Saturday, January 31, 2015

When the Switch Flips: Allergic Reactions vs. Intolerance

A few months ago, my husband was enjoying a piece of gluten/egg/dairy free toast.  He smeared the top with peanut butter and sat down for his snack.  Our 19 month old toddler walked up and demanded a bite.  Our older children never had issues with peanuts.  She had experienced some exposure through breast milk.  I figured it was a safe bet.  WRONG. 

Within ten minutes, her bottom lip started to swell and she had hives that were quickly spreading from her mouth to her cheek to her chin and beyond.  Cue terror.  A quick call to our doctor’s office gave us some Benadryl dosing and instructions for what to do and what to watch for.  We felt so defeated and, well, DUMB.  Food allergies are a mystery for most of us.  If you’re like our family, we had no history of peanut allergies.  Even though all of our kids have major intolerances, never had we seen a reaction like the day the peanuts left our house for all time.
Food allergies can present at any time with young children and babies.  As parents of sensitive/intolerant kids “allergy” is a fear for many of us and a reality for some of us.  If you have allergies in older children or in your family, you may already be practicing allergy awareness. When your baby is starting solids, you may worry that the switch may flip and you may experience a true IgE-mediated allergic reaction. 
Let’s talk about what to look for:
·         Hives
·         Swelling around the mouth
·         Eczema
·         Stuffy nose
·         Dry cough
·         Rejection of food – a toddler may tell you it’s “hot!”
·         Severe breathing issues (CALL 911 IMMEDIATELY)
·         Vomiting/Nausea
·         Diarrhea
·         Weak pulse (CALL 911 IMMEDIATELY)
Obviously, some of these are more severe than others.  But, even if it isn’t a *severe* reaction, take pictures of any rashes/hives and call your doctor.  It is always better to be safe than sorry. 
When starting solids with your baby, it’s a good idea to keep a food journal.  It will help you pinpoint any sensitivities you may have not realized or potential allergies.  Always try a new food early in the day.  If you have a history of food allergies or someone in your family does, make a plan with your doctor about exactly what to do in case of a reaction.  Likely, you’ll get some information for dosing Benadryl and perhaps an epinephrine injector in case of severe reactions.  Wait at least three days between each new food to monitor reactions before introducing a new food.  Also, keep in mind and take note of things that might make reactions look like bigger reactions – teething, vaccines, illness, etc.
If your baby does have a fast moving or severe reaction, keep as calm as you can (YEAH, RIGHT, but try) and take the necessary steps to get your child back to a safe state. If you have prior instructions from your doctor, follow them to the letter.  If you are able, take notes of progression and speed.  I cannot stress this enough – when in doubt – make the call.  Get your child the medical attention they need. 
Should you become one of the fashionable mommas that carts around a few Epi-pens and bottles of Benadryl, don’t feel bad.  You can’t know.  You can’t begin to predict when or if it will happen – and nor should you try and “pre-reaction eliminate a possible might happen maybe allergen.” Life is meant to be lived and food is a part of that.  We are here to help you cope, listen to the angst and frustration and live intolerant/allergy life with you. 
Since her reaction a few months ago, we have taken steps to ensure that my daughter is as safe as she can be. We have done allergy testing and we do intend to follow up with regularity.  We do put her in the church nursery – with an Epi and Benadryl, safe snacks and drinks and a bracelet that loudly proclaims her allergy status. Our close friends and family all know what to look for and how to help us keep her safe.  I do keep a close eye on her, but that’s mostly because she’s convinced she can fly.
Here are some resources: