Baby Drew had a reaction - just back from the ER - Questions
Tonight baby Drew had an obvious and scary food allergy reaction. Drew is 6 months old and is breastfed...recently started cereal.
Tonight after eating organic oatmeal cereal (mixed with water) AND nursing, he got fussy and abruptly vomited the entire contents of his stomach and broke out in hives (mouth, neck and trunk). My husband and I instantly thought of food allergies and my DH said take him to the ER right away. I put him his carrier and off we went (DH had to stay home with the other two boys). I heard Drew vomit twice more during the 3-minute drive to the ER. When I got there, his hives were worse (face, neck trunk, limbs, a little under the diaper area and a bright red ring around his neck...plus his little eczema patches started weeping). He vomited two more times in the ER. They gave him Benedryl. I asked about my Epi, Jr., and also about activated charcoal, but the on-call doc didn't want to give either to him and Drew was alert and breathing okay. His chest sounds went from fine to a bit congested sounding while we were there, but were okay before we left. The Benedryl started to take efffect and the hives started going away. He's sleeping right now (normal bedtime plus the Benedryl effect).
As you may know, I have three boys and my oldest, Nate, has PA. I have avoided peanuts for the younger two (3 years and 6 months old). We have been worried about 6-month-old Drew's potential for allergies because he has eczema. I avoid drinking milk (and all forms of peanut, of course). In recent weeks, I've managed to get the eczema patches to shrink to smaller than dime size from half dollar size. I'm not sure about egg yet, because I don't eat egg unless it's an ingredient in something. I do eat cheese in small quantities without noticeable worsening of his patches.
At the ER tonight, they said to give him three more doses of Benedryl over the next 24 hours, and to be prepared to give Prelone (which I have in the fridge) if he has a recurrence of symptoms tonight (and to call & come back, of course). They said not to give him the Epi unless he was in grave danger and we had also called 911 and were waiting for them. On my own, I have decided to stay up until 2:30 AM (8 hours after first reaction) to watch for biphasic rxn.
Question 1: Does this plan (meds, awake time, etc.) all sound okay to you?
Question 2: How long before I can nurse him again? They said wait for 24 hours...I am to give him water and rice cereal only. (I've never given him formula and have no idea about how to determine a safe one at this point.) Can I add a little sugar to the water to even out his blood sugar while he's waiting to eat?
Question 3: The "what caused it" part...I could definitely use your help here.
He turned 6 months old on December 10, and I've been giving him small amounts of cereal and water for the past 12 days--no other foods. I started him on Gerber organic RICE cereal first, and he had Gerber organic OATMEAL cereal for the first time a few days ago and for the second time tonight shortly before the reaction. So, I'm suspicious of oats. Is this a common allergen?
The second suspicion is EGG, through my breastmilk. I made homemade cookies for the boys' Christmas stockings tonight. Two eggs. I licked my fingers after wiping off the beaters--duh, didn't think about it until it was too late. Could a tiny amount of raw egg plus two cookies containing cooked egg cause this?
Third suspicion is fresh CHERRIES. I had them for the first time in a year tonight.
Any other ideas or input?
Before all this happened, I had already scheduled him to go to see the allergy clinic at the children's hospital Nate goes to. His appt. is Jan. 16...is it okay just to wait until then, or should I call and try to get his appt. bumped up? When they do his RAST, what should I ask them to test?
THANKS, GUYS!!!! The emotional side of this will follow...Nate was kind of freaked out by it, as he saw Drew's hives and vomiting. Tonight I'm just concerned about doing the right things.
Love y'all and this site.