Referrals

WHEN TO REFER TO AN ALLERGIST?

Asthma

Asthma and Allergy patients can benefit immensely from care of an allergy specialist. According to international guidelines, asthma patients should be evaluated by an allergist if they:

ü Suffer from mild to moderate persistent asthma

ü Are on a daily controller medication

ü Have had a life threatening attack

ü Have had two prednisone treatments in a year

Allergic Rhinitis

Symptoms lasting more than six weeks should be evaluated by allergy skin test. Based on the allergy test results, an allergist will discuss environmental control measures which are paramount in treatment of allergic problems. Adequate environmental control is the first step in allergy management paradigm. In patients who need continuous allergy medications, allergy vaccine is offered.

Sinus problems

Allergies are the most common cause of chronic sinus problems leading to chronic, recurrent sinusitis, chronic cough or sleep apnoea.

Sleep apnoea

More than 50% of patients with OSA have allergen sensitization. Studies have shown an improvement in symptoms of sleep apnoea when the patient’s allergic rhinitis is treated.

Atopic dermatitis

Food allergies are an important trigger of atopic eczema in children. An allergist can help in the evaluation of food allergies and environmental allergens, especially dust mites and pet dander.

Urticarias

Urticaria, also known as hives, is a skin rash that affects more than 20% of population worldwide. Urticarias are best managed by an allergist to find out triggers and food sensitivities.

Immunodeficiency Diseases

Comprehensive evaluation of immunodeficiency problems for children presenting with recurrent infections in childhood.