaphylaxis or anaphylactic shock is a sudden catastrophic allergic reaction that usually occurs within minutes of exposure to the offending allergen and involves the whole body. Insect stings, shellfish, nuts and medication are common causes of this type of severe allergic reaction.
The first documented evidence of anaphylaxis was in the year 2641 BC, when King Menes of Egypt died from a Wasp sting.
About 1 in 1000 people attending Emergency of hospitals are because of some form of anaphylactic reaction. The number of new such cases seems to be rapidly increasing day by day possibly because of changes in our life style, diet and environment.
Anaphylaxis causes:
TThough one cannot find the exact cause of anaphylaxis, we know that the most common cause of anaphylaxis is from food allergens like nuts, peanuts, eggs, milk, fish and shellfish. These food account for 90% of the cases of food induced in anaphylaxis. Peanuts and tree nuts like Almonds, Walnuts are most likely to provoke a severe allergic reaction. Sometimes drugs such as penicillin, codeine and aspirin may cause anaphylaxis. Medicines like muscle relaxants, antibiotics, x-ray contrast medium and injectable medications including anaesthetic agents may also cause this reaction.
Some people will have so severe reaction that even eating small amount of that particular allergic food can cause anaphylactic shock.
Exercise Induced Anaphylaxis occurs when exercising shortly after ingesting the allergic foods like wheat, apple, hazelnut, squid or chicken.
Anaphylaxis symptoms:
Anaphylaxis is an emergency condition and should be treated as an emergency as the symptoms of breathlessness and shock develop so rapidly that if you not treat it on time, it may lead to disaster. Emergency treatment consists of an injection of adrenaline or epinephrine, which raises blood pressure instantly, relieves breathlessness by reducing swelling of soft tissues in the throat. the affected people normally recover very quickly once the adrenaline is given. They should also be given immediately a dose of antihistamine and a short course of steroid tablets to prevent the recurrence of the reaction (biphasic response).
If you are a known anaphylactic person, be sure that having Adrenaline Injector all the time with you 24×7. In future and use it immediately whenever required as delay puts you at risk of collapse and death. Although people carry adrenalin auto injector, the common cause of death is failure to use it. So be ready with full information and knowledge about it and be daring enough to use it with a trained practice of self-administration. Always take antihistamines like levocetrizines and monitor the situation for a few minutes before taking adrenaline as milder symptoms usually resolve over the next few minutes. And later seek for doctor’s help at any emergency care of a hospital for at least 4 hours for observation.
What can you do at an Anaphylaxis Emergency:
If the person is conscious and having mild symptoms of breathing difficulty, help him to get medications.
If the person is shocked with low blood pressure, they should be kept lying flat with their legs rose.
If the person is unconscious, check their airways and breathing and kept them in the recovery position left or right turning. Check for asthma inhaler, if there, administer it. Check for a preloaded adrenaline syringe; inject it into the muscle of the thigh. And call emergency helpline for ambulance.
Asthma:
Asthma is a chronic inflammatory disease that makes your airways (bronchial tubes) particularly sensitive to irritants or allergens. During an asthma episode, an individual might experience shortness of breath or wheezing or tightening in the chest or cough leading to difficulty for the asthma patient to move the breathing air in and out of the lungs.
Asthma affects people of all ages and is closely related to allergy. However, it is commonly seen in children and reoccurred again in elderly.
Triggers of Asthma
What actually triggers asthma can vary greatly from person to person. Commonly allergens, but may also be such other environmental factors as:
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