When does my child need to see an allergist for asthma?

Asthma and allergy referral guidelines have been developed by a joint committee of the two leading, relevant academic institutions: The American College of Allergy, Asthma & Immunology, and the American Academy of Allergy, Asthma & Immunology. The guidelines state that referral to an allergist for asthma treatment is indicated under the following conditions, which includes: - When the patient's asthma is unstable. Uncontrolled asthma may be associated with widely variable pulmonary functions and possibly high morbidity and mortality.

Early comprehensive intervention may prevent these unfortunate events. Such intervention should include development of a long-term treatment plan. - When the patient's response to treatment is limited, incomplete, or very slow, and poor control interferes with the patient's quality of life - When, in spite of taking anti-inflammatory medications regularly, the patient must use an inhaled beta-agonist such as albuterol frequently, exclusive of its use in exercise-induced asthma.

Albuterol simulates beta-2 neurotransmitters and relaxes the bronchial muscles. - If there is a need for frequent adjustments of therapy because of unstable asthma - For identification of allergens or other environmental factors that may be causing the patient's disease. Patients with asthma must have access to a thorough etiologic evaluation.

(Etiologic is a fancy name for the process of determining the cause of a disorder. For example, an etiologic evaluation of an allergy might reveal that there is a cat at home.) - When allergen immunotherapy is a consideration - When the patient and the primary caregiver need intensive education in the role of allergens and other environmental factors - When family dynamics interfere with patient care and/or there is a need for further family education about asthma - When a patient has a chronic cough that is refractory, or irresponsive, to usual therapy - When coexisting illnesses and/or their treatment complicate the management of asthma - When the patient has recurrent absences from school or work due to asthma - When the patient is experiencing continuing, nocturnal episodes of asthma.

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