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Allergies Allergy Treatment

What Does the Allergist Do?


Author:

Ira Finegold, MD

St. Luke's-Roosevelt Hospital Center

Medically Reviewed On: November 19, 2001

Step 2. The allergy specialist will first interview you, take a detailed medical, environmental, and occupational history, evaluate your symptoms, and examine you. Then tests will be done to pinpoint the cause of your allergies. These tests may be skin tests or blood tests. Even though there may be a perception, even among physicians, that blood tests are more accurate than skin tests, this is not so. I believe the best and most accurate method -- the "gold standard " for allergy testing - is skin testing. New and improved techniques have now made skin testing rapid and relatively free of discomfort and pain. Testing results are obtained within 15 minutes. However, in order to achieve accurate results, you should not take any antihistamines for 48 hours prior to your testing visit. It is best to check with the allergist's staff as to what medications are allowed in the days before your scheduled test. Though not common, sometimes breathing tests and x-rays are ordered as well.

Based on the information obtained from "Step 2," a diagnosis is made and treatment is begun. The allergy treatment recommended to you may be divided into three types of programs: elimination or avoidance of the allergen (the substance that causes your reaction); medication; and vaccination (immunotherapy). Let's look at these one by one.

Elimination and Avoidance
Many times when the allergic culprit, such as a pet, is identified, removing it is all that is needed to control allergies. However, oftentimes the offending agents can only be decreased and not avoided, as in the case of dust mites or molds. If you are allergic to dust mites, it is important to follow such simple instructions as obtaining dust mite proof covers for your mattress, pillow, and box spring and using washable bedding. With some allergies, like pollen allergies, the environment cannot be controlled except by closing the windows or staying indoors, and thus only partial or little improvement may take place. In these cases, additional measures are needed.

Medication
For some allergic illness, medication may be able to decrease most of the symptoms and return the patient to good health. The allergy specialist is knowledgeable in the currently approved methods of treating allergic disorders. Recently, many new drugs have become available that improve allergic symptoms without making the patient forgetful or sleepy as did older medications. Most of these newer drugs are only available by prescription, and the allergy specialist has considerable experience in choosing the best medication for the individual patient.

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