Thursday, January 15, 2009

Allergic Change

We went to the allergist for skin testing yesterday. Large has been allergic to peanuts, tree nuts, legumes and peas for his 10 years. We gave him frozen peas as a teething baby, but in the past year or two he's been developing hives from peas.

Allergy testing is always just a snapshot in time. The good news is that his current snapshot indicates no allergies to tree nuts. This frees up a lot of foods "made in a facility" and some vegetarian options. He is also not allergic to soy, although he doesn't like it. And not allergic to pinto beans. There was no little vial with the essence of garbanzo, navy, black or kidney beans. I don't need a doctor's diagnosis to know he is allergic to garbanzo and/or fava beans, though. That sent him to the ER in anaphylactic shock a few years ago.

On a scale of zero to 4+, Large tested 0 for all the tree nuts. He tested 3+ for peas and 4+ for peanuts. So, it's a mixed bag. We could have gotten a blood test, not as reliable as the skin test but improving, for lentils, but it seemed silly to go for just one allergen. They didn't have the other beans either. We'll try them slowly, adding beans is important to the environmentalist in me.

We won't add nuts unless Medium's test on Monday comes back with the same tree nut free results. She's had some mild reactions to nuts, but has never been tested. We've just avoided everything with her.

Small, I believe, is too small to go through the testing. It is really barbaric. Pricking the skin with an allergen and then being unable to scratch it for 10 minutes. Nearly 24 hours later, Large's peanut spot still has an angry red bump. And Small is the perfect example of the problems with allergy testing in children. A year ago he couldn't eat wheat without breaking out in a rash, cranberries made his eyes water and itch, eggs made him vomit. Now he still can't have eggs, although his reaction is a face rash. And his milk reaction is a bit more severe in that his rash goes to other spots of his body along with his face. But he doesn't' have the almost instant full body rash reaction to milk anymore. Small has always had skin issues, not anaphylaxis issues. None of our children, however, have had peanuts.

I'm not quite holding my breath for more mixed good news on Monday. As the older two get more independent, it's more important that they understand what they are and are not allergic to. It's important that they let go of some of their fear of foods and try new things with confidence. And it's important for me to let go of policing their food intake, to transfer the monitoring to them.

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