Pediatric Allergy & Immunology
Treatment for Asthma & Immunologic Disorders in East Tennessee
Pediatric allergists treat infants, children and adolescents who have severe
allergies, asthma and immunologic disorders like hay fever, hives and
eczema. They help patients create a plan for managing allergies, including
allergy testing, allergy injections and asthma testing and treatment.
Patients usually are referred to these doctors because of:
- Rashes and itchy skin or eyes
- Chronic or recurrent infections
- Food, drug or insect allergies
- Nasal symptoms and sinusitis
- Shortness of breath
Your Appointment with the Pediatric Allergist
Your first appointment may last up to four hours. The doctor will take
a full look at your child's medical history, complete a physical examination
and do preliminary tests. Allergy tests, X-rays and diagnostic pulmonary
function testing may take place during your first visit. All of the doctor's
findings will be sent to the doctor who referred your child.
Pediatric allergists usually complete two types of allergy skin testing.
They will decide what allergies for which they wants to test based on
your child's history and reactions. The first is scratch testing on
your child's back. The doctor will put small drops of liquid in rows
across your child's back. They will then make light scratches beneath
the liquid with a needle so that the skin absorbs the liquid. None of
these scratches will cause bleeding or pain. Each drop of liquid has a
protein in it from a separate allergen, like pollen.
Your child then must remain still so that the skin
has time to react. Their skin may itch or tickle at this time, but they are
not allowed to scratch it. This part of the test can be difficult, but
our team works with children every day and know a variety of strategies
to help them stay calm. At the end of 15 minutes, your doctor will inspect
each scratch for redness or swelling. Your doctor can tell right away
if your child is allergic to a substance.
The other kind of allergy testing that may be done is an intradermal test
on your child's arm. This test is done when a substance does not cause
a reaction in a scratch test but may be an allergen for your child. A
small amount of the substance will be injected into your child's skin
to see if a reaction takes place.
Based on your child's test results, your doctor may recommend allergy
injections for treatment. These injections will help your child if they
are allergic to dust, pollens and molds by exposing him to a small amount
of them so they build up a tolerance. Many children's medication needs
decrease by 90% after a year of injections.
Allergists can diagnose your child with asthma and create a plan for him
or her to manage it. There is no cure for asthma, but it can be controlled
by avoiding triggers and using medicine. Children with asthma can live
To diagnose your child's asthma, the doctor will complete a spirometry,
which measures the air taken into and out of the lungs, peak flow monitoring
to measure lung function, chest X-rays and blood and allergy tests.
Your child may be diagnosed with allergic asthma. This type of asthma means
that your child's attacks are triggered by allergens like trees, grass,
molds and dust mites. It can also be triggered by exercise, cold air and
viral infections. Allergic asthma is the most common form of asthma and
can be treated with anti-inflammatory medications and allergy injections.
Our Pediatric Allergy & Immunology Specialists
East Tennessee Children’s Hospital is made up of compassionate, trustworthy
medical professionals who are fully committed to helping children and
families. Below you can learn more about the pediatric allergy and immunology
specialists affiliated with our hospital.
Find a Doctor search engine to browse through the various medical specialists at East
Tennessee Children’s Hospital.