Food Challenge

Posted on: Wed, 03/29/2000 - 1:46am
Sandra's picture
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My son not only has a PA, he is also allergic to dairy and eggs. He is 16 months and hasn't been retested since he was 6 months. The doctor wants me to do a food challenge with dairy. I said I thought it would be wise to have him blood tested first before he ingested dairy. The Dr. stated that this was not needed for dairy and would not be testing him again until he was 3 years old? Before we do the challenge, I would like to know what you think? Any experience with this?

Posted on: Wed, 03/29/2000 - 2:37am
kristene's picture
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Joined: 09/27/1999 - 09:00

pWhat was his reaction to milk? /p
pIs this an allergist, or a pediatrician/GP?/p

Posted on: Wed, 03/29/2000 - 3:15am
Sandra's picture
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pThe doctor is a pediatrician who specializes in food allergies. She has done a lot of work with FAN. His past reaction to dairy was hives and red blotches all over his face and hives on his body where ever he was touched by dairy. We haven't noticed any break outs in a long time from our touching him, but we are also very careful of washing our hands./p

Posted on: Wed, 03/29/2000 - 3:22am
kristene's picture
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Joined: 09/27/1999 - 09:00

pI don't know the answer. My son is allergic to milk, but he is anaphylactic and his allergist won't even do another scratch test for milk or eggs because of that./p
pIt sounds like you really like and respect your doctor, so I would tend to agree with her. Especially since your child's reactions weren't that severe. /p
pMaybe somebody else will have a more specific answer for you. Either way, please keep me updated!/p
pKristene/p
p[email]kristene@ivillage.com[/email]/p

Posted on: Wed, 03/29/2000 - 5:27am
Tammy's picture
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Joined: 08/10/1999 - 09:00

pMy daughter is also allergic to milk. She sees Dr. Wood up at Hopkins who is on the FAN board. He would not even think of doing a milk challenge unless the results of her CAP RAST blood test falls below a certain number. This is based on studies that were done that help predict the likelyhood of a reaction./p
pThere is also a lot of evidence out there that says you can't predict how severe a future reaction might be based on a previous one. Does your doctor want you to do this at home or is she going to do it in her office? If you are going to do it at home, do you have Epipens in case there is anaphylaxis?/p
pGood luck with what you decide./p
p--Tammy/p

Posted on: Wed, 03/29/2000 - 6:50pm
Maggie's picture
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Joined: 03/22/2000 - 09:00

pAll doctors in the U.K. have been advised never to conduct challenge testing outside a hospital. There are enough experiences recorded on this website to cause great caution in considering challenge testing.br /
My daughter is going into hospital tomorrow for a challenge test, but that has only been agreed because she had a result of not more than 200 on the rast test.Keep your fingers crossed for us./p

Posted on: Thu, 03/30/2000 - 5:13am
Sandra's picture
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Joined: 03/21/2000 - 09:00

pMaggie, Good luck with the challenge. I hope all goes well. Thank you to everyone who responded. This food challenge makes me nervous. On top of having the pa, dairy, and egg allergies, my son has asthma, which only makes the condition for severe reaction worse./p

Posted on: Thu, 03/30/2000 - 7:28pm
Orla's picture
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pBest of luck with the hospitalbr /
Catherinebr /
B]All doctors in the U.K. have been advised never to conduct challenge testing outside a hospital. There are enough experiences recorded on this website to cause great caution in considering challenge testing.br /
My daughter is going into hospital tomorrow for a challenge test, but that has only been agreed because she had a result of not more than 200 on the rast test.Keep your fingers crossed for us.[/B][/quote]/p

Posted on: Sat, 09/28/2002 - 4:15am
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Joined: 09/05/2001 - 09:00

Shirley-It is worth knowing for sure if she is allergic. Your life will be much easier if she is not! If her risk of reaction is very low, the test is probably safe. Your allergist must be prepared to recognize and treat full-blown anaphylaxis. The safest place to do the challenge is in a hospital setting. Be sure that they give tiny and gradually increasing amounts during the test. My daughter's blood test for peanut was negative, so her risk of reaction was considered very low. They gave her, at age 4, about 1/8 teaspoon of peanut butter and nothing happened. They waited 15 minutes and gave her ONE FULL TEASPOON of pb, which was WAY TOO MUCH. She almost DIED. She required five epinephrine injections to save her life. We were in the allergist's office for ten hours. Please be careful and good luck!

Posted on: Sat, 09/28/2002 - 4:29am
Mommy's picture
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Joined: 06/20/2000 - 09:00

BS312 your response sent shivers down my spine, this is our greatest fear that something like this would happen.
I don't think our allergist would do that though, anyways I sure as hell won't let her.
Thankx
Hope to get more responses
Shirley

Posted on: Sat, 09/28/2002 - 5:26am
ACBaay's picture
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Joined: 03/19/2002 - 09:00

IMO, I would probably wait until she was older. First, because now it is recommended to hold off on giving PB until 4 or 5 yrs old in families with allergies. And second, it would give additional time for her to outgrow, if not completely there. If test remained neg. in a year or two, then I would proceed.
But, if you do the challenge now, and she is negative, this would allow her and your family so much freedom and much less worry.
Good luck with whatever you do!
Andrea

Posted on: Sat, 09/28/2002 - 12:07pm
amymarie's picture
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Joined: 01/13/2001 - 09:00

Shirley-I was in your shoes just a few weeks ago! I can related totally. My son had a questionable reaction when he was about 14 months. I say questionable as I was told by a doctor two years later that it was questionable. At the time, my son had a negative blood test & positive skin test. We had the skin test redone in August of this year (He is 3 now). It was negative. My allergist felt that it was likely he had outgrown it or never had it. We scheduled a challenge in his office. He stated that we could do it in a hospital but most insurances would not cover very well. His office is right next to hospital. I was worried also about life threatening reaction. He reassured me that they had handled anaphylactic reactions to all kinds of things in his office. Anyway, with his reassurance we did the challenge. I had dialed 911 on my cell phone, with the call button ready to be pushed-I was so worried. Long story short-he passed with flying colors. No reaction whatsoever. It has been an enormous burden lifted off of us!! As you can imagine. You need to follow your comfort level. If you feel only safe in a hospital then enforce that. We were literally next door & I felt comfortable with the ER being a minute away. Also, I decided how much PB to give him in my mind before hand after reading other posts. I just had trouble trusting anyone with this. The nurse was amused by me I think. I gave Josh half of what the allergist recomended at first & timed everything myself also. I just had to in order to feel safe. So, it was well worth it for our family. He has had PB & peanut snacks & no reactions whatsoever. My epis expire in October so I am making sure he is OK while I still have them. It is a whole other world for eating out, shopping, activities. I totally empathize with your fear though!! I was petrified. I would talk to your allergist until you feel comfortable. Ask him how he has handled reactions in the past, what the plan is if your child reacts, etc. it really helped me. Good luck in whatever you decide is best for you!! Take care, Amy

Posted on: Sat, 09/28/2002 - 9:07pm
Mommy's picture
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Joined: 06/20/2000 - 09:00

Amymarie thankyou for your post, it has reassured me. Our allergist is at the Montreals Childrens Hospital, she is very good, is allergic herself and some members of her family as well, so I totally trust her, she already told me that she will start with very tiny particles inside the lip, the the tongue etc.. until actually a whole bite. I hope Kasey will cooperate, she is scared too, I have not transposed my fear onto her at all, she has spoken about it saying she doesn't want to go, but she understands how important it is. Anyways I think we will go through with it. I will pray until then and after and I will keep you guys posted on everything. Thank you and of course I would love some more responses.
Shirley

Posted on: Sun, 09/29/2002 - 11:44am
amymarie's picture
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Joined: 01/13/2001 - 09:00

Shirley-Good luck & keep us posted on how it goes. I did not think Josh would eat peanut butter, either, but he loves chocolate. The allergist let me bring Reeces PB cups instead of PB. Just an idea if she refuses the PB. Take care. Amy [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Posted on: Sun, 09/29/2002 - 12:36pm
Gadget's picture
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Joined: 10/01/2001 - 09:00

I agree with ACBaay. I would not do the challenge until at least age 5, due to the fact that you might be decreasing or eliminating the chance that she could outgrow the allergy if you introduce it sooner.

Posted on: Sun, 09/29/2002 - 11:40pm
Kathy L.'s picture
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Joined: 07/30/1999 - 09:00

Do the children willingly eat the peanut butter without a fight? My daughter would put up a FIGHT! She'd be very, very scared.

Posted on: Mon, 09/30/2002 - 4:30am
amymarie's picture
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Joined: 01/13/2001 - 09:00

Kathy-I wasn't sure if my son would eat PB or not, so we used candy. He loved it & I had to fight with him not to eat more before the doctor said.
Gadget, I asked my allergist about this issue & he felt like one food challenge would not affect the allergy one way or another. I am not arguing, as I have no clue, just explaining why we went ahead & did the food challenge. He explained that he only recommends challenges if both skin & blood tests are negative & there has not been a reaction for quite awhile. Amy

Posted on: Tue, 10/01/2002 - 10:53am
Mommy's picture
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Joined: 06/20/2000 - 09:00

I will go ahead with the food challenge, but I will not introduce peanuts or pb in her diet. I just want to know if I should keep panicing everytime I see a another kid eating pb and then approaching my kid.

Posted on: Wed, 04/26/2006 - 12:06am
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Joined: 05/28/2009 - 16:42

My son was also allergic to dairy and eggs when he was younger. He is now 14. I was not well informed or advised when he was young. He could tolerate milk products when they were cooked. He had them regularly. I did the food challenge on my own! More bad advice. But in the end, he did outgrow the allergy and is now a milk hound. I can't keep up with the amount of milk my sons drink.
I would be anxious for the food challenge since dairy is so commonly outgrown. Can you push to have it done earlier?
By the way, I am also a Patty from NY. I now live in North Carolina. A good friend of mine teaches at the high school in your town.
[This message has been edited by StartingOver (edited April 26, 2006).]

Posted on: Wed, 04/26/2006 - 2:13am
smudgesgarden's picture
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Joined: 02/26/2006 - 09:00

my son is also alergic to milk along with other things, but we have found he can tollerate some types of dairy. i never thought twice about serving it to him since he dosnt have a reaction to it. (if he has a reaction its usually just diaherea...)
he can have it in items like pretzles and breads ...
this is going to sound a little stupid, but whats so wrong with serving it to him????

Posted on: Thu, 04/27/2006 - 12:19pm
pattyny's picture
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Joined: 10/26/2003 - 09:00

My understanding(and I could be wrong) is to totally avoid all food that he tested positive for. I was also told that even though there is no outward sign, there may be alot going on inside.
My friends baby had always gotten sick from milk, so she stopped giving it to her. Since her child never showed any reactions to the "cooked or processed" dairy items, my friend gave her the food on a regular basis. Now at 5, she is seeing a GI, apparently the denatured milk protein did some type of damage to her intestines.

Posted on: Wed, 04/26/2006 - 12:06am
anonymous's picture
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Joined: 05/28/2009 - 16:42

My son was also allergic to dairy and eggs when he was younger. He is now 14. I was not well informed or advised when he was young. He could tolerate milk products when they were cooked. He had them regularly. I did the food challenge on my own! More bad advice. But in the end, he did outgrow the allergy and is now a milk hound. I can't keep up with the amount of milk my sons drink.
I would be anxious for the food challenge since dairy is so commonly outgrown. Can you push to have it done earlier?
By the way, I am also a Patty from NY. I now live in North Carolina. A good friend of mine teaches at the high school in your town.
[This message has been edited by StartingOver (edited April 26, 2006).]

Posted on: Wed, 04/26/2006 - 2:13am
smudgesgarden's picture
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Joined: 02/26/2006 - 09:00

my son is also alergic to milk along with other things, but we have found he can tollerate some types of dairy. i never thought twice about serving it to him since he dosnt have a reaction to it. (if he has a reaction its usually just diaherea...)
he can have it in items like pretzles and breads ...
this is going to sound a little stupid, but whats so wrong with serving it to him????

Posted on: Thu, 04/27/2006 - 12:19pm
pattyny's picture
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Joined: 10/26/2003 - 09:00

My understanding(and I could be wrong) is to totally avoid all food that he tested positive for. I was also told that even though there is no outward sign, there may be alot going on inside.
My friends baby had always gotten sick from milk, so she stopped giving it to her. Since her child never showed any reactions to the "cooked or processed" dairy items, my friend gave her the food on a regular basis. Now at 5, she is seeing a GI, apparently the denatured milk protein did some type of damage to her intestines.

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