Lung Function Testing
Lung function is assessed by analysing the characteristics of air flow, into and out of the lung, during forced inspiration and expiration. Lung function testing provides an idea of the type of lung disease present. The degree of improvement or worsening of lung function with therapy or provocation respectively, is also assessed to establish the diagnosis of reversible airways disease, namely Asthma.
A variety of different tests can be employed to detect the presence and determine the nature of an allergic disease. These include skin prick testing, patch testing or intradermal tests with different allergens. Blood testing may include the detection of increased levels of specific IgE or components resolved diagnostics. The full battery of allergy tests is very costly; therefore, blind blanket tests are not recommended. Appropriate tests selected based on a patients’ symptoms and signs is preferred.
Immunotherapy & Desensitisation
Bee / Wasp Immunotherapy and Desensitisation is a potentially curative therapy for bee sting anaphylaxis.
A course of gradually increasing concentrations of bee / wasp venom is administered via regular subcutaneous injections over a 3-5 year period. This down regulates and dampens the inflammatory response on subsequent exposure to a sting.
Inhaled Allergen Immunotherapy & Desensitisation
A course of gradually increasing concentrations of Grass Pollen / Tree Pollen / Animal / Mould / House Dust Mite allergen is administered via regular subcutaneous injections or by oral drops over a 3-5 year period. This down regulates and dampens the inflammatory response on subsequent exposure to the allergen. Allergen immunotherapy is a potentially curative therapy for these allergies.
Eczema Wet Wraps
Wet wraps are best prescribed to patients with severe acute eczema. Wet wraps involve the application of emollient ointments mixed with a therapeutic agent to the skin and followed by layers of bandage.
Oral Food Challenge
Oral food challenge is an in-hospital procedure to establish the diagnosis of food allergy. It involves ingestion of gradually increasing amounts of food while monitoring the patient for the development of allergic reactions. Patients at high risk may develop serious reactions necessitating prompt treatment.
Anaphylaxis and Asthma Action Plans
Advanced preparation for emergencies is always better than frantic last minute panics. Having a written Action Plan allows patients to recognize symptoms of severe reactions, initiate appropriate therapeutic measures and notify appropriate people.
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