DR MONGKOL

CLINIC

Your doctor in General Medecine

Your Arthritis, Asthma and Allergy Specialist

Dr Mongkol is a Board Certified Specialist
in Internal Medecine, Arthritis, Allergy and Clinical Immunology

MONGKOL VATANASUK, MD, ABIM, FACR

Associate Professor of Medecine

American Board of Internal Medecine ( Dipl. )

Allergy and Clinical Immunology ( Elig. )

Fellow, American College of Rheumatology ( FACR )

mongkol_clinic@yahoo.com

General & Internal Medecine

 

Arthritis & Rheumatism

  • Arthritis
  • Osteoarthritis
  • Rheumatoid Arthritis
  • Reactive Arthritis
  • Psoriatic Arthritis
  • Ankylosing Spondylitis
  • Back and Neck Pain
  • All Joints Pains and Stiffness

 

Allergy 

  • Allergic Rhinitis, Hay Fever
  • Asthma
  • Urticaria
  • Autoimmune diseases
    such as SLE, scleroderma, etc...

 

ALLERGY SKIN TEST

316/19 Moo 12, Tapphraya Road

 

Nongprue Banglamung

 

Pattaya City 20260 Thailand

 

tel: 038-252-152 or 01-843-0099

 fax: 038-252-152

 

on the road to Jomtien Beach, just before the traffic lights, opposite to Food Mart Supermarket

SUNDAY

10 AM - 1 PM

MONDAY TO FRIDAY

11 AM - 5 PM
 CLOSED WEDNESDAY 

SATURDAY

1 PM - 5 PM

 

Joints and Arthritis

Allergies and Food

The point where the ends of two or more bones meet is called a joint. Most of your joints, like the knee joint, are movable joints. Their structure enables us to bend, straighten, and twist our arms, legs, and back. In a healthy joint, the bones are protected from physical wear and tear. The joint absorbs shock from repetitive movements like walking.

Each part of the joint plays an important role in providing flexibility, support, stability, and protection, all of which are essential for normal and painless movement.

  • Cartilage. One of the keys to healthy joints, cartilage forms a firm, slippery coating on the end of each bone.It covers and cushions the bone, allowing the joint to move easily. Cartilage is made up of mostly water, as well as:
     
    • Collagen. This fibrous protein is the building block of skin, tendons, bones, and other connective tissues. It forms a meshwork that gives support and flexibility to your joints.
    • Proteoglycans. In cartilage, strands of proteoglycans and collagen are interwoven to form a meshwork that allows cartilage to flex and absorb physical shock.
    • Chondrocytes. These cells are found throughout cartilage, helping cartilage grow and stay healthy. Chondrocytes make the collagen and proteoglycans that form the basis of the cartilage tissue. Sometimes, they are triggered to release enzymes that destroy collagen and other proteins.
       
  • Synovium. This thin membrane surrounds the entire joint and is lubricated with the synovial fluid. The synovium has an outer layer called the joint capsule. This tough sac helps hold together the bones and other parts of the joint
  • Muscles. Muscles keep the bones stable and allow the joint to bend and move. Strong muscles also provide support for the joint.
  • Ligaments. These tough, cord-like tissues connect one bone to another and help to keep the joint stable.
  • Tendons. These tough, fibrous cords connect muscles to bones.
    Together, tendons and muscles power the joint and make movement possible.

If you have joint pain, stiffness, and/or swelling for more than two weeks, you may have arthritis.
Make an appointment with your doctor.

see more on American Arthritis Society
or American Arthritis Foundation

It only takes a small amount of an allergic food to trigger a dangerous reaction. Food allergies can be severe and even life threatening if proper steps are not taken to avoid the risk of accidental exposure. During the holiday season, it's important to know what is in the food you're eating.

The most common food allergies include:

  • wheat
  • eggs
  • milk
  • soy
  • seafood such as crab, shrimp, lobster, etc...
  • fish or shellfish
  • legumes (especially peanuts)
  • tree nuts such as almonds, hazelnuts, pecans, and walnuts

These common allergens are often used as ingredients in many recipes and baked goods throughout the holidays.

Diagnosis of a food allergy
An allergist/immunologist will determine whether a food allergy exists after taking a thorough history, examination and utilization of appropriate tests. Your doctor may also order a blood test to evaluate if allergies are present. If the diagnosis is still not certain, a supervised food challenge may be needed to settle whether you actually have a true food allergy.

Steps to take for prevention
Reading food labels and avoiding the allergic food and its related ingredients is extremely important. Learn the different and unfamiliar technical names of ingredients. Homemade items do not have ingredient lists and can be contaminated with trace amounts of allergenic foods through contact with storage containers, baking sheets and utensils. If you are not sure, always ask about possible hidden ingredients. Here are some additional steps you can take for prevention:

  • Inform the host about the food allergy and ask about the ingredients used to prepare the meal selected.
  • Homemade items do not have an ingredient list, so be sure to ask the preparer about the ingredients.
  • If you are a parent of a food allergic child, remember to pack a snack for them, this will help ensure your child has something safe to eat during holiday school activities.
  • Avoid holiday party foods if you are allergic to their main ingredients, such as eggs, milk, wheat and nuts.
  • Remind family members and friends that strict avoidance is key when managing food allergies and even one little bite can hurt.

see more on American Academy of Allergy and Asthma and Immunology