Allergy Care

Not always. A clear history often tells us what we need to know. We test when results would change the plan — for example, to confirm a food allergy, identify environmental triggers, or guide an allergist referral. We won’t order broad panels just to “see what comes up.”

We can order basic allergy bloodwork (specific IgE testing) for common environmental and food allergens. For skin testing, food challenges, or immunotherapy (allergy shots), we refer to a pediatric allergist.

Colds usually last 7 to 10 days, often come with fever, and have thicker yellow-green mucus. Allergies last longer, don’t cause fever, come with itchy eyes or throat, and tend to repeat at the same time each year. If your child is “sick” every spring, it’s probably allergies.

Stop the food and call us. If symptoms include swelling of the mouth or face, trouble breathing, vomiting, or a widespread rash, give epinephrine if prescribed and call 911. We’ll help you decide whether to confirm the diagnosis with testing or refer to an allergist.

Many are, at the right dose for your child’s age and weight. We’ll go over what works (long-acting non-drowsy antihistamines, nasal saline, certain steroid sprays) and what to avoid. Always check with us before starting something long-term.

We refer when basic measures aren’t controlling symptoms, when we need skin testing or food challenges, when we’re considering immunotherapy, or when a child has had a serious reaction. We stay involved and coordinate care with the specialist.