Need advice

Posted on: Wed, 09/03/2003 - 9:28am
pjama0502's picture
Joined: 08/04/2003 - 09:00

I posted about 6 weeks ago that my 15 month old had a reaction to peanut butter (the reaction was mild). Two weeks ago we took him to the allergist and he had a skin test; the skin test was negative. The allergist then recommended a RAST test. We received the results of the RAST test this morning. The test was positive. At this point we don't know the numbers, but I'm guessing the numbers are low, because the allergist would now like to do an oral challenge in his office! I have read this is a big no no because 1) my son is only 16 months old 2) it's not at hospital. However, I then asked a nurse at an allergy and asthma clinic and she informed this is safe in a clinical setting.

What would you do?


Posted on: Wed, 09/03/2003 - 10:05am
cynde's picture
Joined: 12/10/2002 - 09:00

I personally would just treat my child as PA (avoid contact with PN) until he was ready for school, then repeat the skin and RAST tests, if they were both negative then, I would allow a challenge. No-one under 3 needs PN in their diet.
If the doctor thinks the RAST test is inaccurate, why not just do another one?

Posted on: Wed, 09/03/2003 - 10:07am
BS312's picture
Joined: 09/05/2001 - 09:00

I would get a new allergist. Why in the world would he want to challenge a 16-month-old who might be allergic when no child with a susceptibility to peanut allergy should be exposed to peanut until age three?

Posted on: Wed, 09/03/2003 - 11:08am
Sandra Y's picture
Joined: 08/22/2000 - 09:00

I agree with cynde and BS312

Posted on: Wed, 09/03/2003 - 11:50am
wendysco's picture
Joined: 05/03/2003 - 09:00

Ditto the above, be vigilant and treat as PA for now, then challenge between the ages of 3 and 5, and get a different allergist. Get an epi script too.

Posted on: Wed, 09/03/2003 - 12:47pm
momjd's picture
Joined: 02/24/2002 - 09:00

I wouldn't do a challenge until the child was old enough to clearly communicate what he was feeling. If he reacts without hives this time, the doctor might not recognize it quick enough to take action.

Posted on: Wed, 09/03/2003 - 1:02pm
megans mommy's picture
Joined: 08/26/2003 - 09:00

Trust your instincts. If you are here probably are very unsure if this is the right thing for your baby! You are probably right!
I have a 20 month old who is allergic to peanuts (as well as many other things). She was just the opposite. She was negative on the RAST, but positive on the skin-test. I have made an appointment with another allergist. The one who tested her was not at all concerned about the peanut allergy (or the fish either...and I am not so sure Megan didn't have reactions to walnuts and shellfish--from a shared fork--as well). He sort of failed to mention that these are allergies that are usually not outgrown....and can be life-threating!! Did not even mention an epi-pen...Megan still does not have one (I was led to believe she didn't need one and wasn't at risk for that type of reaction)
I decided at 6 months, when I figured out Megan was reacting to peanuts through breastmilk, I would not give her peanuts again....until---I'm not sure when!! She will have to test negative on all tests, and then I am still not sure!! It is just not worth the risk!!
Oh, by the way, Megan also had 'mild' reactions. She threw up and had horrible stomach cramps. But that was only being exposed through breastmilk.....I don't know what type of reaction she would have if she actually ate peanuts!

Posted on: Thu, 09/04/2003 - 1:49am
CorinneM1's picture
Joined: 06/20/2002 - 09:00

My thoughts exactly. New allergist...or go ahead and make the appointment for the year 2005.

Posted on: Sat, 09/06/2003 - 8:02am
nikky's picture
Joined: 11/14/2000 - 09:00

I would definately say no to the oral challenge. No child should have peanut before the age of three andway. Besides, you'd only be re-exposing him. Wait and re-test after age 4 with a new blood test.

Posted on: Sat, 09/06/2003 - 8:21am
JAK's picture
Joined: 09/06/2003 - 09:00

I personally would wait. At least try a different allergist before going ahead with it. If you have a large Children's hospital with a good immunology department..try there or make sure they specialize in pediatric allergy. I was very unhappy with the first allergist I tried & he was going to do the same thing (oral challenge). I went to another & he said he would not do anything until after age three (we knew she was was a pretty clear cut exposure/reaction). He did nothing until age 3 then did a skin & blood test. Skin was 4+ and blood was high enough that he said an oral challenge would by "too risky" at that level. We go back at age 5 just to do the skin & blood test. I do like him but my second DD is going to be tested at the Children's Hospital nearby. Doesn't hurt to have a different perspective. I feel educated enough to make my own calls. We avoid PB and always have epi & reactions since initial. So far, so good. Definitely try another allergist.

Posted on: Sun, 09/07/2003 - 4:22am
ElizabethsMom's picture
Joined: 04/17/1999 - 09:00

Ask your allergist how many children with PA he has diagnosed and treated. Grill him and find out why he wants to do an oral challenge next....


Peanut Free and Nut Free Community

Click on one of the categories below to see all topics and discussions.

Latest Discussions

Latest Post by Italia38 Wed, 01/15/2020 - 11:03am
Comments: 10
Latest Post by Italia38 Wed, 01/15/2020 - 10:52am
Comments: 2
Latest Post by penelope Tue, 01/14/2020 - 1:03pm
Comments: 1
Latest Post by penelope Sun, 12/29/2019 - 6:21pm
Comments: 2
Latest Post by sunshinestate Sun, 12/29/2019 - 6:00pm
Comments: 3
Latest Post by Italia38 Sun, 12/29/2019 - 5:44pm
Comments: 5
Latest Post by justme Tue, 12/17/2019 - 3:41pm
Comments: 4
Latest Post by justme Tue, 12/17/2019 - 2:39pm
Comments: 45

Peanut Free Store

More Articles

You can make light, fluffy pancakes without eggs or milk. If you have some type of food...

It’s hard to think of Chinese food without thinking of peanuts. China is the world’s leading peanut producer, and that’s not a coincidence....

Seeds, such as pumpkin or sunflower, make great peanut or tree nut substitutes in recipes, and roasted soy or garbanzo beans are tasty snacks and...

For those with peanut allergies, baked goods present a serious risk. Many baked goods do not appear to contain peanuts, yet were baked in a...

When you have a food allergy, you need to check every food label. The safest way to eat when you have a ...

Those who have peanut allergies know to avoid peanut butter cookies, of course – but what about other...

What can you eat if you can't eat peanut butter? Fortunately for people with a peanut allergy, there...

Most elementary school teachers take a mid-morning break to allow their students to refuel with a snack. If it's your turn to bring a snack for...

In the United States, there are no lines of ice cream that are dedicated to being nut-free....

Do you have a child with peanut allergies and an upcoming birthday? Perhaps you'd like to bake a...

Cakes are a central part of many celebrations, from kids' birthdays to weddings. For those with severe ...

Are you craving sweets? Those with peanut allergies must be especially careful when indulging their...

Are you looking for peanut-free candies as a special treat for a child with...

If you have a food allergy, you will probably need to make some changes to your diet...

When love is in the air we can get caught up in the moment and throw caution to the wind. However, if you have a...

Many doctors treat allergies, including pediatricians and general practice doctors. When allergies are severe, primary care physicians often refer...

If you are looking for a way to support food allergy education and awareness, you may be interested in a documentary created by a young filmmaker...

The most frightening thing about a severe allergic reaction to a new food is that it can happen so fast. If parents are not looking for allergic...

Skin rashes and itching are common allergic reactions to peanut butter. According to the Mayo Clinic, reactions to peanut butter can happen within...

A low oxalate diet may be recommended to prevent kidney stones from forming. Oxalates are chemicals found in plant-based foods. These may collect...