What to Expect for Your First Visit to an Allergist

Whether you're dealing with relentless sneezing, itchy skin, food allergies, or other symptoms, visiting an allergist for the first time can be an important step toward answers—and relief. If you're feeling unsure or even a little nervous about what to expect, you're not alone! Here's a guide to help you prepare and make the most of your first visit to a board-certified allergy and immunology specialist.

Why See an Allergist/Immunologist?

Allergists are physicians with specialized training in diagnosing and treating allergic conditions and immune system disorders, specifically immune deficiencies. Common reasons people in Philadelphia, Montgomery County, and Bucks County see an allergist include:

  • Chronic nasal congestion, sneezing, or postnasal drip
  • Recurrent sinus infections
  • Asthma or chronic cough
  • Eczema, hives, or skin rashes
  • Food allergies and sensitivities
  • Reactions to medications, insect stings, or environmental triggers
  • Frequent infections

If you've been struggling with ongoing symptoms or allergic reactions and haven’t found relief, a local allergist/immunologist can help identify the root cause and develop a customized treatment plan—often right in your neighborhood.

What Should You Bring?

To make your first visit as productive as possible, bring the following:

  • Medical history – Be prepared to discuss your symptoms, including when they started, how often they occur, triggers, and any medications you’ve tried.
  • Medication list – Include all prescription medications, over-the-counter drugs, supplements, or vitamins you take.
  • Previous testing – Bring any lab work, allergy testing, or imaging you’ve had done. Ask your referring doctor to send these ahead of time if possible.
  • Important: Avoid taking antihistamines (like Allegra, Zyrtec, Xyzal, Benadryl, or Claritin) for 3–5 days before your appointment if you're scheduled for allergy skin testing. These medications can interfere with accurate results—unless your allergist tells you otherwise.

What Happens During the Visit

Your first allergy appointment typically lasts 60–90 minutes. Here’s what to expect:

1. A Detailed History

Your allergist will ask about your symptoms, lifestyle, environment, and diet. These details help guide diagnosis and testing.

2. Physical Examination

This may include checking your ears, nose, throat, skin, and lungs depending on your symptoms.

3. Testing (If needed)

Based on your condition, the allergist may recommend:

  • Skin prick testing – Small amounts of allergens are placed on the skin to check for reactions, with results in 15–20 minutes.
  • Blood testing
  • Pulmonary function testing – Common for patients with asthma or breathing concerns.
  • Patch testing, food challenges, or drug challenges – Typically scheduled for a future date.

4. After the Initial Evaluation:

Once your evaluation is complete, your allergist will review the findings and recommend a plan that may include:

  • Avoidance strategies for triggers
  • Medications such as nasal sprays, antihistamines, or inhalers
  • Allergy immunotherapy (allergy shots)
  • Dietary adjustments for food allergy treatment
  • Additional labs or imaging
  • Specialist referrals if needed

The Goal: Better Control, Better Quality of Life

Many allergy sufferers find significant relief with the right plan—and many feel more empowered simply by having a clear diagnosis and strategy. Whether it's hay fever, chronic sinus issues, or food sensitivities, your allergist will help you take control.

Don’t hesitate to ask questions, share your concerns, or mention even minor symptoms. The more we know, the more we can help.

Final Tips

  • Wear short sleeves if you're expecting skin testing.
  • Arrive a few minutes early to complete any new patient forms.
  • Write down your questions ahead of time so you don’t forget anything during your appointment.

Call any one of our offices in Northeast Philadelphia, Willow Grove, or Richboro. Our allergists proudly serve patients throughout Philadelphia, Montgomery County, and Bucks County, and we’re ready to help you breathe easier!

About ENT & Allergy Associates:

ENT & Allergy Associates (ENTA) is the premier otolaryngology and allergy practice in the region, offering comprehensive care in Adult and Pediatric Ear, Nose, and Throat (ENT), Allergy, Asthma, Audiology, Sleep Medicine, Balance Disorders, Voice and Swallowing Disorders, Sinus and Skull Base Surgery, Thyroid and Parathyroid Disorders, Head and Neck Surgery, Facial Plastics and Reconstructive Surgery, and Hearing Aids.

With convenient office locations throughout New Jersey, New York, and Pennsylvania, ENT & Allergy Associates is proud to provide expert, compassionate care in:

  • New Jersey – Bergen, Camden, Burlington, Monmouth, Middlesex, Morris, Passaic, Sussex, Somerset Counties, and more.
  • New York – The Bronx, Brooklyn, Manhattan, Staten Island, Queens, Long Island (Nassau and Suffolk Counties), and Westchester County.
  • Pennsylvania – Bucks County, Montgomery County, and Philadelphia County.

Whether you're seeking relief from seasonal allergies, expert surgical consultation, or help managing chronic ENT conditions, our board-certified physicians and specialized care teams are here to help.

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