Dr. wants to do an oral challenge--advice please!

Posted on: Thu, 08/28/2003 - 11:06am
anonymous's picture
Joined: 05/28/2009 - 16:42

My son, Mitchell just got his 3rd Cap RAST results and he is down from a .73 to a .57. He is 8 years old and has not had a reaction since he was about 3 1/2 years old. I have suspected for a while now that he may have outgrown his allergy, but now that I am face to face with the decison of allowing an oral challenge, I find myself unsure.

Mitchell does NOT want the challenge. He is too afraid. So, the question is, do I encourage him to go ahead with the test, or put it off for a couple more years.

Thanks for your input.

Posted on: Thu, 08/28/2003 - 11:37am
momma2boys's picture
Joined: 03/14/2003 - 09:00

Personally, I would be scared to death to try an oral challenge on my son. I know it would make your life easier if he tested negative, but that also depends on how you feel about the chance that it may come back.
And also if he does ok, then you can forget any special accomodations from your school. I am assuming you'd like to keep those precautions in place for awhile just in case.
I would say trust your gut instinct. I know I usually get a "feeling" about stuff like that and its usually right.
Good luck and let us know what you decide.

Posted on: Thu, 08/28/2003 - 2:31pm
nikky's picture
Joined: 11/14/2000 - 09:00

If you do a search under outgrowing the allergy and one under negative cap rast you will find a lot of stories about this topic. This was a hot one for me as well. My son skin tested negative and cap rasted negative at age 4. A lot of people told me here that there kids tested negative but failed the oral challenge. That scared me enough to wait and let my son make the decision for himself when he is much older. I will try to find the negative cap rast thread for you and raise it. Let us know what you decide and how things go.

Posted on: Thu, 08/28/2003 - 10:08pm
becca's picture
Joined: 05/22/2001 - 09:00

Now, this is purely memory recall and may be wrong, but I thought it had to go below .35 to be considered negative?
Maybe you can wait another year or two, and see if it continues to drop, and your son might also be less fearful? What's the rush, unless it would really change anything for you dramamtically? becca

Posted on: Thu, 08/28/2003 - 10:27pm
anonymous's picture
Joined: 05/28/2009 - 16:42

From all I have read about peanut allergy (and that's alot) I have decided to treat my sons PA as a life long allergy. He tested negative on a RAST, but yet he broke out in hives 3 times and once his lips tripled in size from only touching PB....he's definately allergic. I dont even pay attention to articles, stories or statitics of children outgrowing PA, only because they cant support that it wont return (or maybe they can and I missed that stat.) I would be too afraid that it would get our guard down and one day when we least expected it or were least prepared the "big one" would hit. I might be crazy, I dont know but from what I have learned about PA is that the only thing predictable about it is how unpredictale it is. I try not to get caught up in scores and I even believe an oral challenge isn't completely predictable of future reactions.....my allergist explained that Logan could have just hives and sweeling for the rest of his life or the next one could be anaphylactic.....you never know. So, I think you should follow your heart about the food challenge, and if you do decide to go ahead and your child passes, I would let your comfort level be influenced by that. Although, my sons RAST was negative, I've seen him react and there's been no mistake or question of PB being the cause of it, that's enough for me to follow strict avoidance and teach him to do the same. This is only my opinion, I wish you the best of luck.

Posted on: Thu, 08/28/2003 - 10:32pm
anonymous's picture
Joined: 05/28/2009 - 16:42

sorry about all the errors, most of what I was trying to say is obvious except for the part about the food challenge....I meant to say I would not let it influence me....sorry about the errors............I'm hurrying before naps are over.

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