Adult and Pediatric Allergist
• Runny nose and eyes
• General fatigue
• Dry skin
• General feeling of itchiness
• Congested lungs
• Stuffed up feeling in the nose, ears and chest
• Recurrent ear infections
• Hearing loss
• Dark circles under the eyes (allergic shiners)
• Mouth breathing
• Over bite
• Horizontal crease in the nose caused by upward
rubbing of the nose (allergic salute)
• Chronic hoarseness
• Scratchy throat and recurrent sore throat
• Voice changes
• Nasal polyps
• Persistent middle ear fluid
• Muscle aches
• A feeling of having cold like symptoms all the time
• Persistent coughing
• Shortness of breath
• Exercise induced shortness of breath
• Recurrent sinus infections
• Recurrent bronchitis
• Having a lot of phlegm in the throat and/or chest
• Being moody
• Behavioral changes
• Unable to concentrate
• A general feeling of not being well
Dr. Michael will take your complete medical history and he will specifically ask:
• What kinds of symptoms do you have?
• What makes them better or worse?
• Where or when do they appear? At home? At work?
• Have you noticed a seasonal pattern to your symptoms?
• Do the symptoms occur right after you have had contact with a suspected
• Do other family members have allergies?
• Do you ever wheeze or do you have a chronic cough?
Dr. Michael will examine the patient and look for certain signs:
• Is the lining of your nose inflamed or swollen?
• Do you have dryness of skin, hives or skin rashes?
• Are there dark circles under your eyes (allergic shiners)?
• Do you have eye redness and/or discharge?
• Do you have fluid in the ears?
• Do you have inflamed throat, post nasal drip or sinus drainage?
• Do you have swollen lymph nodes?
• Do you have any wheezing in the lungs or shortness of breath?
Although not everyone requires it, a skin test may help identify the specific allergens which are causing the allergic reactions. They are usually done on the back. The small amount of the specific allergen is placed on the skin which is gently scratched with a sterile disposable needle. If the area swells or becomes red and itchy within fifteen to twenty minutes you may be allergic to those specific substances.
Some patients would require a second skin test called Intradermal, which is like the first test except for the fact that it is done using a very small intradermal disposable needle. The whole procedure is tolerated very well by children and adults. We always explain our plans and procedures with our patients and/or their family member in advance. We make sure that all questions or concerns are answered.