The Itch: Allergies, Asthma, Eczema & Immunology

28:47

#177 - Treating Chronic Hives in Special Populations...

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/10/01

Chronic hives guidelines give doctors a roadmap for treatment, but not everyone fits the same path. Pregnancy, breastfeeding, menopause, childhood, getting older, and living with more than one chronic condition can all change how chronic spontaneous urticaria (CSU) is treated.Kortney and Dr. Payel Gupta are joined by Dr. Allison Ramsey, an allergist and immunologist, to walk through the special populations section of the chronic urticaria guidelines. What we cover in this episode about chronic

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37:24

#176: SM Perspectives - The Doctor's Experience of...

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/09/25

We hear a lot about the struggles patients face on their systemic mastocytosis journey, the years of normal labs, the feeling of not being believed. But have you ever wondered what that feels like from the doctor's side?Kortney and Dr. Payel Gupta are joined by Dr. Alexander Kim, an allergist and immunologist who co-directs the Mast Cell Disorders Program at UC San Diego, for an honest look at what it's like to sit on the other side of the exam table and untangle a diagnosis of this complex

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26:48

# 175 - Your Mast Cell Disorder Questions, Answered

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/09/17

Mast cell disorders can feel confusing, especially with so much information floating around online and on social media. In this episode, we cut to the chase and tackle the most common mast cell disorder FAQs, straight from the community.Dr. Dareen Siri joins us to work through community questions on mast cell disorders one by one, from what a mast cell actually is to testing, treatment, diet, and long-term outlook. What we cover in this episode about mast cell disorders What is a mast cell. Dr

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40:20

#174 - Choosing Between Chronic Hives Treatment Options

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/09/11

How do you decide what is the right medication for you after antihistamines are not working to manage your chronic hives?Dr. David Lang, one of the authors of the new chronic urticaria guidelines (still in review), walks through every advanced treatment option the way he would if he had as much time as possible with a patient in his office. Along with Dr. Gupta, they cover the three treatments available when antihistamines are not enough, what each one asks of you week to week, and how to walk into

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42:04

#171 - Rescue Inhaler Changes in the Newest Asthma...

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/08/21

For decades, the rescue inhaler was simple: feel tight, take a puff, breathe easier. But the newest asthma guidelines have changed what's actually recommended inside that inhaler, shifting away from plain albuterol toward a combination inhaler that treats symptoms and inflammation at the same time.Kortney and Dr. Payel Gupta are joined by Dr. Bill McCann, allergist and CEO of Allergy Partners, to break down why this combo inhaler approach is now preferred, what it actually contains, and why

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29:01

#170 - When Asthma Peak Week Hits Adults

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/08/13

Most asthma peak week coverage focuses on kids heading back to school. But adults with asthma are just as much at risk, and often don't realize it until they're already in trouble. Kortney and Dr. Payel Gupta are joined by allergist Dr. Ashwin Shankar to talk about why asthma peak week hits adults hard, how normalizing symptoms can quietly put you at risk, and what steps to take before the season catches up with you. What we cover in this episode about adult asthma peak week What asthma peak week

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41:53

#169 - What a School Nurse Wants Parents to Know...

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/08/06

Every September, doctors see a jump in asthma attacks and ER visits. It's called Asthma Peak Week, and it usually hits the third week of September, right when families are settling into their school routines. Kortney and Dr. Payel Gupta are joined again by Liz Elliott, a nurse administrator in school health services for Montgomery County, Maryland, and a returning guest from our food allergy episode. This time, Liz answers the questions parents ask most about asthma at school, from what actually

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28:59

#167 - How Is Chronic Rhinosinusitis Without Nasal...

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/07/24

Chronic rhinosinusitis without nasal polyps (CRSsNP) is the type that makes up most chronic sinusitis cases. It's often mistaken for allergies, a lingering cold, or migraines, which can delay a proper diagnosis for years.Dr. Gupta and Kortney sit down with Dr. Anju Peters, an allergist at Northwestern University's Feinberg School of Medicine, to unpack how this condition is actually diagnosed, why it can take patients years to get an answer, and which treatments have real evidence behind them. What

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21:04

#166 - How Pregnancy and Your Baby's Gut Microbiome...

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/07/16

Food allergy prevention is something most families think about once a baby starts eating. But the gut microbiome begins developing before birth, and what happens during pregnancy matters for the development of food allergies. This is a bonus episode from our conversation with Dr. Carina Venter. The clip did not make it into Episode 165, but it was too good not to share. Dr. Payel Gupta and Kortney dig into what Dr. Venter shared about pregnancy, the gut microbiome, and what families can do in that

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35:35

#165: Gut Microbiome's Role in Food Allergies

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/07/09

You have probably heard the word "microbiome", but what does it actually mean for someone living with a food allergy? Dr. Carina Venter, a registered dietitian, joins us to break down the gut’s role in food allergies. She explains what the microbiome is, how it connects to the immune system, and what families can realistically do right now to support a healthier gut. What we cover in this episode about gut health and food allergies What the microbiome actually is. Understanding the bacteria living

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32:15

#164 - New Chronic Hives Guidelines: A Look at What's...

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/07/02

In this journal club episode, we break down the draft of the Chronic Urticaria Guidelines: 2026 AAAAI/ACAAI Joint Task Force (JTF) on Practice Parameters GRADE- and Institute of Medicine-based recommendations. We explain what counts as chronic hives, why the guideline leans on second-generation non-drowsy antihistamines, what to do when those are not enough, and what is new for both adults and kids. At the time of recording, the draft was open for comments; it closed for comments on June 30,

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22:40

#163 - Understanding Chronic Spontaneous Urticaria:...

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/06/26

Join Kortney and Dr. Payel Gupta as they unpack chronic spontaneous urticaria. Together, they define what hives actually are, explain how CSU is different from an allergic reaction and other types of hives, and walk through what is happening under your skin to cause all that itching. This episode was originally published June 6, 2024. We re-released it on June 25, 2026 with a new intro as the perfect foundation before our episode on the new chronic urticaria guidelines. Do you get hives and have no

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34:01

#160 - Meet the President of the AAAAI, Dr. Carla Davis

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/06/05

We are continuing our series of interviewing thought leaders in the field of allergy and immunology. Dr. Gupta and Kortney sit down with Dr. Carla Davis, the president of the American Academy of Allergy, Asthma and Immunology.What we cover in this episode about Dr. Davis and the AAAAI What the AAAAI is and why it matters to patients. A 7,000-member organization working behind the scenes to support allergy and immunology care across the US and around the world. Dr. Davis's path to the presidency

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44:01

#158 - Managing Food Allergy Anxiety in Kids

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/05/22

Food allergy anxiety in kids is real, and it does not always look like fear. It can show up as tantrums, clinginess, control-seeking behaviors, or a child who refuses to eat at a restaurant. Child life specialist and therapist Kelsey Mora joins Kortney and Dr. Payel Gupta to unpack what is really going on. What we cover in our episode about managing anxiety in kids Food allergy anxiety does not always look like anxiety. Tantrums, clinginess, and control-seeking behaviors can all be signs that a

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39:52

#157 - Dating, Kissing, and Intimacy with Food Allergies

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/05/15

Mia Silverman, food allergy advocate, joins us to talk about the real emotional and practical side of dating with food allergies. From what the research says about kissing risks to setting boundaries to why your allergies might actually be the best filter you have.What we cover in this episode about dating with food allergies When to tell someone about your food allergies. Mia shares why she brings up her allergies early and how she works it into her dating app profile without making it a big

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23:22

#156: Is Your Asthma Worse Than It Should Be? Signs...

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/05/11

If you have asthma, there is a good chance you have learned to live around it. You sleep with your inhaler on the nightstand. You skip the walk because you know it will leave you breathless. This is called uncontrolled asthma, and it is more common than you think. But here is the thing: none of that is normal, and none of it is something you have to accept. Dr. Juanita Mora, allergist and immunologist, joins Kortney and Dr. Gupta to help patients figure out whether their asthma is actually being

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38:17

#154 - What Providers Need to Know About Uncontrolled...

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/04/23

If you treat patients with asthma, this episode is for you. Not just allergists, but GPs, pediatricians, family medicine doctors, urgent care providers, and anyone who sees a patient with asthma in their practice.Dr. Cherie Zachary, current president of the American College of Allergy, Asthma and Immunology, joins Kortney and Dr. Payel Gupta to talk about why uncontrolled asthma remains a serious and largely preventable problem, and what providers can do differently starting with their next patient

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49:11

#153 - Food Allergy Bullying: How to Talk to Your...

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/04/20

Food allergy bullying is more common than most parents realize, and most kids never bring it up on their own. Research shows it affects up to 1 in 3 children with food allergies, and the signs can be easy to miss: a lunchbox that keeps coming home full, a sudden reluctance to go to school, or quietly backing off from safe food habits to avoid standing out. In this episode, psychologist Dr. Amanda Whitehouse joins Kortney and Dr. Payel Gupta to talk about what food allergy bullying actually looks

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18:21

#151 - What Allergists Think About Antihistamines

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/04/04

If you have ever taken an antihistamine labeled "non-drowsy" and still ended up foggy and tired, you are not imagining it. Allergists have a lot to say about that label and about the foggy feeling that comes with allergy season in general.In part two of our live recordings from the AAAAI conference in Philadelphia, Kortney and Dr. Payel Gupta talk to allergists from across the US about what they actually think about antihistamines. What we cover in this episode about antihistamines: Non-drowsy

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27:24

#142 - Inside Allergy & Asthma Network: Education,...

The Itch: Allergies, Asthma, Eczema & Immunology ·

2026/01/30

Allergy & Asthma Network has spent more than four decades helping people living with asthma, allergies, and related immune conditions navigate care, access trustworthy education, and make their voices heard.In this episode, we talk with Lynda Mitchell, CEO of Allergy & Asthma Network. Lynda shares how becoming a food allergy and asthma mom in the early 1990s shaped her career and led her into patient advocacy work. We get into how Allergy & Asthma Network supports patients and families

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