My DS just got his test back and is a level 6 (>100 kU/l)

Posted on: Tue, 06/26/2018 - 3:36am
Shopaholicinvancouver's picture
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Joined: 06/10/2014 - 15:04

My DS just got his test back and is a level 6 (>100 kU/l) for peanuts and 12.4 kU/l for almonds. What are the chances he will outgrow it? He is 13 months right now.

He ingested a pita bread that we believe was contaminated with peanuts at 9 months and skin test for peanut showed 4mmx6mm and almonds 3mmx5mm (when tested when he was 10 months old).

Our allergist told us to feed him other tree nuts so he doesn't become allergic to it but I worry that it will make more allergic to PN and almonds. She said that the blood results surprised her; especially the high levels for peanut. Since we had the skin test done, we fed him some cashews that may contain peanuts which the allergist approved. We think this was the cause in his high peanut levels and question the allergist's judgment.

Should we listen to our allergist or do strict avoidance? I read the peanut allergy answer book and the author recommended strict avoidance. Any help would be appreciated! Thanks.

Posted on: Mon, 07/14/2014 - 5:28am
smithdcrk's picture
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Joined: 03/13/2014 - 16:46

The best place to introduce tree nuts to your son's diet is the doctor's office under controlled conditions. Have a talk with your doctor, an official challenge test is more expense and time consuming, but if you are willing to accept the costs, she should oblige you.
Controlled means measured amounts of the challenge food, administered over a specific time period with "wait" intervals between exposures. The Doc and Nurse are there when the child eats the challenge food and drop in during the waits. You hang out for a while even after all seems ok. You come with your full response kit (EPI pen, antihistamine, etc). At our allergist's the "challenge" kid controls what is shown on the office DVD player and gets the remote. He even gives the kids hints on how to play the "being very brave and courageous" card to get a new video game or toy.[lol]
Controlled means that the cashew is just a cashew. It has not been exposed to TN or PN residue in ANY way. As our doc told us, if my daughter reacts then we know it is the cashew, not anything else on the line. Strict avoidance on anything like the PN that we know is a problem.
My PA daughter had multiple allergies, including TN. At some point blood work showed that although PA indicators were rising over the years, the TN indicators had dropped to "Normal" or "Very Low Risk" levels. We introduced each tree nut as a formal challenge.
The two hardest parts: 1) telling her to eat something that had been on the "AVOID" list for as long as she could remember. 2) Finding TN that were on single source lines and had NO Peanut cross-contact.
Grocery Store Options
Almonds: Wonderful [an option for later if needed]
Pistachio: Wonderful [dedicated line no almonds need apply]
Cashews: Nasoya (Call 1st. At time, cashew line was dedicated)
Hazelnuts: Nutella [Just hazelnuts]
Walnuts, Brazil, Hazel, Pecan & Macadamian nuts I ordered whole. Washed the shells and then cracked them. The shelled versions have too many cross contact issues with other TN or PN.
Chestnuts: Whole versions available at Thanksgiving and Christmas time. Most cans/jars are from China or Europe manufacturers that do not have the same strict labelling laws US & Canada. They do not have to list cross-contact exposure.
More options to help you
Peanut Free Planet (http://www.peanutfreeplanet.com/) A regular supermarket for the nut free lifestyle. Customers can search by product or allergy - that saves some time. Not just by ingredient free, but line free or even facility free!

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