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Intradermal Allergy Testing - My Own Story

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When I was a child, all of my blood tests were performed at a military clinic that I swear used huge, rusty spikes - the bigger the better for smaller children!  I have many memories of passing out immediately following a painful blood test... the beginning of my fear of needles - and my life long avoidance of allergy testing!

Since then I've had three children, lots of needles and even more sinus infections.  After seeing an ENT specialist, I decided it was time to grow up and go through allergy testing.  The week before my intradermal allergy testing was indeed a stressful one.  I would often begin to reflect on the seventy needles that would be pushed in to my skin, soon resulting in sweaty palms and a queasy stomach.

There are many medications that can interfere with allergy testing.  Three days before the test I was to stop ibuprofin and antihistamines.  The nurse asked me several questions about what medications I was taking and told me what I needed to stop before I came in. 

Fortunately, the nurse who performed my test was very good and extremely nurturing.  I tried to act brave, but she easily saw through me.  I told her that if I could give birth with no medication, I could certainly take a few needles in the arm!  But this three hour test wasn't quite as easy as I had thought - but it also didn't kill me!

Before anything started, I was given a blood test at my request to test for food allergies.  A vial was taken and sent to a company in California.  This lab tests for over one hundred possible food allergies, from dairy to bay leaf to black pepper!  As of this writing, I have not received the results yet.

Time for the allergy testing!  I sat in a chair and she wiped my arm with alcohol.  Then she quickly put three needles in to the top of my arm.  In truth, the needles really weren't that painful.  There was a pinch with each of the three, but nothing that would normally put me on the floor.  The nurse explained that these were the controls.  One was a histamine that was meant for my body to fight.  If it didn't, it meant I had an antihistamine in my system that would invalidate the test.  The second was glycerin and the third saline - both of which my body should not react to.

The nurse had two long plastic pieces that each had two rows of needles in them.  The needles were dipped in allergens.  She pushed them in to each of the inside of my forearms.  They were slightly uncomfortable but didn't hurt.  I had to sit while my body had a chance to react to the histamines.  From there, the nurse knew what to test for on my arms.

Then came the fun.  The nurse brought in rows of hypodermic needles, each containing a few drops of a different allergen.  She drew three rows down my arm with a marker and began injecting the allergens just under the skin.  There were several that I didn't feel at all.  Then some that pinched but where quick - and then some that she warned would really hurt.  And they did.  These were the thick solutions that burned even after the needle was out.

After the first round of needles I had to sit.  The nurse would set the timer and then read the dots after a certain amount of time.  Then she would inject another row down my arm.  Once three rows were completed on each arm, she started back on the first arm in between the first rows.  As each portion was completed I had to sit and wait for my body to react and then be read.

My mother has had several allergy tests and said they didn't bother her at all.  Me?  I'm a redhead with sensitive skin and a history of blundered blood tests in my past.  Was it a painful test?  No, not really.  I would call it uncomfortable at times, with a few that really hurt.  But most of them were little pinches.  If you aren't afraid of needles, this will be a walk in the park for you.  But if you are uncomfortable with needles, you may need a few rests, a walk to the drink machine and a movie in the DVD player.  I managed to watch the entire tape of The Little Princess as a way to keep my mind off of my arms.  And talking to my mother on the cell phone got me through the last round of pinches.

The afternoon after the test I felt tired and a bit achy.  I was able to take Tylenol for the aches.  Twenty four hours and forty eight hours after the test I was required to have someone "read" my arms.  This told the nurse if my body had delayed reactions to the allergens.  Even five days after the testing, my arm is a bit itchy.  I could take an antihistamine if I wanted to, but the itching hasn't been bad enough to motivate me to get one.

My allergy shots start in two weeks for my dust mite, dog and mold allergies.  (The dog is NOT leaving!)  It will be one shot each time.  After sitting through more than seventy needles in my arm in a morning, I will look at that one single needle and say, "Bring it on!"

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