Do all allergies lead to anaphylaxis?


Most allergies result in a mild to moderate reaction such as swelling of lips, face, eyes, hives, itchy skin, tingling mouth, abdominal pain and vomiting. These may not necessarily lead to the severe life threatening type of allergic reaction known as anaphylaxis.

Eczema is a type of allergy

Eczema is a type of allergy


What Is Anaphylaxis?
Anaphylaxis is a sudden, severe allergic reaction. It's a medical emergency.
Most people with allergies never experience anaphylaxis.


In anaphylaxis, within minutes or hours of being exposed to your allergy trigger, your body starts a chain reaction that temporarily widens your blood vessels, which can lower your blood pressure. You may pass out. You may get hives and swelling, especially around your face and throat. You may have trouble breathing, talking, or swallowing.

This is an Epipen.  Not an apple pen, or pineapple pen.

This is an Epipen.  Not an apple pen, or pineapple pen.


An injection of epinephrine can delay symptoms, and if you are concerned about anaphylaxis your GP may be able to source out an single-use injection such as the Epipen for you to have handy in your first aid kit.

It is also a good idea to keep your family, friends and co-workers informed of your allergy if severe, as this may serve you well in an emergency.

In summary, allergies can range from mild, moderate to severe, where it is termed anaphylaxis.

They don't tend to cross from mild to severe but each case is different and anyone who suspects they may have an allergy or those who have already been diagnosed please book in for a tailored treatment plan.

7 proven ways to prevent a cold

As we know, there is no cure for the cold, and we often have no choice but to suck it up for a sniffly 4-5 days...

As a doctor in Singapore, an international travel hub, I am exposed to a huge selection of germs every day.  (And people ask me all the time how I prevent myself from catching everything!)

Photo by grinvalds/iStock / Getty Images

How can we decrease its severity and length of illness?

At first signs of a cold, sore throat or mild sniffles, I use a concoction of

1) 2000mg Vitamin C
2) 30mg Zinc Piccolinate
3) 1000mg Echinacea root 3 hourly
4) 8 hours of quality sleep a night
5) Plenty of water
6) Plenty of relaxation
7) Plenty of laughter

Other herbs to consider are black elderberry (sambucol) which has antiviral properties, and a powerful antioxidant such as olive leaf extract.

Especially for children, we stock the ever popular Immunped which is a great tasting source of liquid zinc for our little ones aged 12 months onwards

Some trivia!

Some trivia!

If you're having persistent immunity issues, or want to talk about immunity in children do book in for a thorough consult.  


How healthcare is organised in Singapore

With my degree in Healthcare management I learned quite abit about the healthcare systems in the UK and can contrast this with Singapore.  Therefore I am often asked to advise and comment on the local system.

Photo by imtmphoto/iStock / Getty Images

Access is excellent, and the service is reliable wherever you go.  However, it is fragmented as we know it, and each person's experience of the healthcare system can vary widely depending on

1)  Their own perceptions of what personal healthcare should embody

2)  Their income or insurance policies.

Here's a nice little round up for those moving to Singapore, and for returning Singaporeans alike.

Everyone is different, and thus, your family doctor is well placed to help you make the best tailored choices in health and financially, in you and your family's care.

Further reading on Healthcare financing, via the LKY school of public policy, and another paper with useful numbers, from 2010.