ATOPY

by Dr Nafeesa Alwathaifi on February 21, 2019
Articles

Atopy refers to the genetic tendency to develop allergic diseases such as allergic rhinitis, asthma and atopic dermatitis (eczema). Atopy is typically associated with immune responses to common allergens, especially inhaled allergens and food allergens.

Allergies

Allergies are among the most common chronic conditions worldwide. Allergy symptoms range from making you miserable to putting you at risk for life-threatening reactions.
allergic reaction begins in the immune system. Our immune system protects us from invading organisms that can cause illness. If you have an allergy, your immune system mistakes an otherwise harmless substance as an invader. This substance is called an allergen. The immune system overreacts to the allergen by producing Immunoglobulin E (IgE) antibodies. These antibodies travel to cells that release histamine and other chemicals, causing an allergic reaction.

Allergy Symptoms

An allergic reaction typically triggers symptoms in the nose, lungs, throat, sinuses, ears, lining of the stomach or on the skin. For some people, allergies can also trigger symptoms of asthma. In the most serious cases, a life-threatening reaction called anaphylaxis can occur (Anaphylaxis is a serious, life-threatening allergic reaction. The most common anaphylactic reactions are to food, insect stings, medications and latex).

A number of different allergens are responsible for allergic reactions. The most common include:

  • Pollen
  • Dust
  • Food
  • Insect stings
  • Animal dander
  • Mold
  • Medications/Drugs
  • Latex

Allergy Diagnosis

Allergies: your physician may be able to help identify your allergy triggers. Several different types of allergy tests are used to do this.

1.Questions Your Doctor Will Ask

  • What kinds of symptoms do you have?
  • How long have you had them?
  • When your symptoms happen, how long do they last?
  • Do your symptoms come and go throughout the year, or do they last year-round?
  • Do your symptoms hit when you’re outdoors, or indoors — like when you clean your home?
  • Do they get worse when you’re around pets? Do you have any pets?
  • Do you smoke? Does anyone in your family smoke?
  • Do your symptoms keep you from doing things, or from sleeping at night?
  • What makes your symptoms better? What types of treatments have you tried?
  • What allergy drugs are you taking now? Do they help?
  • What other medications are you taking, including prescription and over-the-counter drugs, vitamins, and herbal supplements?
  • What kind of heating system do you have? Do you have central air conditioning?
  • Do you have any other health conditions, like asthma or high blood pressure?
  • Do you have problems with your sense of smell or taste?
  • Do you get better on the weekend and worse when you go back to work?

2.Allergy Skin Test

These tests use extracts (a concentrated liquid form) of common allergens such as pollen, mold, dust mites, animal dander, and foods. Once those get in your skin, they could trigger a rash. Your skin will get irritated and may itch, like a mosquito bite.

That reaction is how the doctor can tell you’re allergic to something. When you have an allergy, your immune system will make antibodies and set off chemicals to fight off the trigger.

Scratch test, also known as a puncture or prick test: First, your doctor or nurse will look at the skin on your forearm or back and clean it with alcohol. They’ll mark and label areas on your skin with a pen. Then they’ll place a drop of a potential allergen on each of those spots. Next, they’ll scratch the outer layer of your skin to let the allergen in. (It’s not a shot, and it won’t make you bleed.)

Intradermal test: After they look at and clean your skin, the doctor or nurse will inject a small amount of allergen just under your skin.

Patch test: Your doctor could put an allergen on a patch and then stick that on your arm or back.

Plan for an hour-long appointment. The pricking part of scratch and intradermal tests takes about 5 to 10 minutes. Then you’ll wait about 15 minutes to see how your skin reacts.

Patch tests take more time, and two visits to your doctor. You’ll have to wear a patch for about 48 hours in case you have a delayed reaction to the allergen.

3.Blood Test for Allergies

You might sniffle and sneeze as the seasons change or get itchy and teary-eyed when you dust the house or pet an animal. Perhaps you start wheezing when you eat a particular food.
Allergy blood testing can help reveal what triggers your allergy symptoms and help your doctor choose the best treatment for you.

Types of Allergy Blood Tests

Allergy blood tests detect and measure the amount of allergen-specific antibodies in your blood. When you come into contact with an allergy trigger, known as an allergen, your body makes antibodies against it.
The antibodies tell cells in your body to release certain chemicals. These chemicals are what cause allergy symptoms. Immunoglobulin E (IgE) is an antibody that’s strongly linked to the body’s allergy response.
Allergy blood tests usually screen for at least 10 of the most common allergy triggers, including dust, pet dander, trees, grasses, weeds, and molds related to where you live. They are also particularly helpful in diagnosing food allergies.

4.Food Allergy Testing

Food allergies are becoming more and more common. There has been an increase in severe food allergy cases in the last 10 years, mostly driven by peanut and tree nut allergies.

In children, the most common food allergies are

  • Cow’s milk
  • Hen’s eggs
  • Peanuts
  • Tree nuts
  • Soybeans
  • Wheat

In adults, the most common food allergies are:

  • Peanuts
  • Tree nuts
  • Fish
  • Crustaceans (such as shrimp, crabs, and lobster)
  • Mollusks (such as clams, oysters, and mussels)
  • Fruits
  • Symptoms tend to occur just after eating, inhaling, or coming into contact with the offending food. Symptoms may include reddening of the skin, hives, itchy skin, swollen lips or eyelids, tightness of the throat, wheezing, difficulty breathing, coughing, vomiting, or diarrhea.

5.Allergy Symptom Diary

If you have a food allergy, you may need to keep a food diary – and remove certain foods from your diet – to determine exactly what you’re allergic to.

6.Elimination Diet

The elimination diet involves removing specific foods or ingredients from your diet that you and your doctor suspect may be causing your allergy symptoms (common allergy-causing foods include milk, eggs, nuts, wheat, and soy). Your doctor will supervise this diet over a few weeks.

If you would like to talk, feel free to reach out to us. An LifeWorks therapist would be able to help.

Harpreet Saini
Harpreet Saini
Consultant Psychologist - English, Hindi & Punjabi
CDA Licensed Psychologist - 13+ Years
Dr. Mohammed Fried Ahmed
Dr. Mohammed Fried Ahmed
Clinical Psychologist - Arabic
PHD Psychotherapy - 6+ Years
Khansa Abd Almalik
Khansa Abd Almalik
Clinical Psychologist - Arabic
PHD Psychotherapy - 6+ Years
Prerna Siroya
Prerna Siroya
Counselling Psychologist - English & Hindi
CDA Licensed Psychologist - 4+ Years
Dina Alqedra
Dina Alqedra
Clinical Psychologist - Arabic & English
DHA Licensed Psychologist - 6+ Years
Nuzhat Basheer
Nuzhat Basheer
Consultant psychologist - English, Hindi & Tamil
CDA Licensed Psychologist, M.Sc. in Psychology - 10+ Years
Vidushi Sukam
Vidushi Sukam
Consultant Psychologist - English, Hindi & Punjabi
CDA Licensed Psychologist | RCI Licensed Rehabilitation Psychologist - 13+ Years
Olena Taleski
Olena Taleski
Counselling Psychologist - English and Russian
Master Degree in Psychology - 13+ Years
Simrah Hamdulay
Simrah Hamdulay
Consultant psychologist - English and Hindi
CDA Licensed Psychologist, MSc in Child and Adolescent Psychology - 3+ Years
Javaria Zahra
Javaria Zahra
Counselling Psychologist - English, Urdu and Hindi
MD/ MS/ MPhil in Applied Psychology - 16+ Years
Fatima Altaf
Fatima Altaf
Counselling Psychologist - Urdu, Hindi and English
Msc. Psychology - 8+ Years
Aarhie Kaushik
Aarhie Kaushik
Clinical Psychologist - English & Hindi
Msc. Psychology - 8+ Years
Dr. Febna Moorkath
Dr. Febna Moorkath
Psychiatric Social Worker - English & Malayalam
PhD & M.Phil in Psychiatric Social Work - 10+ Years
Dr. Fatemeh Abdi
Dr. Fatemeh Abdi
Clinical Psychologist - English and Persian
PhD. in Psychology - 20+ Years
Dr. Azizreza Ghasemzadehi
Dr. Azizreza Ghasemzadehi
Counselling Psychologist - Farsi & English
PhD in Psychology & Education of Exceptional Children - 20+ Years
Saima Khan
Saima Khan
Clinical Psychologist - English, Urdu, Punjabi & Pashto
Ph.D. Scholar in Clinical Psychology - 6 Years
Kinan Ali
Kinan Ali
Counselling Psychologist - Arabic and English
PhD. in Psychology - 6 Years
Dr. Abdelaziz Osman
Dr. Abdelaziz Osman
Consultant Psychiatrist - Arabic and English
MD, AB, Msc, Cert - 20+ Years
Naeema Ali
Naeema Ali
Psychologist - Arabic & English

Dr. Naeema Ali trained psychology and social worker students of UAE University. She is actively providing counselling support to cancer patients and their families. She launched an occupational therapy for cancer patients and cognitive behavioural therapy in Tawam.

Due to her continued support in oncology and ongoing support to cancer patients, Naeema received countless awards locally and international to recognize her achievements and skills. She has been invited to participate in various conferences and workshops around the world and invited as a guest speaker in various subjects that covers psychology.

She also joined Al Sayegh Medical Center as a Social Worker, providing comprehensive assessment and treatment services to children and families, in inpatient and/or outpatient settings, and communicates with referral sources as indicated by applying psychometric test, such as IQ Test, MMPI, Wechsler Test for children. Exhibit superior communication skills to uncover complicated mental health issues; develop and recommend treatment plans based on patient needs and diagnosis.

She continued working as a clinical psychologist providing counselling within the multi-cultural environment of the Emirates Airlines for the past 15 years. Her main task is providing mental health support to inflight and ground staff and addresses any problems, anxieties, or job-related stresses that they are dealing with. She uses her findings to help improve processes and behaviors of a patient to maintain a safe environment, to manage stress, overcome trauma, or avoid job-related conflicts. Cognitive Behavioral Therapy is the method Naeema is using to reduce the difficulties, anxieties, and stress that employee faces.

Naeema is also part of “ Shawer ”, the “Seek Our Advice”, and “We Listen To You” program of the Family Development Foundation of Abu Dhabi. The aim of the program was to promote family awareness and support a stable family life. It involves a group of community members who deal with family problems in a positive manner and provide individual and group counseling in social, psychological, and educational areas. They do so in a systematic way according to the needs of community members.

Besides “ Shawer ”, Naeema is also a volunteer of “ Friends of Cancer ” of Sharjah, supporting patients and their families to overcome the multitude psychological difficulties that they are experiencing due to cancer treatment as well as introducing some programs such as health education, self-care and some community programs wherein they can collaborate and share their experiences.

Area of interest:

  • Psycho-oncology

  • CBT

  • Psychometric Assessments

  • Children, Adults and Family therapy

Qualification and Membership:

  • Psychology graduation from the University of Wisconsin

  • Licensed by Community Development Authority

Graduation in Psychology, (Phd) - 30 Years
Dr. Mohammed Bardi
Dr. Mohammed Bardi
Consultant Psychiatrist - Arabic, English

Dr. Mohammed Bardi M.B.B.S, M.D (Psychiatry) has worked under different capacities in clinical and hospital setups in Saudi, USA, and UAE. He comes with over 15 years of experience in mental health. He specifically worked with cases relating to schizophrenic, bipolar disorder, dual diagnosis, major depressive disorder with suicidal risks, anxiety disorders, Intellectual disabilities, Autistic spectrum disorders and attention deficit hyperactivity disorders (ADHD).

Area of interest:

  • Mood disorders

  • Anxiety disorders

  • Improving life skills (social skills, self- esteem, decision making, coping with stress, problem solving, and time management)

Qualification and Membership:

  • MBBS COLLEAGUE OF MEDICINE, KING SAUD UNIVERSITY 2003 (KKU).

  • ARAB BOARD OF MEDICAL SPECIALTIES IN PSYCHIATRY 2007

  • ANXIETY DISORDERS WORKSHOP (DIPLOMA), 2010

  • ADDICTION FELLOWSHIP UCLA, USA, 2010-2011

  • ADDICTION RESEARCH AND MATRIX TRAINING, ISAP, UCLA, LOS ANGELES, CA, USA 2014-2015

  • BACHELOR’S DEGREE OF MEDICINE AND SURGERY

  • ARAB BOARD OF MEDICAL SPECIALTIES IN PSYCHIATRY

  • ADDICTION FELLOWSHIP UCLA 2011, 2015

  • BETTY FORD CERTIFICATE, ADDICTION PROGRAM 2010

  • CDA) Licensed Psychologist

Therapeutic Approach:

  • At LifeWorks Holistic Counselling Center Dubai, Dr. Bardi works collaboratively within our expert multidisciplinary team, in treating a wide array of psychiatric conditions including:

  • Anxiety disorders

  • Substance use disorders

  • Mood disorders including depression and Bipolar affective disorders

  • Psychotic disorders (Schizophrenia and other psychotic disorders)

  • Personality disorders

  • Cognitive disorders including Dementia

  • Learning disabilities (intellectual disability disorders)

  • Child and adolescents’ disorders like Separation anxiety disorders, conduct

  • disorders and ADHD

M.B.B.S, M.D (Psychiatry) - 15 years

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