Services
Seasonal Allergies Specialist
Seasonal allergies, more commonly known as hay fever, can severely impact your ability to function at home and work because of nasal congestion, runny nose, sneezing, itchy/water (or itchy and dry) eyes, postnasal drip, ear fullness. Also. symptoms such as headache, fatigue, foggy-headed and malaise occur frequently. For adults, occupational function may suffer. For children, there may be difficulty with attention or attentiveness at school. If you have hay fever, there’s plenty that the experts at Wasatch Allergy and Asthma can do to help. They have a team of allergy specialists, led by allergist Eric C. Chenworth, DO, at their offices in Salt Lake City and Riverton, Utah, who have the expertise to help minimize and relieve the effects of seasonal allergies. In fact, with “allergen immunotherapy” (allergy shots), they can make you less allergic, resulting in decreased symptoms, less need for medication, and better quality of life. Find out more by calling Wasatch Allergy and Asthma or requesting an appointment online.
What are seasonal allergies?
Spring allergies may start as early as February and continue until summer. Trees begin producing their pollen first, and then in mid-April, the grasses begin to pollinate. Grass pollen continues from spring, until early fall, with the worst months being May and June, followed by mid- August through September.
The weed pollen season beings in mid-August and can last until the weeds are covered by snow. The weed pollen season in Utah is dominated by sagebrush, tumbleweed (Russian Thistle) and relatives of tumbleweed. Ragweed and its relatives can also be a problem for some people, although other weeds tend to be worse.
Other plants producing pollen that can cause fall allergies include:
- Burning bush (Kochia)
- Cocklebur
- Lamb’s quarters
- Pigweed
- Plantain
- Sagebrush
- Wingscale
- Russian thistle (Tumbleweed)
Molds, which produce spores that can be windborne just like pollens, can be present spring through fall.
Why do I get seasonal allergies?
Your body produces antibodies called immunoglobulin E (IgE), which leads to the symptoms of an allergic reaction, such as:
- Sneezing
- Stuffy Nose
- Runny nose
- Itchy throat
- Itchy eyes
There is a genetic basis for allergies and related conditions, which is why those tend to run in families.
Trying to escape seasonal allergies by moving to a new part of the country is often not helpful, as there are environmental allergens almost everywhere.
How are seasonal allergies treated?
You and your provider can create a treatment plan and management strategy for your seasonal allergies. This could include environmental precautions, which will be tailored to your allergic sensitivities:
Medications such as antihistamines are often not adequately helpful. We will customize a medication plan for you that should provide relief from symptoms and control your allergic inflammation.
Allergen Immunotherapy (allergy shots) are the most effective long-term treatment option and can make you less allergic! It’s a long-term treatment that involves the administration of small but gradually increasing doses of proteins from the things causing your allergies tolerance to those allergens – in other words, you can become less allergic. The benefits of immunotherapy are fewer symptoms, less need for medication and improvement in quality of life.
Find out how to manage your seasonal allergies with a visit to Wasatch Allergy and Asthma. Call the office today, or you can request an appointment online.
Allergies Specialist
What are allergies?
- Pollen
- Mold
- Pet dander
- Dust mites
- Foods
- Insect venom
- Medications
When you have an allergy, your body becomes hypersensitive to these substances, causing unpleasant and sometimes dangerous symptoms.
How are allergies diagnosed?
However, allergy triggers are not always clear, so the team at Wasatch Allergy and Asthma needs to carry out some tests to determine the allergen(s) responsible for your symptoms.
You can undergo testing for allergies in several ways:
Skin prick testing
Skin prick testing involves putting a tiny amount of a potential allergen on your skin and then pricking the area, so the substance goes into the skin. Your provider observes the treated area for 15-20 minutes to see if there’s any reaction. Intradermal testing is similar but involves injecting the suspected allergen under your skin.
Patch testing
Patch testing involves wearing patches containing allergens on your back for three days. If you have allergic contact dermatitis or atopic dermatitis, your skin reacts to the patch to confirm the diagnosis.
Food or medication challenge
If you have a food or medication allergy, a challenge test is the best way to confirm the problem. The challenge involves ingesting small portions of the suspect food or medication and then gradually increasing the amount to see if there’s an allergic response.
Methacholine challenge
If you have asthma, an inhaled bronchial challenge test using methacholine can determine the level of irritability in your airways and assess the severity of your condition. You might also need to undergo breathing capacity tests.
What treatments are used for allergies?
Immunotherapy is a long-term treatment approach to certain allergies in which you receive small doses of the allergen that triggers your symptoms. The idea of immunotherapy is to expose you to increasing quantities of the allergen over an extended period so that your body’s immune system learns to tolerate the substance.
You can have allergy drops (sublingual immunotherapy) where you absorb the allergen in drops that go under your tongue. Or you can have allergy shots, where your provider at Wasatch Allergy and Asthma gives you a series of injections.
To find out more about diagnosing and treating allergies, call Wasatch Allergy and Asthma today, or you can request an appointment online.
Asthma Specialist
What is asthma?
The bronchi are the airways in your lungs through which air travels in and out when you breathe. When you have asthma, your airways become hypersensitive, causing chronic inflammation. A trigger can set off an asthma attack, increasing the inflammation and causing the muscles surrounding the bronchi to constrict.
This means it gets harder to draw air into your lungs, which leads to the typical symptoms of an asthma attack, which include:
- Wheezing
- Shortness of breath
- Chest tightness
- Coughing
Asthma is a chronic, incurable condition, but with expert treatment and support from the team at Wasatch Allergy and Asthma, you or your child can learn to manage asthma successfully.
What causes asthma?
People who have a family history of asthma or allergies are more likely to experience these problems themselves. It’s also common for people who have asthma to have allergies as well.
You might develop asthma if your work involves breathing in potentially harmful substances like dust or pollutants. This is called occupational asthma. Another form of asthma is exercise-induced bronchoconstriction (EIB), also known as exercise-induced asthma (EIA).
With EIB, your asthma symptoms only occur when you’re exercising or being physically active. As exercise is vital to good health, avoiding exercise to prevent an attack isn’t a good idea. If you have EIB, your provider at Wasatch Allergy and Asthma can help you manage your symptoms so you can still exercise.
How is asthma treated?
Avoiding the triggers that cause asthma attacks can help reduce the number of attacks you have and give your airways some healing time. It’s also helpful to learn how to manage stress and cope with feelings of panic that can make asthma worse.
Most patients who have asthma typically need to carry a rescue inhaler at all times. The inhaler contains a medicated mist that you inhale into your lungs when you feel an attack coming on.
Another treatment for asthma is XolairⓇ (omalizumab). This is an antibody that can help reduce allergic reactions. Xolair is suitable for patients age 12 and older who have moderate or severe asthma due to allergies.
For more advice on living with asthma and the latest, most effective treatments, call Wasatch Allergy and Asthma today or request an appointment online.
Hives/Urticaria Specialist
What are hives?
Hives can be of various sizes from a few millimeters to several centimeters. A single hive typically fades over 24 hours, after which your skin goes back to normal without leaving a mark or bruise.
Sometimes a condition called angioedema occurs at the same time as hives. This causes swelling in the deepest layers of skin and underlying tissues. It can also lead to swelling of the airways that could affect your breathing.
What causes hives?
You could have chronic hives for many years before they go away. The American College of Allergy, Asthma & Immunology reports that hives resolve in half of patients within one or two years and that 80-90% of patients improve within five years.
You might go for long periods without any hives only for them to reappear months or years later.
How are hives treated?
Antihistamine medication helps with itching and reduces the welts typical of hives. These treatments aren’t a cure but do resolve the symptoms. You might need to use several different antihistamines together for the best results.
The older, sedating antihistamines that cause drowsiness aren’t normally prescribed because now there are newer nonsedating antihistamines. Nonsedating antihistamines last longer and have fewer side effects.
If your hives don’t respond to antihistamines, an alternative is omalizumab. Your provider at Wasatch Allergy and Asthma injects this medication under your skin once a month. Corticosteroids like prednisone or prednisolone aren’t suitable for long term use but may help with severe hives when used for a couple of days.
If you’re experiencing problems with hives, call Wasatch Allergy and Asthma today to schedule a consultation or request an appointment online.
Exercise Induced Asthma Specialist
What is exercise-induced asthma?
- Shortness of breath
- Wheezing
- Tight chest
- Coughing
Symptoms can start during exercise or within 20 minutes of stopping exercising.
Although commonly referred to as exercise-induced asthma, the preferred term for EIA is exercise-induced bronchoconstriction (EIB).
What causes exercise-induced asthma?
Asthma usually develops when your airways become hypersensitive to allergens like dust and pollen. With EIA, it’s set off by strenuous physical exercise or airborne triggers that you encounter when you’re exercising.
Should I stop exercising if I have EIA?
The activities that cause the highest number of EIA attacks are those in which you’re regularly active for long periods, especially if it’s cold and dry. Sports that are most likely to induce EIA include:
- Soccer
- Basketball
- Long-distance running
- Ice hockey
- Ice skating
- Cross-country skiing
If you only exercise for short periods or do less strenuous forms of exercise, like walking, you’re less likely to experience an EIA attack.
The team at Wasatch Allergy and Asthma has considerable expertise and experience in finding the right solutions to help you continue exercising and playing sports.
How is exercise-induced asthma treated?
Short-acting inhaled bronchodilators
These stop your symptoms immediately. You can take them 15-30 minutes before energetic exercise, and they typically prevent symptoms for up to four hours.
Inhaled corticosteroids
Corticosteroid inhalers help relieve the inflammation and narrowing in your bronchial airways. This is a longer-term solution that can take between two and four weeks to reach optimum potency.
Long-acting inhaled bronchodilators
You take these 30-60 minutes before exercise, and they help prevent symptoms for up to 12 hours. You should only take this medication once within any 12-hour period, and always with an inhaled corticosteroid.
Montelukast
Montelukast is a leukotriene receptor inhibitor that’s also FDA approved for treating EIA. You take the medication once a day to help prevent symptoms.
If you’re competing in sports, you must check with your governing body which medications are allowed before competing.
Find out more about EIA and how to manage it by calling Wasatch Allergy and Asthma or requesting an appointment online.
Angioedema Specialist
What is angioedema?
- Eyelids
- Mouth and lips
- Throat
- Hands and feet
- Genitals
The swelling is due to a buildup of fluid. This fluid leaks out of blood vessels that have abnormally porous walls, which means they aren’t able to keep fluid in. Swelling in the throat can restrict your breathing and is potentially life-threatening.
What causes angioedema?
- Insect bites
- Foods: Nuts, eggs, milks, fruits, shellfish, or fish
- Medications: Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs), ACE inhibitors for blood pressure, codeine, or morphine
You might also get an attack of angioedema after an infection or when you have an autoimmune disorder. If you don’t know what triggers your angioedema, your provider at Wasatch Allergy and Asthma can run tests to find out.
Acute angioedema only lasts for a brief period, from minutes to a few days. You can also get chronic, recurrent angioedema. The cause of this is often unknown.
There is a hereditary form of angioedema (HAE), which is a rare genetic condition. HAE causes swelling in the intestinal wall, airways, face, feet, and hands that can lead to serious complications.
How is angioedema treated?
If you’re susceptible to angioedema, you need to avoid triggers that set off your attacks. You should also avoid taking any medications, supplements, or other therapies that aren’t prescribed for you by the team at Wasatch Allergy and Asthma.
Your provider might prescribe medication for your angioedema, such as:
- Antihistamines
- Corticosteroids
- Epinephrine shots
- Inhaler medicines
You can also use cold compresses to help relieve the pain.
If angioedema is affecting your life, call Wasatch Allergy and Asthma today to schedule a consultation, or you can request an appointment using the online booking tool.
Eczema/Atopic Dermatitis Specialist
What is eczema?
Symptoms of eczema tend to go in cycles, flaring up at times and then going away for a while. It’s a chronic condition that commonly begins in childhood but can develop at any age. Eczema may leave you vulnerable to bacterial, fungal, viral, and yeast infections.
What causes eczema?
You can inherit leaky skin, or it might develop because of environmental factors. If you inherit leaky skin, it’s because of the Filaggrin gene, which is faulty in around one-third of people who are of North European or Eastern Asian descent.
Eczema flare-ups are caused by exposure to certain substances, including:
- Soaps
- Detergents
- Dust mites
- Pollens
- Animal dander
Some people find that certain foods can make their atopic dermatitis worse. Proteases in certain bacteria can also damage the links that exist between your skin cells, leading to leaky skin.
How is eczema treated?
You should wear clothes that don’t make you itch, and always wash new clothes before wearing them using a gentle, hypoallergenic laundry soap.
Use a sunscreen that has protection from ultraviolet rays. Look for products that are at least SPF15, with UV-A and UV-B protection. You should also rinse off if you’ve been swimming to remove any chemicals that could aggravate your skin.
Try to keep your fingernails short, too, to help minimize skin damage from scratching.
Creams and moisturizers can help your skin to form a better barrier against leaks and help soothe the itching and inflammation. Your provider at Wasatch Allergy and Asthma can also prescribe other treatments, such as:
- Topical steroids or immunomodulators
- Wet wrap therapy
- Sedative antihistamines
- Antibiotics for skin infections
- Very dilute bleach baths
- Stress reduction
- Biofeedback
- Vitamin D supplements
- Biologic medications
- Allergy shots
Your provider creates a personalized care plan for you that includes the most effective treatments for your eczema and any complications you might have. With their help, you can keep your eczema under control and lead an active, comfortable life.
Call Wasatch Allergy and Asthma today to schedule a consultation or request an appointment online.
Chronic Sinusitis Specialist
What is chronic sinusitis?
If you have sinusitis, also known as rhinosinusitis or a sinus infection, it means there’s swelling in your sinuses and nasal passages. Acute sinusitis typically lasts no more than four weeks. Chronic sinusitis lasts for eight weeks or more.
Chronic sinusitis most often develops from an acute attack of sinusitis. Acute sinusitis can occur when you have a cold, as sinus swelling leads to infection. If you have seasonal allergies or hay fever, that can make you more prone to sinusitis as your nasal passages are already swollen.
What are the symptoms of chronic sinusitis?
- Stuffy nose
- Thick, discolored phlegm
- Postnasal drip
- Cough
- Ear fullness
- Headache
- Toothache
- Tiredness
- Fever (occasionally)
If you have symptoms of chronic sinusitis, you don’t need to struggle on, as the team at Wasatch Allergy and Asthma can help.
How is chronic sinusitis treated?
- Decongestant
- Mucus-thinning medicine
- Steroid nasal spray
If you have a bacterial infection that isn’t clearing up, then you might need to take antibiotics. Long-term treatment to manage your allergies reduces the risk of developing sinusitis.
Inhaling moist hot air can help clear your sinuses, as can rinsing your nasal cavities with a specially prepared saltwater solution.
In some cases, you might need surgery to correct physical problems that are making your sinusitis worse — for example, having narrow drainage passages or a shifted nasal septum. If this is the case, your provider at Wasatch Allergy and Asthma can refer you to an ear, nose, and throat doctor.
If you have symptoms of chronic sinusitis, call Wasatch Allergy and Asthma today to schedule a consultation, or you can request an appointment online.