The clinical pathways can vary greatly depending on the symptoms of your child. As a guide, the following is an outline of the pathway for children seen in the Allergy and respiratory service, which covers a large percentage of the children we see.
Prior to your consultation, you will be sent special forms to help provide information beforehand to keep you and your child well prepared for the topics that will be discussed.
Despite the fact that allergy tests (including skin allergy tests) and blood tests can be used to confirm a diagnosis, one of the main sources of information that can help provide a diagnosis and inform a management plan is your child’s medical history.
As such, there will be a detailed history-taking at the first appointment, and your consultant will ask about the symptoms your child has been experiencing, as well as any specific details that may help.
For example, frequent colds may be a phase in your child’s lifestyle due to increased exposure (such as a child starting nursery or school), which is a limited phase, meaning it should go away within a few months.
In other cases, there may be a pre-disposing condition, such as the presence of an allergy, including allergic rhinitis (inflammation inside the nose, often caused by pollen, dust, or animals). By treating the allergy, the colds tend to go away of their own accord.
If your child has had an allergic reaction to peanuts, for example, your consultant may ask for:
- Details of the reaction and the timescale involved
- The amount that caused the reaction
- Any previous incidents
- Whether or not other nuts and seeds cause similar issues
- Whether or not your child suffers from asthma, hay fever, eczema or other complaints
Frequently, a judgement can then be made on the severity of the allergy, as well as risk of future reaction, which sometimes depends on the presence or absence of asthma.
Private appointments typically last 30 minutes, although this can run over in an initial consultation to make sure all areas are covered.
Based on this information, your consultant can form a provisional diagnosis. Sometimes this may be enough to warrant issuing your child with an emergency kit, as well as determining the extent of the dietary requirements, with advice on foods to avoid.
If necessary, appropriate tests can then be booked, such as skin tests for certain allergies, or blood tests. Other conditions may require an ultrasound, CT or MRI scan, all of which can be done in our well-equipped radiology department on-site.
A follow-up appointment will then be arranged to discuss the results, comparing them with the medical history to give a more informed diagnosis.
Occasionally, a ‘food challenge’ may need to be arranged, requiring a stay in hospital, where small amounts of the food in question is given to your child in a controlled environment in order to make a definitive diagnosis.
Once this diagnosis is made, your consultant can offer you and your child a treatment plan tailored to their specific needs, often focused on managing their condition, especially when related to allergies. Any prescription needed can be picked up from our on-site pharmacy for added convenience.