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Food allergy tests are also done by using the modified
RAST test. Different food panels are available depending
on the patient's dietary intake. The abstinence/challenge
test is the ultimate diagnostic test, but is time consuming
and laborious.
For clinical interpretation of the results, a thorough
clinical history from the patients is absolutely necessary.
If diagnostic tests confirm the presence of a specific
allergen, avoidance of this allergen remains the mainstay
of treatment. However, failure to identify an offending
allergen would necessitate a prolonged and safe use
of an intranasal steroid nasal spray to reduce inflammation
in the target end of organ (the nose) with excellent
results. Surgery is also offered for obstructive turbinates,
deviated nasal septum or nasal polyposis and is necessary
to augment the use of an intranasal steroid spray. |