‘Tis the season for Postnasal Drip!

Written by Faith Huang, M.D.
Adapted from article by Dr. Harold Katz

Postnasal drip tends to crop up during the holiday season—for many reasons!  Postnasal drip is when mucus runs down the back of your nose to your throat.

Normally, mucus mixes with saliva and drips in small amounts that is unnoticeable down the back of your throat. The glands in the lining of your nose, throat, airways and intestinal tract produce about 1 to 2 quarts of mucus a day to moisten these areas and trap foreign invaders such as bacteria and viruses before they can cause infection. However, when there is too much mucus made or it is not cleared effectively, this can cause the bothersome symptom of post nasal drip. Post nasal drips causes a feeling that makes you want to incessantly clear your throat.

What are some causes of postnasal drip?

  • Allergies (allergic postnasal drip)
  • Cold temperatures, changing weather or low humidity
  • Fumes from cleaning products, chemicals, perfumes and smoke
  • Sinus infections and upper respiratory infections
  • Pregnancy
  • Certain medications (such as birth control pills and blood pressure medications)
  • Spicy foods

How can you get rid of postnasal drip?

  • It’s important to identify the cause of the postnasal drip. You want to target the cause of the symptom!
  • Your board certified allergist can help you identify why you may be having postnasal drip by listening to your medical history and your symptoms, doing a physical exam to look for findings that may direct he or she to a specific cause of the drip, and sometimes doing allergy skin testing and imaging studies.
  • Depending on what the cause of your postnasal drip is, your allergist can prescribe an appropriate treatment regimen so you can enjoy the holidays, instead of being worried or bothered by this annoying symptom!

If you have any questions about postnasal drip give us a call at (949) 364-2900 to schedule your appointment today. You can also use our online Request an Appointment form to schedule a future appointment.

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‘Tis the season: beware of nuts in alcoholic beverages!

By Faith Huang

This holiday season, it is important to be aware of food allergens that can pop up in unexpected places if you have food allergy to peanuts or tree nuts! I recently came across a nice article written by kevvyg at the following link, , and have adapted it for your information!

Peanuts and tree nuts are often found in holiday food, such as desserts and stuffing, but have you thought about nut proteins that may be in alcoholic beverages? While most food and beverages are under the regulation of the Food and Drug Administration (FDA), alcohol falls under the Alcohol and Tobacco Tax and Trade Bureau.

Some alcoholic beverages may contain nut flavorings. These beverages are not currently regulated by the labeling laws therefore it may be necessary to call the manufacturer to determine the safety of ingredients such as natural flavoring. As of right now, major food allergens can voluntarily be listed for wines, distilled spirits, and malt beverages, but again, this is only voluntary.
So while your yummy bottled coffee drink will likely have a label listing nutritional value as well as the ingredients, including common allergens, your alcoholic beverage will not likely have this labelling. Some producers list ingredients of their alcoholic beverages on their website, but this is not a requirement.
Another tip to keep you safe is to be aware of cross contamination of mixed drinks served at bars. A good general tip is to skip the garnish. One garnish in particular that can be troublesome for those with nut allergies is maraschino cherries. These are often processed or flavored with almond extract.
For reference purposes, here’s a quick list of some common alcoholic beverages that contain nuts or nut extracts. This list is by no means comprehensive. Keep in mind, things can and do change, so contacting the producer is still your best bet.

  • Amaretto
  • Creme de noyaux
  • Creme de noix
  • Frangelico
  • Galliano
  • Kahana Royale
  • Nocello
  • Beefeater
  • Bombay Sapphire
  • Harp Lager
  • Phillips Dirty Squirrel
  • Southern Comfort
  • Eblana
  • Nocino

It is a good idea to check producers’ websites whenever possible, and if you don’t see the information you need listed, call or email them. Most producers would much prefer you contact them and err on the side of safety when consuming their products. Lastly, make sure you keep your auto injectable epinephrine handy at all times.

Be safe and enjoy the holidays responsibly!

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Adult moderate-to-severe Atopic Dermatitis

Do you have chronic scaly and itchy rashes?

Southern California Research is currently enrolling in a clinical research study for Adult moderate-to-severe Atopic Dermatitis.

– Are 18 to 64 years of age

– Have been diagnosed with moderate-to-severe atopic dermatitis for at least 3 years

There is no cost to participate. All study related care and medication is provided at no cost. You may be reimbursed for your time and travel.

If you are interested in finding out more, please click on the photo or call 949-347-8700 x1800.

SCR Regeneron 01

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6 Ways to Keep Exercising With Allergies

By Faith Huang, adapted from: (http://ow.ly/2PKe0L)

Exercising with allergies can be a challenge, but here are some tips on how you can incorporate your workout into your day.

  1. Know what triggers your allergies!

It’s helpful to see a board certified allergist to get complete and accurate testing to identify what exactly you are allergic to.  For example, if it is a certain type of pollen, you can track the pollen levels in your local area.  You can check pollen count updates that is part of Allergy and Asthma Associate of Southern California’s new App, or a web site such as that of the American Academy of Allergy Asthma and Immunology: http://www.aaaai.org/global/nab-pollen-counts.aspx

  1. Consider the time of day you exercise.

The pollen count is highest between 5 a.m. and 10 a.m. and again at dusk, so plan your workouts for other times of the day when pollen levels are lower.

It can also be helpful to rinse out your nose with saline to remove pollen. Some nose sprays will make it easier for you to exercise with high pollen levels. Ask your board certified allergist.

  1. Watch the weather!

If possible, try to avoid outdoor exercise on dry, warm, windy days, which can bring the highest pollen levels.

High humidity can cause problems, as well. If the air feels heavy, it can make breathing feel difficult. The humidity also contributes to mold growth, which can trigger symptoms in some people.

  1. Pick the right type of workout.

Start-and-stop activities like tennis are more likely to trigger asthma symptoms in some people than activities that don’t stop, like running. Swimming is usually excellent for building up your lungs. Biking also is good. Running in cold weather also may trigger symptoms. Those problems usually are caused by spasms in your airways.

However, with proper treatment, you should be able to do any sport or activity without a problem!

  1. Listen to your body.

If you’re taking medicine and you still feel tired after exercising outdoors or if it causes symptoms that you don’t like, you may want to stay indoors.

  1. Know your medication regimen.

You should discuss when to start taking allergy medications with your allergist.   It is often helpful to start taking allergy medications weeks before the season that brings pollens you are allergic to. You do not need to wait until you have symptoms.

If you have any questions or concerns, call (949) 364-2900  and schedule an appointment today with one of our doctors. You can also use our online Request an Appointment form to schedule a future date and time.

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Allergies and Asthma For Dummies by William E. Berger, M.D.

Allergies and Asthma For Dummies (Paperback)

Sneezing. Sniffling. Hives. Rashes. Burning eyes. Runny nose. Sinus headache. Scratchy throat. Asthma attacks…. Whether you’re reacting to pollen or peanuts, your boyfriend’s cat or your girlfriend’s pooch, your husband’s aftershave, or your neighbor’s barbecue, allergies are definitely a drag. And if left untreated, the symptoms can lead to bigger health problems down the road. Sadly, there is no cure for hypersensitivity disorders, as doctors call them. But you can minimize your risk of having allergic reactions and you can live symptom-free. And Allergies and Asthma For Dummies tells you how.

If you suffer from some type of allergic condition and/or asthma, this complete, down-to-earth guide can be your first big step toward feeling better than you’ve felt in years. Drawing on his more than twenty years of professional experience, nationally recognized allergy and asthma expert Dr. William E. Berger fills you in on what you need to know to:

  • Understand allergies and asthma
  • Relieve hay fever symptoms safely
  • Control adult and childhood asthma
  • Deal with allergic skin conditions
  • Cope with food, drug, and insect sting reactions
  • Allergy proof your home

Allergies and Asthma For Dummies is packed with useful information and easy-to-follow action-steps you can put to work immediately. Dr. Berger clears up common myths about allergies and asthma and makes some of the most difficult medical mechanisms understandable for the rest of us. With wit and compassion, he answers all your questions about:

  • How the immune system works and what causes allergies and asthma
  • All known types of allergic conditions and how to recognize them
  • Hay fever, its triggers, prevention and treatments
  • Asthma, what it is, how you get it, and the best ways to manage it
  • Allergic eczema, contact dermatitis, hives, swelling, and other allergic skin conditions
  • Food, drug, and insect sting reactions and how to recognize, prevent, and treat them

With up-to-the-minute advice and guidance on prevention, treatment, and management, Allergies and Asthma For Dummies is just what you need to find relief from what ails you.

If you are interested in purchasing please click here.

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