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FAQ

Find clear answers to the most common questions patients ask about allergy and asthma care, testing, immunotherapy, food allergies, appointments, insurance, and more. Use the topic sections below to jump directly to what you are looking for. If you still cannot find your answer, our team is always happy to help.

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General questions about the practice

Q1. What is Paris Asthma and Allergy Centers?

Paris Asthma and Allergy Centers is a specialty allergy and asthma practice serving Southeast Michigan since 1966. We provide expert diagnosis and personalized treatment for allergies, asthma, sinus conditions, food allergies, hives, skin allergies, and related immune conditions for patients of all ages at our Livonia and Brighton offices.

We have two office locations in Southeast Michigan — one in Livonia and one in Brighton. Both offices offer the full range of allergy and asthma services including allergy testing, immunotherapy, asthma care, food allergy evaluation, and more.

Care is provided by Dr. Jason C. Paris, MD, a board-certified allergist and immunologist, and Pamela H. Steinberg, PA-C, a certified physician assistant with extensive experience in allergy and asthma care. Both providers bring decades of clinical experience to patient care.

We treat a wide range of allergy and asthma-related conditions including seasonal allergies, year-round allergies, pet allergies, asthma, allergic asthma, sinusitis, food allergies, drug allergies, skin allergies, eczema, hives and urticaria, insect sting allergy, latex allergy, occupational asthma, and exercise-induced asthma.

Yes. Paris Asthma and Allergy Centers provides care for patients of all ages from young children and infants to teenagers and older adults. Allergy and asthma care is tailored to the age, symptoms, and individual needs of each patient.

The practice was founded in 1966 and has been caring for generations of patients in Southeast Michigan for nearly six decades. Many families have trusted Paris Asthma and Allergy Centers across multiple generations.

You can reach our Livonia office at (734) 591-6660 and our Brighton office at (810) 229-2887. You can also request an appointment online through our Book an Appointment page at any time.

First visit & appointments

Q1. Do I need a referral to see an allergist?

Most patients do not need a referral. However, some insurance plans require one, so please check with your insurance provider before scheduling your appointment.

You can request an appointment online or call our Livonia or Brighton office directly. Our team will help you find a convenient appointment time.

First appointments typically last 60–90 minutes and include a review of your medical history, symptoms, and allergy testing if appropriate.

Please bring your photo ID, insurance card, current medication list, previous allergy or pulmonary test results, completed patient forms, and any questions you’d like to discuss with your provider.

Yes. Please complete your new patient forms before your appointment to help us prepare your chart and make the most of your visit.

Allergy testing may be performed during your first visit, depending on your symptoms and your provider’s evaluation. If testing is planned, you’ll receive instructions on any medications to stop beforehand.

Certain antihistamines and other medications can affect your test results. Your provider will give you a list of medications to stop and when to stop them before your appointment.

If you need to cancel or reschedule, please contact our office as soon as possible. We appreciate at least 24 hours’ notice whenever possible.

Allergy symptoms & conditions

Q1. What are the most common allergy symptoms?

Common allergy symptoms include sneezing, a runny or congested nose, itchy or watery eyes, coughing, wheezing, skin rashes, hives, and itching. Symptoms vary depending on the type of allergy and individual triggers.

Seasonal allergies are triggered by outdoor allergens like pollen, while year-round allergies are usually caused by indoor allergens such as dust mites, pet dander, and mold.

Yes. Allergies can develop at any age. Adults may develop new allergic sensitivities even if they never experienced allergies during childhood.

Allergies often cause sneezing, itchy eyes, and a runny nose without fever. Colds are more likely to include body aches, fever, and symptoms that usually improve within a week or two.

Yes. Ongoing allergy symptoms, poor sleep, and certain allergy medications can all contribute to fatigue and reduced energy levels.

Allergic rhinitis is the medical term for nasal allergies. It commonly causes sneezing, congestion, a runny nose, post-nasal drip, and itchy eyes or nose.

Pet allergies are caused by proteins found in an animal’s dander, saliva, and urine—not the fur itself. Cats and dogs are the most common triggers, but other animals can also cause allergic reactions.

An insect sting allergy is an allergic reaction to the venom of bees, wasps, hornets, yellow jackets, or fire ants. Reactions can range from local swelling to severe, life-threatening anaphylaxis.

Allergy testing & diagnosis

Q1. What types of allergy testing are available?

We offer allergy skin prick testing, intradermal testing, patch testing, pulmonary function testing, and specific IgE blood testing. Your provider will recommend the most appropriate test based on your symptoms and medical history.

Skin prick testing involves placing small amounts of allergens on the skin using tiny pricks. Results are typically available within 15–20 minutes.

Most patients describe it as a mild scratch rather than a painful procedure. The most common sensation is temporary itching at positive test sites.

Patch testing identifies contact allergies by placing adhesive patches containing common allergens on your back for 48 hours, followed by follow-up readings to check for delayed reactions.

A pulmonary function test (spirometry) measures how well your lungs work. It helps diagnose and monitor asthma and other breathing conditions.

Yes. Certain antihistamines and other medications can affect test results. Your provider will give you specific instructions on which medications to stop before your appointment.

When combined with your medical history and symptoms, allergy testing is a reliable tool for identifying allergic triggers and developing an effective treatment plan.

Your provider will review your results, explain what they mean, and recommend a personalized treatment plan based on your symptoms and test findings.

Allergy shots & immunotherapy

Q1. What are allergy shots?

Allergy shots, also known as immunotherapy, are a long-term treatment that helps reduce your body’s sensitivity to specific allergens over time.

Allergy shots gradually expose your immune system to small, increasing amounts of allergens, helping your body become less reactive over time.

Allergy shots are often recommended for patients with moderate to severe environmental allergies that are not well controlled with medications or avoidance measures.

Treatment typically includes a build-up phase followed by a maintenance phase and usually lasts 3–5 years.

During the build-up phase, shots are usually given 1–2 times per week. Once maintenance is reached, visits are typically every 2–4 weeks.

Yes. Allergy shots are a well-established and safe treatment when administered under medical supervision. Patients are monitored for 20–30 minutes after each injection as a standard safety precaution.

Many patients find they rely less on allergy medications after starting immunotherapy, with symptom improvement often continuing throughout treatment.

Avoid strenuous exercise for several hours before and after your allergy shots, as it may increase the risk of an allergic reaction.

Yes. Patients are asked to remain in the office for 20–30 minutes after each injection so our team can monitor for any allergic reactions.

Missing one or more allergy shot appointments may require your dosage to be adjusted. Please contact our office before returning so we can determine the safest treatment schedule.

Asthma care

Q1. What is asthma?

Asthma is a chronic condition that causes inflammation and narrowing of the airways, making it harder to breathe. Common symptoms include coughing, wheezing, chest tightness, and shortness of breath.

Common triggers include pollen, dust mites, pet dander, mold, respiratory infections, exercise, cold air, smoke, and strong odors. Triggers vary from person to person.

A controller inhaler is used daily to prevent symptoms, while a rescue inhaler provides quick relief during an asthma attack or sudden flare-up.

Well-controlled asthma means you have infrequent symptoms, rarely need your rescue inhaler, and can carry out normal daily activities without breathing problems.

Yes. Allergies are a common trigger for asthma. Managing your allergies can often improve overall asthma control.

An asthma action plan is a personalized guide that explains how to manage your asthma, adjust medications, and recognize when to seek medical care.

Seek emergency care immediately if you have severe difficulty breathing, your rescue inhaler is not helping, you cannot speak in full sentences, or your symptoms are rapidly getting worse.

Food allergies

Q1. What is a food allergy?

A food allergy is an immune system reaction to a specific food. Symptoms can range from mild itching or hives to severe, life-threatening allergic reactions.

The most common food allergens include peanuts, tree nuts, milk, eggs, wheat, soy, fish, shellfish, and sesame.

A food allergy involves the immune system and can cause serious reactions. A food intolerance affects digestion and is generally less severe.

Food allergies are diagnosed using a combination of your medical history, allergy skin testing, blood tests, and, in some cases, supervised oral food challenges.

Oral immunotherapy (OIT) is a treatment that gradually exposes patients to small amounts of a food allergen to help reduce the risk of severe reactions from accidental exposure.

There is currently no cure for food allergies. However, treatments such as oral immunotherapy may help reduce sensitivity and improve protection against accidental exposure.

If you experience a severe allergic reaction, use your epinephrine auto-injector immediately (if prescribed) and call 911. Always seek emergency medical care after a serious reaction.

If your child is at risk for a severe allergic reaction, your provider may prescribe an epinephrine auto-injector. It should be carried at all times and be readily available.

Sinus & nasal symptoms

Q1. What is sinusitis?

Sinusitis is inflammation of the sinuses that can cause facial pressure, nasal congestion, post-nasal drip, headaches, and a reduced sense of smell.

Acute sinusitis usually resolves within a few weeks, while chronic sinusitis lasts 12 weeks or longer and may require a more comprehensive evaluation.

Yes. Allergies can block normal sinus drainage, leading to congestion, pressure, and recurring sinus infections. Treating the underlying allergies often helps improve sinus health.

Allergies typically cause sneezing, itchy eyes, and clear nasal drainage without fever. Sinus infections are more likely to cause facial pain, thick nasal discharge, and sometimes fever.

Consider seeing a specialist if your symptoms last longer than 10–14 days, keep returning, or significantly affect your daily life.

Yes. Nasal congestion and post-nasal drip can disrupt sleep, contribute to snoring, and reduce overall sleep quality. Treating the underlying cause often helps improve sleep.

Skin allergies & hives

Q1. What are hives?

Hives are raised, itchy welts that can appear anywhere on the body. They often come and go quickly and may be triggered by allergies, infections, medications, or other factors.

Acute hives last less than 6 weeks and often have an identifiable trigger. Chronic hives persist or recur for more than 6 weeks and may require further evaluation.

Allergic contact dermatitis is a skin reaction caused by contact with substances such as nickel, fragrances, preservatives, rubber, or certain plants. Patch testing can help identify the trigger.

Eczema (atopic dermatitis) is a chronic skin condition that causes dry, itchy, and inflamed skin. It is commonly associated with allergies and asthma.

You should see a specialist if hives last longer than 6 weeks, keep returning, are associated with swelling, or do not improve with over-the-counter medications.

Most hives are not dangerous. However, hives accompanied by difficulty breathing, throat swelling, dizziness, or facial swelling may be signs of a severe allergic reaction and require immediate medical attention.

Eye allergies

Q1. What are eye allergies?

Eye allergies, also known as allergic conjunctivitis, occur when allergens such as pollen, pet dander, dust, or mold irritate the eyes. Common symptoms include itching, redness, tearing, and swelling.

No. Eye allergies are caused by an allergic reaction, while eye infections are caused by bacteria or viruses. Allergies typically affect both eyes and cause itching, whereas infections often cause discharge and may start in one eye.

Yes. Some people experience eye allergy symptoms without significant nasal congestion or sneezing, while others have both.

Eye allergies are often worse during high pollen seasons, around pets, in dusty environments, on windy days, and when rubbing the eyes.

Yes. Treating the underlying allergy with medications, environmental changes, or immunotherapy can help reduce eye allergy symptoms and improve comfort.

Insurance, billing & forms

Q1. What insurance plans do you accept?

We accept most major insurance plans, including Blue Cross Blue Shield of Michigan, Blue Care Network, Medicare, Aetna, Cigna, United Healthcare, HAP, Priority Health, Humana, and more. Please contact our office to verify your specific plan.

Referral requirements depend on your insurance plan. Please check with your insurance provider before scheduling your appointment.

Most insurance plans cover medically necessary allergy testing. However, coverage and prior authorization requirements vary, so we recommend confirming your benefits with your insurer.

Yes. Health Savings Account (HSA) and Flexible Spending Account (FSA) cards are accepted for eligible allergy evaluations, testing, and treatments.

If you’re uninsured, please contact our office before your appointment. We’ll discuss self-pay options and provide clear pricing information in advance.

New patients should complete the New Patient Registration, Medical History & Allergy Questionnaire, and HIPAA Privacy Acknowledgment forms before their first visit.

If you have questions about your insurance coverage, billing statement, or account balance, please contact our office. Our team will be happy to assist you.

Shot hours & visit logistics

Q1. Do I need a scheduled appointment for my allergy shot visits?

Once you’re established on your immunotherapy plan, you can receive your allergy shots during designated shot clinic hours without a full provider appointment. If you’re unsure about your schedule or dose, please contact our office before your visit.

Shot clinic hours are available at both our Livonia and Brighton offices. Please check the current schedule or call our office before your visit, as hours may change during holidays or special circumstances.

Most shot visits take 30–45 minutes, including the required 20–30 minute observation period after your injections.

Yes. You can receive your allergy shots at either our Livonia or Brighton office. Please coordinate with our team when setting up your immunotherapy schedule.

Wear clothing that allows easy access to your upper arms, such as short sleeves or loose-fitting sleeves that can be rolled up comfortably.

If you have a fever, active infection, or asthma flare-up, please do not come in for your shot. Contact our office to reschedule your appointment.

Missing multiple allergy shots may require your treatment schedule or dosage to be adjusted. Please call our office before returning so we can determine the safest next step for your care.

If you experience difficulty breathing, throat swelling, or other signs of a severe allergic reaction after leaving the office, use your epinephrine auto-injector (if prescribed) and call 911 immediately. For mild concerns, contact our office for guidance.

Children & pediatric care

Q1. At what age do you start seeing pediatric allergy patients?

We care for patients of all ages, including infants and toddlers. The right evaluation and treatment plan depends on your child’s age, symptoms, and medical history.

Yes. A parent or legal guardian must be present for all appointments involving patients under 18 years of age.

Common signs include frequent sneezing, a runny or congested nose, itchy eyes, coughing, wheezing, skin rashes, or breathing difficulties. An evaluation can help determine the cause.

Yes. Allergy skin testing is safe, well tolerated, and commonly performed in children. Our team takes a gentle, child-friendly approach to help keep young patients comfortable.

Allergy shots may be recommended for children around 5 years of age or older, depending on their symptoms and your provider’s evaluation.

Please bring your child’s insurance card, immunization records, current medication list, previous medical records (if available), completed patient forms, and any questions you’d like to discuss.

Yes. With the right treatment plan, most children can safely enjoy sports, outdoor activities, and an active lifestyle.

Yes. Eczema is commonly associated with allergies and asthma. Our providers can evaluate your child to determine whether allergies may be contributing to their skin symptoms.

Emergency & urgent situations

Q1. What is anaphylaxis?

Anaphylaxis is a severe, life-threatening allergic reaction that can develop quickly. Symptoms may include difficulty breathing, throat swelling, hives, dizziness, or a sudden drop in blood pressure.

Use your epinephrine auto-injector immediately (if available) and call 911. Do not wait to see if symptoms improve. Always seek emergency medical care.

Remove the safety cap, press the injector firmly against your outer thigh, and hold it in place for several seconds. After use, call 911 and seek emergency medical care immediately.

Yes. If you’re at risk for anaphylaxis, your provider may prescribe an epinephrine auto-injector. It should be carried with you at all times.

Go to the emergency room immediately if you have difficulty breathing, throat swelling, severe facial swelling, dizziness, or signs of anaphylaxis. For non-urgent questions or follow-up care, contact our office.

No. Antihistamines are not a substitute for epinephrine. Epinephrine is the first-line treatment for anaphylaxis and should be used immediately during a severe allergic reaction.

Yes. Always seek emergency medical care after using an epinephrine auto-injector. Symptoms can return even if you initially feel better.

Mild allergic reactions may cause itching, hives, or localized swelling. Severe reactions can include difficulty breathing, throat swelling, dizziness, or loss of consciousness and require immediate treatment with epinephrine and emergency medical care.

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