Mark Montano, MD | “Allergy and Asthma Season”
24
August

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


– Hi I’m Dr.Mark Montano, the Market Medical Director
for Denver Colorado CareNow Urgent Care. And just wanted to talk a little bit about spring and allergies. As you know it’s springtime in Colorado and that means for allergy sufferers, that they’re gonna be some symptoms that they’re going to
be on the lookout for. During springtime we often will have a runny nose, red eyes,
watery eyes, sneezing. And this is all part of
the allergy syndrome. There are lots of different
ways we address these allergies, some may be medications
that you can pick up at your local grocery store or pharmacy. One of the common things
we use to treat allergies are antihistamines. And antihistamines come in a
couple of different varieties. We have our first
generation antihistamines, and these are the things
that we used years ago, tend to be a little more sedating. They make us more tired
than we might like. Now we also have second
generation antihistamines. These tend to be non-sedating. They are a little more expensive
but they work really well and they don’t affect
our ability to stay awake as much as the older antihistamines. In addition to using antihistamines, we actually try to attack
the allergy symptoms where they are. So if somebody has, as
their primary symptom, a lot of runny nose, we
might use a nasal steroid such as Nasacort, Rhinocort,
or one of these other nasal allergy medications. Some of us might have more eye symptoms. And that might mean that you get red eyes, watery eyes, itchy eyes. So there are medications
specifically designed for those sufferers of the eye symptoms. What we like to do is really, make a plan which fits with your symptoms. And that might be a combination
of oral antihistamines, nasal steroids, and also ophthalmic antihistamines. One of the things that
people will often ask me is, what do I do if I’m an allergy
sufferer and I have asthma? Well we know that allergies
can affect our asthma, it can make us worse. So one of the things that
I always try and do is, is assess how people are breathing and we might actually
have them do some testing on their asthma as
allergy season approaches. Another way we treat allergies
is by simple avoidance. And that means that we’re
out in the environment where we are having allergies. Might be a day at the park where we’ve been sitting in the grass, we come home and we start to notice that we are having the runny nose, the itchy eyes, or watery eyes. At that point we really
want to clean our hands and make sure that we
don’t have those allergens on our clothing. But the best thing to do
and the easiest thing to do is try and avoid those situations
where you might be exposed to those things which you are allergic to. Whether they’re grasses, trees, molds, those common things we
find in the outdoors. People will often come to the clinic with allergy-like symptoms
and they might wonder, am I sick, or are these
really my allergies? And the reason they do that is the symptoms can be very similar, especially early on in
the course of an illness. Runny nose, cough, sneezing, watery eyes. And it’s hard to tell initially. What we like to do, is see what other symptoms
might be going on. If you’re having fevers, body aches, more fatigue than normal,
that might be an indication that this is an illness, not allergies. In those cases it’s also
good to talk with your primary care provider
or come into the clinic so we can assess and help
make the best plan for you.


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