Would like comments on what we heard from our new allergist...

Posted on: Tue, 11/29/2005 - 1:50am
nomorenutz's picture
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Joined: 10/28/2005 - 09:00

My 17 month old son went to his new allergist last Wednesday, and I'd like some feedback from all of you on what we were told.

First of all, I really like the new doctor -- he was very thorough -- spent about 1 hour for consultation, then about 45 minutes after the testing to answer questions. He quoted papers and research done by Dr. Sampson at Mt. Sinai, and is very current on all the information out there.

Jacob's RAST score for peanuts was .83, which is very low. He tested negative for all tree nuts (except a possible false positive to pistachios), eggs, milk, soy, and wheat on the skin test.

So, here's the advice from the doctor -- Stay away from everything that for sure contains peanuts or peanut butter. Don't worry about peanut oil. Stay away from all tree nuts until at least age 3 when we will retest to make sure he hasn't developed an allergy to those. Give benadryl for mild reactions if they occur and epinephrine if there is wheezing, swollen tongue, lethargy, vomiting, or trouble breathing. As far as may contains and cross contamination goes -- he felt very strongly that because of Jacob's low RAST score that even if a may contain did contain, it would not be above the threshold to cause a reaction for him -- because the amount contained would be so small. We still plan to avoid all of those foods in order to possibly help him grow out of the allergy, but now maybe it doesn't have to be such a worry for us.

What do you guys think about his advice? Anyone else heard similar things on may contains and cross contam that have had very low RAST scores?

thanks for the help!

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