Please Help, Need Info

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Hello,

My son had a reaction we suspect might be PA, and cannot see the doctor for a while. In the meantime, I am going crazy and am extremely stressed.

My son is 3-1/2 years old and has eaten peanut butter and peanuts occasionally since he was about 2-1/2. In fact, he had a sundae with chopped nuts on it the day before his big reaction. Two days before, he had gum in his hair, and I rubbed peanut butter into his hair (and onto his scalp since his hair is prety short) to get the gum out. He had no reaction.

He has previously eaten entire peanut butter sandwiches, had peanut candies, eaten peanuts and raisins, etc.

The day of the reaction went like this: My son specifically asked me for a peanut butter and jelly sandwich. I made him a sandwich using natural peanut butter with ingredients of only peanuts and salt. I also gave him no-sugar-added smuckers strawberry jelly. The bread was sourdough wheat.

He had eaten these things before except for the bread. It was the first time.

He ate two bites of the sandwich, and IMMEDIATELY started to whimper that his lips were burning. He started to cry and asked for cool water to pat on his lips. I noticed his lips were very red as were his cheeks and one of his eyelids. I did not think they were swollen. Very red, like road rash. His hands had splotches of red on the backs under the thumbs and pointing fingers. His hands looked flushed and I thought they appeared swollen.

He said only his lips burned. I asked about his tongue, and he said it was okay. He patted cool water on his lips and after a couple minutes he said he was okay.

The next day I asked again if his tongue had hurt, and he said no. I then asked if his throat had hurt, and he said, yes, his throat had burned.

Today it is 2 days past the incident. His lips are dry, red/purple, and splotchy, almost like they had been burned. They now look a little swollen, like he has welts under his bottom lip. His cheeks still have a flaky pimply rash as do his cheeks. The marks on his hands are almost gone.

When this happened, I had searched his body for signs of a breakout elsewhere and saw nothing. I kept an eye on his breathing, eye wateriness, watched for any swelling, and didn't see any.

Okay. Reading this, I would say it looks like PA. Except that he's eaten peanuts regularly and even had contact the day before and two days before.

What do ya'll say? I'm going nuts and am highly stressed. The doctors nurse told me to give him Benadryl, wait for the rashes to go away and then give him peanut butter again. From what I've read this doesn't sound like a great idea.

I anxiously await any responses. Thank you in advance for taking the time to reply to me.

Bjay

------------------ Bjay, Editor Diabetic Mommy Online Magazine DiabeticMommy.com

On Dec 4, 2004

Hi Bjay, I am so sorry to hear of your little boy's reaction. [img]http://uumor.pair.com/nutalle2/peanutallergy/frown.gif[/img]

It certainly does sound like it could be pa. I am so glad you knew better than to follow the advice from your doctor's office to give him pb again. [img]http://uumor.pair.com/nutalle2/peanutallergy/mad.gif[/img] I definitely would not advise that unless you are actually in a doctor's office where they would be prepared to treat him if he had a severe reaction. (The only reason I would even think of trying it in the dr's office would be because he has eaten pb so regularly before this.)

You mentioned that he hadn't eaten the bread before. Were there any new ingredients in the bread? The bread seems an unlikely source of such a severe reaction. However, since you mentioned that he hadn't had it before it does raise the question of whether it could have been the bread.

My advice? Treat him as allergic until you can get to the doctor to have him tested. I wonder if there is any chance the doctor would be willing to prescribe an epipen in the meanwhile. If so, that could give you some peace of mind if he were to accidentally become exposed to peanuts while you are still waiting to see the dr., and he had a reaction.

By the way, it is not unheard of for a person (of any age) to beome allergic to peanuts after they have eaten them without a problem for some time. I know it seems strange, but there are others on the board who are in this situation.

How scary for you! I am so sorry. I'm glad you found this site.

Take care,

Miriam

On Dec 4, 2004

Hello, I must disagree slightly with the previous poster. It is possible that your child is peanut allergic and agree that until you seek proper medical advice from a immuneologist it would be wise to avoid all nuts.

It is possible to be allergic to just tree nuts or indeed one or two tree nuts and not allergic to peanut. All nuts are more than likely cross contaminated with each other during packaging and manufactuer.

(the bread could have been cross contaminated with tree nuts )

Stick to plain meals that you have had no problem with until you get the correct medical support, and please feel free to post with any more questions and keep us up to date !

If you look in the book section of this site , you can read up on allergy / anaphylaxis so that when you meet your doc you can get as much decent info out of him/her as possible.

good luck , sarah

On Dec 4, 2004

Hi Bjay - don't have any additional suggestions for you, but just wanted to let you know, I was a peanut butter fanatic. Ate it all the time. At around 30 I suddenly developed allergies to peanuts and sesame seeds.

On Dec 4, 2004

Hmmmm, I was thinking something different.

You said that your son has not had the WHEAT bread before. I know many people with a Wheat Allergy. I don't know if a Wheat Allergy would produce such a reaction though.

However, as many of us know, you can develop an allergy even after eating it on a regular basis.

I really think it could be either a peanut allergy or wheat allergy.

Sorry about your little guy. [img]http://uumor.pair.com/nutalle2/peanutallergy/frown.gif[/img] I hope he feels better soon.

On Dec 4, 2004

I think it is pa. I think if it were wheat allergy it would have shown up sooner, since wheat is in almost all bread, cookies, pasta, etc. I agree to avoid all peanuts and tree nuts until he can be tested. Also, pa can start at any age. If you feel like posting the ingredients in the bread, maybe that would help with figuring it out. As someone else posted, maybe there are tree nuts in the bread?

On Dec 4, 2004

Definitely do not give him any peanuts or peanut butter until you've had him tested by an allergist, because if he is allergic to peanuts he could have a reaction that could quickly progress to life-threatening. Don't let anyone convince you to just try it one more time to see what happens. Hopefully it's not a peanut allergy, but this is nothing to play around with, which I guess you know because you're obviously researching peanut allergy. Make sure if anyone besides you is watching him that they know not to give him anything with peanuts or any peanut butter.

On Dec 4, 2004

Thank you so much for all of your replies. It really helps a lot to talk to others. I've gotten a good referral to an allergist here in town who is good with kids. However, have no idea if my insurance will cover it. My insurance sucks frankly.

Here are the ingredients in the things he ate:

Kroger Natural Crunchy Peanut Butter: Peanuts, salt.

Smuckers Simply 100% Fruit, Strawberry: Fruit syrup, strawberries, lemon juice concentrate, fruit pectin, red grape juice concentrate added for color, natural flavors.

Small Planet Bakery, Sourdough Whole Wheat Bread: 100% organic whole wheat flour, sour culture and water, honey, vital wheat gluten, expeller pressed canola oil, sea salt, yeast, ascorbic acid.

Do any of you see other things here that could be the culprit? Also, I've saved the peanut butter and jelly bars and the remaining loaf of bread. Is it enough for me to just have a list of ingredients, or should I take all the food to the doctor?

I've got an appointment Monday afternoon. My son has been asking for peanut butter today, and tried to get at the jar. I heard that people who had PA had an aversion to it. I guess I shouldn't get my hopes up huh? Again, THANK YOU SOOOOO MUCH FOR YOUR HELP.

Bjay

Bjay

------------------ Bjay, Editor Diabetic Mommy Online Magazine DiabeticMommy.com

On Dec 4, 2004

Bjay, welcome and sorry you had to find us. My dd is one of the children who had eaten PB for a bit before having the allergy. It was only a few months or less, but she ate it regularly and then gradually had some itchy eyes and a flushing and more dramatic episode that made me finally realize it. She was around 18 months.

Still, it seems so strange, such a sudden reaction after such a regular diet. I would keep him away from nuts of all kinds, as others have suggested, and be sure he gets tested for a panel of all nuts, and maybe the wheat. However, as mentioned previously, he las likely had wheat before. Vital gluten is protein, though and maybe if there was alot of added wheat protein, it put him over the top. But, has he had wheat products since?

Oh, I did not notice if anyone mentioned this, but did you get epipens prescrbed in case of an allergic emergency before you get to the allergist? That would be pretty important. becca

On Dec 4, 2004

He has eaten bread. He usually eats whole wheat bread or tortillas. Does a wheat allergy happen with wheat regardless of whether it's white or brown?

Thank you so much for your info. I am very glad I found ya'll.

------------------ Bjay, Editor Diabetic Mommy Online Magazine DiabeticMommy.com

On Dec 4, 2004

I don`t think a wheat allergy is specific to white or brown. I think if you are allergic to wheat you would be allergic to both. I don`t see any ingredients of concern in what you posted other than the pb. Natural flavors can be anything, but since it was in the jelly I doubt it would be milk, egg, or one of the other allergens (compared to say natural flavor in popcorn which is often milk and not stated).

[This message has been edited by Carefulmom (edited December 04, 2004).]

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