Asthma Allergy Centers was established in 1980 as a solo allergy practice with one location. Over
the years, we have grown to 16 locations and 8 providers.
The concept of multiple locations was not a popular model in the beginning. Years ago, we knew we
had to provide service to remote areas for those patients suffering from asthma and allergies so
that they did not need to drive far to see one of our allergists.
Through widespread internet access, all of our locations are connected in order to provide our
patients the convenience of being seen in any of our locations. Our vision of having multiple
locations is beneficial to us as we cover all of southwest Michigan.
Keywords
Allergies & Immunology,
Asthma Treatments,
Medical Clinic.
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Dr. Dandamudi completed his pediatric training at New Jersey Medical School Affiliated Hospital, Newark, New Jersey. He completed allergy and immunology training at Wayne State University Children's Hospital in Detroit. He is board certified in both pediatrics and allergy and immunology. He has been in private practice since 1980. He is also on the teaching faculty at KCMS in Kalamazoo. He is a fellow of the American College of Allergy & Clinical Immunology, American Academy of Allergy and Clinical Immunology.
Board Certified Internal Medicine | Board Certified in allergy and clinical immunology
Dr. Polasani completed his internal medicine residency at the University of Texas Health Sciences Center in San Antonio, Texas. He is board certified in internal medicine. He completed his two-year fellowship in allergy and clinical immunology at State University of New York in Buffalo, New York. He is board certified in allergy and clinical immunology. He is a fellow of the American College of Allergy & Clinical Immunology.
Dr. Edara completed his internal medicine residency at Good Samaritan Hospital and Johns Hopkins University Hospital, Baltimore, Maryland. He is board certified in internal medicine. He completed his two-year fellowship in allergy and clinical immunology at Thomas Jefferson University, Philadelphia, Pennsylvania. He is board certified in allergy and immunology. He is a fellow of the American College of Allergy & Clinical Immunology.
Board Certified Pediatrics and Allergy & Immunology
Dr. Lewis completed her Pediatric Residency at Michigan State University/Kalamazoo Center for Medical Studies in Kalamazoo, MI. She is board certified in Pediatrics and Allergy & Immunology. She completed her two-year Allergy and Clinical Immunology Fellowship at Creighton University Medical Center in Omaha, NE. She is a member of the American College of Allergy, Asthma and Immunology. She is also a member of the American Academy of Allergy, Asthma and Immunology
Board Certified in Allergy and Clinical Immunology
Dr. Reddy completed his pediatric training at Harlem Hospital Center, College of Physicians and Surgeons at Columbia University in New York, New York. He completed a two-year fellowship in Allergy & Immunology at Long Island College Hospital in Brooklyn, New York. He is a member of American Academy of Allergy Asthma and Immunology and American College of Allergy Asthma and Immunology. He is board certified in Allergy and Clinical Immunology.
Dr. Patel completed her internal medicine residency at the University of Wisconsin Hospitals and Clinics in Madison, WI and completed her allergy/immunology fellowship training at Mayo Clinic in Rochester, Minnesota. She is board certified in internal medicine and allergy/immunology and is enrolled in continuing medical education. She is a member of the American Academy of Allergy Asthma and Immunology and the American College of Allergy Asthma and Immunology.
Brittany received her undergraduate degree in Allied Health Sciences from Grand Valley State University. Prior to PA school, she worked on a telemetry unit as a CNA caring for cardiac, respiratory, general surgery, and substance abuse patients. She attended PA school at Red Rocks in Arvada, CO and rotated in multiple specialties in both urban and rural/underserved areas. She is a board certified physician assistant and a member of the American Academy of Physician Assistants, Michigan Academy of Physician Assistants, and American Academy of Family Physicians. She enjoys providing patient-centered care to all ages.
Inflammation of the nasal passages resulting in sneezing, itching, congestion, runny nose and drainage in the throat.
Increased incidence with personal or family history of asthma, eczema or allergies.
Allergic rhinitis is the nasal reaction to allergens.
Some allergens are year-round (dust and pets) and some are seasonal (pollens and mold).
These allergens can also affect the eyes, throat, and ears.
Contributes to other diseases (Asthma, Sinusitis, Recurrent ear infections, Headache, Chronic cough, Throat clearing usually due to post-nasal drip, Fatigue, etc.) and affects quality of life.
Allergists help identify allergens, customize treatment and administer allergy injections.
Symptoms similar to allergic rhinitis but with no known allergic cause.
Triggers are weather changes and irritants (Smoke, Dust, Strong odors, Fragrances, Hairspray, etc.).
Allergist helps rule out allergy as a cause and customize treatment options.
Allergies can contribute to recurrent ear infections and Eustachian tube dysfunction.
Controlling nasal symptoms can decrease ear infections and allow for better function of the Eustachian tube.
Although Ear, Nose & Throat specialists may still be needed, treatment of allergies may reduce the need for surgical intervention.
Allergists help identify allergens and customize treatment to improve symptoms which can possibly prevent the need for surgical intervention.
Inflammation of the lining of the sinuses and nose.
Acute sinusitis is typically caused by viral infections but can also be caused by bacterial and fungal infections.
Symptoms include: nasal congestion and blockage, thick yellow-green discharge from the nose, pain in the teeth and face, fever, fatigue, cough, difficulty or inability to smell, ear pressure or fullness, headache, and bad breath.
Sometimes allergies contribute to recurrent acute and chronic sinusitis.
Allergies cause chronic inflammation which can increase the risk for sinusitis when left untreated.
If allergies are well controlled, sinus infections may decrease without any other intervention, including surgery.
Allergists help to identify allergens and customize treatment which can decrease the need for recurrent antibiotic treatment as well as possibly preventing any surgical intervention.
Warning signs of immunodeficiency include:
Eight or more new ear infections in a year.
Two or more serious sinus infections in a year.
Two or more months on antibiotics with little effect.
Two or more cases of pneumonia within a year.
Failure of infant to gain weight or grow normally.
Recurrent, deep skin or organ abscesses.
Persistent thrush in the mouth or elsewhere on the skin after age one.
Need for IV antibiotics to clear infections.
Two or more deep-seated infections.
A family history of primary immunodeficiency.
Most common immunodeficiency is IgA deficiency which occurs in 1 out of 500 people.
Although most primary immunodeficiency is present from birth, combined variable immunodeficiency can occur later in life causing recurrent infections in the adult population.
Allergists customize treatment after using specialized laboratory testing to diagnose immunodeficiency.
Lung disease caused by narrowing of airways in the lungs which can be partially or completely reversible.
Asthma causes excessive mucus production and inflammation in the airways which can be reversible if treated early.
Symptoms include Coughing, Wheezing, Chest Congestion/Tightness and Shortness of Breath.
Asthma triggers are numerous but include allergens, viral infections, irritants such as smoke exposure, and weather.
Controlling asthma involves identifying and avoiding triggers as much as possible.
A family history of asthma increases the risk of developing asthma.
Asthma can be either intermittent or persistent. Sometimes, chronic cough can be the sole manifestation of asthma.
Most patients with asthma should be able to participate in all activities and function normally with proper management.
Asthma medications include both controller medications and rescue medications.
Allergists help identify triggers, perform pulmonary function and skin testing, customize treatment plan (medications and asthma action plan development) and monitor progress.
Cough can be acute (lasting for a few days) or chronic (lasting for weeks).
Chronic cough can be caused by a variety of conditions. The most common cause in children is from asthma while the most common cause for adults is from Post-nasal drip syndrome (allergens and irritants), Gastroesophageal reflux disease (GERD), Habit and ACE inhibitors (blood pressure medications).
Chronic cough can interfere with daily activities, sleep and bladder control in females.
There is a need for specific causes to be identified in order to eliminate and treat chronic cough.
Allergists help identify causes to facilitate treatment options or initiate further investigations.
Inflammatory skin condition with dry patches that causes skin to itch and flake.
There are allergic and non-allergic forms of eczema.
Chronic eczema can affect quality of life due to the intensity of the itching and sleep interference.
Uncontrolled eczema can lead to skin infection including Methicillinresistant Staphylococcus Aureus (MRSA).
If eczema begins in early childhood, it typically improves with age though can persist for many years.
When eczema begins in adulthood, it may be more chronic (long-lasting).
Eczema results in an itch-scratch cycle that continues and worsens. Antihistamines can be helpful to break this cycle.
Allergists help identify triggers including environmental and food allergens that may be contributing to uncontrolled eczema. Allergists can prescribe medications and teach proper skin hydration techniques to control eczema.
Inflammation of the skin caused by contact with a substance containing an allergen or irritant such as plants (poison ivy and poison oak), cosmetics, metals, and fragrances.
Allergists help identify causes by taking a detailed history and performing patch testing.
Hives are raised, red welts of various sizes that are typically itchy.
In some instances, hives are associated with swelling. (Angioedema).
Hives can be acute (lasting for a few hours or days) or chronic (lasting for six weeks or longer).
Acute hives are commonly caused by an overreaction to foods, drugs, insect stings or infections. Most cases of Chronic hives, the cause cannot be found (Idiopathic Urticaria).
Finding the cause, avoiding the trigger and early treatment is recommended.
Although many times a specific cause is not identified, safe effective treatment options are available.
Allergists help identify causes by taking a detailed history, ordering special laboratory tests and customizing treatment plan.
A condition that causes swelling of tissue under the skin.
Can be life-threatening if it involves the airway.
A common cause of angioedema is an allergic reaction to foods, medication, contact allergen, insect sting or exercise.
There is also a condition known as hereditary angioedema that causes recurrent angioedema.
Allergists help identify causes, customize treatment plan and manage symptoms.
An immune system response to food resulting in an allergic reaction that can involve the skin, gastrointestinal, respiratory and cardiovascular systems.
Most commonly caused by milk, egg, wheat, soy, peanuts, tree nuts, fish and shellfish.
Any type of food can potentially cause an allergic reaction.
Reactions can range from very mild hives to a life-threatening reaction (Anaphylaxis) involving the respiratory or cardiovascular system.
Identifying and avoiding the foods that cause reactions is of paramount importance.
Identification is by history with confirmatory skin testing or blood testing with interpretation by an allergist.
Clinical trials for oral food desensitization are underway
Some patients may require oral food challenges to confirm the safety of food reintroduction.
Allergists help identify the offending food or foods, educate about avoidance, train the patient on when and how to use an epinephrine auto-injector and educate family and schools about the patient’s specific food allergies.
Condition in which eosinophils build up in the esophagus resulting in inflammation and tissue damage.
Although the definite cause has not been established, food allergies may play a role in this inflammation and disease.
Symptoms include food sticking, trouble swallowing, heartburn, feeding problems in young children, nausea and vomiting.
Diagnosis is confirmed by performing an endoscopy with biopsy revealing elevated eosinophils in the esophagus.
Allergists help identify the possible role of food allergies in patients diagnosed with Eosinophilic Esophagitis and work with a gastroenterologist in managing the disease.
An adverse allergic reaction to the venom of stinging insects including honey bee, hornets, yellow jackets, wasps and fire ants.
Insect stings can cause severe life-threatening reactions and are difficult to avoid.
Symptoms that are life-threatening include shortness of breath, chest tightness, wheezing, flushing, hypotension (dizziness and/or lightheadedness), vomiting and nausea.
Children less than 16 years of age, with only skin reactions (hives) are not at a higher risk of developing severe reactions so testing or treatment may not be required.
Adults with skin reactions (hives) have an increased risk of further life-threatening reactions and should be tested and treated.
Although having and using an epinephrine auto-injector is important, patients need to be tested and treated in order to prevent any further reactions.
The standard of care is venom immunotherapy, commonly known as allergy shots.
Venom immunotherapy decreases the likelihood of an allergic reaction from re-stings by 95-99%.
Allergists help identify venom hypersensitivity and administer venom immunotherapy.
Utilizes manufactured extracts and fresh foods containing common allergens to identify allergies.
Involves a mild prick or scratch on the skin that does not cause bleeding or pain for the patient.
A positive result will cause a bump and redness (similar to a mosquito bite) and usually develops within 15 minutes.
Testing is typically done on the arm or back.
Sometimes additional intradermal testing (injection of a tiny amount of extract just under the skin) may be needed.
Skin testing is available for many foods and environmental allergens and is typically less costly, quicker and more reliable than blood testing.
Allergists perform and interpret skin testing in the office to help diagnose and manage allergic conditions.
An adverse allergic reaction to a medication.
There are two major types of drug reactions: Immediate and Delayed.
Immediate reactions include hives, flushing, swelling, throat tightness, wheezing, shortness of breath, nausea, vomiting, feeling light-headed and other symptoms.
Immediate reactions can be life-threatening.
Delayed reactions are typically less serious and result in a rash that can occur days after taking a medication.
Delayed reactions are generally not life-threatening.
Allergists help identify drug allergies through skin testing, blood testing, and oral challenges so that patients may continue to use medication safely.
Injections that are given to reduce sensitivity to allergens (also known as Allergy Immunotherapy or Desensitization).
Available for pollens (grasses, trees, and weeds), cat, dog, dust mite, molds and stinging insects (honey bee, hornets, wasps, yellow jacket and fire ant).
The goal is to improve quality of life by controlling allergy symptoms while decreasing medication usage.
Usually administered for a minimum of 3-5 years with a range from weekly to monthly injections.
Improves control of asthma in patients with allergen-induced asthma.
Cannot be used to treat allergies related to food, latex or medications.
Allergists help determine if allergy shots are appropriate for a patient, create customized allergy extracts for each patient, administer allergy shots, treat any adverse reactions and monitor the efficacy of allergy immunotherapy.