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Posted on: Tue, 08/22/2006 - 11:09am
BS312's picture
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Joined: 09/05/2001 - 09:00

Adele-
Could you please tell us what Dr. Wood wrote exactly? I am wondering about this because my DD had a GI reaction (abdominal pain and nausea) during her egg challenge in Dr. Wood's office. She also had nasal congestion and eye itching. Dr. Wood did not give her the EpiPen. I believe he did the correct thing because the reaction did not progress further and she improved with some Benadryl and didn't really need epinephrine. She has no history of anaphylaxis to egg and in fact almost passed an egg challenge three years ago.
Thank you.

Posted on: Tue, 08/22/2006 - 11:12am
Adele's picture
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Joined: 01/31/2005 - 09:00

Iansmom, I wasn't going to renew my subscription to the FAAN newsletter - but there was a lot of info that hit home in the most recent newsletter - so I will renew it.
Plus, the info is from the experts!
It was a EUREKA moment when I read the blurb about GI reactions and Epi. I thought, 'for crying out loud....why not use it!! So I have to go to the emergency room....the way things have been going lately, my deductible will already be covered anyway!.

Posted on: Tue, 08/22/2006 - 11:21am
Adele's picture
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Joined: 01/31/2005 - 09:00

BS312, we must have been posting at the same time!
The info on the newsletter is copyrighted - and I respect their copyright. If you email me off the boards (my email address is in my profile) I'll send you the exact wording of the question and answer.
Adele

Posted on: Wed, 08/23/2006 - 3:07am
pfmom2's picture
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Joined: 01/22/2006 - 09:00

My child had a severe GI reaction this past year. It happened in the middle of the night. She had severe vomitting, her hands went cold, severe shakes, her throat sounded like it was starting to close, and bleeding from her nose. Thank you for posting this Adele. I gave her the Epipen for the first time and now I know I did the right thing.

Posted on: Wed, 08/23/2006 - 3:45am
mistey's picture
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Joined: 01/18/2004 - 09:00

Thnaks for posting this! When my little guy had his episode earlier in the year I had an ER doctor tell me the exact opposite information. My instinct told me that he was wrong, now I know that I was right all along!

Posted on: Wed, 08/23/2006 - 4:56am
anonymous's picture
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Joined: 05/28/2009 - 16:42

pfmom2 -
The reaction you explained sounded like an anaphylactic reaction to me - not just GI.

Posted on: Wed, 08/23/2006 - 6:41am
pfmom2's picture
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Joined: 01/22/2006 - 09:00

Thank you Lam. I feel that too, but it started with severe vomitting, not hives, not swelling, so I guess I wanted people to know that be careful with severe GI. And, by the time the ambulance got here, my child was like a complete different person, so doctors were not willing to tell me, yes it was a severe reaction. None of the Emts or docs. witnessed what I had seen.

Posted on: Wed, 08/23/2006 - 7:56am
Adele's picture
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Joined: 01/31/2005 - 09:00

pfmom2,
My reaction that sent me to the allergist to be tested for PA came after eating 1/4 cup of peanuts.
Within 15 minutes I had severe stomach cramping, followed by repeated vomiting - then diarrhea like I've never had before. The allergist said the diarrhea was caused by a drop in blood pressure, therefore my reaction my anaphylactic.
I was also confused about whether or not I should use the epi for only GI - but the information in the newsletter is from one of the top authorities on PA - so I'll listen to him first.
In fact, I think I'm going to carry the newsletter with my epi pens. When in doubt I'll read it - and shake it in the face of the ER doc if I'm questioned!

Posted on: Wed, 08/23/2006 - 9:23am
McCobbre's picture
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Joined: 04/16/2005 - 09:00

Quote:Originally posted by Adele:
[b]pfmom2,
The allergist said the diarrhea was caused by a drop in blood pressure, therefore my reaction my anaphylactic.
I was also confused about whether or not I should use the epi for only GI - but the information in the newsletter is from one of the top authorities on PA - so I'll listen to him first.
In fact, I think I'm going to carry the newsletter with my epi pens. When in doubt I'll read it - and shake it in the face of the ER doc if I'm questioned![/b]
Thank you soooo much! When I used the epi after my GI reaction, I waited until I had another symptom (I counted the GI tract as one, but I had severe cramping and diarrhea). But my first symptom was an overall spaciness (very common for that to be the first symptom for me). I did the Benadryl thing for a few hours, and the reaction progressed to include chest pains. Then I took the epi. (and later uterine contractions -- total reaction lasted for 4 days).
Now I'll know not to wait, although I don't know if I'll still try benadryl first to see if that alleviates it. I've had GI reactions that haven't been anaphylactic, too. So hard to know. But they've always involved diarrhea, so it's good to know that that indicates a drop in blood pressure.
Thank you.

Posted on: Wed, 08/23/2006 - 10:22am
Adele's picture
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Joined: 01/31/2005 - 09:00

McCobbre, I don't think this means that diarrhea ALWAYS indicates low bp. In my case, the allergist thought it did...
and I don't want to get into the gross details, but I think his diagnosis had to do with the TYPE of diarrhea. He had a term for it but I don't remember.....
I'm going to go ahead an put the Q. and A. here as it is in the newsletter just to make sure everyone knows what Dr. Wood says on the subject.
Q. I understand that epinephrine can stop respiratory and circulatory reactions. What role does it play in gastrointestinal (GI) reactions? Is it administered in the case of GI reactions just to prevent other systemic reactions?
A. It is really given for both reasons. In fact, some of the most dramatic improvements after giving ephinephrine occur in people having severe GI reactions.
Much of the stomach pain experienced in an allergic reaction is in fact likely due to swelling in the intestine due in part to dilated blood vessels. The benefit of epinephrine is, therefore, not a surprise.
[This message has been edited by Adele (edited August 23, 2006).]

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