Question About Food Challenge

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Hi All,

My son is scheduled to have a food challenge (not peanut - long story) on Monday. In the meantime, his seasonal allergies have gone haywire, and he has needed his Clarinex daily. I called the allergist to find out how long he should be off the antihistamine before undergoing the challenge, only to find out that the allergist is on vacation until - you guessed it - Monday.

Has anyone had any experience with this? Obviously he shouldn't take it that day, but how many days does he have to go without it? He's really miserable without medication.

Thanks in advance for any advice.

Amy

On Aug 24, 2005

I want to say it's 72 hours...but I'm not completely sure. I'll try to call my allergist's office and ask them [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

And, GOOD LUCK with the challenge [img]http://uumor.pair.com/nutalle2/peanutallergy/biggrin.gif[/img] Meg

On Aug 24, 2005

Ooooh Meg, you're a sweetheart. I would so appreciate it. I hate to withhold Clarinex for any longer than I have to - he's so miserable (not that it does all that much, but it's better than nothing!).

And thanks for the good luck wishes too. Even thought it's for a fairly minor reaction to a food that is easy to avoid, I'm still a bit on edge. I hate the thought that he might have developed yet another allergy.

Thanks again!

Amy

On Aug 24, 2005

Well, according to my allergist's office, you have be off Clarinex for 5 days before a challenge. Meg

Edited to add: they said you could take Benadryl up to 48 hours before the challenge.

[This message has been edited by mommyofmatt (edited August 24, 2005).]

On Aug 24, 2005

Thanks kiddo. Five days is what I thought too. Hoo boy, it's going to be a lo-o-o-o-ng couple of days. [img]http://uumor.pair.com/nutalle2/peanutallergy/rolleyes.gif[/img]

Amy

On Aug 24, 2005

You're welcome [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img] Awwww, the poor guy. Hope it's worth it and he passes! My seasonal allergies are kicking into high gear right now too! ugh. i mean achoo! [img]http://uumor.pair.com/nutalle2/peanutallergy/rolleyes.gif[/img] Meg

On Aug 24, 2005

We do not do any regular antihisatmines. But, when we have our yearly visit, the allergist calls and reminds us one week ahead to remind us of the visit, so as to also remind us to use no antihistamines at least 5 days before testing. Not sure if it would be the same for challenges

Good luck! becca

On Aug 26, 2005

DS was turned away by the allergist at one of his food challenges (not pn). He had a slight cough and wheeze which began that morning. He has asthma but only rarely wheezes or coughs unless he has a cold. It was probably an environmental trigger.

Anyway, he had to come back at a later date.

If there are allergic symptoms going on at the time of the challenge, it could be difficult to determine if they are related to the food or could mask a reaction. Also, a reaction could be more severe if the immune system is already stressed.

Good luck to your DS. Hope he passes!

On Aug 26, 2005

I thought it was 3 days but I guess I was wrong. No advice here but I wanted to wish you good luck!

Patty

On Aug 26, 2005

Going Nuts, you already have your answer, but I wanted to wish you good luck for Monday.

(I actually thought it was four days without antihistamine).

Please let us know how it goes. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

On Aug 26, 2005

I was told 5 days as well. Good luck.

On Aug 26, 2005

Thanks all. I'll update you after it's done.

Amy

On Aug 29, 2005

Thanks everyone for your good wishes. Here's the Reader's Digest Condensed version of what happened:

DS hasn't been able to eat many fresh fruits for years, but could always eat them cooked. In fact, his favorite dessert in the summer is this fruit pie I make with a graham crust (premade), strawberries, blueberries and nectarines. This summer he was eating a piece and asked me if I had cooked the fruit. Of course, why? "Because my mouth is itching." The next thing I knew his lips looked like balloons, and I could see hives all over them. I gave him Benadryl, had the epi ready, but he was fine in a few minutes. He also had Coxsackie at this time.

I asked the MD if the Coxsackie could have been a factor, and he didn't think so (personally, I'm not so sure, but I'm only the mom!). He had me freeze a piece of the pie, and we went in today to see if it happened again. He also asked me to bring in a fresh baked one as well.

No reaction whatsover!

Since he seemed to have no reaction to the cooked fruit, it must be one of two things:

1) It was the Coxsackie, or; 2) The pie crust was cross contaminated.

Personally I'd put my money on Coxsackie!

I'm just glad it's over. I was so nervous, I swear I had the trots all morning. Can you just imagine what I'd be like if we ever did a peanut challenge (I'd only do that in the hospital)? [img]http://uumor.pair.com/nutalle2/peanutallergy/biggrin.gif[/img]

Amy

On Aug 29, 2005

Going Nuts, well that's all well and good, but could you tell me what a Coxsackie is?

Do you remember what type of pre-made pie crust you bought?

Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

On Aug 29, 2005

Quote:

Originally posted by Going Nuts: [b] Can you just imagine what I'd be like if we ever did a peanut challenge (I'd only do that in the hospital)? [/b]

I just now saw this thread! When you know it's a food it is sooo difficult to figure out which one especially if he didn't react the second time. UGH! Not knowing...that's the hard part.

Amy, do you think you will have your son challenged in the hospital for peanuts?

I think about this sometimes and wonder what I will do when he's older.

On Aug 29, 2005

And I'm afraid to Google that word! [img]http://uumor.pair.com/nutalle2/peanutallergy/redface.gif[/img]

Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

On Aug 29, 2005

CSC, Coxsackie is a viral infection. You can go ahead and google it!

"Hand, foot, and mouth disease, a type of coxsackie virus syndrome, causes painful red blisters in the throat and on the tongue, gums, inside of the cheeks, and the palms of hands and soles of the feet."

------------------ Mom to 6 yr old PA/TNA daughter and 2 1/2 yr old son who is allergic to eggs.

On Aug 29, 2005

LOLOL, Cindy! Yes, thanks to Momcat you now know what Coxsackie is (not even a peep from Net Nanny!). Similar to the common cold there are a zillion strains of the virus, so you can get it several times. Now there's something to look forward to, eh?

E-mom, it is highly unlikely that DS will ever be challenged for peanuts or anything else he's allergic to. He was retested this spring, and all his numbers went [b]up[/b], not down like we'd hoped. Given his age (11) and how careful we are, we're not too hopeful about his numbers going down to a range where a challenge would be considered.

Amy

On Aug 29, 2005

Momcat, thank-you. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Going Nuts, do you think it was the coxsackie then? What a strange word for a virus. However.

I actually thought it was some type of food.

I think this also raises an interesting question for me about food challenges - I mean, what are the requirements for having one done or not done? Why or why not?

I was thinking that basically since Jess has had three anaphylactic reactions and he's almost 10, that I don't even read anything about food challenges. It's like, why bother, but not in a negative sense really but just because in our case, it's just not something that is going to happen.

So I guess one does take into account the history of reactions (if any) and the age of the child then?

Anyway, thank-you again for telling me what coxsackie was - again, just thought it was some sort of strange NYC food bought in a bodega [img]http://uumor.pair.com/nutalle2/peanutallergy/biggrin.gif[/img]

And holy moly, now I can see it hitting our household in the near future (touch wood, not).

Or, do you think there is a possibility of the cross contaminated pie crust or even yet, will this be chalked up to one of those hateful "mystery" reactions?

And wait, sorry, Going Nuts, can I clarify? Was this reaction with your PA son?

Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

[This message has been edited by csc (edited August 29, 2005).]

On Aug 29, 2005

Glad the challenge went off without a hitch! [img]http://uumor.pair.com/nutalle2/peanutallergy/biggrin.gif[/img] And, that he can still eat his favorite pie [img]http://uumor.pair.com/nutalle2/peanutallergy/biggrin.gif[/img] Did you all dig in after it was over to celebrate? I agree, challenges are VERY nerve racking [img]http://uumor.pair.com/nutalle2/peanutallergy/frown.gif[/img] Meg

On Aug 29, 2005

Why I'm thinking about this at this time of night, I have no idea. However.....

Is it possible that because your son had a virus at the time he ate the pie originally, he reacted to cross-contamination and when he was seen to-day, because the cross-contamination was so minimal he didn't react?

Did that make sense?

Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

On Aug 30, 2005

Quote:

Originally posted by csc: [b]Momcat, thank-you. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Going Nuts, do you think it was the coxsackie then?

[/b]

I think the combination of his immune system being revved up from fighting the virus combined with the blisters which resulted in broken skin in his mouth and throat is what did it.

[b]

Quote:

I think this also raises an interesting question for me about food challenges - I mean, what are the requirements for having one done or not done? Why or why not?[/b]

According to my allergist, if he goes a couple of years w/o a reaction, then it's worth a blood test to see if his levels have gone down. If they go down below a particular level (don't ask me what this is), then a challenge can be considered.

[b]

Quote:

Anyway, thank-you again for telling me what coxsackie was - again, just thought it was some sort of strange NYC food bought in a bodega [img]http://uumor.pair.com/nutalle2/peanutallergy/biggrin.gif[/img][/b]

Aah, there are many interesting things sold in NYC bodegas, but Coxsackie (named for the NYS prison where it was first discovered) isn't one of them!

[b][quote]And wait, sorry, Going Nuts, can I clarify? Was this reaction with your PA son?[/b][quote]

Yep!

Meg, thanks for your good thoughts!

Amy

On Aug 31, 2005

How did I miss this. I had been looking, Amy, to see how it went. Glad he did well, but seems confusing! becca

On Feb 15, 2006

Simply re-raising. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

------------------ "That was Polanski. Nicholson got his nose cut."

On Aug 21, 2007

my son tested low to sesame seed, never reacted to it but did not like sesame bread until i removed crusts when he was little. this year his sesame level is negative and we are doing a challenge on thursday. i am worried. would you do this. people tell me its good to know and why avoid it if you dont have to but its scarey. i think i will have him hold a seed then put one on lip on tongue and proceed from there? any thoughts?

On Aug 21, 2007

My kids just both got over the Coxsackie virus. Apparently it originated in Coxsackie, NY (not far from us in Albany) years ago.

It was a bad virus. One of my sons had a high fever (104) for two days then developed sores on his tonsils and throat. They were like small, clear blisters. He hardly complained about those, though.

My 2 yr old son developed it in the form of high fever and projectile vomiting. Not a fun few days. Apparently it's a very common summer virus.

On Aug 21, 2007

This thread is interesting...back in June when DS miserably failed his egg challenge (w/ a negative CAPRAST) it turns out that that night he started running a fever, which he had for about 4 days, then the fever broke and he broke out in a rash... he ended up having roseola, which, unbeknownst to me and the doctor, had started that day...I know the illness wouldn't make him react if he had truly outgrown the allergy but I wonder if it made the reaction that much worse, since he was getting sick...he actually was hot at the end of the challenge but I thought it was from the hives and epi. Any thoughts??? Melissa

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