Focuses on stings from honeybees, wasps, hornets, yellow jackets, and fire ants. Reactions range from large local swelling to anaphylaxis (hives, breathing difficulty, dizziness).

What to expect during testing?

• Review of sting event, timing, and treatments used.
• Skin and/or blood IgE testing to specific venoms.
• If indicated, start venom immunotherapy (VIT) to reduce risk of severe reactions by >90%.
• Prescription and training for epinephrine auto‑injectors and sting‑avoidance tips.

Pet allergy is typically a response to proteins in dander, saliva, and urine—most commonly from cats and dogs. Symptoms include sneezing, itchy eyes, congestion, wheeze, and skin flares.

What to expect during testing?

• Skin prick and/or blood IgE testing for cat, dog, and other animals as needed.
• Home plan: pet‑free bedroom, HEPA filtration, frequent cleaning, and bathing/brushing guidelines.
• Discussion of allergy immunotherapy for cat/dog if symptoms persist.

Reactions to medications—commonly penicillins, sulfa drugs, NSAIDs, and certain anesthesia agents—may be allergic or non‑allergic. Many penicillin labels are inaccurate and can be removed after testing.

What to expect during testing?

• Review of the original reaction (timing, symptoms, treatment).
• For penicillin: skin testing with major/minor determinants followed by a graded oral challenge if negative.
• For other drugs: risk‑based drug challenge or, when necessary, desensitization in a monitored setting.
• Updated allergy list sent to your medical record.

Food allergy is an immune (IgE‑mediated) reaction to foods such as milk, egg, peanut, tree nuts, soy, wheat, fish, and shellfish. Symptoms can include hives, swelling, vomiting, wheeze, throat tightness, or anaphylaxis.

What to expect during testing?

• Detailed history of foods, amounts, timing, and symptoms (with photos if available).
• Skin prick and/or specific IgE blood tests to suspected foods.
• When results are unclear, a supervised oral food challenge with small, increasing doses is the gold standard.
• Action plan and epinephrine auto‑injector training if needed.

These evaluate sensitivity to dust mites, mold spores, and cockroach allergens (pet dander is covered separately). Symptoms often persist year‑round and may worsen at night or in damp spaces.

What to expect during testing?

• Review of home/work environment (bedding, carpets, humidity, pests).
• Skin prick and/or blood IgE tests for key indoor allergens.
• Same‑day counseling on dust‑mite encasings, HEPA filtration, dehumidifiers (<50% humidity), and pest control if needed.

Seasonal allergies occur when your immune system reacts to airborne pollens released by trees (spring), grasses (late spring/summer), and weeds like ragweed (late summer/fall). Typical symptoms include sneezing, nasal congestion, runny/itchy nose, itchy/watery eyes, sore throat, cough, and fatigue.

What to expect during testing?

• Brief history to map symptoms to local pollen seasons.
• Skin prick testing on forearm or back with tiny drops of multiple pollens; results in 15–20 minutes (small, itchy “wheal”).
• If needed, intradermal testing or specific IgE blood tests.
• Guidance on temporarily stopping antihistamines 5–7 days before skin testing (only if safe for you).
• Personalized plan reviewed the same day.