Doctors & therapists

Allergist – Diagnosis, Treatment & Doctor Choice

Allergist

Allergies are among the most common human diseases. Anyone who has an allergic reaction or wants to have an allergy treated is in the right place with an allergist . It is usually specialists from other disciplines who also offer allergological diagnostics and therapies.

What is an allergist?

Allergology deals with human allergies and their diagnosis and treatment.

Dermatologists , ENT doctors , internists , pediatricians , general practitioners or pulmonary specialists can acquire the additional designation ‘Allergologist’ and then work in allergology.

Allergology is therefore already a sub-area of ​​the individual disciplines.

Treatments & Therapy

As the name suggests, the allergist specializes in allergies. In principle, humans can react allergically to all substances that occur around them. This can be food, grass, pollen, house dust, animal hair, insect venom (bee or wasp sting), chemicals, cosmetic additives, medicines or even metals.

Extraordinary and rare allergies, such as e.g. B. against human sperm are known. Allergies can manifest themselves in the form of watery eyes , rashes , sore throats and a “cold nose”, but they can also lead to emergency situations, e.g. B. come the anaphylactic shock . This is where a severe allergic reaction with shortness of breath occurs due to a substance to which you are allergic, which can result in shock and can be potentially fatal if not treated promptly.

Such patients usually have an emergency kit with them, which they can always fall back on in an emergency. Allergies can be treated, for example by desensitization/hyposensitization, in which the allergy-triggering substance is repeatedly fed to the patient in small doses until the body no longer reacts allergically.

This is not possible for every patient and may only be done under medical supervision. Such a treatment is often carried out for allergies to animal hair, grass and pollen or to bee venom or wasp venom.

Diagnostic & examination methods

Allergological diagnostics consists of several parts. First of all, the doctor will always try to find the causes and a possible treatment for the allergy based on the patient’s medical history and physical examination.

Blood tests and prick tests are also available to him . In prick or scratch tests, allergens are pricked ( prick test ) or scratched ( scratch test ) into the skin and a certain amount of time is left before an allergic reaction should have occurred. If this is not done, there is no allergy to this substance. A control test with histamine is used to determine what an allergic reaction would look like in this patient.

Allergy tests can also be carried out with a so-called epicutaneous test, which is applied to the skin and is read after about 48 hours for the first time and after 72 hours for a second time. There is also the blood test RAST (radioallergosorbent test), in which blood is taken from the patient and tested for allergens in a laboratory. However, this only provides information as to whether an allergy to a specific substance currently exists. Doctors also distribute allergy passports in this context.

These are to be carried with you at all times and renewed regularly. Any other doctor must be informed of any allergies to certain medications, which should also be noted in this passport. Allergies in this area are possible, for example to antibiotics or penicillin or local anesthetics. All treating physicians must know about this in order to be able to treat alternatively.

What should the patient pay attention to?

Patients who need to see an allergist can primarily see a dermatologist, an ENT doctor, a lung specialist, an internist, a pediatrician or a general practitioner who also works in allergology. There are also special allergy test centers in clinics or skin clinics.This can be inquired about in the respective clinic. Only those who go to a health insurance-approved doctor can have these tests and treatments run through their health insurance company. If you need a special test, it is best to ask the allergist before you visit whether they offer it. He will certainly also be able to offer alternatives or have suitable telephone numbers ready.

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Hello! I am Lisa Newlon, and I am a medical writer and researcher with over 10 years of experience in the healthcare industry. I have a Master’s degree in Medicine, and my deep understanding of medical terminology, practices, and procedures has made me a trusted source of information in the medical world.