Top Allergy Care in Eastern Iowa

Our board certified physicians have helped thousands of patients in Cedar Rapids manage their allergies. Eighty-five percent of our patients experience significant improvement or complete relief from their allergy symptoms.

What Are Allergies?

An allergy is the body’s abnormal reaction to an allergen in the environment that does not affect most other people. The individual’s immune system reacts as if this allergen is the “enemy.”

When an allergen enters the body, the immune system reacts by producing a specific antibody. The next time the immune system recognizes the allergen it causes a series of reactions at the cellular level. This produces inflammatory chemicals, including histamine. Histamine produces symptoms such as sneezing, scratchy throat, hives, or shortness of breath, and an antihistamine may be recommended to block the reaction.

The tendency to develop allergies can be inherited, but can also be triggered by stress or illness which adversely affect the immune system. The onset of allergies varies from sudden to gradual and may lead to symptoms that affect your quality of life.

Allergy symptoms may include:

  • sneezing
  • watery/itchy eyes
  • stuffy/runny nose
  • postnasal drip
  • head congestion
  • chronic cough
  • wheezing
  • asthma
  • headaches
  • skin rash
  • dizziness
  • hoarse voice
  • fatigue and/or
  • recurring ear/sinus infections 

It is not unusual for your allergy symptoms to change over time—but the allergies themselves don’t go away.  

Diagnosing Allergies

Diagnosing allergies starts with a review of your symptoms, medical history and a physical exam. PCI ENT specializes in the evaluation, management and treatment of allergies as they relate to the ears, nose and throat. When appropriate, allergy testing can help identify the specific allergens that may be contributing to your symptoms.

Skin allergy testing uses small amounts of common allergens to evaluate your body's response. During intradermal testing, a small amount of each allergen is placed just beneath the surface of the skin and monitored for a reaction. Testing helps identify which allergens you react to and the degree of sensitivity to each. These results, along with your symptoms and medical history, help our team develop a personalized treatment plan.

During your allergy consult, you can expect:
  • A thorough ENT evaluation, which may include nasal endoscopy, along with a review of your symptoms, medical history, and previous treatments.
  • A personalized care plan based on your symptoms, evaluation and individual treatment goals.
  • A discussion about whether allergy testing is right for you. If recommended, our team will explain the testing process and help coordinate your allergy testing appointment.

Our allergy team is here to support you throughout your care by answering questions, providing allergy therapies, monitoring your progress and adjusting your treatment plan as needed.

Allergy Treatment & Services

Avoidance

By eliminating or decreasing your exposure to an allergen, symptoms can be minimized, controlled, or eliminated. If an allergen cannot be avoided completely, reducing your exposure can be helpful.

Pharmacotherapy

Medications used to combat allergy symptoms include oral antihistamines, oral and inhaled decongestants, anti-inflammatory steroid nasal spray, and saline nasal sprays/rinses.

Allergy Shots (Subcutaneous Immunotherapy)

Subcutaneous immunotherapy is personalized and given in our office every 4-14 days; weekly build-up visits are generally recommended. Doses increase over about 9-12 months until you reach maintenance, which continues for three to five years.

Plan for at least a 20 minute observation period during the build-up phase.

After reaching maintenance, eligible patients may have the option to administer injections at home.

Allergy Drops (Sublingual Immunotherapy)

Sublingual immunotherapy is a needle-free treatment taken at home. Place your prescribed serum under your tongue each day - no injections or routine treatment visits required. 

Drops may suit children, highly sensitive patients, and some patients with asthma or previous injection reactions.

Good to know: Drops are used off-label and are not FDA-approved for this use. They are not covered by insurance and are paid out of pocket. PCI has offered this therapy for more than 14 years.

Allergy Toothpaste (Oral Mucosal Immunotherapy)

Allergy toothpaste delivers oral mucosal immunotherapy through a mint- or berry-flavored toothpaste. It may work well for children, older adults, patients with vision impairment, or anyone who has trouble remembering daily drops.

How to use it: Allergy toothpaste is fluoride-free. Use it in the morning or at least two hours before bed, followed by regular fluoride toothpaste at bedtime.

Good to know: Oral mucosal immunotherapy is used off-label, is not covered by insurance and is paid out of pocket.

Allergy Providers

See all PCI medical providers

Ryan Dempewolf MD, FACS
Melanie Giesler-Spellman DO, FAOCO
Thomas Heineman MD
Madia C. Russillo MD
Michael Telisak MD, FACS
Claire M. Mundell DNP, ARNP, FNP-C
Jonathan Willoughby DNP, ARNP, FNP-BC

Diagnosing Allergies

Dr. Ryan Dempewolf explains the process for diagnosing seasonal and environmental allergies.


Treatment Options for Seasonal and Environmental Allergies

Dr. Ryan Dempewolf discusses the various treatment options available tor nasal allergy sufferers.

More Information About Allergies

Introduction to Allergies

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Sublingual Immunotherapy

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