STEP 1: CONSULTATION
Your first step is to see Dr. Rahimi, a board-certified allergist-immunologist. You may be sent by your primary care physician, follow the recommendation of a family member or friend who is seeing Dr. Rahimi. Some health plans and HMOs require prior approval to see a specialist like Dr. Rahimi. If your request is not immediately honored, ask again and be firm.
STEP 2: TESTING
Dr. Rahimi and his staff will obtain a detailed medical history, examine you and evaluate your symptoms. Tests (perhaps lung function tests or x-rays) will be performed to find out the type of your allergic disease. Skin tests or allergy blood tests may be needed to find out the precise causes of your allergic symptoms. Based on the entire clinical evaluation, a diagnosis is made. If the allergy tests are negative, Dr. Rahimi can still help find the cause of your symptoms, do not despair. Dr. Rahimi is also an expert in the treatment of nonallergic asthma, rhinitis, food and drug reactions, and other types of problems of your immune system, like frequent infections.
STEP 3: TREATMENT
This is the step where your allergic symptoms and you get better!
Allergy treatments are of three types: Prevention. Medication. Immunotherapy.
Prevention: Once identified, the cause of the symptoms may be avoided or removed from your life. For example, a particular food can be avoided, or a pet can be removed from the home or kept away from sleeping areas. Some causes of allergic symptoms, such as pollen, molds and dust mites, cannot be completely eliminated and are difficult to avoid. Exposure can be reduced, however, by environmental control measures prescribed by your allergist.
Medication: Although prevention comes first, more may be needed. Medications are usually used to decrease allergy symptoms and improve the patient’s quality of life, recent advances in medications for asthma and other allergic diseases have been phenomenal. Improvements in drugs have eliminated most of the side effects from older drugs. Dr. Rahimi is an expert in the latest safe and effective medications for treating allergic illness. Immunotherapy (“allergy shots”): If a specific allergy is identified and it cannot be avoided or medications are not sufficient to restore your health, the allergic symptoms may be controlled or eliminated with allergy shots.
Allergy shots have been used since 1911. In the past century, there has been considerable improvement in the effectiveness of this treatment, which decreases a patient’s sensitivity (allergy) to a number of allergens, such as cats or ragweed. The treatment is a method for increasing the allergic patient’s natural resistance (tolerance) to the things that are triggering the allergic reactions. This treatment involves injections of small amounts of purified “extracts” of the substances that are causing allergic reactions. For example, the extracts may be derived from pollens, mold spores, animal dander, dust mites or insect venom.
The U.S. Food and Drug Administration approve them for this use, and over the years they have been improved considerably.Allergy shots stimulate the immune system to fight allergies safely, effectively and naturally. Beginning with small doses and increasing them gradually on a weekly or biweekly basis, the therapy continues until a maintenance level is achieved. Then, a maintenance dose is injected every few weeks.
Immunity does not occur immediately, but some patients do begin to feel better quickly. Most patients are continued on monthly injections for 3 to 5 years once they reach the maintenance dose. In some patients, immunity is maintained and treatment can be stopped after several years. For others, treatment may be needed for longer periods of time. Generally the benefits of allergy shots can last for many years, or even a lifetime.
With the immune system restored to good health, few or no medications may be needed. Work or school days are no longer missed. The burden of allergies is lifted, and allergies become something you just don’t think about any more. Candidates for allergy shots include most children and adults. Pregnant patients can continue treatment that was started prior to pregnancy.
Allergy shots are prescribed by Dr. Rahimi and are always given under medical supervision in our office where medical staff and medications are available to handle any serious reaction. Although rare, serious reactions can occur from allergy shots because the treatment involves the substances to which the patient is known to be allergic.
Adverse reactions can occur from allergy shots because treatment involves the injection of substances to which the patient is sensitized. The most common adverse reaction is an immediate red, itching bump at the injection site. In some cases, a similar delayed reaction can occur six to twenty-four hours later. Rare, more severe reactions include generalized itching, chest tightness/wheezing, or dizziness due to a drop in blood pressure. Deaths have been reported from allergy shots at a rate of approximately one in three million injections. This is why allergy shots are given under supervision where medical staff and medications are available to handle serious reactions. As an allergist, Dr. Rahimi feels that the benefits far outweigh the extremely small risk of a serious reaction. It is safe for both children and adults, and even pregnant patients may continue treatment started prior to pregnancy.
Flexible rhinoscopy is a quick, office-based procedure used to examine the entire nasal cavity.
It is performed by Dr. Rahimi in the evaluation of nasal obstruction, epistaxis, anosmia, other symptoms of rhinitis.
Flexible rhinoscopy is commonly performed in the office or at the bedside with no specific preprocedure restrictions. An average evaluation takes less than 2 minutes and is well-tolerated by the majority of patients.