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Immunotherapy for Hay fever
If you have severe hay fever and continue to have symptoms despite regular non-sedating antihistamines and regular intranasal steroids, then now is the time to consider starting sublingual Immmunotherapy (SLIT). This has the ability to significantly improve your symptoms as well as having a disease modifying effect. This means that after the 3 years of treatment you will continue to get benefit from this medication on your hay fever symptoms. Please get in touch as soon as po
Children 12 and over will have steroid nasal sprays available for hay fever
https://www.gov.uk/government/news/european-first-as-mhra-approves-over-the-counter-allergy-treatment-for-adolescents-aged-12-and-over#:~:text=The%20Medicines%20and%20Healthcare%20products,adolescents%20aged%2012%20years%20and Dr Gary Stiefel, chair of the Allergy UK Health Advisory Board and a consultant in paediatric allergy, said: Fluticasone proportionate 0.05% nasal spray is extremely safe and can be very effective if used alone or in conjunction with non-sedating antihi


A beautiful book on allergies written by her brother.
https://www.inyourarea.co.uk/news/hinckley-boy-10-writes-childrens-book-inspired-by-sisters-struggle-with-allergies


Difficult Eczema
Difficult eczema in children can impact on the whole family. Please look at the eczema/allergy video to find out more about eczema and treatment from an allergists perspective https://www.instagram.com/garystiefel ... . Or have a look at national eczema society or AllergyUK. Below is some recent feedback. It is possible to improve eczema!


Thank you
I really strive and am driven to improving the lives of children and their families with allergic conditions. This includes managing difficult eczema, food allergies, asthma, hay fever and allergic rhinitis. The main aim is to provide high quality, reliable and pragmatic advice to enable children and their families to enjoy life to their full potential and limit the impact of their allergies. I am privileged to be able to do this job and thank all the families for their kind
Weaning & Food Allergy
As a Paediatric Allergist, I would always support breast feeding, although I recognise this is not always possible. Weaning should start from between 4-6 months of age but not before, once your child is developmentally ready and showing interest in food. Early introduction of allergenic foods and continued regular consumptions is advised. This includes the introduction of egg, peanut (in the form of butters) and other nut butters. There is lots of excellent information and i
EAACI Anaphylaxis Awareness Day 21st November 2025
Anaphylaxis is a potentially life-threatening severe allergic reaction. As one cannot predict the severity it needs to be treated as an emergency and treated quickly to ensure the best outcome. However, what people often dont know is 80% of anaphylaxis gets better with no treatment and it is extremely rare to die from anaphylaxis. For more information please visit my instagram account http://www.instagram.com/garystiefel
We need to provide factually correct information about food allergy!
Anaphylaxis can cause death, but this is a very rare event. 80% of anaphylaxis gets better with no treatment. 99% respond to 2-3 doses of adrenaline. Approximately 10 x more children die in a car crash than from a food allergy. More children die of asthma than anaphylaxis. We need to take food allergy seriously and treat each and every episode of anaphylaxis as a medical emergency as you cannot predict severity. However ANAPHYLAXIS DOES NOT EQUAL DEATH. If you have a severe r
Eczema & Allergy
As a general rule the biggest problem with eczema is under treatment. So a good starting point is the itchy sneezy wheezy website. This guides you on appropriate amounts of moisturiser to use as well as appropriate amounts of medicated creams (e.g topical steroids, and Topical Calcineurin Inhibitors (TCIs)). It is also important to ensure you have clean hands before applying the creams. Topical steroids are generally very safe to use. Many people often prefer to limit the ste


Its Halloween: Please consider those children with a food allergy
Here's a great guide and some information from Allergy UK. Rather than regurgitate it have a read. It has some great tips! https://www.allergyuk.org/resources/halloween-guide/ Are you an allergy friendly host?
EURneffy: Nasal Adrenaline Spray for Anaphylaxis. Would you want to switch to EURneffy or continue with your Adrenaline Autoinjector (AAI)?
The approval of EURneffy in USA, Europe and now the UK was based on dosing with EURneffy resulting in similar blood levels of adrenaline to that seen with IM adrenaline injection, and similar (but not identical) changes in blood pressure and heart rate (something referred to as bioequivalence). BSACI notes that bioequivalence data (blood adrenaline levels and blood pressure) are not replacements for controlled clinical efficacy data. The adrenaline autoinjectors in current u
Spare Adrenaline Pens in Schools.
Isnt it time that every school should have a spare adrenaline pen in school? Although the link below discussed this in an article, there is a similar story whereby Salbutamol in schools for asthma should also be made available. https://adc.bmj.com/content/early/2025/10/13/archdischild-2025-329521
National Nut Day - 22nd October 2025
Some interesting allergy facts that you may not know about nuts. Early introduction of peanuts at the time of weaning can prevent peanut allergy. https://www.bsaci.org/wp-content/uploads/2020/02/pdf_Infant-feeding-and-allergy-prevention-PARENTS-FINAL-booklet.pdf If you have a peanut allergy you have approximately a 30-50% chance of being allergic to a tree nut (almond, brazil, cashew, pistachio, hazelnut, walnut or pecan). So there's a god chance you can eat other nuts if you
Spare Adrenaline pens for anaphylaxis in every school could save lives.
https://pressreleases.responsesource.com/news/106827/adrenaline-auto-injectors-in-all-schools-could-save-lives-says/ The above latest link provides information of a study done Professor Paul Turner suggesting that funding "spare" Adrenaline pens in every school could save lives. If you did this in conjunction with Salbutamol that would be even better as you could save asthma lives too. For more information look at the sparepensinschool website below. https://www.sparepensinsc


World Mental Health Day
10th October marks World Mental Health Day. Over the years, I have seen many children and families struggle to cope with their food...


Allergy Tests (Skin prick test)
Skin prick tests (SPT) are the most commonly used tests in the Children's Allergy Cambridge clinic. They can be used for food and...


EURneffy (intranasal adrenaline for anaphylaxis)
Now approved by the MHRA. It is expected to be available in the next few months in the UK. It will be suitable for adults and children...
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