Allergy
If you're dealing with constant allergy like asthma in which there is breathing difficulty like wheezing, sneezing, itchy eyes, skin rashes, or that won't go away, an underlying allergy could be the cause. As an allergy specialist in Durg and Bhilai with fellowship training in Allergy, Dr. Smaran Cladius helps patients identify their specific triggers and find lasting relief — not just temporary symptom control.
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Respiratory allergies, allergic rhinitis and allergic asthma occur when exposure to allergens such as dust mites, pollen, mold or animal dander triggers sneezing, a runny or blocked nose, cough, wheezing and breathing difficulty. For people with persistent symptoms, antihistamines and nasal sprays don't always provide adequate control — further evaluation may be needed to identify triggers and consider additional treatment.
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What are Respiratory Allergies
A respiratory allergy occurs when your immune system misidentifies harmless airborne particles (allergens) as dangerous invaders. In response, your body releases chemicals like histamine, causing inflammation in your nasal passages, sinuses, throat, and lungs
Key Causes & Common Triggers of Allergy
1. Indoor Allergens (Year-Round / Perennial)
These triggers are present inside homes and workplaces, often causing symptoms that persist throughout the year.
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Dust Mites: Microscopic organisms that thrive in bedding, carpets, and upholstered furniture. Their waste particles easily become airborne when disturbed.
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Pet Dander: Proteins found in microscopic skin flakes, saliva, and urine sheds from furry pets like cats and dogs
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Indoor Mold Spores: Fungi that grow in damp, poorly ventilated areas such as bathrooms, basements, and leaky walls.
2. Food Allergens
Outdoor triggers vary based on the season, weather conditions, and geography
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Pollen: Fine powder released by plants to fertilize other plants.
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Spring: Primarily tree pollen (oak, birch, pine).
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Summer: Grass pollen
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Autumn: Weed pollen (ragweed, sagebrush).
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Outdoor Mold: Spores that multiply on decaying vegetation, fallen leaves, and damp soil.
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3. Environmental & Irritant Amplifiers
While not allergens themselves, environmental irritants inflame sensitive airways, making allergic reactions significantly worse
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Air Pollution & Vehicle Exhaust: Particulate matter, diesel fumes, and ground-level ozone weaken respiratory defenses.
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Tobacco Smoke: Both active and secondhand smoke irritate the bronchial lining and aggravate nasal passages.
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Strong Odors & Chemical Fumes: Volatile Organic Compounds (VOCs) from paints, strong perfumes, aerosol sprays, and harsh cleaning products.
Typical Symptoms At a Glance
Condition Primary Triggers Common Symptoms
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Allergic Rhinitis (Hay Fever) Pollen, dust, dander Sneezing, runny/stuffy nose, itchy/watery eyes
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Allergic Asthma Mold, dust mites, cold air Wheezing, chest tightness, dry cough, shortness of breath
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Sinusitis (Allergic) Chronic allergen exposure Facial pressure, nasal blockage postnasal drip
Medical Management & Treatment
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Nasal Corticosteroid Sprays: First-line therapy for reducing chronic nasal inflammation and blockage.
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Antihistamines: Oral medications or nasal sprays that block histamine release to stop sneezing, itching, and runny nose.
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Leukotriene Receptor Antagonists: Targeted medications useful for managing both allergic rhinitis and asthma symptoms.
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Allergen Immunotherapy (Allergy Shots/Sublingual Drops): A long-term treatment option that gradually desensitizes your immune system to specific allergens over time.
Allergy Immunotherapy: SLIT SCIT Training Your Immune System
Allergy immunotherapy is a preventive treatment that actually changes how your immune system reacts to allergens. Instead of just masking symptoms, it builds tolerance over time.
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How It Works:
For persistent allergies, immunotherapy offers a way to build long-term tolerance rather than just manage symptoms
Biologics therapy for allergic conditions
Biologics are a newer class of advanced medications derived from living organisms. Unlike immunotherapy, which uses the allergen itself, biologics use engineered antibodies to block the specific molecules in your body that cause inflammation.
Who Are They For?
Biologics are typically reserved for patients with severe conditions that haven't responded to traditional treatments, including:
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Severe Allergic Asthma
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Chronic Rhinosinusitis with Nasal Polyps
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Chronic Hives (Urticaria)
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Atopic Dermatitis (Eczema)
Common Biologics Include:
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Anti-IgE (e.g., Omalizumab): Blocks the "allergy antibody" (IgE) before it can trigger a reaction.
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Anti-IL-4 / IL-13 (e.g., Dupilumab): Targets the pathways responsible for tissue swelling and mucus production.
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Anti-IL-5: Targets eosinophils, a type of white blood cell that causes lung inflammation in certain types of asthma.
Dr. Smaran Cladius evaluates whether biologic therapy is appropriate based on your allergy profile, asthma severity, and treatment history.
Comparison: Which One is Right for You?
Feature
Primary Goal
Best For
Administration
Desensitize the immune system to specific triggers.
Hay fever, bee stings, and mild-to-moderate asthma.
Weekly/monthly shots or daily tablets.
Immunotherapy
Block the inflammation pathways directly.
Severe asthma, nasal polyps, and chronic skin conditions.
Injections or infusions every 2–8 weeks.
Biologics
Conditions we treat
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Allergic rhinitis (nasal allergies)
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Allergic asthma
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Skin allergies and hives (urticaria)
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Food allergies
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Seasonal and environmental allergies
Allergies and asthma are often connected — a pattern known as "one airway, one disease." Left untreated, nasal allergies can worsen asthma control. As both a pulmonologist and allergy specialist, Dr. Smaran Cladius evaluates and treats these conditions together for more effective, long-term management.
When to consult a Specialist
You should consider a specialized allergy evaluation if:
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Your symptoms persist despite daily over-the-counter use.
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You have been hospitalized for asthma or severe allergic reactions.
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Nasal polyps are affecting your sense of smell or ability to breathe.
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You want a long-term solution rather than a daily pill.
Why choose Dr. Smaran Cladius for allergy care
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Training in Allergy, alongside Interventional Pulmonology and Sleep Medicine
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Over 12 years of clinical experience managing asthma, allergy, and sleep disorders
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Testing and treatment available across three convenient locations: Ambey Medical,Risali, Bhilai. Kamla Medical Supela, Bhilai and Ambey Medical Bus Stand Durg
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We offer evaluation for allergic rhinitis (hay fever), allergic asthma, chronic cough, skin allergies, food allergies, and suspected drug allergies. Blood-based allergy testing (specific IgE) and skin prick testing help identify the allergens responsible for your symptoms, allowing personalized avoidance advice and treatment, including allergen immunotherapy when appropriate.
"Don't let allergies control your daily life. Schedule a consultation with Dr. Smaran Cladius today."
About the Service Provider
Dr. Smaran Cladius, MD (Respiratory Medicine)
Pulmonologist | Chest Physician | Allergy & Sleep Specialist
Dr. Smaran Cladius is a pulmonologist specializing in the diagnosis and management of respiratory diseases, including chronic cough, asthma, COPD, respiratory allergies, tuberculosis, interstitial lung diseases and sleep-related breathing disorders.
Medically reviewed and Last updated: Aug 2026
This information is for general educational purposes only and is not a substitute for professional medical advice. Read our full Medical Disclaimer →