Dr. Kandula discusses treating allergies and nasal congestion

By Adem Lewis / in , , , , , , , , , , , , , /

If you’ve battled allergies year after year
but just cannot find any real improvement it may be time to investigate if there are
other sources of your problems. Dr. Madan Kandula is here today to chat about
something else that complicates things for ninety percent of all people who suffer nasal
congestion due to allergies. Great to see you this morning. Great to be here. Thank you so much. I think this is important to talk about because
I think some people just grow to accept oh I have allergies or oh I have chronic sinus problems
or sinus infections even, but sometimes there’s another answer. Yeah there usually is. I mean there’s sort of the common misperception
that you know there is nothing that can be done and I just have to suffer from this and
you know there’s a limit on what can be done but most people haven’t even come close to
exhausting or exploring all the options that are there. Yeah or getting true relief and seeing true
improvement so how many people do you estimate cause I always wonder about this this seems
like this time of year everybody has allergies but are there some numbers in terms of how
many people have this? So it’s a lot. Seasonal allergies affect about 50 million
Americans and then there are many folks who have both seasonal so seasonal means just
the obvious thing come spring come summer come fall you’re noticing issues but then
most folks who have seasonal allergies also have perennial allergies meaning year round
allergy issues so it gets really confusing cause the most common question I get is well
I’m always stuffy how could it be allergies well it may be you might be allergic to something
year round it’s obviously springtime when things are blooming that’s a little more cut
and dry. But again there’s sort of the what folks think
they know and there’s the true knowledge or the true truth that’s there and often times
there’s a disconnect. And I think there’s a lot of confusion some
of those year round allergies are things I suffer from mold, dust. Dust is real common. All those kinds of things that can even be
in our own homes. It’s interesting to think there are so many
people who are suffering and treat it with over the counter remedies or things where
they’re really not getting the relief they need. And sometimes it’s actually anatomical problem. Yeah often times. So sort of the low down on allergy issues
is that if you have a stuffy nose because of your allergy issues allergy medications
are not going to really do much for that so allergy meds do a pretty decent job of sneezing,
itchy, runny those sorts of things. The antihistamine type things. Antihistamines great but if you’re feeling
stuffy either seasonally or perennially then almost assuredly there is something else in
the mix and that something else is that things are shutting down. And so really what allergies are are your
bodies reacting to things that it shouldn’t when your body reacts to things that it shouldn’t
then it tries to shut them down. To shut them down it just tries to close things
off and so some folks get that you know acutely where suddenly you have a stuffy nose but
if that’s happening day after day or season after season then the body just sort of wants
to shut it down. Keep that stuff out. It’s its own mechanism a defense mechanism
of just sort of let’s just try to keep just stop breathing and so then we’re not going
to have the allergy stuff in our nose anymore. Is the congestion then that goes along with
your allergy problems is that a sign that maybe you should have it checked out. Absolutely I mean so you know again if you’re
doing fine and you know your meds and things are working or you can just avoid certain
things wonderful if it’s not then by all means get it checked out a lot of folks sort of
I guess the other sort of flip side of the coin is folks who get checked out it’s sort
of well what are they doing to check you out I mean so the problem is a lot of times you
go in and then see urgent care or primary care doc and they’re going to want you back
on those same meds that you tried before and it’s just a circle of not particularly helpful
information. And frustrating. Yeah absolutely. And I always think of you as ear, nose, and
throat specialists which I know that you are but part of what you do I feel like is really
looking at the overall breathing problems that someone has. Yeah absolutely we’ve got a board certified
allergist on staff so really for us it’s a matter of just you know for folks who see
us it’s like come in we’ll figure it out you don’t need to worry about you know trying
to figure out what’s going on if it’s an anatomic issue we’re going to identify it we’re going
to offer options to potentially correct that a lot of our options nowadays we can do in
the office. If it’s purely an allergy issue which is really
rare that someone has got purely allergy issues without any anatomy issues but if it’s purely
allergy issue but then wonderful we’ve got medications we’ve got different medications
than what are there over the counter but then there are other treatments for allergies other
than just medication so you can actually retrain your body to stop reacting to that stuff and
so for our patients it’s really you know let’s get it all in front of us let’s figure out
what’s going on anatomically what’s going on allergy wise and then let’s get a game
plan together on what’s the right fit for you so for some folks procedures are the last
thing they want to consider. That’s great. And vice versa for other folks it’s I want
to try to get things open and then I’ll deal with my allergy issues that’s great you know
so it’s not one size fits all but if you don’t understand what’s going on and you don’t understand
your options how can you you know sort of really get to where you need to be. And is it clear to you through testing or
your observation of people is it clear to you if it’s an allergy problem or if it’s
anatomical or both? We can make it clear but sometimes some folks
don’t want to go through the testing and okay we’ll try to figure it out but if we need
to know we’ll know we can figure it out definitively anatomic allergy or both and treat you know
the issues at hand. Do you also work with someone’s primary care
physician after you take a look at them to kind of work with that doctor and physician
to kind of come up with the right treatment plan? Absolutely. I mean once we have a game plan and that plan
if it’s going to b the procedural side of things we need to take care of that but if
it’s more just sort of maintenance then that’s something we can certainly get a game plan
together and sort of we don’t want to push folks away but make sure that they’re doing
well and it’s an easy kind of cruise control kind of a thing. And I think very much the case is that people
suffer during the day and a lot of people have sleeping problems related to these breathing
issues too. Absolutely. You have a couple of free events coming up
next week one is on Tuesday and one is on Thursday so ADVENT’s physician experts are
going to have this free public program on the difference between allergy, sinus, and
asthma issues. As well as minimally invasive treatment options
that are available now including private one on one meetings. So make sure you take advantage of this all
you need to do is register because it’s free. The first one is happening next week Tuesday,
April 25 at 6 pm at their Wauwatosa location the other one is Thursday the 27th at 6 that’s
in Mequon. To register go to advent.md/event-form or
call 414-771-6780. The have one office on Mayfair Road in Wauwatosa
and another one on North Port Washington Road in Mequon. Always great to see you. Always great to be here. Thank you so much. Thank you.

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