Update on Olivia’s allergies

May 22, 2009

Olivia had her first appointment with the GI specialist yesterday.  She was referred to him as  an urgent case last July and we were given an appointment this month.  

The appointment went really well and, to make a long story short, she is back on Prevacid for GERD (reflux).  She takes 15mg first thing in the morning before food and 15mg again at suppertime.  We’ll monitor how much she throws up, wakes up at night, complains of pain, etc. for the next six weeks and report to her allergist, Dr. K, at her dairy challenge in July.  If she’s no better, her GI specialist will do an upper GI scope (which involves her being under general anesthesia for 5-7 minutes) to look for Eosinophilic Esophagitis.

Her GI doctor told me that another option is that she is unable to digest sugar properly, but I mentioned that since the child can eat a handful of mini-marshmallows as a treat with no ill effects, I’m not even going to entertain that one!

He gave us the okay to start challenging some of her fruits since they all cause either skin or GI problems.  We’ll start with avocado tomorrow morning.  That seemed to be the most important since it will add some good fat to her diet.  (I hope she likes it!)

Dr. K gave me the results of her CAP test today:  Soy & Dairy were undetectable for IgE reactions, so we will challenge dairy in July.

 Egg was 6.7.  This means she has a greater than 95% chance of having an anaphylactic reaction if she comes into contact with eggs.  That’s always fun considering she lives in a B&B!  

Peanut was greater than 100.  To put this into perspective, a result of 14 is a positive predictive value that a child will have a greater than 95%  chance of reacting if coming into contact with peanuts.  What a greater than 100 result means: she will NOT outgrow her peanut allergy

(We can expect by her numbers that she WILL outgrow the egg allergy; but not right away; I can live with that!)

When trying to decipher the results, I did some research and came across a study that I hadn’t seen before about the correlation between infantile egg allergy, eczema and their chances of developing asthma.  I read the actual study and it would appear that Olivia has an 80% chance of developing asthma by the age of four – and that doesn’t even factor in the fact I have it, so there is a family history…

We’ll worry about that when we get to it.

I was pretty disappointed by her numbers, but at the end of the day, our lives are no different than they were before I got that phone call.  We knew we had to strictly avoid those foods and that is still the case.  I still live in hope that she will outgrow everything except the peanut.  (And that she won’t develop asthma!)

Hey, a mother can always hope, right…

In the meantime, her two epi-pens go everywhere she does!


One Response to “Update on Olivia’s allergies”

  1. destinyfay Says:

    A mother’s hope goes a LONG LONG way, I know that when you havea child with any chronic condition…and hope is what pulls us out of the dulldrums on many occasions. The fact that she has a goods chance of out growing everything but peanut is a good sign + there is research being done all the time…who knows what they will find a way to prevent asthma and even stopping allergic reactions. We travel with Epis as well with the threat of a bee sting…so far nothing since her first sting at 8 months old but I am scared of the next one. Big hugs to positive news and don’t cross the bridges before you have to. BTDT and many times they aren’t places you need to go nor want to, your imagination can be much worse than any reality.

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