CUH Logo

Mobile menu open

Allergy (My Planned Care)

We are a major allergy centre delivering comprehensive specialist allergy services for adults and children. Allergy is a medical speciality which treats people developing allergic symptoms or reactions.

This can be due to food allergy, drug allergy, insect sting allergy or allergies in the environment for example those causing hay fever, asthma or eczema. We also investigate and manage severe allergies such as anaphylaxis which can be life-threatening. Some conditions which mimic allergy are often not caused by allergy (e.g. hives, swellings and rhinitis) and these are also sometimes dealt with by allergy services. Allergy services deliver desensitisation treatment for some allergies and some monoclonal antibody therapies. The Allergy service can also investigate drug allergies including antibiotics, pain killers, drugs used in general anaesthetics, local anaesthetics and contrast media.

For adults and children, we make a diagnosis based on a detailed clinical history, supplemented where necessary by skin tests (prick and intradermal tests), blood tests and occasionally challenges (administration of a drug or ingestion of a food under supervision in clinic). Paediatric services provide access to specialist Allergy Dietetic services. We aim to address your allergy concerns in one, or perhaps two face to face clinic visits. You will likely then be discharged back to your GP’s care, and further follow up is arranged by your GP as indicated by us.

Guidance for Patients

If you have been referred to the allergy service then while waiting for an appointment you may experience further allergic reactions. These should be reported to your GP or other referring doctor who can provide advice and treatment. If your allergic reaction is severe you may need to call an ambulance, dial 111 or attend the emergency department. If you have had a severe reaction you should discuss with your GP whether you should carry injectable adrenaline (e.g. a Jext or EpiPen). This can be prescribed by your GP before your appointment with us. If you have been given an adrenaline auto injector then you should ask the prescribing doctor for training in its use, register on the manufacturer’s website and also access online training.

If you do experience an allergic reaction, you should keep a record of the reaction(s) with dates / times; symptoms; treatment needed; and possible triggers e.g. your environment, food eaten, medicines, alcohol and whether you were exercising. Photographs of rashes and swelling will help us to make an earlier diagnosis and you should ask your GP to attach the photographs to the referral and also bring these with you so that we can view and attach to your confidential medical records. If you have developed an allergic reaction to a specific food e.g. a fruit, vegetable or shellfish, kindly ensure that you bring a small fresh (uncooked) sample of each of these to the allergy clinic appointment (we have our own samples for many other foods, pollens and pets).

If your allergic reaction occurred many years ago and full details of possible triggers are not available, then we will not be able offer investigation. For example, investigation of drug allergy requires full details of the drug taken, together with the timing and symptoms of the allergic reaction.

If you have been referred with symptoms that are not likely due to allergy for example some rashes or food intolerance, then the allergy service is not likely to be able to help but your referring doctor will be provided with advice.

Before your appointment

Please stop taking all antihistamines for 3 and preferably 5 days before your allergy clinic appointment, but only:

  • If this is your first appointment as we will be conducting skin testing in most cases
  • Or you were informed at a previous appointment that you will have skin testing undertaken. Most patients having follow-up appointments will not need further skin testing.

What should I do if my health is deteriorating?

If your allergies become worse or you have further frequent allergic reactions then contact your GP who can provide advice and treatment. Your GP can also seek advice and guidance from the specialist Allergy service. If you have a severe allergic reaction then you should call 999 and attend the emergency department.

Contact us

We are not able to provide advice if you are a patient still waiting for your first outpatient appointment or if you have been discharged from the allergy service. In this instance please contact your GP.

If you are already under our care, you will be provided with a copy of the letter sent to your GP and this should provide comprehensive information about your treatment. If you have a query about the information provided then our team contact details are below, and we will respond as soon as possible.

Secretarial team

Reviewed: 29 August 2024