Many allergies are caused by pollens, which come some a variety of sources including plants, animals, dust mites, and various other substances. These pollen particles actually have a trajectory and “fly” through our air causing a variety of allergic and asthma symptoms. In North Texas we live in a large metroplex with a variety of pollen producing plants in both parks, recreation areas, and an abundance of residential developments dotted with a variety of pollen producing landscape plants. Mountain Cedar is a particularly localized pollen that North Texans particular affliction. Unfortunately, in North Texas we do not have the luxury of a nearby ocean breeze to blow this abundance of pollen away. Furthermore the humid environment and vast prairies we live in cause an incubation for this pollen, which is why so many people suffer from allergies far more in North Texas than in many other parts of the country.
At Clear Allergy Immunology Laser Center, Dr. Kavosh sees patient seeking relief from a host of conditions including but not limited to:
- asthma of all severities
- allergic rhinitis (hay fever)
- food allergies
- urticaria (rashes)
- sinus disease
- immunology, including disorders of the immune system
- hives and swelling
- eosinophilic esophagitis and gastritis
- anaphylaxis (severe allergic reactions)
- nasal polyps
“People tell me all the time that they didn’t have allergies until they moved here or that their allergies are so much worse here,” he said. “The first step in establishing effective treatment is determining the cause.” Therefore he can employ a variety of testing—depending on the patient and his or her symptoms—for concerns such as:
- patch testing for chemicals or industrial exposures
- general allergy testing for pollens, pets, and dust mites(usually through the skin)
- asthma breathing tests (to determine severity)
- rhinoscopy (sinus disease testing)
- food and drug allergy testing
- venom allergy testing—fire ants, bees, wasps, hornets
Hay Fever (Allergic Rhinitis)
Problem: itchy watery eyes, runny nose, nasal congestion, sneezing, fatigue, poor work/school performance.
Culprits: Pollen (Mountain Cedar, trees, grass, weeds, mold), Dust mites, feathers, Cats, dogs, other pets with fur.
1. Identify the offending allergen by allergy testing
2. Blocking the inflammation caused by the allergen through avoidance,
medication, or allergy shots.
Problem: A very common yet complicated condition of spasm of the airways within the lungs. Asthma is treated by a variety of physicians and often patients are never actually controlled. However, asthma can be triggered by a variety of causes, and quite often those causes are not found.
1. Identification of the triggers, often caused by allergens
2. Accessing the severity of asthma
3. Proper education on how and when to use asthma medication both for rescue and for
prevention of asthma attacks
4. Various therapies targeting the proper inflammatory cascade causing your asthma
5. Flare preventing missed work/school days, emergency room/doctor visits, and hospital stays
This can cause great apprehension for the entire family about eating out at restaurants and other people’s homes.
In addition, people with food allergies suffer a social stigmata by feeling isolated from social events and gatherings due to the unknown presence of allergic food.
Identification of the exact foods one is allergic to via a variety of forms of testing
Problem: Urticaria, what is commonly referred to as “allergic rashes” has been a particular research interest of Dr. Kavosh. He has published a variety of articles in highly rated, peer review allergy and dermatology journals on the subject.
There is a wide spectrum to the types of urticaria that people can have in particular with their causes. Causes can include vibration, pressure, irritants, sunlight, or rarely even topical water application to the skin. These rashes can often be caused as a direct result of an “overactive” immune system where the immune system affected allergic cells to be activated when they should be.
Solution: It is paramount to determine the cause, which is usually done through history or simple skin testing. However, treatments can escalate from antihistamines to medications that will also modulate the immune system from causing the rash. Laser treatments can also be of use in particular patients.
Problem: Sinusitis refers to inflammation of the sinus cavities within the head. These sinuses often drain very poorly and can be filled with mucus. This can be a very troubling condition that can be exacerbated by infections with bacteria, viruses, or fungus. In addition people with sinus disease can also be exacerbated by typical allergies due to pollen, dust, or pets. People with frequent sinus infections could also have a deficiency in their immune system leading them to be more susceptible to these types of infections in particular.
Solution: Sinusitis or frequent sinus infections are often treated nonchalantly by many physicians; however, the condition should be taken seriously. Allergy testing and immune system evaluation is very important in determining a cause of the disease. Certain people may have anatomical problems with their sinuses as well causing chronic sinus problems. Rhinoscopyis a wonderful test for sinus disease because it allows us to see the actual tissue inside of the nose and sinuses that a CT scan of the sinus will often miss, because CT can only reveal bone problems. Rhinoscopy can also identify nasal polyps (benign growths) inside the nose and sinuses that can cause a persistent “blocked” feeling.
At the root of the problem is a dysfunction of the skin’s ability to retain its moisture and to fight off infection.
Our skin is equipped with natural antibiotics that patients with eczema often lack. Therefore the skin can even appear normal; however, it is not functioning properly.
Once a skin lesion is identified as eczema proper skin rehydration techniques can be implemented to retain moisture and hydration.
Laser treatments can also be effective in particularly scarred over or “lichenified” areas. Eczema can also be linked with particular food allergies, and therefore food allergy testing can be implemented in eczema.
Problem: Anaphylaxis is a severe type allergic reaction that can occur from medications, insect stings, foods, or unidentified causes. These allergic reactions are severe and can be life threatening.
Solution: Identification of the cause of anaphylaxis is paramount in order to avoid the offending agent. These can often be done through allergy skin testing. Once the offending agent is identified allergy shots may be helpful in preventing future episodes of anaphylaxis. Also patients with anaphylaxis should be given an anaphylaxis action plan as well as an epinephrine pen, and more importantly shown how and when to use this life saving medication.