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Prof Bowry and Dr. Priya Bowry Sikano

INDICATIONS FOR ALLERGY TESTING

Digestive system
Recurrent colic, vomiting, diarrhea, poor growth, heartburn, constipation. Often coexist with eczema. Predict later- morning sneezing, night cough, wheezing, asthma.

Skin- Eczema
Recurrent itchy rashes which leave marks; often concur with airway allergies. Control of allergens reduce need for excess use of steroids/antibiotics and its serious side effects; can abort progression to airway allergies.

Skin- Urticaria (hives) Angio-oedema (swelling).
Itchy, swollen rashes which recur but disappear without leaving marks. Allergen control is highly effective & vital to prevent lethal progression.


Upper Airway- nose, tonsils, adenoids, throat, and sinuses at all ages.
Morning sneezing, itchy nose, throat, recurrent tonsillitis, snoring, dry night coughing, recurrent sinusitis. Allergen control really helps & reduces antibiotic needing infections.

Lower Airway – Asthma/ wheezing /cough at all ages.
Recurrent wheezing, night cough, exercise induced wheeze, pneumonia. Allergen control is vital in proper management.


Chronic Itchy Ear, nose, throat, eyes-cause otitis. Rhinitis, pharyngitis, conjunctivitis respectively.
Can cause serious outer ear damage /infection, and noisy snorting sleep, dark circles around eyes & eye damage affecting sight. Allergen control is vital in proper management.

Insect sting reactions
Limited local reaction only requires consultation but serious reaction needs full allergy testing for future management.

Anaphylaxis- sudden body itching, hives, breathing difficulty, swollen body, fainting, fatal shock and death.
MEDICAL EMERGENCY !!!ATTEND A&E IMMEDIATELY.
Once the drug effect clears, allergic cause must be sought to prevent fatalities and even death in future.

ECZEMA

Eczema symtoms

  • Dry skin.
  • Pruritus.
  • Persistent scratching

1 out of 3 infants and young children with eczema  has underlying food allergy and may benefit from a diet or other form of avoidance. Persistent symptoms demand allergy test and special diets should only be conducted under specialist guidance. Many patients benefit from aeroallergen control too.


RHINITIS/SINUSITIS

Rhinitis/ Sinusitis Symptoms

  • Nasal Congestion.
  • Sneezing and nasal discharge.
  • Itching eyes and nose.
  • Cough, Fatigue & Hearing loss.
  • Snoring & sleep Aproce.

Up to 7 out of 10 children with rhinitis are allergic and benefit from skin allergy test.


WHEEZE/COUGHING

Wheezing/ Asthma symptoms

  • Wheezing on expiration.
  • Night cough.
  • Exercise induced cough.
  • Cough at night / sleep
  • Bronchospasm.
  • Exercise induced/ wheezing

1 out of 3 preschool and 2 out of 3 school children with recurrent wheezing/ coughing are allergic and require skin allergy testing to know the cause.

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