should we do a challenge?

Posted on: Thu, 03/01/2007 - 10:23am
ahensley's picture
Offline
Joined: 08/23/2005 - 09:00

Hi all,
The allergist office just called my DH and said my son's RAST test is level 1, which it has been for the last 3 years. When we were in recently for a check up the allergist (very well respected here in Phx - I think, one of the very best) stated that if his test remained the same again this year he would do a spt and then an oral challenge. Well, the nurse called and said they wanted us to do a oral challenge - my DH said what about the spt and she said we already did one (last year) and it was still a barely positive - so of course I want to repeat that first... but his levels for the last two years were around 120 and less than 80 is negative (it started out at 1400). My son is 4 1/2 years old. He was dx at 9 months with a spt (I thought he was allergic to wheat but boy was I wrong!)

What do you all think? My allergist stated that he doesn't really consider a level one an allergy, but of course to not give peanuts until after the oral challenge.

An oral challenge scares me, especailly since his test was not negative... my DH didn't know what to ask so he didn't ask for the real number....

I want so badly for him to outgrow this, but I don't want to increase his likelihood of keeping this allergy by doing an oral challenge too early.

Thanks,
Andrea

Posted on: Thu, 03/01/2007 - 10:27am
Carefulmom's picture
Offline
Joined: 01/03/2002 - 09:00

I would call him back and ask for the exact number.

Posted on: Fri, 03/02/2007 - 6:05am
ahensley's picture
Offline
Joined: 08/23/2005 - 09:00

I called and spoke with the nurse this am regarding our numbers. DS's number is 0.50 (with <0.35 being a zero level). The allergist feels like we are ready to do an oral challenge with peanuts (of course starting with contact, skin). The nurse told me she has worked at this office for 15 years and has never seen a child not pass an oral challenge for peanut, because they only do them when they feel the child has outgrown the allergy. That makes me start to get hopeful, but of course I don't want to get hopeful - only to still have the PA.
My mind wanders into the what ifs... what if he has outgrown it and we can lead a life without as much worry, what if he has a severe reaction during the challenge, dreaming of going to baseball games (my husband is a HUGE baseball fan)...
I probably schedule within the next week or two. Any thoughts? DS is 4 1/2 and has not had a reaction for years. He still has eczema that comes and goes, otherwise healthy.
Thanks,
Andrea

Posted on: Fri, 03/02/2007 - 6:36am
NicoleinNH's picture
Offline
Joined: 06/21/2003 - 09:00

I would follow your allergist's advice. My DD failed an egg challenge (her numbers were extremely low)---I don't regret doing it, though. She made it to the 5th dosage (equivalent to having 6 hard boiled eggs) and then reacted with hives and eventually facial edema (which was treated with steroids for 1 week due to Benadryl not helping). There is no way we would have known for sure about her allergy to egg without the challenge. We will do another challenge when her number is 0.
Good luck! I hope he passes!!!
Nicole

Posted on: Fri, 03/02/2007 - 10:02am
alliedhealth's picture
Offline
Joined: 06/10/2006 - 09:00

I would feel comfortable doing the challenge in a medical setting (hospital)- our allergist has indicated they often challenge when below a 2- best wishes.

Posted on: Fri, 03/02/2007 - 10:16am
Mrsdocrse's picture
Offline
Joined: 01/16/2007 - 09:00

if you pass the challenge I have heard that you need to keep eating PB on a regular basis to keep the allergy away.
ask your Dr about it. it is an odd thing you avoid avoid avoid then suddenly some says ok eat it.. I would be nervous but if you pass the challenge i have been told that you should put inyour regular diet so that your immune system recognizes it. and keep you from having reactions! good luck.. luck!
Therese

Posted on: Fri, 03/02/2007 - 11:49am
Carefulmom's picture
Offline
Joined: 01/03/2002 - 09:00

I think the fact that your doctor has never had a patient fail a challenge in 15 years is a really good sign. It sounds like your allergist is very cautious, just like ours. I read that Dr. Wood does a challenge if there is a 50% chance the person will fail and I just about fell over. Your doctor sounds very conservative. Based on the information you posted, I would do the challenge. Let us know how it goes!

Posted on: Fri, 03/02/2007 - 1:07pm
mistey's picture
Offline
Joined: 01/18/2004 - 09:00

My son's numbers have been below 1 the last few tests and our allergist has suggested several times that we might challenge "someday". So far the "somday" hasn't arrived. But I totally understand the pull- the desire to SO BADLY outgrow vs the risk of exposure and the fear of not outgrowing. It's difficult. Please keep us informed!

Posted on: Fri, 03/02/2007 - 3:13pm
ahensley's picture
Offline
Joined: 08/23/2005 - 09:00

Thank you all for your advice and comments. I think we will do the oral challenge within the next couple of weeks - prayfully. We are going to Disney soon and what a trip that would be without all the food challenges that accompany traveling.
Thank you for being so supportive. I just have to trust in God and our doctor.
I can already picture the hives now in my mind and the emotions forthcoming...
I will keep ya all updated on the challenge and outcome. Peanuts are like poision to me, so I can't even imagine having one placed in DS's mouth.
Can you tell how crazy this is making me? Such a life changing event (either outcome) in such a short period of a few hours, but I guess that is how life works.
Thanks again,
Andrea

Posted on: Mon, 03/05/2007 - 12:53pm
ahensley's picture
Offline
Joined: 08/23/2005 - 09:00

Just wanted to let you all know our challenge is scheduled for Friday, March 9th at 120pm. Please pray that DS will be kept safe. We all know how great it would be for our children to outgrow their allergies, which I hope for, but I really hope that he stays safe and does not have anaphylaxis. Thank you.
Andrea

Peanut Free and Nut Free Community

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

Latest Discussions

Latest Post by doggydude Sun, 07/19/2020 - 4:36am
Comments: 1
Latest Post by Tinsley Thu, 07/16/2020 - 8:12am
Comments: 5
Latest Post by Tinsley Thu, 07/16/2020 - 7:21am
Comments: 13
Latest Post by beachgal2020 Wed, 07/15/2020 - 1:45pm
Comments: 79
Latest Post by doggydude Wed, 07/15/2020 - 12:46pm
Comments: 46
Latest Post by beachgal2020 Thu, 07/09/2020 - 2:17pm
Comments: 173

Peanut Free Store

More Articles

Peanut oil is an inexpensive, healthful and inoffensive way to cook—unless you have a peanut allergy!

Light peanut oil is popular as a...

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

People with peanut allergy should know about foods to avoid, as many who are allergic to peanuts are allergic to other nuts like walnuts, cashews...

If you or your child has a peanut allergy, that unmistakable smell of peanuts wafting through the air...

Whether you have a child with a peanut allergy or you are sensitive to packing a nut-free lunch out of concern for other people’s children, it is...

For those living with peanut allergies, having a source of ready-to-eat 'safe' foods can be a...

Those with severe peanut allergies soon learn to look for the 'peanut-free sign' on any packaged food purchase. This is a notation found on a wide...

For many people with peanut allergies, baked goods present one of the most significant risks. Even if...

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

Peanuts and Nuts Can Trigger An Asthma Attack

According to the American Academy of Allergy, Asthma and Immunology (AAAI), more than 3...

There are more "peanut-free" products than ever on the supermarket shelves. This means more choices than ever for peanut-allergic shoppers and...

It Is Easy To Buy Peanut Free Chocolate Online

Ask any parent of a child with a potentially life-...

How Do You Determine If A Food Is Safe For A Peanut Allergic Person?

The answer varies. “Peanut-free” means different things to different...

Recently, the U.S. Food and Drug Administration (FDA) approved a New Drug Application for an epinephrine auto-injector (EAI) designed for use with...

Fact 1: Over a third of food allergy reactions happen after the first known oral...

It can be easy to overlook the presence of nut allergens in non-food items because the allergens are often listed by their Latin or scientific...

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....

Soymilk is one of the most popular alternatives to cow’s milk. As well as being rich in fiber, soy is a great source of protein and contains all...

My mom was at a lakeside restaurant enjoying fish and chips when her mouth began tingling. The next day at a family gathering, we had grilled...

Peanuts and peanut oil are cheap and easy additives to food and other commercial goods. It is surprising (and alarming if you have a...