Dr Andrew Clark MB BS MRCPCH MD

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Services

 

We run a comprehensive service for children with allergy of any type

Many of these conditions will be present in the same child, therefore, all of these would be condsidered for assessment during a consultation.

 

Here are some of the conditions we can diagnose and treat:

 

Milk intolerance in babies and children

This is often found in babies with troublesome eczema and gastro-intestinal symptoms, such as frequent vomiting or possetting. It is also participarly likely in babies who cry frequently and seem inconsolable. This can happen in babies drinking formula cow's milk, or babies can even develop symptoms caused by the small amounts of cows milk present in their mother's breast milk. The diagnosis requires exclusion of cow's milk from the diet and allergy testing to ensure there is no immediate-type allergy present. After several months, gentle attempts are made to reintroduce cow's milk back into the diet. This kind of intolerance usually resolves quite quickly during the early years of childhood. 


Eczema



Eczema is common in childhood and may be a sign of allergy. In infancy, eczema is often the first sign of an allergic tendency and some children will go on to develop food allergy and asthma. Eczema can be driven by several common allergens, in infancy this is often egg or cow’s milk and in older children house dust mite or pet dander. Allergy testing helps to distinguish whether avoiding these may be helpful. Eczema is often present in the background in older children with immediate-type food allergy (e.g. peanut allergy). We provide an age-appropriate assessment of your child's eczema, identifying the role of allergy, providing targeted allergen-avoidance advise and optimizing medical treatment with the right ointments.

 

Food allergy

Allergic reactions can appear after eating any food and range from mild rashes to severe difficulty in breathing or collapse. Food reactions can be either immediate (e.g. peanut allergy) or delayed (e.g. cow’s milk intolerance). We provide a detailed allergy assessment followed by specific allergy tests. The foods responsible can be singled out and tailored avoidance advice provided. We also provide a realistic risk assessment for each individual child's allergy. Emergency medication will be recommended as appropriate (e.g. an adrenaline autoinjector) and families will be trained in their use. An individualized treatment plan is provided for families and schools. Emerging treatments for food allergy will be discussed.

 

Allergic rhinitis

 or ‘Hay fever’

This is often under-recognized and under-treated by doctors and patients alike. However, we know that it causes a significant impact on daily living by causing poor quality sleep and tiredness during the day. Children also risk being teased by their peers or chastised by teachers for constantly sneezing, sniffing and wiping their nose. With the correct treatment these symptoms can usually be controlled.

A detailed assessment of the whole airway will be undertaken (asthma is also often under-recognized in this condition) and allergy testing will characterize the allergens involved. A tailored treatment plan will be provided to alleviate symptoms during the pollen season.

‘Non-seasonal’ or persistent rhinitis or asthma causes symptoms all year round, which may be driven by pet dander or storage mites, allergy testing can help to define whether these are involved, and preventative strategies implemented.

 

Asthma



About a quarter of school aged children have asthma, and many of these will have an allergic trigger, often pollen or animal dander (e.g. horses). Our aim is to allow every child with asthma to live a normal life without any limitations imposed by their disease. Allergic rhinitis often goes hand in hand with asthma and treating it effectively may improve your child's asthma control. 


Unexplained reactions or rashes

We are often asked to assess children who have allergy-type rashes out of the blue, with no obvious cause. We  undertake a full allergy assessment to identify any potential culprit. Often these attacks are spontaneous, but can be triggered by physical factors such as stress or heat. We can identify these factors provide a management plan for future attacks.

 

Ruling allergy in or out

Sometimes allergy presents in unusual ways and we are always open to investigating whether it is really present or not. Finding out that a troublesome symptom is not due to allergy can be liberating!