About Allergists

Cincinnati and Northern Kentucky Allergists

What is an Allergist?

An allergist/immunologist is a physician specially trained to manage and treat allergies and asthma. Becoming an allergist/immunologist requires completion of at least nine years of training. After completing medical school and graduating with a medical degree, a physician will then undergo three years of training in internal medicine (to become an internist) or pediatrics (to become a pediatrician). Once physicians have finished training in one of these specialties, they must pass the exam of either the American Board of Pediatrics (ABP) or the American Board of Internal Medicine (ABIM). Internists or pediatricians who wish to focus on the subspecialty of allergy/immunology then complete at least an additional two years of study, called a fellowship, in an allergy/immunology training program.

Allergist/immunologists who are listed as ABAI-certified have successfully passed the certifying examination of the American Board of Allergy and Immunology (ABAI), following their fellowship.

As a result of this extensive study and training, an allergist/immunologist is the best-qualified medical professional to effectively manage the comprehensive needs of patients with allergic disease.

Allergist/immunologists are trained in the prevention, diagnosis, and treatment of immune system problems such as allergies, asthma, inherited immunodeficiency diseases, autoimmune diseases and even AIDS. Unlike a cold, allergic disease is not a condition that someone can just "get over." The help of a trained allergist/immunologist can reduce how often patients need to stay home from work or school due to symptoms.

Studies show that those under the care of an allergist/immunologist also make fewer visits to emergency rooms, and are better able to daily manage their allergies and asthma.

If you are enrolled in a managed care organization, your insurer will have a specific set of guidelines that help your primary care physician decide when to refer you to an allergist/immunologist. Once you are referred, the allergist/immunologist will work to accurately diagnose your condition by taking a thorough patient history, including information about your symptoms, family history, and home and work environments.

Your allergist/immunologist will also conduct allergy skin testing and any other needed tests. Combining specific information from your history and tests, the allergist/immunologist will be able to make an accurate diagnosis. To help prevent symptoms, he or she will work with you to develop an appropriate management plan and will prescribe the most cost-effective treatment, including recommendations for particular medications and/or devices, and any needed environmental control measures. Your allergist/immunologist and allied health staff will not only prescribe medications and devices, but will also show you how and when to use them

Source: www.aaaai.org

When should I see an allergist?

Asthma and other allergic diseases are two of the most common health problems. Approximately 50 million Americans have asthma, hay fever or other allergy-related conditions.

Some allergy problems - such as a mild case of hay fever - may not need any treatment. Sometimes allergies can be controlled with the occasional use of an over-the-counter medication. However, sometimes allergies can interfere with day-to-day activities or decrease the quality of life. Allergies can even be life threatening.

The allergist treats asthma and allergies

An allergist is a physician who specializes in the diagnosis and treatment of asthma and other allergic diseases. The allergist is specially trained to identify the factors that trigger asthma or allergies. Allergists help people treat or prevent their allergy problems. After earning a medical degree, the allergist completes a three-year residency-training program in either internal medicine or pediatrics. Next the allergist completes two or three more years of study in the field of allergy and immunology. You can be certain that your doctor has met these requirements if he or she is certified by the American Board of Allergy and Immunology.

When to see an allergist

Often, the symptoms of asthma or allergies develop gradually over time.

Allergy sufferers may become used to frequent symptoms such as sneezing, nasal congestion or wheezing. With the help of an allergist, these symptoms usually can be prevented or controlled with major improvement in quality of life.

Effectively controlling asthma and allergies requires planning, skill and patience. The allergist, with his or her specialized training can develop a treatment plan for your individual condition. The goal will be to enable you to lead a life that is as normal and symptom-free as possible.

A visit to the allergist might include:

Allergy testing. The allergist will usually perform tests to determine what allergens are involved.

Prevention education. The most effective approach to treating asthma or allergies is to avoid the factors that trigger the condition in the first place. Even when it is not possible to completely avoid allergens, an allergist can help you decrease exposure to allergens.

Medication prescriptions.  A number of new and effective medications are available to treat both asthma and allergies.

Immunotherapy (Allergy Shots). In this treatment, patients are given injections every week or two of some or all of the allergens that cause their allergy problems. Gradually the injections get stronger and stronger. In most cases, the allergy problems get less and less over time.

You should see an allergist if:

  • Your allergies are causing symptoms such as chronic sinus infections, nasal congestion or difficulty breathing.
  • You experience hay fever or other allergy symptoms several months out of the year.
  • Antihistamines and over-the-counter medications do not control your allergy symptoms or create unacceptable side effects, such as drowsiness.
  • Your asthma or allergies are interfering with your ability to carry on day-to-day activities.
  • Your asthma or allergies decrease the quality of your life
  • You are experiencing warning signs of serious asthma such as:
    - You sometimes have to struggle to catch your breath.
    - You often wheeze or cough, especially at night or after exercise.
    - You are frequently short of breath or feel tightness in your chest.
    - You have previously been diagnosed with asthma, and you have frequent asthma attacks even though you are taking asthma medication.
Source: www.acaai.org
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