Magnolia Allergy and Asthma

Magnolia Allergy and Asthma Dr. Monica Sandhu is board certified in adult and pediatric Allergy and Immunology. She is passionate about providing the best care for you and your family.

For more information and to book your appointment, please visit our website or call our office.

04/04/2023

If you suffer from asthma, you know what it feels like to gasp for air or feel tightness in your chest. The goal of medications is to prevent symptoms like these from happening. There are two general classes of : quick-relief and long-term/controller control medications. Many inhaled asthma medications are meant to be used daily to keep your airways healthy, even if you are not experiencing symptoms.
http://ow.ly/SqJu50Nvk4c

04/03/2023

Friendly reminder to put your sunscreen on! ☀️

03/29/2023

Great moisturizing cream options for eczema!

03/23/2023

Tips on how to reduce pollen exposure

Very thankful to do what I love everyday and even more thankful to see reviews like this!
03/16/2023

Very thankful to do what I love everyday and even more thankful to see reviews like this!

03/14/2023

Zyrtec (cetirizine) vs Allegra (fexofenadine)

What to know about the albuterol shortage
03/08/2023

What to know about the albuterol shortage

There is only one remaining U.S. supplier of albuterol, a common asthma drug.

02/27/2023

What dose of epi is appropriate?

02/24/2023
02/20/2023
02/17/2023

Why you should never use tap water in your sinus rinse!

02/04/2023

Allergist Anil Nanda, MD, answers the question, “Does a positive food test mean you have a food allergy?”

01/31/2023

Due to inclement weather, our Dallas office will be closed tomorrow, Tuesday 1/31

Thanks and stay safe!

05/24/2022

MYTH: Epinephrine can be administered anywhere on the body.

FACT: Epinephrine is injected into the muscle of your outer thigh ONLY. To inject it anywhere else may increase the chance of having serious side effects.

We have been seeing more and more misinformation on how to administer epinephrine across social media so we wanted to take this chance to educate everyone. Do not inject it into a vein, into your fingers, toes, hands, or feet, and PLEASE do not place it in the center of your chest.

Epinephrine is the first-line treatment for anaphylaxis, a severe and potentially life-threatening allergic reaction. While it is a safe and highly effective medication that can reverse severe allergy symptoms, it can have serious side effects if used improperly.

For resources on anaphylaxis and administering epinephrine please visit: https://bit.ly/3gd5a6Y

This literally made my day 😭One of the most important things to me is to ensure my patients feel heard and understood. I...
04/08/2022

This literally made my day 😭

One of the most important things to me is to ensure my patients feel heard and understood. I make sure all your questions are answered and that we’ve addressed everything at your visit.

And yes, tell me what book you’re reading, show me pics of your new grand baby or your daughter’s wedding, or your dog. I love when my patients feel comfortable sharing personal things with me :)

Do allergies run in the family? Short answer: yes!If one parent has seasonal/environmental allergies, there is ~ 35% cha...
04/07/2022

Do allergies run in the family?

Short answer: yes!

If one parent has seasonal/environmental allergies, there is ~ 35% chance of passing this on. If both parents have allergies, this goes up to close to 80%. Yikes! 🌳 🐈 🍂 🤧

10/11/2021
Learn about the Teal Pumpkin Project for trick or treaters with food allergies! 🎃
10/11/2021

Learn about the Teal Pumpkin Project for trick or treaters with food allergies! 🎃

Make Halloween safer and more inclusive by joining the Teal Pumpkin Project

10/04/2021

October Botox special! $11/unit through 10/31 👻

Dr. Monica Sandhu is board certified in adult and pediatric Allergy and Immunology. She is passionate about providing the best care for you and your family.
For more information and to book your appointment, please visit our website or call our office.

Excited to be a part of the  community!
08/25/2021

Excited to be a part of the community!

It’s that time again! Ragweed season is here
08/17/2021

It’s that time again! Ragweed season is here

Learn the signs and symptoms of ragweed allergy. Discover treatment options through ACAAI.

08/17/2021

The Food Allergy Bravery Clinic helps children — and their parents — cope with their anxieties.

Rush Immunotherapy  Rush immunotherapy is a quicker way to get through the allergy injection build up period. Consists o...
08/12/2021

Rush Immunotherapy

Rush immunotherapy is a quicker way to get through the allergy injection build up period.

Consists of 2 consecutive days with multiple rounds of injections 30 minutes apart, followed by a 2 hour observation period.

On average, 4.5 months of build up are saved!

Pre-medications with steroids, antihistamines, and montelukast are used to help reduce the risk of reactions.

Reasons for choosing rush over traditional build up:
- desire for more rapid relief
- unable to commit time to long build up schedule
- upcoming allergy season

Drop your questions or comments below! ⬇️⬇️

😆 Time to see your allergist!
06/02/2021

😆 Time to see your allergist!

Check out the updates on sesame as a top allergen!
04/30/2021

Check out the updates on sesame as a top allergen!

Sesame becomes a “major allergen,” joining milk, eggs, fish, shellfish, tree nuts, peanuts, wheat and soybeans.

Allergy immunotherapy (allergy shots) are a great option for patients who fail medications or for those who don’t like t...
04/20/2021

Allergy immunotherapy (allergy shots) are a great option for patients who fail medications or for those who don’t like taking everyday allergy medicines.

Injections may be given to children as young as 5 years old.

Talk to your allergist to learn more!

Immunotherapy is a preventive treatment for allergies to substances such as grass pollens, house dust mites and bee venom. Learn more through ACAAI.

Let’s talk about antihistamines! OTC antihistamines - 2nd generation (newer)Allegra (fexofenadine) Claritin (loratadine)...
04/07/2021

Let’s talk about antihistamines!

OTC antihistamines - 2nd generation (newer)

Allegra (fexofenadine)
Claritin (loratadine)
Clarinex (desloratadine)
Zyrtec* (cetirizine)
Xyzal* (levocetirizine) - the R enantiomer of cetirizine for all the organic chemistry lovers out there!

Symptom relief for 24 hours
Kick in between 30 minutes to 2 hours (depending on which one you take)
Block histamine receptors
Do not cross the blood brain barrier 🧠
*May cause sedation

Fun fact: the Federal Aviation Administration ✈️ (FAA) approves use of Allegra, Claritin, or Clarinex only for pilots (after trial use)

1st generation antihistamines (older)

Benadryl (diphenhydramine)
Cyproheptadine
Hydroxyzine
Promethazine

Block both histamine and muscarinic receptors
(Blocking muscarinic receptors leads to drying of secretions in the airways and also plays a roll in the sedative effects)
Cross the blood brain barrier and often cause sedation 😴
Short acting
Most require Rx 🩺

✋🏽Educational purposes only, not medical advice

Drop your questions or comments ⬇️⬇️

There are three different terms used to describe adverse reactions to foods:food allergy food sensitivity food intoleran...
03/10/2021

There are three different terms used to describe adverse reactions to foods:
food allergy
food sensitivity
food intolerance

🌟Food allergy🌟- IgE immune mediated reaction to a specific food. Symptoms can be mild to life threatening and often occur within minutes. Reactions can occur with even a tiny amount of food allergen exposure/consumption.

Typical symptoms:
Hives
Facial swelling
Throat itching, throat tightness
Wheezing, shortness of breath
Lightheaded/ dizzy
Vomiting/diarrhea
2 organ systems involved = anaphylaxis

Testing:
Skin prick testing detects IgE
Blood work

Top 8 most common food allergens:
Milk 🥛
Egg 🥚
Peanut 🥜
Tree nut 🌰
Soy
Wheat 🌾
Fish 🐟
Shellfish 🦞

Prevalence: children 5-10%, adults 1-3%

🌟Food sensitivity🌟-non IgE mediated reaction that may occur hours to days later. Foods vary.

Symptoms can vary:
headaches/migraines
digestive issues
joint pain
overall feeling of being unwell

Testing: no validity to at home food sensitivity testing. These detect IgG. Our body naturally produces antibodies to foreign materials- yes this includes food!
Multiple studies have shown that people develop IgG to foods they commonly eat- there is no correlation to presence of IgG to a particular food and intolerance
🌟 IgG tends to indicate tolerance- not intolerance🌟
At home tests can not differentiate between pro-inflammatory and anti-inflammatory IgG

They are also not reliable- case study where a person took the same at home food sensitivity test multiple times and had different results almost each time (Pubmed)

Prevalence: uncertain but common

🌟Food intolerance🌟- non immune mediated, can refer to digestive enzyme deficiency, poor absorption

Typical culprits:
Milk (lactose)
Fermented carbohydrates
Certain fruits and veggies
Grains
Sweeteners

Symptoms:
Mostly digestive issues: bloating, gas, abdominal pain or discomfort, diarrhea

Testing: lactose and fructose breath tests

Prevalence: 15-20% of the population

Take away: don’t waste your money on food sensitivity tests

Concerns about food reactions? Talk to your allergist!

Drop your questions or comments ⬇️⬇️

❌ Not medical advice❌

We’re having a snow day!
02/15/2021

We’re having a snow day!

02/11/2021

For the safety of our staff and patients, we will be canceling Corsicana clinic for tomorrow, February 11.
Icy roads and freezing temperatures expected, stay safe!

01/30/2021

The Magnolia family is heart broken to hear of the passing of Dr. Kent Rogers. Sending prayers and condolences to his family and loved ones. You will be missed.

Key word: before! Acetaminophen and NSAIDs may lessen the immune response post vaccine, however protective titer levels ...
01/28/2021

Key word: before!

Acetaminophen and NSAIDs may lessen the immune response post vaccine, however protective titer levels will still be achieved.

Experts say acetaminophen or ibuprofen before a shot may dull the effectiveness of the vaccine.

12/17/2020

❄️ Our office will be ❄️ closed December 23-25 and January 1.
❄️ We wish everyone a ❄️ wonderful holiday ❄️season! ❄️

11/23/2020

Dear patients,

Magnolia Allergy & Asthma will be closed Wednesday, 11/25 and will resume normal hours Monday, 11/30.
We wish everyone a safe and happy Thanksgiving!

Address

3801 Gaston Avenue, 318
Dallas, TX
75246

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

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