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Writer's pictureRonit Himmelfarb, PA-C

Understanding Allergy Testing: What Parents Need to Know

Updated: Sep 26

Allergy testing is key when it comes to keeping your child healthy by identifying what triggers their allergies. Testing can help you figure out those triggers, whether it’s food, pollen, or something else. Let's dive into the most common tests that doctors use to diagnose allergies in kids.

 

1. Skin Prick Test


The skin prick test is one of the most popular ways to find out if your child is allergic to something. During this test, a tiny amount of allergen (like pollen or a food extract) is placed on your child’s skin, usually on the forearm or back. The skin is then lightly pricked or scratched. If your child is allergic, you'll see a small red bump or swelling in that spot within 15-20 minutes.

A child's arm during a skin prick test, showing small red bumps indicating an allergic reaction.

2. Intradermal Test


If the skin prick test doesn’t give a clear answer, doctors might use the intradermal test. This involves injecting a small amount of allergen just under the skin, usually on the forearm. It’s more sensitive than the skin prick test, meaning it can detect smaller amounts of an allergen. This test is often used for insect venom allergies, medication reactions, or when a more precise result is needed.

3. Patch Test


The patch test helps identify skin allergies, like those caused by lotions, metals, or chemicals. Small amounts of different allergens are placed on adhesive patches, which are then stuck to your child’s back. After 48-72 hours, the patches are removed, and the skin is checked for any redness, swelling, or rashes.

4. Specific IgE Blood Test


The Specific IgE Blood Test looks at your child’s blood to find out if their immune system is reacting to specific allergens. Doctors take a small blood sample and test it in a lab to see if there are antibodies (IgE) that respond to certain allergens, like foods or pollen. This test is especially useful for kids who can’t undergo skin tests.

Lab technician analyzing a child's blood sample for allergy antibodies.

5. Oral Food Challenge


The Oral Food Challenge is the most accurate test for diagnosing food allergies. Under close medical supervision, your child is given small, increasing amounts of a suspected allergen (like peanuts or milk) to see if they react. It’s done in a controlled setting to ensure safety, making it the “gold standard” for confirming food allergies.


A child being monitored by a doctor during an oral food challenge.

Why Allergy Testing Matters


Allergy tests are crucial because they help you and your doctor figure out what’s causing your child's allergic reactions. Whether it's food, dust, or even a skin lotion, knowing the trigger allows you to create a plan to avoid it or treat the symptoms effectively.


These tests can also be helpful for kids dealing with conditions like atopic dermatitis, a common skin disease that can be worsened by allergies. By identifying and avoiding the right triggers, you can help keep your child’s skin healthier and reduce flare-ups.


What’s Next?


Once your child's allergies are identified, your doctor might suggest changes to their diet, medications, or even immunotherapy (allergy shots). For instance, if your child has a nut allergy, you’ll want to work with a registered dietitian to create a safe and balanced eating plan.


If you’re concerned about your child’s risk of developing allergies, especially if there’s a family history, consider discussing allergy testing with a healthcare professional.


Final Thoughts


Understanding what triggers your child’s allergies is the first step in managing them. Whether it’s through a skin prick test, a blood test, or an oral food challenge, these tests give you the information you need to keep your child healthy and thriving.


If you’re looking for more guidance on pregnancy nutrition, maternal health, or how to boost your child’s immune system, don’t hesitate to consult a registered dietitian. They can provide personalized advice that aligns with your family’s unique needs.


 A smiling child with a healthy meal, symbolizing effective allergy management and nutrition planning.

 

Call to Action


Allergy testing plays a crucial role in identifying the triggers that could be affecting your child's health. Whether it's food, pollen, or something else, understanding these triggers can make a significant difference. Let's dive into the most common tests that doctors use to diagnose allergies in kids.


Take the first step in managing your child's allergies by filling out our survey and visiting our website MyorThrive.com to learn more and book an appointment today!


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