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Free Webinar: Food Allergy Testing

Kids With Food Allergies ·
FREE WEBINAR:   Food Allergy Testing RSVP:   Reserve your seat by registering WHEN:  Tuesday, April 15, 2014 TIME:  1:00 pm Eastern time WHERE:  Your computer, iOS or Android device When trying to determine whether a child has...
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Food Allergy Awareness: Routine Food Allergy Testing

Kids With Food Allergies ·
Did you know? There is not enough evidence to recommend routine food allergy testing before introducing highly allergenic foods (such as milk, egg, and peanut) to children who are at a high risk of reacting to these foods. Children at high risk are...
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Demystifying Oral Food Challenges

Kids With Food Allergies ·
Demystifying Oral Food Challenges by Nancy Polmear-Swendris, MS Ed, RN Perhaps your child has had a known food allergy for some time, and now there's reason to believe that the allergy may have been outgrown. Maybe you're in the initial diagnosis...
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Oral Food Challenges: What to Expect (Video and Resources)

Kids With Food Allergies ·
Kids With Food Allergies (KFA) hosted a webinar on July 28, 2015, called “Oral Food Challenges: What to Expect.”    Irene Mikhail, MD, an allergist immunologist at Nationwide Children’s in Columbus, Ohio, discussed: Why and...
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Will Oral Food Challenges or Accidental Ingestions Make Your Child's Food Allergy Worse?

KFA News Team ·
If your child accidentally eats the food they avoid, will their food allergy last longer? What about purposely eating the food during an in-office food challenge? Have you avoided in-office food challenges because you’re afraid a reaction will make the allergy worse? A recently published study can put your mind at ease. What the study was about Researchers followed a group of 512 infants allergic to milk and egg . These babies also had a strong likelihood for peanut allergy. The researchers...
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Re: Food Allergy Awareness: Routine Food Allergy Testing

HealthyMama ·
Thanks for this info, but this is frustrating. My allergist wants to re-test (skin test) my daughter at 10 months before we begin introducing the top 8. Isn't it better to test rather than potentially have an at-home reaction to something that might have shown up on the skin test?
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Re: Food Allergy Awareness: Routine Food Allergy Testing

Monster Mom ·
What I get from that is that the testing itself could be false and not worth it. however if a child is at risk, there are other safe methods to introduce those foods, like an in office challenge.
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Re: Food Allergy Awareness: Routine Food Allergy Testing

HealthyMama ·
Thanks MonsterMom Yes, I guess the part that's missing is what will we do if she DOES test positive to a food? As you said, i suppose an office challenge is in the works. Going to definitely ask the allergist!
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

Jacci Madden Boechler ·
Interested to see if anyone has information on two foods not related eg. peanuts and cotton seed oil. From what I have been reading cotton seed oil has the same weight and molecular structure as peanuts.
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

Iumom ·
Very interesting information. It makes a lot of sense. My kids both have pollen allergies and both have had reactions/sensitivities to some fruits and pine nuts.
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

Kara Bidden-Hackman ·
My daughter is allergic to cow's milk, egg, peanut and tree nut. She is 5 years old and has eaten apples (raw or cooked) without any issue for years. Last spring/summer she started complaining of itchy mouth after eating apples (in raw form). She ate them all winter (raw or cooked) with no issue. This spring started with more intense complaints of itchy mouth and itchy skin (no visible hives) after eating raw apples. Her IgE blood work was positive for apples (lower value, yet positive).
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

cheymom ·
Hi Kara! That sounds like Oral Allergy Syndrome to me. My dd has OAS. I would consult with your allergist to see if cooked apples are okay or if you should avoid.
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

eskimomama4 ·
I am 43, and have some form of Oral Allergy Syndrome. I get small itchy blisters on my lips, roof of mouth, and down my throat, if I eat fresh fruit that you can eat the skin. This started about 8-9 years ago. I can't eat fresh apples, grapes, strawberries, peaches, etc. If you have to peel it, I can eat it. But I'm not allergic to the fruit itself. I can eat most frozen fruits, but not peaches. I believe its the pesticides used on the fruit. I've tried organic, and I get the same reaction.
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

camenae ·
My son has OAS with apples. His reaction did not occur immediately, but rather almost 12 hours later. I took a picture of his reaction and showed his allergist. Allergist agreed it was definitely OAS. Apparently his reaction was NOT common in that it took so long to show. Just something to think about...
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

Kathy P ·
Interesting possibility Eskimomama. My daughter has OAS and reacts differently to different varieties of the same fruit. Sometimes she can eat more, sometimes very little before she feels the reaction. Since it's a cross reactivity to the pollens, it seems to correlate with when the pollen is high or her overall allergy load is high (d/t environmental issues in general). But she reacts to conventional and organic. She seems to be able to eat dried fruits but we haven't really tried frozen.
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

Katie Colebrook-Smith ·
Wow and THANKYOU I'm not mad or sooking. I starred getting itchy after eating fresh fruit and veg 7 years ago when pregnant, but midwife shurged it off as one of those things. And still have issues now. Had linked it to my reaction to pollens but that's all. So nice to see a reconised reason to what I feel.
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

Mahbahlih ·
Katie, welcome to KFA. So glad the blog could be helpful to you. It's always nice to see things in writing that confirm our suspicions or solve mysteries!
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

Mahbahlih ·
Eskimomama4, having any type of food or environmental reaction is inconvenient and frustrating to say the least. I hope it gives you some comfort to know it's actually very common with OAS to react to the skin of fruit but not the peeled fruit inside. Regarding peach, it's a different little beast. According to FARRP because the peach allergen is "heat-stable and highly concentrated under the fruit skin" they recommend avoidance all together. Meaning, sadly, you can't peel it and enjoy like...
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

Mahbahlih ·
Eskimomama, another thought I had was regarding the geographic area in which you live. Chances are you live in an area where there is little or no (for example) birch pollen but the store bought varieties come from regions where there is. Sounds like you should stick to local fruits for sure. Just a thought.
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

Anjie ·
Hi I really need help I don't no what to do anymore my so does not eat at all he only drinks pedisure plz help he is 4yrs old...
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

Kathy P ·
Hi Anjie - welcome to KFA and I'm glad you posted! It sounds like you are really struggling with your son's feeding issues and I'm sure we can help. I'm going to encourage you to post over on our forums where more people are likely to see and give you feedback. Include what his know allergies and any other medical issues. The more background you can give us, the better we will be able to help w/ ideas, resources, etc.
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

Kathy P ·
If you can't find where to post (I edited my last comment to add the link), let me know and I can help with that part.
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

Anjie ·
Thanks a lot I would really like him to eat some kind of food.But do Need help I have been trying nothing seems to work plz been say he'll grow out of it I am just hoping
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

Kathy P ·
What is he allergic to? What does he need to avoid? What reactions do you see to those foods?
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

Anjie ·
Well pretty much everything he is allergic to and is reaction in sneezing swelling of eyes and throwing up
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

Trmnich ·
My son has been skin pricked tested 4 times and the last time 3 month ago his tree nut came back negative. All other three skin prick test came back 6+ peanuts & 3+ tree nuts I was suprised when tree nuts came back negative. We still keep him away from all tree nut just to be on the safe side but what are the chances of him outgrowing just the tree nut since he was 3+ before? He is will be 13 in May and is doing great being his own advocate of his allergy and we are very proud of him. We...
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

AndreaN ·
In the 1990s I tested big positives to tree nuts and fish. Fast forward to 3 years ago. The same allergist skin tested me for tree nut and fish, and they all came back completely negative. My allergist questioned the results, and had me come back a few weeks later and had the tree nuts and fish skin tested again, as well as did blood work. This second time, my tree nuts skin test and the blood work all came back negative and I can eat them fine. However, my fish skin test and blood work all...
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Re: If Allergic to One Food, Do You Have to Avoid Related Foods?

Kathy P ·
Tina - did he ever have a reaction to tree nuts? Or was that diagnosed on testing alone? Sorry about the school situation - is the school supposed to be nut free?
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Re: Kinley's skin test 11/12 9 months old

Mum23 ·
Itchy back
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Re: Demystifying Oral Food Challenges

remo davis ·
Whenever we give egg to our child he vomits.I didnt knew about egg allergy. Initially we thought it is because the child hates egg or may be due other stomach problems.So we didnt often gave egg to him thinking the child may not like it .It was his baby sitter from Wee watch at Ontario made us realize that the child may be suffering from egg allergy.Soon we consulted with a doctor .Great blog!
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Re: Demystifying Oral Food Challenges

Kathy P ·
Welcome to KFA Remo! I'm glad you have someone who helped connect the dots for the egg allergy. Please let us know how we can help! We can help w/ egg free recipes or navigating starting school or dealing with less than supportive relatives.
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Re: Demystifying Oral Food Challenges

Kelly02 ·
We are so fortunate to have the author of this article on our son's team at the University of Michigan Food Allergy Clinic. His oral food challenges have been positive experiences for us...have gone just as Nancy explained, and with wonderful follow-up. Our son has passed heated milk, baked egg, and most recently all dairy. On Jan 16, his 10th birthday, he completed his 24 day incremental dairy introduction into his diet after passing his oral challenge in the clinic on December 23. He had...
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Re: Demystifying Oral Food Challenges

Jake's mom ·
What I wonder about are those stories that you hear about children dying because they ingested a small amount of an allergen, even after epi pens were used. How can we be sure the first tiny bite will not become our worst nightmare?? My son's allergist has recommended a food challenge but I can not bring myself to do this because of this fear. We would all love to know for sure though if he is allergic to some of these foods, since at this time he is diagnosed with 15 food allergies.
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Re: Demystifying Oral Food Challenges

Jen ·
Welcome to posting. . The thing to remember is that these challenges take place in a drs office, under medical supervision. They can catch a possible rxn at the first sign. This is different than those cases of accidental ingestion of a small amount where it may not be initially obvious that a. Any allergen was consumed and/or b. a reaction is occurring. Both of those situations could lead to a delay in giving epinephrine. Another thing to remember is that many cases of anaphylaxis self...
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Re: Demystifying Oral Food Challenges

Lynda ·
Hi Jake's mom, I've been through a couple of office-based food challenges. And I know what you mean about being hesitant. I took a while before I had the courage to schedule them. Besides what Jen already explained, one additional point is that they start very slowly. They may just touch the food to the lips, for instance. Then wait 15-20 and see what happens. The incrementally go up from there, waiting between doses to see if any reaction occurs. Your allergist may be able to give you some...
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Re: Demystifying Oral Food Challenges

SarahElizabeth ·
They gave me one of these tests to check if had a carrot allergy, and another to test my pepper allergy. I failed both, and ended up in the ER both times because one EpiPen dose couldn't calm down the reaction. They wanted to do more oral tests to make sure my blood tests for the other allergies were accurate, but my mom won't schedule them because she thinks it's too dangerous to try them right now. Any advice on how to talk to her about this?
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Re: Demystifying Oral Food Challenges

Kathy P ·
Did they do them slowly starting w/ a small amount of the food? We've only done one here and it failed very early on when the doc dabbed some on my dd's tongue. The challenge was stopped right then. This webinar might have more info about how to decide which challenges might be reasonable.
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Re: Will Oral Food Challenges or Accidental Ingestions Make Your Child's Food Allergy Worse?

Paula Tarpley (Lucy) ·
I hate that my insurance doesn't cover the allergy testing or the food challenge. Which leaves me with no choice but to do home challenges. This is very scary for me! What else can be done?
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Re: Will Oral Food Challenges or Accidental Ingestions Make Your Child's Food Allergy Worse?

Kathy P ·
That is very scary. It's important to do oral food challenges in a medically supervised setting with immediate availability of medical support/intervention in the event of a reaction. Your insurance won't cover any type of allergy testing? Neither skin or blood testing?
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Re: Will Oral Food Challenges or Accidental Ingestions Make Your Child's Food Allergy Worse?

Jen ·
That's frustrating, Paula. Would you consider switching insurance companies when it's open enrollment?
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Re: Will Oral Food Challenges or Accidental Ingestions Make Your Child's Food Allergy Worse?

Paula Tarpley (Lucy) ·
No, I can't insurance because this is the insurance through my husbands work. There is no way I'm going to be able to do a food challenge at home. I'm way too frightened of what could happen but what else is one to do when you know that at some point you have to know?! Talked with doctor today (left message) and asked if there is a way around it. They wouldn't even pay for the skin or blood allergy test. It's crazy! Our insurance is amazing and we've had 14 years. Never had to use the...
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Re: Will Oral Food Challenges or Accidental Ingestions Make Your Child's Food Allergy Worse?

kandicejo ·
I can't even wrap my head around an insurance that won't cover allergy stuff Allergies are such a widespread condition that can lead to time off work, etc. Hopefully the doctor has some good guidance for what you can do.
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Re: Will Oral Food Challenges or Accidental Ingestions Make Your Child's Food Allergy Worse?

Paula Tarpley (Lucy) ·
I'm hoping to hear something back! Praying they can come up with something different that my insurance will pay for. I can go to an allergist and pay my co-pay but when they want to start the testing, that's where my insurance stops! It ridiculous and I'm so upset about this. I know doctors can around it, some will and some won't. Hopefully I have one that will and can! Thank you all for your support! I don't have family or friends so it's difficult to deal with all by yourself.
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Re: Will Oral Food Challenges or Accidental Ingestions Make Your Child's Food Allergy Worse?

Paula Tarpley (Lucy) ·
Meant to say, "Don't have family or friends around!" Our families live in different states. We moved here when my husband got transferred.
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Re: Will Oral Food Challenges or Accidental Ingestions Make Your Child's Food Allergy Worse?

Heidi B ·
Hi Paula, hopefully you find an allergist that you like and trust. Be upfront with the Doctor about the insurance issues and your concerns. Some allergists - not all - will allow patients to come and sit in the waiting room while the food is ingested. I hope you find one that you can work with. The other thing is, the allergy tests run about $1,500 depending on how many foods you're running. You may find that the cost is worth it?
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