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  • Centre For Ear Nose Throat Allergy & Snoring
    practical Next best try medical alternatives such as steroids or anti histamines which mask the symptoms but don t address the cause In some cases patients find enough relief with symptomatic treatment Then consider options for a cure Allergy shots have been used regularly in the United States for many years but have not become commonplace in Europe and Asia for two reasons early issues with anaphylactic shock reactions during testing and individual commitment Not enough patients were willing to commit to a weekly visit to the doctor s office for two years which is what the full course of treatment required The new treatment that Dr Pang recommends is Sublingual Immunotherapy SLIT SLIT has tested well in extremely well in Europe in the cure of allergy to dust mite and pollens two of the most endemic allergens affecting up to 30 percent of people of all races Further local testing has been done on dust mite which is particularly problematic in the tropics final results on long term effectiveness will be released next year Early indications are that the cure rate for confirmed dust mite allergic patients is as high as 80 Like other immunity driven medication SLIT works by training the body to react differently to an allergen by exposing it to the allergen in minute quantities Droplets of allergen specific fluid are placed under the tongue and held there for two minutes This part of the mouth has many blood vessels so the droplets are absorbed readily into the bloodstream in much the same way that they would enter the body via an immunisation The difference is that the treatment is pain free and administered at home Improvement is usually evident after three months but full benefit is derived after the drops are used for twelve to

    Original URL path: http://www.entdoctor.com.sg/articles/a-cure-for-allergies.html (2012-12-22)
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  • Centre For Ear Nose Throat Allergy & Snoring
    September 2005 Book an appointment with HealthSense Specialist Dr YT Pang to look at your ENT problems and get cured Children ENT Problems FAQ Is your child having problems with stuffy nose frequent colds sore throat asthma snoring or mouth breathing We can help your child with any ENT problems Centre for Ear Nose Throat Allergy Snoring CENTAS Mount Elizabeth Medical Centre 13 07 Tel 65 6737 9198 24 hours

    Original URL path: http://www.entdoctor.com.sg/articles/allergic-rhinitis-chinese.html (2012-12-22)
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  • Centre For Ear Nose Throat Allergy & Snoring
    Me Magazine Book an appointment with HealthSense Specialist Dr YT Pang to look at your ENT problems and get cured Children ENT Problems FAQ Is your child having problems with stuffy nose frequent colds sore throat asthma snoring or mouth breathing We can help your child with any ENT problems Centre for Ear Nose Throat Allergy Snoring CENTAS Mount Elizabeth Medical Centre 13 07 Tel 65 6737 9198 24 hours

    Original URL path: http://www.entdoctor.com.sg/articles/allergic-rhinitis-2-chinese.html (2012-12-22)
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  • Centre For Ear Nose Throat Allergy & Snoring
    Parenthood Guide September 2005 Book an appointment with HealthSense Specialist Dr YT Pang to look at your ENT problems and get cured Children ENT Problems FAQ Is your child having problems with stuffy nose frequent colds sore throat asthma snoring or mouth breathing We can help your child with any ENT problems Centre for Ear Nose Throat Allergy Snoring CENTAS Mount Elizabeth Medical Centre 13 07 Tel 65 6737 9198

    Original URL path: http://www.entdoctor.com.sg/articles/coughs-and-colds-in-children-chinese.html (2012-12-22)
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  • Centre For Ear Nose Throat Allergy & Snoring
    body to tolerate allergens Just as our senses respond to things we eat drink or inhale so do our immune systems Some people s immune systems however over react to normally harmless substances sending out antibodies to get rid of them The allergic response has a different name depending on the part of the body that is affected Symptoms include itching stinging eyes conjunctivitis running nose blocked nose and sneezing allergic rhinitis wheezing cough and difficulty breathing asthma and red itchy skin eczema In sublingual immunotherapy tiny water based amounts of the allergen which may be extracted from dust mites grass or pollen are dropped daily under the tongue where there are plenty of blood vessels to absorb them Giving small but increasing amounts of the allergen at regular intervals increases the body s tolerance to it On re exposure to it symptoms if any may be milder Though it is not known how many people have had the treatment since it was available Dr Pang says that anyone who has an allergy to dust mites grass pollens or venoms such as bee stings should be suitable for it He says SLIT has been well received by young and old who want to be rid of their symptoms and medications A skin prick test determines the offending allergen A drop of the extract is injected under the skin on the forearm to see if there is a reaction Alternatively a blood test can be done In Singapore the most common cause of inhalant allergy is the dust mite says Dr Pang For example 80 per cent of people with allergic rhinitis one of the most common forms of allergies react to dust mites Both adult and children are suitable The majority is asthmatics allergic to dust mites and the youngest

    Original URL path: http://www.entdoctor.com.sg/articles/cure-for-allergies.html (2012-12-22)
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  • Centre For Ear Nose Throat Allergy & Snoring
    sniffles as plant pollen gave her hay fever In her third year she had injections in the winter to prepare her for the high pollen months ahead An allergy is an over reaction by the body to a foreign substance such as dust mites pollen animal hair or foods Though she did not know it for sure Ms Koh felt her trigger was the dust mite which is a microscopic bug that lives off dead skin cells shed from humans and pets Feeding grounds for the bugs are mattresses and carpeting which could have tens of thousands of dust mites feeding defecating and dying in them In 1995 the single lawyer returned to Singapore Her body protested When I returned to Singapore my sinusitis got worse I would always carry a nasal spray and asthma inhaler with me she says Her doctor told her that the tropical climate is conducive to breeding dust mites which love humidity Finally she decided to do something about her stuffed up condition and made an appointment with Dr Pang Yoke Teen at the Centre for Ear Nose Throat Allergy and Snoring HealthSense Specialists in Paragon Medical Suites Dr Pang gave her a prick test to find out if she was allergic to the dust mite as she always suspected Indeed the microscopic bug was the culprit Then to her surprise he offered her what sounded like a cure Sublingual immunotherapy SLIT works by changing the way the body responds to the triggering allergens in effect desensitising it Every morning for a year she put liquid drops of allergen solution under her tongue Every three months she would collect her three vial pack from Dr Pang It cost her around 2 000 for a year s worth of SLIT After nine months she was cutting

    Original URL path: http://www.entdoctor.com.sg/articles/cure-for-allergies-a-patient-journey.html (2012-12-22)
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  • Centre For Ear Nose Throat Allergy & Snoring
    programme thart gradually desensitises you to your allergens In the past it was only available in injection form but now an oral preparation is available which makes things a lot easier Treatment can take over two years to work but after only six months I ve seen good results I no longer have to use a nasal spray or any other medication Book an appointment with HealthSense Specialist Dr YT

    Original URL path: http://www.entdoctor.com.sg/articles/testimonial-on-immunotherapy-by-stephanie-hoeftz-germany.html (2012-12-22)
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  • Centre For Ear Nose Throat Allergy & Snoring
    out of the treatment says Dr Pang He could not overemphasise the importance of the initial consultation From this according to Dr Pang your allergist can then decide on which test to perform a skin prick test or blood test depending on the number and type of allergens he she is testing Both tests are accurate however the number of allergens tested is fewer for the skin prick test and some medicines such as tl antihistamine as well as cold and flu medicines can interfere with skin tests Hence one needs to stop taking these medicines one week prior to the skin test I prefer skin prick tests as they show results within 15 to 20 minutes compared to blood tests which require two to three weeks for the results This means my patients will have to come back to see me he adds Manage your options What are the current methods used to manage allergic rhinitis Contrary to the widespread belief of medical personnel and the rest of the community we no longer have to grin and bear with allergies for life According to Dr Pang what used to control allergies now give way to the possibility of ridding allergic symptoms for life The identified allergen may be avoided in some cases or relief of symptoms may be sought via inhalers steroid nasal sprays or oral antihistamines However treating the cause of the allergy rather than its symptoms actually exists immunotherapy in the form of injections or drops administered under the tongue sublingual Immunotherapy works by the principle of desensitising the body to the allergen or re training it to not react or react differently and not manifest as symptoms Both methods are just as effective although sublingual immunotherapy SLIT would be the preferred choice as it does away with the need for weekly or monthly visits to the doctor for injections This helps patients save time and money says Dr Pang Is SLIT the cure Immunotherapy is the only cure for allergies as endorsed by the World Health Organisation WHO By what mechanism does SLIT desensitise the body to its identified allergen s According to Dr Pang as the drops are placed under the tongue for two minutes before swallowing the allergen enters the bloodstream via the numerous blood vessels under the tongue to the surrounding lymph nodes where the immune response of the individual to the allergen is slowly modified over time The beauty of this treatment is there are no drugs involved it works like a vaccine he says The sublingual drops used contain engineered protein based on the identified allergen s This method of immunotherapy has been a rousing success in treating allergies caused by inhalants such as dust mites pet dander or pollen this extends to symptoms other than rhinitis especially asthma Data over the last 10 years have shown that in two groups of asthmatic sufferers allergic to dust mites the SLIT treated group has continued to suffer very few asthmatic attacks compared

    Original URL path: http://www.entdoctor.com.sg/articles/say-goodbye-to-allergic-rhinitis.html (2012-12-22)
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