Question 1

What is the difference between an allergist and an immunologist?

Accepted Answer

Allergist and immunologist refer to the same specialty. The full title is 'allergist/immunologist' because these doctors are trained in both allergic diseases and the immune system. Some may focus more on allergy treatment while others may also treat immunodeficiency disorders, but they have the same core training and board certification from the American Board of Allergy and Immunology.

Question 2

Do I need a referral to see an allergist?

Accepted Answer

It depends on your insurance plan. Some insurance plans, particularly HMOs, require a referral from your primary care physician to see a specialist like an allergist. PPO plans often allow you to see specialists without a referral. Check with your insurance provider to understand your plan's requirements. Even if not required, getting a referral can be helpful as your primary care doctor can share relevant medical records.

Question 3

How long does allergy testing take?

Accepted Answer

Skin prick testing typically takes 30-45 minutes including the waiting time to observe reactions. Results are usually available immediately. Blood tests require a blood draw (5-10 minutes) and results come back in several days to a week. Your first visit with testing usually lasts 60-90 minutes total, including the medical history discussion and examination.

Question 4

Is allergy testing painful?

Accepted Answer

Skin prick testing involves minimal discomfort. Small amounts of allergens are applied to the skin (usually on the forearm or back) with tiny pricks that feel like a light scratch. Most people describe it as mildly itchy rather than painful. The test may cause temporary small bumps similar to mosquito bites that disappear within a few hours. Blood testing involves a standard blood draw.

Question 5

How effective are allergy shots?

Accepted Answer

Immunotherapy (allergy shots) is highly effective for many people. Studies show that allergy shots can reduce symptoms by 60-90% and may provide lasting relief even after treatment ends. They're particularly effective for environmental allergies (pollen, dust mites, pet dander) and insect sting allergies (90-98% effective). The treatment requires commitment—typically weekly shots for 3-6 months, then monthly maintenance shots for 3-5 years—but many patients experience significant long-term improvement.

Question 6

Can allergies develop later in life?

Accepted Answer

Yes, you can develop new allergies at any age, even if you've never had allergies before. Environmental changes, hormonal shifts, stress, moving to a new location with different allergens, or changes in your immune system can all trigger new allergic reactions. Adult-onset allergies are common, and an allergist can help diagnose and treat these new sensitivities regardless of when they appear.

Question 7

What's the difference between seasonal and year-round allergies?

Accepted Answer

Seasonal allergies (allergic rhinitis) occur during specific times of year when outdoor allergens like tree, grass, or weed pollens are high. Symptoms typically worsen in spring, summer, or fall depending on the allergen. Year-round (perennial) allergies are caused by indoor allergens like dust mites, pet dander, mold, or cockroaches that are present throughout the year. Many people have both types. An allergist can test to identify your specific triggers and recommend appropriate treatment for each.

Question 8

Can an allergist help with food intolerances?

Accepted Answer

Allergists primarily diagnose and treat true food allergies, which involve the immune system and can be life-threatening. Food intolerances (like lactose intolerance) are digestive issues that don't involve the immune system and typically aren't life-threatening. However, an allergist can help distinguish between the two through testing and evaluation. If you have a food intolerance rather than an allergy, your allergist may refer you to a gastroenterologist or dietitian for management.

Question 9

Should children see a pediatric allergist or can they see a general allergist?

Accepted Answer

Both options can work well. Some allergists specialize in pediatric allergy care, while others treat both children and adults. Allergists are trained during their fellowship to treat patients across all age groups. When choosing an allergist for your child, consider factors like the doctor's experience with pediatric patients, office environment (child-friendly), communication style with children, and parent reviews. Either a pediatric allergist or a general allergist with significant pediatric experience can provide excellent care.

Question 10

How often will I need to see my allergist?

Accepted Answer

Visit frequency varies based on your condition and treatment. Initially, you may have 1-2 visits for diagnosis and treatment planning. If receiving immunotherapy (allergy shots), you'll visit weekly during the buildup phase (3-6 months), then monthly for maintenance (3-5 years). For medication management alone, follow-up visits may be every 3-6 months initially, then annually once stable. Patients with severe or poorly controlled asthma may need more frequent monitoring. Your allergist will recommend a schedule based on your specific needs.

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