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  • Q&A with Australian Health Practitioners

    Is there an immunologist who can help me with my severe allergies?

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    Allergy Environmental Allergies
    My allergies seem to be getting much worse with daily sinus headaches..I take antihistamines, rinse my sinuses, use rhinocort and neorophen sinus to no avail. I have floor boards in my bedroom and dust mite covers. I have modified my diet - no gluten, lactose, low sugar, avoid sulphites. I have always had problems with grasses and dust mites but now I have a whole range of triggers - especially soil based mould - and I seem to need antibiotics every 6 - 8 weeks as I end up with a sinus infection. I saw an allergy speciliast about 2 months that did a range of skin prick tests, I am allegic to most grasses, dust mites, alotera, and cat hair. I can't tolerate cigaratte smoke, paint, synthetic carpets ec. I have also had 2 Anaphylactic reactions cause unknown - so I carry an epipen. I wake up exhausted with a pounding headache most days & My body and joints ache . It very hard to function like this. I am hoping to find an immunologist that is willing to do some testing and detective work to see what why my immune has gone hay wire - thanks
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  • Sue Northfield

    HealthShare Member

    Thanks, I am in North east Vic which means I will need to go to Melbourne.  Should I get a referral for somewhere like The Epworth or RMH or could somewhere like Avid Allergy help (ie. do more than just skin prick tests)   Thanks

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  • Dr Liam Beiglari

    Allergy Specialist & Immunologist

    I am a clinical immunologist and allergist. I am experienced in the diagnosis and treatment of adult patients with allergic diseases, autoimmune conditions, those living … View Profile

    The first thing that jumps out to me with this case is that you have clinical features that certainly sound as if they are consistent with chronic rhinitis. You report having trialled conservative strategies with the daily antihistamine, Rhinocort, and some degree of allergen avoidance strategies. You also report that an allergist has confirmed multiple sensitizations on skin prick testing. So I feel that the next step for you would be a review of everything you're currently doing, to ensure that it's done correctly, while also adding on allergen immunotherapy. I can see the other elements there include idiopathic anaphylaxis for which you carry an EpiPen, and there is benefit to having a second opinion on that as there are other allergens that are not typically tested initially, including alpha-gal, omega-5-gliadin and Pru-p3 to name a few. Finally, your joint pain with sinus symptoms does raise the remote possibility of an autoimmune condition, and overall an immunologist review would be recommended.

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