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Haven\'t posted in awhile, 11 y/o son had reaction at school today!
I haven't posted here in a long time. My 11 y/o son Steven had a reaction at school today. His class table group got the highest score so his teacher rewarded the kids with donuts. He ordered a maple bar. After taking the first bite, he thought that it tasted spicy. But, thought that it might be cinnamon. The next bite he had an immediate sensation of a tightening jaw, stomach ache and itchy throat. He tells the teacher who sends him to the nurse.
The nurse gave him 2 teaspoons of benadryl then called our house. As I was in the shower, I didn't hear the phone ring. I discovered later that the message she left was, "this is the school nurse, please call me back." That's it!
She ended up reaching my husband at work. He tells me that Steven had a possible peanut reaction and that he spoke with the nurse and that he was given benadryl and sent back to class. My heart sinks. I ask him the details and when he mentioned the itchy throat, I panicked and said I was going to the school to check him out. (We live around the corner).
When I get there, the nurse calls the teacher and asks him to come to the office again. I examine him. He says his throat still hurts. I call his pediatrician who is not available but his nurse says that Steven should be okay if there is no swelling in the throat. I check the Epi for the expiration date and ask the nurse if she thinks the epi should have been given. The second my son hears this, he freaks and says "I feel fine." I still don't feel comfortable. I call his allergist who is booked for the day but squeezes me in immediately.
By the time we get to the allergist, Steven is sleepy from the Benadryl but otherwise seems fine. The allergist says that the nurse did the right thing. That itchiness can occur inside or outside the body. Benadryl was appropriate and Epi not needed unless he was coughing, having trouble breathing, light-headed, vomiting. She tells us to watch him overnight and continue giving benadryl every 4 hours until tomorrow.
She ordered another Ige/rast blood test for next week. The last one he had was when he was 6 years ago.
I am feeling better. Get home. The pediatrician calls. He apologizes and says that his own office staff should have immediately given him the message. Also that the school nurse was wrong and anytime there is itchiness in the throat, to give the Epi immediately. He said there is more harm in undertreating than overtreating. He also said that hindsight is 20/20 and that now he is okay so it seems like the right decision was made not to give the epi. He also said however, that no one can tell how it might have progressed.
I'm not sure what to do, or who to believe. It seems like the responses up and down the chain were not to expectations. When I heard about the throat being involved, I thought he should have been given the epi. His 2 previous reactions have never involved the throat and he has never been administered the Epi-pen.
I'm looking for comments. Anyone game?
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