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Posted on: Wed, 03/01/2006 - 1:16am
bethc's picture
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Joined: 04/18/2005 - 09:00

becca, it's actually reassuring to me to hear you're in the same boat. I haven't ever purposely fed my 3YO peanut anything, but once she had some suspicious hives on her ears with something that could have been cross-contaminated. So I'm trying to decide if I should put her through the skin testing, which is how my PA DD's allergist tests. I think we'll do it this summer when she turns 4 unless she has further suspicious symptoms. I want to know and I don't - I'm with you there.

Posted on: Wed, 03/01/2006 - 1:49am
becca's picture
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Joined: 05/22/2001 - 09:00

Right, I mean, as long as they are always under our watch, we have epis for the older child anyway. But he really needs a Jr. and ours are now almost 3 months expired. I just need the security of him having epi, more than anything. Dd now has full dose, so I have to deal with it now.
Does anyone have a doctor prescribe just in case, because of the family hsitory, for the preschool age? As Sherlyn said, she is fortunate her twins are together in the event of an emergency. It is reassuring to have it there. Seems all schools should have it as a first aid item, regardless. The unkown allergy is more dangerous than the known for anyone. becca

Posted on: Wed, 03/01/2006 - 6:04am
iansmom's picture
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Joined: 07/26/2001 - 09:00

Becca, we're in a similar situation. My 3yo DD will be in preschool when she's 4yo, but we keep a PN and TN free home because of her older brother. I know she's had a couple of "may contains" items (not from me, but from other well-meaning family members [img]http://uumor.pair.com/nutalle2/peanutallergy/rolleyes.gif[/img], and one cookie that actually had walnuts. I suspect that she is not allergic, but I'd feel more comfortable with test results prior to sending her to preschool. She's never had eczema the way DS did as a baby and toddler, and there isn't even a hint of asthma as yet. The preschool DS went to is nut-free anyway, but they do allow "may contains" for snacks. We'll probably talk to the allergist about it one of these days when we see him with DS.
Good luck with your decision!
[This message has been edited by iansmom (edited March 08, 2006).]

Posted on: Wed, 03/01/2006 - 7:21am
ajas_folks's picture
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Joined: 04/28/2000 - 09:00

How timely to find this thread!
Our DS is 7 & PA (anaphylaxis at 11 months)& with still-questionable TNAs.
Our DD is 4 1/2 & has tested negative (skin prick) to peanut, as well as other food allergens. We know she was exposed to may contains and tree nuts when she breastfed (for 2 years).
We currently homeschool, but hope to have kids mainstreamed into a public or private school this coming school year -- DS will be in 2nd grade, and DD will either be in K or pre-K, depending on age cutoff.
We plan to have included into DS's 504 some restrictions regarding handling of his sister & restrictions for her exposure as a means of protecting him. There will also be some sort of other written agreement for her teacher/classroom so everyone is on the same page.
As to Epi-pens, our DS has a prescription for *both* Jr & regular Epi-pens. He now weighs 59 lbs (weighed 51 lbs when Rx was written). Current pediatrician was OK with reg Epi-pens, but a second doc felt he was borderline on weight & wanted Jrs. We gave up arguing & realized it would mean we then would also have Jrs to use on DD (weighs 39 lbs) if she were to have anaphylactic reaction to something. So, we always carry 2 of each size & additional for trips. But I'm betting the school won't allow the Jrs on the property for DD unless doctor writes order for it.
Anyone have specifics for sibling written into PA child's 504??
EB

Posted on: Thu, 03/02/2006 - 1:36am
happycat's picture
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Joined: 08/31/2004 - 09:00

We've got the same situation here too. My oldest has PA and my youngest is about to enter pre-school - he' s never has a taste of peanuts. Last time I asked about testing my youngest, I was told the same thing about the antibodies - no ecposure = no antibodies, so there's really nothing to test for.
He's shown no signs of allergies (knock on wood) - with my oldest, I had suspicions of allergies from the time he was born.
I've enrolled him in pre-school this fall, and have the same issues with the snacks. I do let him eat may contains, and he's never had any issues. It was a hard decision, but I've decided to let him eat whats brought into the classroom, provided there are no actual nuts or peanuts in what he's eating.

Posted on: Sun, 03/05/2006 - 11:36pm
mommyofmatt's picture
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Joined: 03/12/2004 - 09:00

Hmmm, Becca, I think I'd probably have him tested, both skin and RAST. After you get those results in, then you can figure out what to do next.
I'll just relay our history too. Like others, confusing and not concrete. MFA ds was exposed to peanut butter while I was pregnant, and perhaps with traces around the house after he was born. I was unable to nurse.
I do remember, however, being very careful to wash up after eating it once the kids were born. Odd thing to remember considering how much else I've forgotten...mother's intuition I guess.
Anyway, he was diagnosed with PA through testing only, no known ingestion. Since diagnosis, he's had 2 reactions that I'm just about positive I've traced back to peanut residue.
MFA ds has had eczema since 3 mos. old. His twin doesn't have eczema. But he does still have reflux and has those allergic shiners under his eyes. We had skin testing done around time of brothers' diagnosis, negative. We just had comprehensive bloodwork done through a GI , all negative.
But the reflux and shiners still make me wonder, and I'm making an appt with the allergist for another skin test.
They are currently enrolled in preschool together which has an extremely controlled food environment. But come Kindergarten, it will be totally different.
I would follow your instincts, sorry about the scary dream, how vivid! The problem with testing is we all know it's not completely accurate...but if it's positive, then requesting an epipen won't be a problem. If it's negative, then what to do? Meg

Posted on: Mon, 03/06/2006 - 6:38am
NCMom's picture
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Joined: 04/30/2003 - 09:00

I just had our 3.5 year old tested for peanut - skin testing. His almost 6 yo brother is PA (RAST 82). I originally didn't want to do the skin testing but our allergist changed my mind. I felt comfortable doing it and the great news was that he tested negative to peanut, almond, cat, dog and dust mites. The only spot to react was the histamine spot. We discussed his only chance of exposure would have be in the womb before I found out about our 2nd son's PA when I was 5 months pregnant with our 3rd. But the allergist said it would show up in his skin if he was allergic.
He also said "don't rush out and give him a peanut butter sandwich though" (we have a peanut-free house) but you don't have to worry about the cupcake he might have in preschool next year. He also said that although some people do "grow into" allergies usually that is not the case. So I don't plan to give our littlest anything peanut but I have let him have things that I would never give to my PA son - when he's out with Daddy, not here in our home.
I wish you the best with your little one - hoping for negative testing!

Posted on: Mon, 03/06/2006 - 8:33am
patsmommy's picture
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Joined: 10/31/2001 - 09:00

My non pa son(turning 6 next month) had a rast test at 3yrs old and it was negative. I do not let him eat any peanut or tree nut products. I do however let him and my dd who is 3 eat cakes at parties and thinsg like that. I do not have may conatins or peanut tree nut products in my house.
Our school is does not serve things with nuts in them or peanuts. He is allowed to partipate in parties at school.
He also had reflux and has bad allergic shiners, although last year he tested neagtive to enviromental allergens(well the major ones they test for) this year he has gotten worse and is now starting zrytec. I need to take him back to get retested.
My dd is a different matter. I too had a nightmare about her, inthe dream I was in my grandmothers kitchen and we were having a wedding for my pa son, who in the dream was still 8 and no bride was in sight.
Anyway I baked him his wedding cake and put it in front of him. He looked at me and said you know I am going to eat this and picked up a peanut M&M and started biting it, next thing i know it's my 3 yr old who is limp in my arms. i called 911 and stood outside on a busy street waiting for an ambulance that just never came, firetrucks, police cars ect kept passing me by,no one stopped, it was such a horribel dream , oh and my father tol dme that i didnt speak to the 911 operator correctly, i mean what is that about??

Posted on: Mon, 03/06/2006 - 8:48am
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Joined: 02/14/2000 - 09:00

We're dealing with this now. A few years ago we had our two younger kids cap-rast tested. After they drew blood, the dr sat down with us and said that they can't actually be allergic to something they've never been exposed to, so even if the test came back negative (which they did) we should still avoid since they have a higher than usual risk of having or developing a food allergy. Gee thanks Doc, after taking blood from my 3 yo and 5 yo you tell me this. It was a big waste of time, pain and money. Now we're thinking of taking them to another allergist and having skin tests done, because I'm tired of not being comfortable with putting them in activities like scouts and such not knowing for sure if they're allergic or not.
------------------
==============
[b]~Gale~[/b]

Posted on: Mon, 03/06/2006 - 9:36am
Danielle's picture
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Joined: 04/08/2003 - 09:00

Does anyone have a doctor prescribe just in case, because of the family hsitory, for the preschool age? As Sherlyn said, she is fortunate her twins are together in the event of an emergency. It is reassuring to have it there. Seems all schools should have it as a first aid item, regardless. The unkown allergy is more dangerous than the known for anyone. becca
Before we knew that my now 3 year old was mfa, the allergist gave me an epi for her since her sister is PA. Makes one feel so much better...just in case. Of course now we know we MAY need to use it. She has at 1 time or another been allergic to soy,corn,rice,eggs,barley,oats,rye,amarnath,quinoa,blueberry,some melon... and we stay away from shellfish and fish and of course no peanuts or nuts. Oh ya, we recently added dairy which lead to 2 trips to the ER in 12 hours. I woould also say that due to the history of the PA sibling, one never knows if an unknown allergy could "pop up" such as our recent milk allergy. Out of the blue, with all neg RAST tests before and still testing neg. I have read many times, that when you have an allergic tendency allergies can pop up anytime. Better safe than sorry. I think you know all this but thought I would post anyway. MY mfa has gotten back so many foods so it was a shocker with the milk... we didn't have to use the epi but I felt much better knowing I had it for her. I can't and can imagine that your allergist wouldn't agree to an epi for your child. Some allergists are so open and others like to rule the roost. As I am sure you know. My mfa tests neg to many of the foods she is allergic to but then can't eat them. Voila, must have had them through breast milk. I am in the same neg RASt results for PA/TN for her but I don't think she will be able to eat them so I am not testing her and just saying she is allergic although her teachers will know that we really do not know. Good luck

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