Welcome

Allergy & Asthma Center, P.C., is an allergy practice based in Eugene, Corvallis, and Roseburg, Oregon.

Our practice includes allergists:

Candice M. Rohr, M.D., Board Certified
Alice H. Chou, M.D., Board Certified

Appointments are available in the following locations in Oregon:

An allergist is a physician trained to diagnose, treat, and manage asthma and allergies, whether they are related to or caused by foods, environmental factors (such as pollen), drugs, or topical substances. Conditions that an allergist commonly treats include the following:

Allergic rhinitis (hay fever)
Asthma
Chronic cough
Dermatitis/eczema
Food allergies
Hives
Immune Deficiencies
Sinusitis

Important information regarding Insurance Coverage for Allergy and Asthma Care

For your information, each month we feature a topic of interest to our readers. Please read our current Topic of the Month below. To read previous articles that we have featured, please visit our Topic of the Month page.

May 2013 Topic of the Month

Asthma Triggers and Management: Tips to Remember

If you have asthma, you can minimize your symptoms and improve your quality of life by avoiding your asthma triggers and working with your allergist/immunologist, often referred to as an allergist, to develop a treatment plan.

Triggers

People with asthma have recurrent episodes of airflow limitation, often from inflamed airways that become narrowed, making it more difficult to move air in and out of their lungs. This can cause wheezing, coughing, chest tightness, and shortness of breath.

It is important to understand what triggers your symptoms and what makes them go away. Common asthma triggers include:

Many people with asthma have allergies, which can trigger asthma symptoms. Common allergies include house dust mites, animal dander (dead skin flakes), molds, pollen, cockroach droppings, or foods. Your allergist can identify what you are allergic to and recommend ways to avoid exposure to your triggers.
Tobacco smoke, which is an irritant that often aggravates asthma. No one should smoke around you, in your home, or in your car. Your asthma may also be irritated by strong odors or fumes, weather changes, or air pollution.
Viral and bacterial infections, such as the common cold and sinusitis.
Strenuous exercise or exposure to cold, dry air.
Acid reflux, even if you don’t experience heartburn.
Some medications can cause or worsen asthma. These include aspirin or other NSAIDs and beta-blockers.
Even eating certain foods can trigger wheezing in some people. If any foods seem to trigger an asthma attack, avoid eating them and talk to your allergist.
Emotional anxiety may also increase your asthma symptoms and trigger an attack. Proper rest, diet, and exercise are important for your overall health and can help in managing asthma.

Treatment and Management

Asthma has different causes in different people; therefore, individualized therapy is wise. Personalized plans for treatment may include:

Environmental control measures to avoid your asthma triggers
Medication
An asthma action plan
A partnership between you, your family, your allergist, and other healthcare providers.

You and your allergist can work together to ensure that your asthma is well managed, so that you can participate in your normal activities.

Since asthma is a chronic disease, it requires ongoing management. This includes using proper medication to prevent and control your asthma symptoms and to reduce airway inflammation. There are two general classes of asthma medications, quick-relief and long-term controller medications. Your allergist may recommend one or a combination of two or more of these medications.

Rescue Medication

Quick-relief medications are used to provide temporary relief of symptoms. They include bronchodilators and oral corticosteroids.

Bronchodilators, generally called “rescue medications,” open up the airways so that more air can flow through. Bronchodilators include beta-agonists and anticholinergics and come in inhaled, tablet, liquid, or injectable forms.

There are some corticosteroids designed for short-term use that are swallowed or given by injection and work a bit more slowly to help treatment particularly bad inflammation in your airways.

Long-term Control Measures

Long-term controller medications are important for many people with asthma and are taken on a regular basis (often daily) to control airway inflammation and treat symptoms in people who have frequent asthma symptoms.

Inhaled corticosteroids (there are many different ones), cromolyn or nedocromil, and leukotriene modifiers can help control the inflammation that occurs in the airways of most people who have asthma. One medication may work better for you than another. Your allergist can help guide you

Inhaled long-acting beta 2-agonists are symptom controllers that open your airways and may have other beneficial effects, but in certain people they may have some risks. Current recommendations are for them to be used only along with inhaled corticosteroids.

Leukotriene modifiers are typically used to open airways. Methylxanthines provide modest opening of the airways and may have a mild anti-inflammatory effect. Theophylline is the most frequently used methylxanthine.

Omalizumab is an injectable antibody that helps block allergic inflammation. It is used in patients with persistent allergic asthma.

Your asthma medications may need to be adjusted as you and your asthma change, so stay in close touch with your allergist. The better informed you are about your asthma triggers and management, the better your asthma symptoms will be. Together, you and your allergist can work to ensure that asthma interferes with your daily life as little as possible.

Healthy Tips

Your asthma symptoms can be triggered by allergens, tobacco smoke, colds or sinus infections, exercise, reflux disease, medications, weather changes, emotions, and occasionally foods.
Each person has their own triggers and avoidance of these triggers can help improve your asthma.
Quick-relief medications provide temporary relief of asthma symptoms, while long-term controller medications are taken on a regular basis to control airway inflammation or prevent frequent asthma symptoms.
Work with your allergist to ensure that your asthma is well controlled and interferes with your daily life as little as possible.

Reprinted with permission from the American Academy of Allergy Asthma & Immunology