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Dr. Kate Aberle discusses Sublingual Drops as an alternative treatment for allergy sufferers
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Page-allergy testingOur management of inhalant (airborne) allergy involves MQT (Modified Quantitative Testing), which is an “screening” of the antigens, and IDT (intradermal skin testing) of 38 different dusts, pollens and molds most prevalent in this area, as well as cockroach, cat, dog and feathers. The test will take approximately 2 hours. The MQT is done on the forearm and the IDT test is done on  the area between the shoulder and the elbow on both arms. If you are “needle queasy” we will call in a prescription to your pharmacy for a numbing cream to use before you arrive for testing. A small amount of antigen is injected to make a “wheal”, which looks like a small blister. Ten minutes after the complete row of antigens is injected, the arm is checked for any reaction. A positive or negative reaction is determined by the change in the wheal size. By the end of the test you will know the test results, and all information – printed and verbal – will be discussed in detail. Treatment consists of weekly injections, which are initially administered in our office. Once the maintenance dose is reached, they may be continued in the office, be given at another medical facility, or you may be trained to administer them yourself. We also offer sublingual drops which are taken home and placed under the tongue daily. These are great for children and patients who do not tolerate needles well.  They are also ideal for patients with co-pays and those who travel any distance to our office. Sublingual drops are not covered by any insurance.

Provocative Neutralization Food Testing is done very much like skin endpoint titration. The seven “hidden” foods that are very prevalent in the average American diet are tested. These are: corn (the most commonly used sugar), egg, malt, milk, soy, wheat and yeast. A wheal is made with a food antigen and the patient observed for any change in condition. This may include headache, fatigue, congestion, cough and many others. If there is a reaction, weaker doses of the same antigen are given until the reaction has cleared. The food that provoked a reaction must be avoided for a certain amount of time in order to alleviate the symptoms. Nutritional counseling and diet modification will be discussed in detail. Once the food has been avoided for a period of time, sublingual food drops may be used periodically if the food is to be eaten.

We offer another food test in which 96 foods are tested. This is done through a blood test. The blood sample is sent to Massachusetts where the test is done. The result package includes a list of food sensitivities, foods to avoid, shopping list, menu planning, etc. Our office should receive results in 2 weeks. Sublingual Food drops are not available for this test.

If you are taking a beta blocker for any reason we will not be able to test you using MQT or IDT. We can still do the food testing through a blood draw. This includes some eye drops mainly used for glaucoma, which also may be beta blockers. You must discuss medication alternatives with your physician in order to be tested. We have a list of beta blockers in the office if you are not sure about the medication you are taking. If you are able to stop the beta blocker until after the testing, we have sublingual drops available for treatment. These may be used while taking the beta blocker.

If you are pregnant or nursing you must wait until after the baby is born or until nursing is stopped before testing. We do not want to introduce something new into your system that may have an effect on the baby.

We are always looking for ways to help make life easier for the allergy patient. We test ages five years and older in a patient friendly environment. You and/or your family member will be treated in a compassionate and caring way.

Please call if you have any questions.  816-942-7200 ext.245/246