What to expect when your child has allergy testing
Your child will be weighed, measured and may choose to wear a soft gown (infants will wear a diaper only during testing).  The first stage of testing is performed on the back while your child is lying on his/her stomach. A tiny toothpick-like device is used to scratch the surface of the skin and administer the antigen. If there is a positive reaction, there will be swelling and itching at the site, similar to a mosquito bite, usually within 15 minutes. If these initial tests are negative, additional tests may be necessary.  Here, the antigen is injected into the skin of the lower, inner arm with a small needle, similar to a TB test.  Again if positive, a mosquito bite appearance and itching may occur for a short time.

Certain allergies can now be treated using allergy drops, a needle-free alternative that delivers treatment using a simple drop of medication under the tongue. Talk to your allergist about whether this might be a good option for you.

Preparing your child for allergy shots
Teaching coping mechanisms ahead of time helps your child feel "in charge." Be honest and calm when informing your child about allergy testing. Attempt a discussion a day or so prior to testing to answer any questions they may have. In a straight-forward, non-emotional manner, provide simple, accurate information. There may be some discomfort. Talk with your child about strategies to use for coping with the tests, and practice these tactics before the testing appointment.
 
Offer your child emotional support by being present during testing. Be sure any fear or anxiety you might have is not transmitted to your child. Encourage your child to do his or her best, saying, "Now is the time when you must lie still."
 
Relaxation
Learning relaxation methods can reduce anxiety and ease the process of receiving allergy shots. Some techniques include:

• Have the child tense and then relax muscles ("Make your arm tight and stiff; then let it hang loose like spaghetti")
• Practice slow breathing ("Take deep, slow breaths," or "Pretend to blow out birthday candles")
• Listen to music ­- bring favorite stories or a tape recorder
• For an older child, music on a walkman can be relaxing
• Stroking your child's hair or patting during testing can be reassuring
• Praise your child for good behavior and attempts at coping strategies

Distraction/Diversion
Distraction can narrow attention and help your child focus on one thing.  Possibilities include:

• Bringing a favorite stuffed animal to be hugged during testing
• Counting or reciting the alphabet
• Blowing a pinwheel (we stock these) or a party blower
• Looking at a pop-up or interesting picture book
• Saying, "You can say 'ouch' real loud and squeeze my hand tightly"
• Singing a favorite song or telling a favorite story
• Talking about pleasant past or future events

If allergy shots are recommended, children generally conquer their fear of needles when they realize it is not as painful as they expected. The needle used is shorter and finer than with most vaccinations so there is less pain during the injection and little soreness afterwards. Depending on response to therapy, frequency of injections may be decreased to monthly after the first year

Grand Rapids Allergy helps end each appointment well by offering prizes such as stickers to children after their treatments. Together with your efforts, the discomfort of injections can be minimized so that your child can enjoy the benefits of allergy treatment.