REASONS TO SEE AN ALLERGIST
1. Chronic or recurrent asthma Symptoms interfering with quality of life
Symptoms at night often disrupting sleep
School absence (more than 5 days per year)
Doctor’s office visits (more than once a month)
Steroid bursts (more than once every 3 months)
ER visits (more than once in 6 months)
Hospitalizations (more than once in 2 years)
c.) Poor exercise tolerance, inability to participate in sports.
a.) Severe asthma episode
b.) Allergies or asthma under poor control evident by frequent:
d.) Requirement for multiple chronic medications.
e.) Need for identification of allergy triggers to aid avoidance measures.
f.) Chronic cough difficult to manage with usual therapy.
g.) Need for detailed education about allergies and asthma, triggers for asthma, home management, peak flow monitoring.
h.) Interest in alternatives to present medications including environmental changes and immunotherapy (allergy injections).
i.) Doubt regarding the diagnosis.
2. Chronic ear infections.
3. Chronic or recurrent sinusitis.
4. Chronic or seasonal rhinitis.
a.) Symptoms interfering with quality of life.
b.) Difficult to manage (e.g. Antihistamine-decongestants).
c.) Patient intolerant to medications.
d.) Significant recurring ear or sinus disease.
e.) Chronic mouth breathing with resulting malocclusion.
5. Repeated infections that exceed the usual number for age, or are caused by an unusual organism, or persistent or prolonged duration despite appropriate antibiotics.
6. Immunologic disorders that may require gammaglobulin therapy or other types of immune modulation therapy.
7. Chronic or recurrent acute urticaria (hives) or angioedema (like hives, but larger and deeper below the skin.
8. Systemic reaction to an bee sting.
9. Significant reactions to drugs or vaccines.
10. Suspected reactions to food, food additive or an infant formula.
11. Atopic dermatitis (rash) unresponsive to usual therapy, or suspected of being triggered by food or inhalant.
12. MMR or influenza vaccine skin testing for egg allergic patients.
13. Referral to allergist following an emergency room visit or PCP visit.
14. Parent or patient desires to consult with an allergist.