Allergy, Asthma, Immunology on Madison

Reputable Asthma and Allergy Specialist

Evelyn Tolston, M.D. - Monday, January 06, 2014
Asthma and allergy are two conditions that affect more than 50 million people in the United States. In other words, approximately one out of every five Americans suffers from these conditions. The cause of the allergies and asthma range, but the most common factor is genetics. Parents who have allergies tend to pass the traits to their children. If both parents have allergies, then the likelihood of the children having allergies increases drastically. The best way to avoid severe symptoms of allergies such as anaphylaxis, or the inability to breathe, is for the person to seek testing and treatment as quickly as possible. 


Asthma and Allergy Types

Asthma is a condition in which a person’s airways swell and the muscles tighten. When this occurs, the individual is unable to breathe properly. Specialists refer to this breathing problem as an asthma attack. Many elements can set off an attack. Some of the most common triggers are dust mites, ragweed, pet dander, pollen and mold. Insect bites, foods and vigorous exercise may also trigger anasthma attack.


Various types of allergies also exist. Some of the most common types of allergies are food allergies, skin allergies and pet allergies. When the sufferer comes in contact with the trigger item, his or her body tries to get rid of the foreign object by reacting in a certain fashion. An allergic reaction may include stomach ache, itchy skins, raised bumps on the skin, abdominal pain and bloating, chest pain, runny nose, shortness of breath and more. People with severe allergies may react with a bout of anaphylaxis. In anaphylaxis, the allergic person suffers from severe throat swelling that cuts off his or her air supply. Someone must either take that person to the hospital, or administer a cure that will restore breathing quickly. 


Treatments for Asthma and Allergies

An allergy specialist, such as Dr. Evelyn Tolsten, can administer testing and then develop an effective treatment plan for asthma and allergy. Effective treatment can prevent a patient from having anasthma attack


When a person schedules an appointment with an allergist, the first thing the allergist will do is perform tests. The most commonly used test in the skin test and the spirometer test. During a skin test, the doctor will prick or touch the person’s skin with some common allergens. If the individual has a reaction, then he or she is allergic to one or more of the substances. The spirometer test is a test that measures the air that goes in and out of the lungs. A doctor can make an asthma diagnosis using this process. He or she may also conduct chest X-rays.


Treatments for asthma may include bronchodilators, corticosteroids and anti-inflammatory drugs. Treatment for allergies may include avoidance of the triggers, antihistamines, steroids and other solutions. Dr. Tolsten is the best allergist in the New York area. She has been providing care to persons with allergies and asthma for years. To schedule a consultation, one may dial 646-424-0400.

Allergies and Asthma

Evelyn Tolston, M.D. - Wednesday, November 13, 2013
Those who feel off their game and somewhat sick may need to contact a professional to see if they may have allergies or asthma. There are many treatments for asthma, and they can help people to start living a better life. Many simply want to get a skin test for environmental and food allergies. These can give people more insight to what they need to do in order to start feeling better. 

Simple things can end up causing an asthma attack, such as exercising, exposure to certain allergens or changes in the atmosphere. Some of the treatments for asthma include using a rescue inhaler, as well as many types of maintenance drugs. These doctors can help those who want to improve their symptoms, and start to breathe better from day to day. They can administer spirometry tests to measure progress, and give more suggestions about how to get people in control of their asthma.

An allergist can do other things as well, including helping those who may be interested in a more long term solution for their allergies. One approach to help those who are suffering from allergies and asthma is to get allergy shots. These can be a huge help to those who want to start seeing a lot of improvement in their allergies. The treatments that are going to be needed are individual to each person, and an allergist will help those who want to make sure that the treatment is best suited to their problems. 

Living with allergies and asthma is never something that is easy to deal with, but a good specialist can perform all of the tests needed to come to the right treatment options. There are many new options on the market for those who want to see what else can be done to improve their symptoms. Asthma is a very serious illness, and those who are having a lot of symptoms really need to talk to an allergist about how to get this under control. These illnesses can make it harder to deal with things in day to day life, and a good doctor can make easier to function every day.

Treat Your Asthma Efficiently

Evelyn Tolston, M.D. - Monday, July 22, 2013

Many persons are not aware that the symptoms of asthma constitute an immune system response. Asthma, in fact, is a disorder of the immune system. The very same system that protects the human body from disease can over-react. Then the immune system attacks the body instead of the disease. Children are especially vulnerable to the effects of asthma. It is important for parents of asthmatic children to be aware of clinics specializing in treatments for them.


Asthma begins quietly. Many asthmatic children and adults have inherited a predisposition towards asthma. When they are exposed to allergens, their bodies will automatically trigger an allergic response that will eventually result in asthma. Other people may inhale a chemical component or pet dander or pollen. These substances may then cling to the membranes in the lungs. For either type of person, the foreign substances may trigger an allergy cascade. That means that T cells and B cells have been activated to produce antibodies. These cells are now at the ready, and the next time the body encounters the substances an allergic, asthmatic reaction will occur.


Asthma is a serious, chronic condition in which airways are always inflamed. The inflammation makes it very difficult to move air in and out of the lungs. Asthmatics often experience wheezing and a very disconcerting shortness of breath.


Immunologists specialize in the treatment of asthma and other allergies. Immunologists are physicians who have completed two years of additional study in immunology training. This is typically called a fellowship.


In order to effectively cope with asthma, an asthma specialist should be consulted. Although there is no cure for asthma, an asthma specialist can assist with management of the condition, which is a key component for quality of life. When asthma is effectively controlled, participation in daily activities and even sports is possible. Enhancement of well-being often occurs when asthma is well-managed, because great amounts of energy are sometimes siphoned off for a person with asthma to breathe.


Treatments for asthma emphasize control for the long term, and ultimately, prevention of reaction. Often, patients will be advised to recognize what triggers their particular asthma reactions, and to avoid the triggers. Sometimes this is simple, like avoiding cat dander. Other times, the triggers are too diverse for such avoidance.

As of today, the standard treatments for asthma will involve inhalers, oral medications and sometimes injections. These medications are often administered in various combinations, and tailored to the individual situation as much as possible.