What allergy is high today in nj

Our staff places special emphasis on patient education. We assist our patients understand how they can better manage their own care — whether by making more informed choices, using asthma devices correctly or by learning to avoid or eliminate triggers and allergens that cause symptoms. We also take the time to explain things to our patients on a personal level, giving them a high level of comfort and confidence.

Patients First

At Princeton Allergy & Asthma Associates, we pride ourselves on taking the time to get to know our patients and working with them to understand their lifestyles and the environments in which they live and work.

This enables us to provide more informed diagnoses, better identify potential allergens or asthma triggers, and develop the most effective treatment and management plans.
We also work with most insurance and managed care companies, making it simple for patients requiring referrals.

What does that mean for my allergy meds?

What allergy is high today in nj

When should I start taking them?

There’s no point in waiting until you’re miserable to take allergy meds, especially if you desire to hold up your outdoor workouts.

In fact, allergists recommend you start taking meds a couple weeks before allergy season arrives, or, at the latest, take them the moment you start having symptoms, says Dr. Parikh. Taking them early can stop an immune system freak-out before it happens, lessening the severity of symptoms, he adds.

What allergy is high today in nj

Check out the National Allergy Map to figure out when to start taking meds depending on where you live.

As for which allergy meds to take, if you’re seriously stuffed, start with steroid nasal sprays such as Flonase or Rhinocort, which reduce inflammation-induced stuffiness, says Dr. Keet. And if you’ve got itching, sneezing, and a runny nose, too, glance for non-sedating antihistamines such as Zyrtec, Xyzal, or Allegra, she adds. Just remember: While OTC allergy meds suppress symptoms, they don’t cure the problem, so they may be less effective if your allergies are worsening, notes Dr.


Peer Respect

Our physicians at Princeton Allergy & Asthma Associates are well respected among peers and primary care physicians same because of their professionalism, responsiveness and practice of evidence-based medicine — which means delivering the highest levels of patient care based on the most current medical literature and international consensus. It's no surprise that the children of most of the area's physicians who require allergy and asthma care are referred to us.

Our physicians also make themselves readily available to referring physicians. They will gladly consult on specific cases or answer questions as needed.

Okay, so when does allergy season 2020 start?

Well, it’s technically *always* allergy season due to year-round offenders such as dust mites, mold, and pet dander, says Purvi Parikh, MD, an allergist and immunologist with Allergy & Asthma Network.

What allergy is high today in nj

But some allergens–pollens, specifically—are seasonal.

Jewelyn Butron

Tree pollen, for example, pops up in the spring (generally in tardy March to April), grass pollen arrives in the tardy spring (around May), weed pollen is most prevalent in the summer (July to August), and ragweed pollen takes over from summer to drop (late August to the first frost), says Dr. Parikh.

And even worse news: Climate change means allergy season begins earlier and lasts longer, adds Corinne Keet, MD, PhD, a professor and allergist at Johns Hopkins University School of Medicine.

To get super-specific, Pollen.com has a National Allergy Map that provides an up-to-date allergy forecast in diverse areas around the country and an Allergy Alert app that gives five-day forecasts with in-depth info on specific allergens, helping you decide if you should stay indoors that day.

Certain areas own also seen a particularly large increase in pollen during allergy season.

In 2019, the New York Times reported on the extreme blankets of pollen that hit North Carolina; Georgia and Chicago also faced especially aggressive allergy seasons too. In Alaska, temperatures are rising so quickly (as in numerous other far northern countries), that the pollen count and season duration are seeing unprecedented growth.

Julie Caucino, D.O.

Allergy, Asthma and Immunology


  1. Awarded Intern of the year. Awarded Resident of the year.
  2. Fellowship in Allergy, Asthma and Immunology Albert Einstein College of Medicine in NYC
  3. D.O.

    Kirksville College of Osteopathic Medicine -Sigma Sigma Phi Scholar

  4. Residency at Robert Wood Johnson University Medical Middle of New Jersey
  5. B.S. Of Pharmacy, St. Johns University-College of pharmacy-Rho-Chi Honor Society-Cum laude

Professional Certifications and Licensure:

  1. Diplomate National Board of Medical Examiners
  2. Diplomate American Board of Allergy & Immunology 1994, Re-certification 2003, 2013
  3. ACRP/APPI/CPI Certified 5/22/04 — Present
  4. Diplomate American Board of Internal Medicine 1991 Re-certification 2001
  5. DIA Clinical Investigator Certified 5/1/04 -5/1/07
  6. Licensed Pharmacist: New Jersey 1983

Professional Associations:

  1. New Jersey Allergy Society, President 2005
  2. Fellow, American Academy of Allergy, Asthma and Immunology
  3. Clinical Research Network, President Elect
  4. Fellow, American College of Allergy, Asthma and Immunology
  5. The Joint Council of Allergy, Asthma & Immunology


Caucino completed her fellowship training in Allergy, Asthma and Immunology at Albert Einstein and Montefiore Medical Middle in New York City. Following her Fellowship she remained as an associate professor in the department of Allergy, Asthma and Immunology and part time in private practice in Princeton New Jersey. After finishing her National Institute of Health obligations she entered a full time position at Princeton Allergy, Asthma and Immunology. Initially she was athletic with the Internal Medicine residents as a clinical instructor.

Dr Caucino is currently the associate medical director at Princeton Clinical research where she actively participates in clinical trials involving the newest therapies for asthma and allergy. Dr.

What allergy is high today in nj

Caucino has been a TOP doctor in New York METRO area Castle Connolly Medical Ltd. for the numerous years. Her areas of expertise include comprehensive care in asthma, allergy, sinusitis, contact dermatitis, bee sting allergy, anaphylaxis and drug allergies.

Learn more about Dr. Julie Caucino, DO

What can I do if my allergy meds aren’t working…or my allergies are getting worse?

If you’re already taking OTC allergy meds (and, you know, keeping your windows closed and washing your face and hair after coming inside), allergy shots, a.k.a.

allergen immunotherapy, make your immune system less reactive to allergens (read: pollen), and for some people, they can even induce a cure, says Dr. Parikh.

“By giving little increasing doses of what you are allergic to, you train the immune system to slowly stop being as allergic,” she says.

What allergy is high today in nj

“This is the best way to address allergies, as it targets the underlying problem and builds your immunity to a specific allergen.”

The downside? Allergy shots are a bit of a time commitment. You’ll need to get them once a week for six to eight months, then once a month for a minimum of two years, says Dr. Parikh. You need to be a little bit patient, too, because it can take about six months to start feeling better (so if you desire protection by March, you’ll probably own to start in September the year before). But a life without allergies?

Sounds worth it to me.

Cassie ShortsleeveFreelance WriterCassie Shortsleeve is a skilled freelance author and editor with almost a decade of experience reporting on every things health, fitness, and travel.

Kristin CanningKristin Canning is the health editor at Women’s Health, where she assigns, edits and reports stories on emerging health research and technology, women’s health conditions, psychology, mental health, wellness entrepreneurs, and the intersection of health and culture for both print and digital.

Duration of Hives

“A hive lesion doesn’t generally final much longer than 24 hours, whereas things love bug bites, which are easily confused with hives, can final several days,” Friedman says.

That means you might wake up with a hive one morning — and that one specific hive may be completely gone by the next morning, Friedman says. “And they often appear without any warning.”

Hives also move around, and they don’t necessarily care what body part they inhabit. Even your scalp, soles of your feet, and palms of your hands can get hives. “If you see one moving a lot, that signals a hive,” Friedman says.

RELATED: How to Identify Common Bug Bites and Stings

Acute hives final less than six weeks, while chronic hives final more than six weeks.

What allergy is high today in nj

That doesn’t mean you’re covered in hives every day during these time periods, but it does mean that during these time frames, the hives come and go either erratically or sometimes on a more consistent basis, says Anthony M. Rossi, MD, an assistant attending dermatologist at Memorial Sloan Kettering Cancer Middle in New York City.

Fortunately, although they might itch a lot, hives don’t leave any marks on the skin once they vanish, regardless of whether you’ve treated them or not.

Hives are neither contagious nor, in most cases, dangerous. There are, however, a few exceptions that should immediate emergency care.

The first is a condition called angioedema, which involves swelling of the tissue beneath the skin.

That can lead to swelling in the tongue, lips, throat, hands, feet, and even the inside of the abdomen. As a result, people could own stomach cramps or worse, difficulty breathing. People with hives can own angioedema, but note that “just because you own hives doesn’t mean you’ll get angioedema,” Dr. Rossi says.

When hives are accompanied by swelling and breathing becomes hard, seek emergency care correct away.

Hives may also be the result of a serious allergic reaction called anaphylaxis, Rossi says. If you experience difficulty breathing; swelling of your lips, tongue, or eyelids; dizziness; abdominal pain; or nausea or vomiting in conjunction with hives, seek assist immediately.

Welcome to Princeton Allergy and Asthma Associates.

From research to prevention, education to the latest treatment options, our physicians at Princeton Allergy & Asthma Associates assist patients of every ages breathe easier and feel better season after season.

It's among the numerous reasons Princeton Allergy & Asthma Associates has earned the distinction of being the area's premier allergy and asthma group. Our physicians are listed in Castle Connolly's Top Docs as well as NJ Top Docs.