Dr Amy Myers Cajacob, we help people of all ages deal with allergies, asthma, and immune disorders. Our method combines accurate diagnosis. We use proven funds. Practical coaching is also provided. This helps you breathe better. It controls the symptoms. This prevents serious reactions.
Contact & Appointment Information
- Address: 619 19th St S, Birmingham, AL 35249-1900, USA
- City/Country: Birmingham, Alabama, USA
- Phone: (205) 934-9666
Doctor services (clinical)
- Conditions: seasonal/perennial allergies, asthma and chronic cough, eczema/atopic dermatitis, hives/angioedema, food allergy and anaphylaxis risk, drug allergy evaluation (e.g., penicillin), insect venom allergy, chronic sinusitis/nasal polyps, recurrent infections or suspected immune deficiencies.
- Testing: skin prick and intradermal testing, patch testing (contact dermatitis), spirometry and FeNO for asthma, allergy blood tests (specific IgE), supervised oral food challenges (when appropriate).
- Treatments: personalized medication plans, biologic therapies when indicated, and allergy immunotherapy (“allergy shots,” SCIT) when available.
Other patient services
- Personalized allergy/asthma action plans
- Allergen avoidance and environmental control counseling
- Epinephrine auto-injector training (use/technique)
- Inhaler/spacer technique coaching
- Coordination with primary care and specialists (ENT, pulmonology)
- Help with school/work forms and travel letters
- Telehealth/virtual follow-ups (availability varies)
- Assistance with prior authorizations for medications/biologics
Cost and insurance
- Insurance: Accepted plans vary; call with your insurance card handy to confirm in-network status and referral needs.
- Good Faith Estimate: You can request a self-pay estimate before your visit.
- Tip to check costs with your insurer: Ask for likely CPT codes. Common allergy codes include:
- New patient visit: 99203–99205
- Established visit: 99213–99215
- Skin testing: 95004 (prick), 95024 (intradermal)
- Patch testing: 95044
- Spirometry: 94010
- FeNO: 95012
- Oral food challenge: 95076–95079
- Immunotherapy: 95165 (antigen prep), 95115/95117 (injections)
- Final charges depend on your plan’s copay/coinsurance/deductible and the services performed.
Department
- Allergy & Immunology
- Doctor type: Allergist/Immunologist
About Dr Amy Myers Cajacob
Treatment of conditions:
Weierg and breathing: asthma. Chronic cough. Difficulty breathing with exercise. Allergy-controlled nose. Long-term sinus problems.
Skin problems: Eczema. Hives. Swelling of the face or throat. Skin reaction to touch.
Food and drug response: Food allergy. Reaction to certain foods. Allergy to penicillin and other antibiotics. Reactions to medical dyes.
Insect and environmental trigger: stinging insect allergies. Sensitivity to dust, pets, mold, and pollen.
Serious reactions: anaphylaxis. Unexpected anaphylaxis.
Problems with the immune system: Frequent infections. Possible immune weaknesses. Problems with vaccine response.
How we diagnose:
Your health history: We discuss the trigger, time, and exposure. We take into account previous reactions and medicines.
Allergic tests: Skin samples for pollen, mold, mites, animals, foods, and toxins. Patch test for skin reactions to metals or scents. Food and medicine challenges under supervision. These are the best tests when suitable. Breathing tests: Tests to check the severity of asthma. Blood tests: Tests for allergic antibodies. Testing for immune system function. Test for vaccine immunity.
Our remedies:
Symptoms Relief: Medicines such as an antihistamine. Nose spray. Eye drops. Inhalers. Other asthma medication.
Emergency preparation: Learn to use epinephrine. Action plan.
Immunotherapy: Allergic shots to reduce the sensitivity to the regular trigger. Under-to-allergic treatment for some allergies.
Advanced Therapy: New Medicines for Severe Asthma, Urticaria, Eczema, and Nasal Polyps.
Desensitization: Testing for drug allergies. Provide medications carefully to create tolerance.
Immunology care: Vaccines advice. Prevention strategies. Medications against immunosuppression.
Education: Guidance to avoid triggers. Plans for home and school.
Your treatment plan:
First journey: We review your symptoms and history. We discuss your goals. Testing can be planned for the same day. Follow travel: You get a written plan. This includes medicines and steps to avoid triggers. When you improve, we update the plan. Running support: Regular check-ins help to accommodate treatment. We make sure you stay well through the weather.
Preparing you for your journey:
Bring: A list of your current medicines. Registration of previous tests. Images of rash or inflammation.
Medications: Some allergic medications affect skin tests. It is usually performed before the skin test: an antihistamine. Some cold medications. Some stomach medication. Some depression medicines. Stop asthma or heart medication without advice. Your doctor will provide accurate instructions. Clothing: Wear short sleeves for hand tests. Avoid creams or perfumes in test areas. Food: Eat normally before most visits. Eat easily before the challenges of food.
Security and quality:
Testing and challenges are done by trained staff. The emergency tool is on the site. We follow the best practice. Sterilism is maintained. Patients are looked after high -risk procedures. We work together to choose treatments that fit your goals.
For children, adults, and specific groups:
Children: Adapted tests and medicines for children. School action plan. Asthma care that supports development. Adult: Advice on the trigger in the workplace. Exercise and guidance for travel. Pregnancy and …
Pregnancy and breastfeeding: Your care plan can be adjusted. Many treatments are still safe. Discuss the exact treatment with your doctor.
Living well: Practical tips
Pollen: Check local pollen levels. Close the windows on high-sultry days. Bathroom before bedtime. Wear sunglasses outside. Mites of dust: Cover the pillow and mattress. Wash the bed in warm water weekly. Keep moisture below 50%.
PET: Use a HEPA air filter. Keep pets outside the bedroom. Swimming and brushing pets frequently.
Mold: Repair leaks immediately. Dry moist area. Clean visible shape safely.
Asthma: Use a spacer with your inhaler. Know your asthma action plan.
Food allergy: Read all food labels. Take your epinephrine injector. Tell schools and babysitters.
Immunology Care (recurrent infection)
When tested: Frequent ear, sinus, or breast infections. Antibiotics do not work well. You get an unusual infection. Or, infections running in your family.
The tests may include: Check the level of immunoglobulin. Testing how well the vaccines work. Given the immune cell types. Using special X-rays.
Your care plan: Vaccination. Ways to prevent infection. Quick treatment scheme. Use immunoglobulin shots when needed.
Privacy and Patient Rights
Your health information is safe. You choose who sees your mail. You decide how the results are shared. You have the right to understand your care. You can ask questions. You can help create treatment options.
Insurance and referral
Some tests and treatments require approval. This includes things like biology or shoots. Your insurance company can tell you the rules.
Post -stepport
You will get an action plan. You will get useful reading materials. We will guide you for more help. Keep your equipment ready. Know how to use inhalers and injectors.
Immediate symptoms – search for the emergency room
Difficulty breathing. Swollen throat or tongue. faint spells. All have breathing problems. Poor heavy breathing did not help your inhaler. Or a sudden decline in blood pressure. For poor response, first use epinephrine. Call 911.
FAQs
Q1: Are allergies and intolerance the same?
No, allergies include your immune system. They can cause hives, heavy breathing, or bad reactions. Intolerance does not include your immune system. They usually cause stomach problems.
Q2: Can you develop allergies when you are an adult?
Yes. New allergies can begin at any age. Genetics, your surroundings, and exposure play a role. You can get food allergies or pollen allergies as an adult.
Q3: Which one is better, a skin test or a blood test?
Both are good when they are matched with your story. Skin tests produce quick results. Blood tests help if you have skin problems. Or if you can’t stop having allergies. Or for some food and medication.
Q4: Do I have to stop my medicines before the test?
Some allergic pills affect the skin test. Your doctor will tell you what to stop. How long will they say? Don’t stop important medication without talking to your doctor.
Q5: How long do allergic shots take to work?
Many people feel better in 3 to 6 months. Full effects can take 12 to 18 months. Most people take shots for 3 to 5 years. It helps to create permanent tolerance.
Q6: What is the difference between shots and tablets/drops?
Shots treat many allergies. You get them at the clinic. Pills or drops are taken at home. They are for some allergies. Like any pollen or dust particles.
Q7: Are biological medicines safe?
Biology is aimed at specific problems. They are well studied for asthma, urticaria, and skin problems. Side effects are usually modest. Like a red place where the shot goes. We check you carefully.
Q8: Can children be tested for allergies?
Yes. Infants can be tested even if necessary. We customize tests for a child’s age.
Q9: What is an oral food challenge? Is it safe?
This is a test done with supervision. You eat small amounts of food. It helps to confirm or control an allergy. Doctors are ready for problems. They see you carefully.
Q10: Can a penicillin allergy change?
Yes often. Many penicillin allergies were faded or wrong. The test can safely remove many patients. They can again use common antibiotics.
Q11: Should I take an epinephrine pen?
If you had serious reactions or are at risk, move two pens. Know how and when to use them.
Q12: Can I get allergic shoots with asthma?
Yes, if your asthma is well-controlled. We check the breath. We adjust the time under flared.
Q13: What helps with seasonal allergies?
Rinse the nasal passage with salt water. Use the spray before the season starts. Use a HEPA filter indoors. Limit outer time when pollen numbers are high.
Q14: Is an allergic test safe during pregnancy?
We usually avoid new tests or shots. This is until they are necessary. Running treatment can continue. Talk to your doctor.
Q15: When should I worry about my immune system?
If you become frequent, bad infections. Or if it is difficult to treat the infection. If vaccines do not work well. Checking the immune system can help. It finds problems and treats them.
