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David Tinkelman, M.D.  
Male
CO

Specialties: Respiratory Disorder


National Jewish Health
Denver, CO
My Posts
Eye eczema
Feb 10, 2012 in the Asthma and Allergy Expert Forum
It is not likely that your child's weight is a factor. The eczema could be due to either something she is eating or something she is coming in contact with. Do not assume that this is due to anything she is eating . I would suggest working with your Pediatrician or seeing an Allergist to not only treat the problem, but try to isolate the cause.
what do i have? :(
Feb 09, 2012 in the Asthma and Allergy Expert Forum
I suspect that you are right about the bite-like marks being insect bites, but probably not mosquito’s this time of year. These bites are more likely to be from any one of a number of biting insects including fleas, mites, lice or bed bugs and other so-called “sucking bugs”.. Bed bugs used to be found in so called flea-bag hotels but, in recent years have b...
Antihistamines and Food Allergies?
Feb 08, 2012 in the Asthma and Allergy Expert Forum
A good question but, if you are truly allergic to a given food, it is highly unlikely that taking Benadryl would prevent a reaction to that food. In addition, there is no guarantee that your allergic reaction will continue to be “mild” indefinitely. After a series of mild reactions, you could suddenly without warning, have a more severe reaction. Thus, if ...
Skin
Feb 08, 2012 in the Asthma and Allergy Expert Forum
I am sorry but, even though you have provided a nicely detailed description of your skin condition, it is not possible for me to attempt to diagnose your skin lesions, by E-mail. The best advice I can provide is to suggest that you arrange to get a 2nd opinion from a dermatologist at the nearest University Hospital Medical Clinic. Sorry. Good luck
Another asthma attack! Second wave?
Feb 08, 2012 in the Asthma and Allergy Expert Forum
The sequence of events that you describe is very worrisome. It is not “normal” to “sound tight and wheezy” after a bad attack. Actually, it is a sign that the asthma attack is severe and has not optimally responded to the asthma therapy. It is estimated that more than 5,000 persons die of a severe asthma attack in the U.S. every year. Your girl friend is ...
breathing and coughing problem
Feb 08, 2012 in the Asthma and Allergy Expert Forum
Your description suggests that, despite the “chest infection medicine”, you might still have infection. If not infection, you are right, this could be asthma or any of a number of diseases that can be confused with asthma. If this is asthma, the seretide is a good asthma medicine but not good enough if used alone, without other asthma meds. I can’t tell wh...
bad chest
Feb 08, 2012 in the Asthma and Allergy Expert Forum
For your sister: What you describe sounds serious; maybe a “chest cold” or bronchitis or maybe even pneumonia. At this point you should have a Chest X-ray, examination of the mucous you are coughing-up and a blood count. It sounds like your doctor has done his best to cure your illness but the infection has not responded to the antibiotics and you are n...
cough
Feb 08, 2012 in the Asthma and Allergy Expert Forum
It is understandable that your doctors should consider Gastroesophageal reflux Disease (GERD) and/or allergy to be the cause of your cough given that, by your description, your cough occurs exclusively or nearly so, only at night while you are in bed. The cough could then be related to your position (lying down) or your location (your bedroom.) The first ...
Adverse Side Effects -- CIPRO
Feb 06, 2012 in the Asthma and Allergy Expert Forum
While many symptoms have been described in response to Cipro, the evidence for respiratory disease secondary to the drug is scant to non-existent. Nevertheless, the acute onset of shortness of breath is a symptom that should be taken seriously and investigated, irrespective of any association with Cipro. You mention “an extreme amount of anxiety…” and, inde...
Treating Mold Allergies
Feb 01, 2012 in the Asthma and Allergy Expert Forum
Not all experts believe desensitization to molds is effective but all agree that environmental control must be part of any strategy, as you have suggested. The abstract that follows my comment suggests that desensitization to molds is safe and might even be effective. Note also that, in this study, persons with rhinoconjunctivitis, albeit seasonal, showed i...