Food Challenge

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My 3 1/2 is scheduled for her food challenge test on Thursday (after having tested negative on both prick test and cap rast test) And I am really nervous and my husband and I are questioning if we should do it.

I want to know if there are any risks of this test, do you think it is safe, is there a risk of death. Does anyone ever have a bad reaction to epi-pen? Should we get the test done? Thanks for responding I need reassurance. The reason I really want the test done is that I really want to know if she is definately allergic. She has only had one reaction when she was 11 months, and she vomited after a meal a friends house another time. thats all. Thanx Shirley

On Sep 28, 2002

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!

On Sep 28, 2002

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

On Sep 28, 2002

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

On Sep 28, 2002

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

On Sep 29, 2002

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

On Sep 29, 2002

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]

On Sep 29, 2002

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.

On Sep 30, 2002

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

On Sep 30, 2002

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

On Oct 1, 2002

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.

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