What is a Board-Certified Allergist?

Board certified allergists are specialists who have met the highest level of nationally-recognized standards for education and expertise in the field of allergy, asthma and immunology. This formal and lengthy education process is necessary to cultivate the expertise required to provide the highest-quality of care for patients with allergies and asthma. By achieving board certification, allergists demonstrate their commitment to excellence and expertise in their field, which translates to state-of-the-art, evidence-based care.

What are the Benefits of Seeing a Board Certified Allergist?

Board certification tells you that your doctor has attained the highest level of expertise to treat your health issues.

How do you find a Board-Certified Allergist?

When you start searching for an allergist/immunologist, it’s important to make sure you find a doctor you are comfortable with and you can trust. Search online for information about the doctors you are considering and ask people you trust for names of physicians they recommend. Then visit Certification Matters and enter your doctor’s name to determine if he or she is board-certified. This is a service that allows you to see if a specific doctor is certified.

Can you detect allergies through a blood test?

Yes. When you become allergic to an allergen, your body creates special antibodies to fight against it. These allergic antibodies are called IgE antibodies. IgE antibodies are formed in the bone marrow and travel in the bloodstream before being deposited in the skin and other tissues where they remain for weeks to months. Although allergy skin tests are considered the gold standard for allergy testing, blood testing can also be used to measure IgE antibodies circulating in your bloodstream

What types of tests are there for allergies?

There are three main ways to get tested for allergies: Skin Tests – Skin tests are commonly used to identify many potential allergens, including airborne, food-related, and contact allergens. Blood Tests – If you are not a candidate for an allergy skin test, your allergist may suggest a blood test. Elimination Diet – To detect which foods are causing an allergic reaction, your allergist may recommend an elimination diet. This involves removing certain foods from your diet and determining if you're symptoms improve, and then adding the food back to see if you have a reaction.

Do allergy tests hurt?

The skin prick or scratch test and intradermal test may cause slight discomfort. If you are sensitive to any of the allergens being tested, your skin may itch where the allergen was placed.

How can you treat non-life threatening allergic reactions at home?

The first step is to avoid the allergen if you know what triggers a reaction. But if an allergic reaction occurs, there are several ways to treat them at home: Antihistamines – Helps treat minor allergic reactions regardless of the cause. Anti-inflammatory Medication – Non-steroidal anti-inflammatory medications (NSAIDS) can help temporarily reduce allergy symptoms. Saline Sinus Rinse – If your allergies cause sinus problems, it’s recommended to rinse your sinuses with saline to clear the allergens from your airways. Skin Allergy Treatments – If a skin allergy occurs, you can apply corticosteroid creams or calamine lotion to reduce symptoms, an ice pack can also help reduce inflammation and allergy symptoms.

How long does an allergy test take to administer?

Not very long. The skin prick and intradermal tests are performed in the allergist’s office and take about 20 minutes total. Your skin may start to show reactions to certain allergens such as foods, environmental allergens or insect venoms. Patch tests are used to identify if a chemical may be the cause of delayed skin rashes. The patches are applied and worn for about 48 hours and then removed. Blood tests results may take up to a week to return from the laboratory.

Are hay fever and allergic rhinitis the same thing?

Yes, allergic rhinitis is simply the proper medical term for hay fever. “Hay fever” is somewhat of a misnomer since allergic rhinitis is usually not caused by hay, nor does it result in a fever.

When is hay fever the worst in Jacksonville?

The mild temperatures in Northeast Florida mean that trees start producing spring pollen early in our area– in some years as soon as December. Unfortunately, the Jacksonville area does not really have a hay fever “off-season.” Our warm winters and early springs mean that allergic rhinitis sufferers may be exposed to pollen year-round.

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Thomas Lupoli, D.O.

What You Should Know About Stinging Insect Allergy This Summer

While stinging insects may be a minor annoyance to some, for others they can lead to serious, life-threatening allergic reactions. Thousands enter emergency rooms each year and potentially life-threatening allergic reactions occur in 0.4%-0.8% of children and 3% of adults. Anaphylaxis resulting from insect stings claims at least 90-100 lives each year.

Learn more about insect sting allergy, including symptoms, treatment, and how to prevent getting stung.

What Are Common Symptoms of Insect Sting Allergy?

Insect stings can cause one or more of the following symptoms:

Redness
Swelling (near the sting and beyond)
Pain
Itching
Hives

Serious allergic reactions require immediate medical attention. Symptoms of a potentially severe allergic reaction to an insect sting may include:

Hives, itching, and swelling beyond the site of the sting
Intense nausea or diarrhea, vomiting, and abdominal cramping
Swelling of the tongue or throat and difficulty swallowing
Anaphylaxis, a potentially life-threatening reaction that impairs breathing and causes the body to go into shock

Severe reactions can occur within minutes after a sting. Those who experience an allergic reaction to an insect sting have a 60% chance of a similar or worse reaction if they are stung again.

How Is Insect Allergy Diagnosed?

If you’re concerned about having an insect sting allergy, your allergist can diagnose the allergy and offer a treatment plan.

An allergist can test for the following five insects:

Fire ant
Honey bee
White-faced hornet and yellow-faced hornet
Yellow jacket
Paper wasp

After reviewing your medical history, an allergist will ask questions about previous insect stings, any reactions to stings, and what additional symptoms you experienced. A skin-prick test or a blood test can help diagnosis an allergy.

How Do You Manage & Treat Insect Allergy?

There is a two-step approach for managing and treating insect allergy:

As soon as a reaction occurs, seek medical attention immediately.
Preventive treatments can help prevent future allergic reactions.

Medical Attention

Don’t delay when a reaction occurs. Medical attention may include epinephrine, antihistamines, and in some cases, oxygen, intravenous fluids, and corticosteroids. If you have a known history of insect allergy, injectable epinephrine should be carried with you and call 911 if epinephrine is used.

Preventive Treatments

Venom immunotherapy is a highly effective therapy administered by an allergist that helps to retrain your immune system to become tolerant to insect venoms and thereby prevent future life-threatening reactions to insect stings. This is accomplished by gradually administering very small doses of the culprit insect venom to decrease sensitivity to the venom. While there is no cure for allergies to insect venoms, immunotherapy is the closest thing to it because it substantially decreases the likelihood that a life-threatening allergic reaction will occur to future insect stings.

How Can I Prevent Insect Stings?

The best way to prevent stings is to avoid bees, fire ants, wasps, hornets, and yellow jackets during the summer. Try not to look or smell like a flower when spending time outdoors. Some experts think khaki and gray colored fabrics and abstaining from perfumes or other scented personal use items will help you avoid getting stung. Always use caution around areas where yellow jacket nests are in the ground or hornet and wasp nest found in trees, bushes, or on buildings.

In addition, use the following precautions:

Avoid being barefoot in the grass
Do not leave open beverage cans unattended
Keep food covered outdoors
Seal garbage cans
Repair door and window screens
Keep epinephrine on you at all times if you are allergic to stinging insects

Are you ready for summer? Stop by one of our Four Allergy & Asthma Specialists of North Florida Clinics if you’re concerned about insect allergies and discuss those concerns with a board-certified allergist today. A proper diagnosis and treatment plan can help ensure a fun and safe summer.

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