The ENT specialist (Otolaryngologist) will do a complete examination of your ears, nose, throat, head and neck to determine the medical management of allergy, which also includes counseling in proper environmental control.
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Diagnosis and management of ear, nose, and throat-related allergies
Physicians at Vancouver ENT use various methods of diagnosing allergies, starting with obtaining a careful history and examination. Treatment is stepwise including: avoidance of allergens, treatments with a variety or medications including nose sprays and antihistamines and in more difficult cases immunotherapy or allergy shots. Immunotherapy requires precise diagnosis of a person’s allergic response. This is done most commonly with skin testing, or in patients who can’t tolerate skin testing (young children or adults with certain skin conditions) a blood test called RAST. Treatment of these allergies is handled with care at Vancouver ENT, using the most advanced allergy management methods.
Skin endpoint titration testing
Skin endpoint titration testing refers to a method of testing inhalant allergies. A series of shots along one or both arms is submitted just below the skin. Then, the injections are allowed a short period to swell (no larger than a mosquito bite). The area of swelling is measured to decide on the correct dosage for immunotherapy.
RAST
RadioAllergoSorbent Test, or RAST, uses a sample of blood to mix with certain substances known to cause allergic reactions. Once mixed, the level of allergen antibodies is measured within the blood. This measurement will determine the steps taken in immunotherapy.
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