Category Archives: General Allergy and Medicine

Ask A Doctor: Allergies

Allergic appearance

In this BFM radio interview I discuss about allergies and answer some questions from listeners. Please click on the link below to listen to the interview:

BFM Ask A Doctor – Allergy Interview

Some important points that I highlight in the radio interview:

  1. Hygiene hypothesis as one of the factors for development of allergy.
  2. Allergic rhinitis is the most common form of allergic disease affecting 15-20% of people in Malaysia.
  3. The bacterial microbiome has an important influence on our immune system’s development.
  4. Premastication-the process of chewing food and feeding the food to the baby is one form of allergy prevention.
  5. Allergen specific immunotherapy is available to treat allergic rhinitis.
  6. Urticaria or hives, can be an early marker of an autoimmune condition.

Comments Off on Ask A Doctor: Allergies

Filed under General Allergy and Medicine

Prevention of Allergy

The development of allergy is a very complex issue that involves both genes and environmental influences. Science is still trying to discover the mechanisms for the development of allergy.

One of the discovery from medical studies is that the use of hydrolyzed formula can help prevent allergy. It is important to chose the formula with proven medical evidence.  By referring to the GINI study, the use of partially hydrolyzed formula Nan HA can prevent eczema if exclusive breast feeding cannot be done. The extensively hydrolyzed casein formula Nutramigen also has data showing that it can prevent eczema; but this special formula is primarily used for instances of cow milk allergy.

Click on the article below to enlarge it for better reading:



Comments Off on Prevention of Allergy

Filed under Allergy Treatment, General Allergy and Medicine, Skin

Smoking and Allergy

Smoking and allergy

Comments Off on Smoking and Allergy

May 17, 2016 · 5:15 pm

Building Tolerance for Allergens

Allergies are a serious concern and unfortunately, allergens come in all forms. Peanuts, prawns, pollen, penicillin. Even sweat and semen. Conventionally, we are told to avoid allergens, but a new study from the UK suggests we should instead tolerate allergens instead of avoiding them. Scientists found that eating peanuts early in life can prevent the development of peanut allergies later. We speak to The Allergist to understand the implication of this defining study and allergies in general.

The interview was done at BFM radio. Please feel free to click on link below:

BFM Radio Interview

Comments Off on Building Tolerance for Allergens

Filed under Food Allergy, General Allergy and Medicine

Signs of allergy

Allergic appearance

The picture above shows some clinical signs of allergy.

Dark circles under eyes (allergic shiners) with skin folds (Denny-Morgan folds) or eye bags.

Itchy nose and sneezing with the child constantly rubbing the nose upwards (allergic salute)

Crease on the nose (allergic nasal crease)

Itchy red eyes (allergic conjunctivitis)

Itchy dry skin behind the knees or on the face (atopic dermatitis)

If you or your child have the signs and symptoms above, please obtain proper evaluation for your allergy. With proper care and identification of your allergic trigger, you can reduce your symptoms and medication use. Immunotherapy can also be offered by a qualified Allergist/Immunologist as a possible option to cure or modify your allergic disease.


Comments Off on Signs of allergy

Filed under General Allergy and Medicine

Dietary Patterns and Allergic Diseases

Both maternal and infant nutrition play a critical role in determining the subsequent risk of not only allergic diseases but also many other non-communicable diseases.

A study by Maslova et al published in JACI 2012, suggests that dietary allergen restriction in pregnancy is neither justified nor likely to be effective in reducing allergic disease.

It is a known fact that prevalence of allergic diseases rises with the adoption of modern lifestyles. We should now focus on understanding the complex changes in dietary composition that have occurred with progressive modernization.

Perhaps the modern dietary patterns change the composition of helpful microbial patterns in our bodies to a pattern that promotes low-grade systemic inflammation, metabolic dysregulation, and associated chronic diseases.

We should identify helpful traditional dietary and nutritional practices in which our bodies were evolved to accept and thrive during our development as the human race.  Restoration of traditional dietary patterns may have many properties that protect not only against allergic disease but also against cardiovascular disease, obesity, diabetes, and many other non-communicable diseases.

It is also important to realize that restoration of dietary patterns should be tailored to what the norms were for the specific population in their geographical location.

Comments Off on Dietary Patterns and Allergic Diseases

Filed under General Allergy and Medicine

Antibacterials and preservatives may play a role in allergy development

Study Ties Kids’ Allergy Risks to Antibacterials, Preservatives

HealthDay news image

THURSDAY, June 21 (HealthDay News) — Antibacterials and preservatives in products such as soap, toothpaste and mouthwash may be linked to an increased risk of allergies in children, according to a new study.

Johns Hopkins Children’s Center researchers used data from a U.S. national health survey of 860 children, aged 6 to 18, to examine the link between urinary levels of antibacterials and preservatives found in many personal-care products and the presence of IgE antibodies in the children’s blood.

IgE antibodies are part of the body’s immune system. Their levels rise in response to an allergen and are elevated in people with allergies.

“We saw a link between level of exposure, measured by the amount of antimicrobial agents in the urine, and allergy risk, indicated by circulating antibodies to specific allergens,” lead investigator Dr. Jessica Savage, an allergy and immunology fellow, said in a Hopkins news release.

Children with the highest levels of the antibacterial agent triclosan had more than twice the risk of food allergies and nearly twice the risk of environmental allergies as children with the lowest levels, the findings revealed.

Children with the highest levels of the preservative propyl paraben had more than twice the risk of environmental allergies as those with the lowest levels, but propyl paraben levels were not associated with food allergy risk.

The study was published online June 18 in the Journal of Allergy and Clinical Immunology.

The researchers explained that their findings do not prove that antibacterials and preservatives themselves cause allergies, but instead suggest that these chemicals may play a role in immune system development.

SOURCE: Johns Hopkins Medicine, news release, June 19, 2012

Link to article by Robert Preidt

Comments Off on Antibacterials and preservatives may play a role in allergy development

Filed under General Allergy and Medicine