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Pulmonologist or Asthma/Allergy Specialist?

What’s the difference?

Asthma/Allergy Specialist

An asthma/allergy specialist is a doctor that specializes in just that. Allergies and Asthma. Generally if you have allergic asthma this is the ideal doctor for you. They are board certified in allergy and asthma and have had years of extra training to treat both issues. In most cases if you need to have environmental or food allergy testing it will take place in an allergists office. Lung function testing can also be done in most allergists office. An allergy/asthma doc can help come up with a treatment plan for your allergies and asthma, such as mediations and ways to avoid and treat allergy symptoms, especially those that set off your asthma.

Pulmonologist

A Pulmonologist is a specialty doctor that specializes specifically in lung conditions and respiratory diseases including disorders of the respiratory system including the lungs, upper airways, the thoracic cavity and chest wall. This also includes other parts of the body that effect the lungs and their function. Some examples include asthma, COPD, emphysema, cystic fibrosis, lung cancer, pulmonary hypertension, and sleep disorders to name a few. Pulmonologists are classified under the Internal Medicine sub speciality. After being board certified in internal medicine and receiving additional training specifically in pulmonary medicine they then take the exam to become board certified in pulmonary medicine. Pulmonologists are the ones who can perform complete pulmonary (lung) function testing as well as diagnostic bronchoscopy as needed.

Which is right for me?

If you are finding that your asthma isn’t being adequately controlled with the help of your primary care doctor, you should consider being referred to a specialist. If you are needing to use your rescue inhaler more than twice a week, or are needing more than one or two courses of oral steroids in a year you should really consider either a Pulmonologist or allergy/asthma specialist. If your asthma is allergy driven then an allergist is the way to go. They’re the experts on how to help you gain control over your allergies that set off your asthma.
If the asthma diagnosis is in question or not determined completely yet, a Pulmonologist has the tools and capabilities for complete lung function testing and other tests (such as a methacholine challenge) that can better confirm or rule out asthma.
I am a firm believer that most asthmatics should be followed by a specialist. There are many amazing primary/general practitioner doctors out there that are equipped to handle mild intermittent asthma however in my opinion an asthma specialist or Pulmonologist is a better choice. I was followed by my primary care doctor for many years until my asthma started being more bothersome and my doctor referred me to a Pulmonologist.
Both specialists are highly trained in the diagnosis and treatment of asthma. If your asthma is classified as more than mild intermittent, I would highly recommend being referred to a specialist.

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The Asthma.net team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.

Comments

  • RolandH
    1 month ago

    I am 65 and have had exercise induced asthma for around 50 yrs. My airways always feel somewhat constricted but close up with vigorous exercise. I have tried all of the known inhalers which have not helped but have never used a nebulizer. I have always noticed that I breathe somewhat better when it’s humid and also if I’m by the ocean. Could there be connection to the fact that there is more moisture in the air that benefits me and might this mean that a nebulizer could be beneficial in delivering the medication I need ?

  • Leon Lebowitz, RRT moderator
    1 month ago

    Hi RolandH and thanks for your post. It’s interesting that after all these years, you’ve never had the opportunity to use a medication nebulizer. You may want to speak with your physician about that. In my professional experience, there are patients who prefer to use the nebulizer as a matter of routine, but use their inhalers for convenience, time and when they are mobile.
    For your breathing to feel better in the humid air and/or when you are by the ocean speaks to your specific condition. We often say that asthma affects everyone differently and so, this type of humid air may be something that is of benefit to you. What do you think? Leon (site moderator)

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