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Dd has markers for allergies?

post #1 of 7
Thread Starter 
I haven't done much reading on this yet -- according to my Dd's preliminary bloodwork, she has elevated IgE and other markers that indicate allergies of some kind. She was tested for the most common food allergies at the same time (wheat, dairy, egg, peanut, and shrimp, I believe) and they were all negative.

The reason she was having these tests done is because of regular recurring bouts of nausea and stomach pain that has no obvious cause. Every two to four weeks, for two to four days, she's completely out of commission. At this point, I - and our PCP - are thinking its probably abdominal migraines (and this pattern began with a doozy of a migraine this summer) but we are still in the process of testing to rule out everything else and waiting to see the GI dr. That is what her symptoms fit to a T, she's like a textbook case.

This positive result for allergies has kind of surprised me, as I thought that was something that we just had to rule out to move on to the next phase - I had no idea it would show anything there. And if it did, I assumed it would be a food allergy of some kind, even though a food log didn't really show anything there.

I just spoke to the nurse over the phone about the results, and honestly didn't even know what questions to ask. My first concern is that if her problem is NOT allergies then this is kind of a red herring that might mean that we pursue the wrong course of action for her.

I am not well versed in allergies, as it's not something I've dealt with. Are there allergies that cause symptoms like my Dd's? Wouldn't it be more consistent, and not these "flare ups" that last for a few days and then she's FINE for the few weeks in between bouts? I'd think that her exposure to whatever allergens was either more consistent than that, or more infrequent than that. And I'd assume that her allergic symptoms would be in reaction to contact with the allergen... but there's nothing she's coming into contact with before the bouts of vomiting and pain that she's not pretty much exposed to every day. We live fairly predictable lives.

I just find it confusing that she has markers for allergies in her blood, when she doesn't have any symptoms that match those in my life who do have allergies. The people I know who have stomach problems from allergies, are allergic to one or more foods. Perhaps that's just my limited experience. I'm hoping someone here can shed light for me? Are there false positives with this kind of test, is it simply a screen that says "investigate more" but gives no real, definitive info? Do some allergies work this way, with sporadic, acute, life-altering episodes and zero symptoms other times?

We're going to be also seeing an allergist now, in addition to the GI specialist. But in the meantime... any thoughts from those who know a lot more about this than I do?
post #2 of 7
The symptoms could be related to food intolerance and not necessarily allergy. IgE blood tests only look for true allergies; they do not detect food intolerance. Allergies are easy to quantify by science, intolerances aren't but I, along with many others here, can attest to their reality. There are some controversial tests that may help pinpoint intolerance but the 'gold standard' way to know is to do an elimination diet while keeping a highly detailed food journal.

I don't think my son is allergic to anything (in way of IgE antibodies) but he is definitely intolerant to a whole slew of foods. We were in a severe bind two months ago when he wouldn't poop on his own and had severe diaper rash. We are constantly amazed (and disappointed in ourselves) that we at first thought that his choice to withhold poop was a behavioral issue and that the diaper rash was a result of his withholding behavior. It was completely the opposite. We only figured it out, however, with a highly detailed food journal AND an elimination diet. Our DS did a complete 180 with the elimination diet. We finally achieved baseline, is now easily pooping on his own with NO rash (unless we are trialing something he can't tolerate!) We're still on a very restricted diet but can now trial foods and figure out what affects him and what doesn't. You may find an allergist and/or nutritionist who can help with an elimination diet but it is completely within the realm of trying on your own.

As for fluctuating symptoms - yes. We thought for a long time with DS, 'It can't be wheat and gluten, he eats it daily. Why would his rash wax and wane in severity?' Well, it wasn't until we cut the wheat and gluten that he did the 180.
post #3 of 7
There's also a "bucket" effect, so yes, she could have low level nausea all the time and not even realize it because it's "normal" for her, and then when she has a lot of the food (or if there's more than one food, a greater combination of the foods), then she reacts more, with more nausea and vomiting.
post #4 of 7
Are you doing probiotics, any multivitamins?

Pat
post #5 of 7
Thread Starter 
Quote:
Originally Posted by WuWei View Post
Are you doing probiotics, any multivitamins?

Pat
Just yogurt, no supplements.

I feel confused still... she has no "allergy" symptoms. Even if she has an intolerance - which is still on the table - that doesn't explain the IgE results. I have one sister with gluten intolerance (and possibly 2 of my other sibs do as well), so it's definitely something we want to look into. The tests ruled out an allergy to wheat, dairy, etc, so it's something else that she's allergic to. If it's a food intolerance or something causing the stomach symptoms, then that means whatever allergy she has is asymptomatic. Which doesn't seem like an allergy to me??? Or is this something that is just lying in wait, separate from the nausea/vomiting, and ten years from now she'll have symptoms of the allergy?
post #6 of 7
Vomiting CAN be a symptom of food allergy so it is still a possibility. It just may be that she doesn't vomit until she has a lot of whatever it is.
post #7 of 7
Quote:
Originally Posted by Collinsky View Post
Just yogurt, no supplements.

I feel confused still... she has no "allergy" symptoms. Even if she has an intolerance - which is still on the table - that doesn't explain the IgE results. I have one sister with gluten intolerance (and possibly 2 of my other sibs do as well), so it's definitely something we want to look into. The tests ruled out an allergy to wheat, dairy, etc, so it's something else that she's allergic to. If it's a food intolerance or something causing the stomach symptoms, then that means whatever allergy she has is asymptomatic. Which doesn't seem like an allergy to me??? Or is this something that is just lying in wait, separate from the nausea/vomiting, and ten years from now she'll have symptoms of the allergy?
If tests for specific foods were negative, what specifically was elevated (e.g. what 'markers')?

What about tests for Celiac? (There are gene tests, blood tests, stool tests (less conventional))

An allergy can show up in various ways - vomiting is definitely within the realm.

In addition, whatever 'markers' were elevated could (at least theoretically) be unrelated to symptoms, if they are indeed caused by a food intolerance.

I'd definitely try an elimination diet and see if it helps; then you'll know, at least if it is related to food. The trick at that point would be figuring out which ones. For us this hasn't been easy.
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