Living With Allergies
Dr. Chimezie C. Amanambu, M.D • February 22, 2022
Living With Allergies
The spectrum of allergic disorders include allergic rhinitis (Hay fever), Asthma, Food Allergies, Contact Dermatitis (Eczema), Animal Allergies (Dogs and Cats) and Insect Allergy.
About six million Americans suffer with allergic disorders with considerable suffering and loss of productivity. About 7.8% of people 18 years and over in the U.S. have hay fever. About 8% of children have food allergies. The commonest foods are peanut, milk and shellfish.
There are two types of Allergic Rhinitis (Hay Fever). There is one that is present all year round Perennial Allergic Rhinitis-PAR and Seasonal Allergic Rhinitis-SAR. PAR is mostly due to allergens that occur all year round. These include Dust Mites, Pet dander, Cockroaches and Molds. Causes of SAR are allergens that occur in certain times of the year like, tree pollen, grass pollen, weed pollen and grass pollen. Sometimes PAR may co-exist with SAR in which case, the symptoms get worse at certain times of the year.
Winter/Spring: Tree pollen.
Spring: Tree and grass pollen.
Spring/Summer: Grass pollen.
Summer/Fall: Weed and Grass pollen.
The Physician makes a diagnosis of the specific allergies by taking a good allergy history and by performing skin testing (scratch test) or blood test. Treatments such as medications, injections and avoidance strategies are based on this.
Avoidance Therapy is an important part of treatment for allergies. You have to make changes in your environment (home or work), lifestyles to reduce or eliminate your identified allergies.
For tree, grass and weed pollen allergy:
- Plan activities indoors especially when the pollen count is high.
- Wash hair before going to bed to remove pollen that may have settled on you.
- Change clothes after being outdoors for the same reason.
- Avoid hanging clothes outside to dry so that pollen does not settle on them.
- Keep windows closed at home and in the car.
- Change your air conditioner filters frequently.
- Avoid triggers such as cigarette smoke which make allergies worse.
Dust Mite avoidance techniques include:
- Sheets, blankets and pillow cases should be washed weekly in hot water (>130 F) to kill the mites.
- Use anti-dust mite solutions like Acrosan spray on rugs and carpets.
- Buy dust mite impermeable encasements for pillows, mattresses and box springs to reduce dust mite exposure.
Cat and Dog Allergy avoidance techniques include:
- If possible have your pets live outside and if not possible, have them live in confined areas of the house.
- Do not let your pet sleep in bed with you or snuggle with you.
- Wash your pets weekly to diminish the amount of allergen released by your pet.
For Mold Allergies:
- Avoid outdoor activities during times of high mold spore count.
- Avoid piles of leaves or decaying plants because those are sites of high mold spore counts.
- Clean/clear vegetation or plant debris near your home to lessen mold exposure.
- Reduce indoor mold exposure by reducing humidity in the home, decreasing the number of outdoor plants, closing windows (and using air conditioner) during time of high mold count, repairing any water leaks in the house.
For commercial drivers in and around Akron, Ohio, maintaining a valid Commercial Driver’s License (CDL) is essential for their livelihood. A crucial component of this process is the DOT medical examination, which ensures drivers meet the necessary health standards for safe operation. Dr. Amanambu at Pax Internal Medicine Associates provides thorough and efficient DOT physicals, making him your reliable choice for a DOT physical exam in Akron, Ohio. Understanding the DOT Physical The Department of Transportation (DOT) mandates that all commercial drivers undergo a DOT physical to assess their physical and mental fitness to operate commercial motor vehicles. This examination is designed to identify any medical conditions that could impair a driver’s ability to safely perform their duties. What to Expect During Your DOT Medical Examination with Dr. Amanambu Dr. Amanambu, a certified medical examiner, conducts comprehensive DOT physicals, adhering to all FMCSA (Federal Motor Carrier Safety Administration) guidelines. During your examination, you can expect: Medical History Review: Dr. Amanambu will review your medical history, including any current or past medical conditions, medications, and surgeries. Physical Examination: A thorough physical examination will assess your overall health, including your vision, hearing, blood pressure, pulse, and general physical condition. Urinalysis: A urine test will be conducted to screen for underlying medical conditions, such as diabetes or kidney disease. Vision and Hearing Tests: Your vision and hearing will be tested to ensure they meet the minimum standards required for commercial driving. Neurological Assessment: Dr. Amanambu will assess your neurological function to ensure you have adequate reflexes and coordination. Why Choose Dr. Amanambu for Your DOT Physical in Akron, Ohio? Experienced Medical Examiner: Dr. Amanambu is a certified medical examiner with extensive experience in conducting DOT physicals, ensuring you receive a thorough and accurate examination. Convenient Location: Pax Internal Medicine Associates is conveniently located in Akron, Ohio, making it easily accessible for commercial drivers in the surrounding areas. Efficient and Timely Service: Dr. Amanambu understands the importance of getting drivers back on the road quickly. He strives to provide efficient and timely examinations, minimizing any disruptions to your schedule. Patient-Centered Care: Dr. Amanambu prioritizes patient comfort and well-being, creating a relaxed and supportive environment for your examination. Thorough and Accurate Assessments: He's committed to providing thorough and accurate assessments, ensuring you meet all FMCSA requirements for CDL certification. Preparing for Your DOT Physical To ensure a smooth and efficient examination, it's recommended that you: Bring a list of all current medications, including dosages. Bring any necessary medical documentation, such as recent lab results or medical records. Be prepared to provide a urine sample. If you wear glasses or hearing aids, bring them to your appointment. Secure Your CDL Certification with a DOT Physical Exam in Akron, Ohio Don't let your CDL certification lapse due to an expired medical card. Schedule your DOT physical with Dr. Amanambu at Pax Internal Medicine Associates today. He'll provide a comprehensive and efficient DOT medical examination, helping you stay compliant with FMCSA regulations and keep your career on track.
Living with Chronic Obstructive Pulmonary Disease (COPD) presents unique challenges, and managing symptoms effectively often extends beyond medication. Optimizing your nutrition through a carefully planned COPD diet significantly impacts your breathing, energy levels, and overall well-being. Dr. Amanambu at Pax Internal Medicine Associates understands the importance of dietary recommendations for individuals with COPD, and he provides expert guidance to help patients make informed choices for improved respiratory health. Why Diet Matters for COPD Individuals with COPD expend more energy breathing, resulting in weight loss and muscle weakness. A well-balanced COPD diet helps maintain a healthy weight, strengthens respiratory muscles, and boosts the immune system. Furthermore, certain foods exacerbate symptoms, while others provide much-needed support. Key Dietary Recommendations for Individuals with COPD: Focus on Nutrient-Dense Foods: Prioritize fruits, vegetables, whole grains, and lean proteins to provide essential vitamins and minerals. These foods support overall health and immune function, crucial for individuals with compromised respiratory systems. Increase Protein Intake: Protein is vital for maintaining muscle mass, which is often depleted in COPD patients. Include sources like fish, poultry, beans, and eggs in your diet. Choose Healthy Fats: Opt for unsaturated fats found in avocados, nuts, seeds, and olive oil. These fats provide energy and support cell function without contributing to inflammation. Limit Sodium Intake: Excessive sodium leads to fluid retention, making breathing more difficult. Avoid processed foods, canned goods, and excessive salt added to meals. Stay Hydrated: Drinking plenty of water helps thin mucus secretions, making them easier to cough up. Aim for at least eight glasses of water per day, unless otherwise instructed by your physician. Eat Smaller, More Frequent Meals: Large meals can put pressure on the diaphragm, making breathing more challenging. Smaller, more frequent meals help maintain energy levels and prevent shortness of breath. Foods to Avoid with COPD: Processed Foods: High in sodium, unhealthy fats, and artificial additives. Sugary Drinks: Provide empty calories and contribute to weight gain. Gas-Producing Foods: Such as beans, cabbage, and carbonated beverages, which can cause bloating and make breathing more difficult. Foods That Cause Mucus Production: Dairy increases mucus production in some individuals. Dr. Amanambu's Expertise in COPD Management Dr. Amanambu understands the complexities of COPD and the crucial role nutrition plays in managing the condition. He provides personalized dietary recommendations, considering individual needs and preferences. His expertise helps patients develop sustainable eating habits that support their respiratory health and improve their quality of life. By following these dietary recommendations for individuals with COPD, and working closely with Dr. Amanambu, you take control of your health and breathe easier.