K.S. asks from Watertown, MA on August 07, 2009
Newly Diagnosed with Peanut Allergy - HELP!
My daughter was just diagnosed with a peanut allergy. We had started a month ago with a dot of peanut butter on her lips and no reaction. So, we moved up to a cracker with a very tiny amount of peanut butter spread on it - again, no reaction. She then had peanut butter ritz crackers - up to 4 at a time - again, no reaction. Then, one day, she had peanut ritz bitz crackers - a whole bunch of them, and she had some dots on her cheek and one on her chest. When I called the pedi, he said to stop all nuts and get her tested at Children's. We just got tested and she was officially peanut allergic.
I was wondering a number of things - could the skin test be wrong? The big bump and reaction showed, so it's not like it missed anything - but have others seen false positives with skin tests?
Also, it seemed that the doctor said no contact at all with anything with peanuts and gave us an epi-pen. If she has a reaction, we're supposed to use the epi-pen right away; he did not want us to start with Benadryl. How extreme are other moms in avoidance techniques when their child may have only had a slight skin reaction and never has had any other reaction when having peanuts. Do some moms let their child eat foods that are labeled "May have been made on a press that may have had peanuts on it" if their child has only had slight reactions? Or does everyone just do strict avoidance of anything and everything?
How do those moms out there deal with eating out with their kids with peanut allergies?
Are there forums where you can talk to other parents online - is that part of the membership of FAAN?
Has anyone heard of a way to test how severely one is allergic? Is the only way the challenge tests (my daughter is too young right now and they felt her skin prick test showed too big of a reaction to risk doing the challenge test)?
Lastly, at what age have you been told that you may try oral desensitization with your child to see if they can get used to having some exposure without dire consequences?
Thank you so much in advance for any guidance you can provide - I'm feeling a bit overwhelmed!!!
2 moms found this helpful
Featured Answers
J.H. answers from Boston on August 09, 2009
Hi K.
My friend's daughter was diagnosed as having a severe peanut over a year ago and I'd be happy to connect you to her for info. They have an allergy specialist who is world reknown!
J. H
D.K. answers from Boston on August 08, 2009
my son is 12 and finally officially diagnosed with peanut allergfy. He has never had a reaction in hiw life, but dad and dads fam have allergy so we had him tested. The Dr. doesnt like the idea of the oral desensitzation , he says anything could happen even death so I will not try that for any reason. We have a epi pen and will be getting a medic alert bracelet. He does eat some stuff that he has always eaten that says "made in a facility that processes nut products" but not stuff that says porcessed on the same equipment. I have afriend who owns an ice cream shop and she said no one does a good job of keeping things separate. the test isnt wrong but like me son she may never have a reaction. good luck hang in there
More Answers
J.P. answers from Boston on August 08, 2009
Here are two resources my friend uses:
http://seacoastallergy.blogspot.com/
http://www.foodallergy.org
Best of luck,
J.
1 mom found this helpful
B.M. answers from Boston on August 08, 2009
Hi K.,
My son has multiple food allergies i.e..milk, dairy, egg, soy, fish, shellfish, sesame, lentils, peas, mango and more. Most of them were obvious because he got hives immediately upon eating certain foods. Some foods that didn't show an obvious reaction showed positive on the skin test.ie. chicken. I had been giving him chicken previously and he showed no clinical signs of allergy. He is able to eat chicken with no problem, but i wouldn't give it to him if he started developing hives from it.
If your daughter tested positive for peanut and developed hives as you increased her exposure than she is most likely allergic! To my knowledge, with each exposure to the allergen, the reaction can be more severe. Why take a chance with anaphylaxis?
My son does not eat restaurant food because he has so many allergies. If you are only concerned with one food than it should be much easier. Always tell your server about her peanut allergy and it is the restaurants duty to ensure the food she is eating is not contaminated and disclose ingredients. Always read labels and i would avoid things made in factories made with nuts unless it states that it has good a manufacturing process as to not contaminate.
My sons allergist has never suggested food desensitization...perhaps too risky at this point and/or even a little bit of exposure could cause a terrible reaction. Maybe that is the case for your child not recommended for a food challenge. I also know there is no set age for allergies to 'disappear'.
Don't be overwhelmed. Once you get in the 'routine', it will be much easier.
N.R. answers from Boston on August 12, 2009
Try some ultimate aloe juice. I have a friend who's son was allergic to everything he consumed. He was in the hospital at 5 months old and almost died. He was bleeding internally and his immune system turned on him. After 3 days of aloe juice he was better. He is now 2 and as long as he takes the aloe every day he can eat anything he wants. It's amazing. Here is a link for you to get more information. Click on the different tabs to read all about it. Please feel free to contact me with any questions.
http://www.marketamerica.com/nicoleryan/product-2232/ulti...
J.H. answers from Boston on August 09, 2009
Hi K.
My friend's daughter was diagnosed as having a severe peanut over a year ago and I'd be happy to connect you to her for info. They have an allergy specialist who is world reknown!
J. H
S.C. answers from Burlington on August 09, 2009
From what I understand, a person can have a skin allergy to peanuts but not an internal allergy. given as many crackers as she had the final time perhaps she just spread it all over her face more. I'm no expert on this but I'm sure you could talk to your pediatrician and/or look this up and find out if there is a difference and if this could give a positive skin test.
Hope this helps. Good luck!
R.K. answers from Springfield on August 07, 2009
It is possible if she has very sensitive skin. My 28 month old had to have blood drawn because when he went for a skin test he reacted to both the control(which I want to say is just saline) and the prick of the substance that is supposed to make a bump appear he reacted to both so they couldn't test any further because with his sensitive skin he will react to anything they poke him with. The blood test will give levels giving you an idea of how sensitive the allergy is. I say strict avoidance is best. My nephew has a wheat allergy and had to be rushed to a hospital after french fries at a pizza joint because they use the same fryer for battered onion rings. I don't really think oral desensitization is a good idea peanut allergies are one of the few food allergies that are usually life long and severe. I say avoid it if you are concerned about your test results you can have blood drawn my oldest also tested positive for some things so at his next appointment they injected him w/ it under the skin on his upper arm to see how he reacted that looked painful and was very very itchy for him worse then the skin test.
K.L. answers from Boston on August 08, 2009
Hello K.,
Our 2 year old son had a pretty severe reaction after having a 1/4 pb sandwich at 15 months. He vomited, had face swelling and reddening and was having some problems breathing. The doctor at the time didn't even give him a shot of benedryl (which we found out later from the allergist should have happened). He was tested and is allergic to peanuts and egg whites (mild). The allergist will retest at 3 years to see if he is still allergic. The allergist said that often if the parents have allergies, even things like seasonal hayfever, there is a greater chance of a child having allergies. Our allergist told us to avoid peanuts and tree nuts; including anything made in a facility with those ingredients. He has two epipen jr. which we carry everywhere. We make everyone aware that he has food allergies and ask about ingredients when he's offered food. We also read all packaging. At first, it seemed very overwhelming, but know its second nature. We bring food with us if we go out just in case, but often he is able to eat what everyone else is eating. Most people understand the severity of anaphylatic allergies and will know ask us if he can have something. Our son is an excellent eater and is still breastfed, so he has no nutritional imbalances. If you need more info about living with allergies or just support, feel free to email me! K. =)
E.C. answers from Providence on August 08, 2009
Hi,
We just went through the same thing last month. My daughter is 2. She had one bite and had a little red spot a while later. A few months later we tried one bite and much more bigger red spot almost instantly. We took her to an allergist in Taunton who did a blood test on her (they said she was too young to do the skin test unless they had to, the blood test was preferred). Plus the skin test just says "Yes" or "no" while the blood test gives an actual level. My understanding is the blood test shows the level of sensitivity. This does not mean the level of reaction. A child can be mildly sensitive meaning only if they ingest enough they will have a very severe reaction or highly sensitive means they may have a severe reaction from more like a little touch of it. My daughter was barely on the chart she was so mildly sensitive, but we were recommended a very strict avoidance diet and to go straight to the epipen not benadryl just like you. We are sticking with that. One reason for this is that it may give her a greater chance of outgrowing the allergy. We are not allowing any "traces of: or anything like that. It is hard because she is old enough to know that she ate something last week and now can't or that big brother can eat something and she can't. Also, we are trying to teach her that she may not take food off anyone else's plate -- if she stays allergic that will be important come school age especially to understand no sharing of food.
We have not limited our eating out (my older son loves restaurants and of course we found out just as summer traveling began!). We just speak with the waiter about her allergy first and I ordered some food allergy cards from http://www.achooallergy.com/foodallergycards.asp that we give to the waiter and ask them to give it to the chef. I feel like handing them something makes them less likely to forget. We do not let her eat bread at most restaurants because in most cases it is not made there and they can not tell us if it is ok. Her favorite food is mac and cheese and we have not yet had that be an issue.
I ordered some booklets from FAAN and they were extremely helpful. I also ordered some of the "Alexander" books to read with my kids.
I'm only just starting out on this like you so if you need to chat feel free to contact me privately.
Good luck!
E.
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