Allergy shots, also known as, allergen immunotherapy, is a form of long-term treatment that decreases symptoms for many people with allergic rhinitis, allergic asthma, conjunctivitis (eye allergy) or stinging insect allergy.
Allergy shots decrease sensitivity to allergens and often leads to lasting relief of allergy symptoms even after treatment is stopped. This makes it a cost-effective, beneficial treatment approach for many people.
If you have a food allergy, your immune system overreacts to a particular protein found in that food. Symptoms can occur when coming in contact with just a tiny amount of the food. The first step to managing your condition is getting a proper diagnosis of food allergy or food intolerance by an allergist / immunologist.
Spirometry is the most common lung function test. It measures how much and how quickly you can move air out of your lungs. You breathe into a mouthpiece attached to a machine called a spirometer. The machine records your results. Spirometry can measure many different things about the way you breathe. These include how much air you can exhale, how much air you can breathe in and out in 1 minute, and the amount of air left in your lungs after a normal exhale.
NIOX VERO is a device used for assessing airway inflammation in patients with respiratory problems such as asthma. By measuring the concentration of NO in an exhaled breath (fractional exhaled nitric oxide or FeNO), clinicians can evaluate allergic airway inflammation in patients with underlying asthma. This will ensure appropriate treatment with anti-inflammatory medications, especially corticosteroids. Patients with asthma caused by allergic airway inflammation have high levels of FeNO that decrease with corticosteroid treatment. Knowing whether airway inflammation is present can help avoid an empiric trial of steroids.
A methacholine challenge test helps determine how your lungs are functioning. It is often used if a physical examination and spirometry test are inconclusive regarding a diagnosis of asthma. During a methacoline challenge, you inhale increasing amounts of methacholine aerosol mist. After each dose of methacholine, spirometry will be performed to measure any resulting changes in your lung function.
Skin tests for allergic disorders are prick or puncture tests that are commonly used by allergists as diagnostic aids. These tests are not very invasive and, for most allergens, they tend to produce quick results. If the results of prick or puncture tests are negative, they may be followed by intradermal tests, which give allergists more details about what's causing the underlying symptoms. After either type of test, the area of the skin is observed for about 15 minutes to see if a reaction develops. The "wheal" - a raised, red, itchy bump and surrounding "flare" - indicates the presence of the allergy antibody when the person is exposed to specific allergens. The larger the wheal and flare, indicates the greater the sensitivity to the allergen.
A patch test is a method used to determine whether a specific substance causes allergic inflammation of a patient's skin. Any individual suspected of having allergic contact dermatitis or atopic dermatitis needs patch testing.
Patch testing helps identify which substances may be causing a delayed-type allergic reaction in a patient, and may identify allergens not identified by blood testing or skin prick testing. It is intended to produce a local allergic reaction on a small area of the patient's back, where the diluted chemicals were planted.
An allergic reaction occurs when the immune system overreacts to a harmless substance, in this case a medication, which triggers an allergic reaction. Sensitivities to drugs may produce similar symptoms, but do not involve the immune system.
Adverse reactions to medications are common, yet everyone responds differently. One person may develop a rash or other reactions when taking a certain medication, while another person on the same drug may have no adverse reaction at all.
If you have side effects that concern you, or you suspect a drug allergy has occurred, call your physician. If your symptoms are severe, seek medical help immediately. A serious anaphylactic reaction requires immediate medical attention because the result can be fatal.
Expert care of pediatric and adult allergies, asthma, and sinus diseases
Dr. Daniel McCormack completed Pediatric and Internal Medicine residencies at Tripler Army Medical Center, Honolulu, Hawaii. Allergy & Immunology fellowships were at Walter Reed Army Medical Center, a combined training program with Children's National Hospital and the National Institutes of Health in Washington, D.C. The Drs. McCormack were Chiefs of their Departments of Pediatrics and Internal medicine before their Allergy training. Dr. Daniel McCormack was Chief of Allergy & Immunology at the U.S. Army Medical Center, Ft. Bragg, NC prior to coming to Bloomington. Dr. Dan is Board Certified in Pediatric and Adult Allergy & Immunology.
Dr. Emma McCormack completed Pediatric and Internal Medicine residencies at Tripler Army Medical Center, Honolulu, Hawaii. Allergy & Immunology fellowships were at Walter Reed Army Medical Center, a combined training program with Children's National Hospital and the National Institutes of Health in Washington, D.C. The Drs. McCormack were Chiefs of their Departments of Pediatrics and Internal medicine before their Allergy training. Dr. Emma is Board Certified in Pediatric and Adult Allergy & Immunology.
Tracey Murphy is the practice manager for Allergy & Asthma of Southern Indiana. She came to the practice in the spring of 2012, with over 13 years' experience in practice management. Tracey has seen many changes in the practice in that period, and is proud of the quality staff at Allergy & Asthma, their commitment and care to our patients, and their dedication and loyalty to the practice. If you would like to discuss any aspect of our practice, our service, or our team. Tracey welcomes your input and encourages you to contact her any time.
Jane Parker Smith completed her undergraduate nursing degree at Purdue University. Graduate degrees of Pediatric Nurse Practitioner and Adult/Geriatric Primary Care Nurse Practitioner were completed at Indiana University. Jane has worked as an NP at Methodist Hospital in Indianapolis, The Lafayette, IN Community Health Clinic as well as at Cincinnati Children's Hospital Medical Center prior to moving to Bloomington.
Information for New and Returning Patients
First time patients can expect the visit to take from 1 to 3 hours to complete. If you have time constraints, please share them with our staff when checking in.
New Patient Forms: Please complete these forms and bring to your first appointment. Otherwise, please arrive at least 15 minutes prior to your appointment.
Wear short sleeved shirt if skin testing is possible. Some medications may interfere with performing skin testing the first office visit. Feel free to discuss this with our nursing staff ahead of time
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