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Allergies and intolerances

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Anyone know about Peanut tests, what they involve etc ?

11 replies

Babieseverywhere · 20/11/2011 11:50

My 15 month old DD had a strong allergic reaction a couple of days ago. Her entire body was covered in angry looking red edged rash, her face was swollen. She was struggling to open one of her eyes.

She was given steroids and pitron and is now completely rash free. The medical people are not sure what triggered this reaction but seem to be leaning to a peanut butter rice cake snack. I am sure it is not that, as she has had peanut butter before with no reaction. So I know it will come back clear.

The hospital doctor told us to keep her off nuts including peanut butter and they will recall her at 2 years old to do a 'peanut challenge'. Of course we'll follow the medical advice and keep her nut free for the next few months.

Any information about what the test involves ? I assume it is enough to not feed her nuts (which we wouldn't do anyway), peanut butter or things with lots of nuts in it. I take it she'll be alright with traces of nut ? The doctor never outlined to that detail, just said no nut products until the test.

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bruffin · 20/11/2011 12:06

Any allergy can appear at any time. My 16 yr old DS's allergies appeared when he was 4 and had been eating all sorts of treenuts, peanuts for years. He did complain once when he was little that seseme seeds made his throat scratchy but didn't have a much worse reaction until he was 4. He is allergic to treenuts and seseme seeds, but has out grown peanuts. He also has a few non food allergies

DS has only ever had blood tests, but I think sometimes they do the pin prick tests.

CasaBevron · 20/11/2011 13:43

Unfortunately, Bruffin is right. Allergies can develop at any time. My sister has developed environmental and animal allergies in her mid twenties Sad

My ds recently tested positive for cashew nuts through skin prick testing. It's a really scary time when you discover that you have an allergic child, and reading through a lot of the threads on here - as well as starting a few of my own! - helped me to be prepared for the testing process and to have some questions prepared rather than going into the whole thing blind.

From my experience, this is what the testing process involves: the tester will put small drops of liquid, each containing different allergens, onto your dd's forearm and prick through them into the skin. If there is a reaction to any of the allergens, a weal will appear on the skin and the tester will measure it. We were told that a reaction between 1 and 2mm could probably be discounted (ds had a 2mm weal to apple and he has since been eating it with no problems) but anything over that was likely to indicate that there would be a reaction. Ds is also allergic to egg and had a 3mm reaction to cooked, but 13mm to raw, so I'm hoping that in the future he'll at least be able to eat egg baked into things like cakes, etc.

Ds also had blood taken for testing. A small amount of allergen is added to the blood, and the immune response (IgE level) measured. The overall IgE level of the blood is also taken and this gives a context in which to interpret the test results. For this reason, it is not necessarily helpful to compare your own test results with other peoples as each individual's scores need to be interpreted within the context of their own overall IgE level. (Does that make sense?!)

Each of these methods of testing will only show the likelihood of an allergy being present. They can not predict how severe a reaction could be - there are many other outside factors that can influence that, and what might be a mild reaction one day could become a severe one on another. It is useful to have the two sets of tests to compare - in our case, we were told that DS was allergic to wheat as his IgE level was slightly raised on the blood tests, but when the skin prick was negative, we tried him with wheat and he is now happily munching on toast at breakfast time!

A food challenge will only be undertaken if the patient is showing progressively lower scores/weals to an allergen. A small amount of the food in question will be rubbed onto the skin, then the lips, then the tongue and so on at intervals of ten minutes or more and the test will progress for as long as no reaction is shown. A challenge is not recommended in anything other than a clinical setting, as obviously if there is an adverse reaction to the food the consequences could be very serious indeed. Food challenges are regarded as the only real way to show if an allergy is still present, as with both skin-prick and blood testing it is possible to have false positive, and false negative, results.

Anyone who has ever read one of my threads will know that I am incapable of writing a short post Grin. I hope this information is useful to you, and helps you feel a little more prepared for what is to come. In the meantime, you are right to avoid nuts and nut-containing food.You might find this current thread useful for a discussion on whether or not to avoid 'may contain' foods. I have been following it with interest, and it has opened my eyes a little bit to the way I look at food labels.

I hope the information I have given here is accurate, I am sure someone will correct me if I have got anything wrong! Good luck Smile

CasaBevron · 20/11/2011 13:50

I forgot to add, keep some Piriton with you at all times just in case. I have decanted a large bottle into several small ones, and have one under the pram, one in the change bag, etc, etc, so that we are never without one.

Babieseverywhere · 20/11/2011 13:53

Thanks for the information in your posts.

So she might be allergic, even though she has previously eaten this with no problems :( Poor baby girl, I do hope it was a one off. It is upsetting to think I might of made her ill with her snack.

I'll read the other thread about nuts in things now.

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Babieseverywhere · 20/11/2011 13:56

"keep some Piriton with you at all times". Good grief, I'll make sure I do that. But tbh she had four doses of Piriton and it seemingly did nothing.

Her skin and swelling just kept getting worse over two days. Until she went to hospital who gave us the steroid treatment.

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trixymalixy · 20/11/2011 13:57

My DS ate humous loads of times with no issue before reacting to it. With allergies the reaction is not normally on the first or even second exposure and can happen any time.

My DS had skin prick testing for allergies, they drop a solution containing the allergen and then prick the skin and then wait for 15 mins to see if there's a reaction. They also do a positive and negative control. Make sure your DS hasn't had any piriton at least 48 hrs before the test as it can mask the results.

There's also rast testing which I don't really know anything about, but I believe involves taking blood.

CasaBevron · 20/11/2011 14:03

Piriton alone is certainly not the answer for a severe reaction like you described your dd having, but it may just buy you a little time if you need to get to A&E/wait for an ambulance...Sounds very scary, I hope you find some answers soon.

Babieseverywhere · 20/11/2011 14:09

OK, Thanks for that

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Babieseverywhere · 20/11/2011 14:16

CasaBevron, It is scary and very worrying. I just sat up all night worrying about her rash. DD2 was absolutely fine in herself, it was me who was upset.

Plus we have to try and persuade all family on both sides to not have nuts at the table when we visit over Christmas and the coming months. That will be hard as inlaws have not been respectful of diet requests in the past. Trying to feed my eldest strawberries as a small baby, when I had told them not to.

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CasaBevron · 20/11/2011 18:42

How nice of them Hmm. This Christmas is the first since I have had kids where I just can't get properly into the spirit of it all. I feel as though I'll just spend the whole time worrying about keeping stuff out of ds's mouth! Practise for the future I suppose...

Babieseverywhere · 20/11/2011 20:38

Casa, I can understand why you feel that way. You are coming to terms with a big health issue for your little one. One that is going to have a bearing on your child's diet for the next few years at least (I understand some children out grow some allergies) I hope you find this Christmas passable and have joy in his face Christmas morning :)

I am feeling in two minds, one part of me thinks the doctors are overacting and know she is not allergic to peanuts and I feel a bit silly insists on no nuts for her when I am just following doctors orders.

But the other part of me is terrified that they are right and I dread trying to protect her from all the things in the world with nuts in.

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