Seem like it's the pb?

[matey]

DS was accidently given a bite of a peanut butter gronola bar on Friday by a friend. He did ok with it, so we considered the pb to be ok. DH gave him a little bit of straight pb on Friday evening. Friday night I thought DS looked puffy but dh and a friend told me I was being silly. Shortly after DS threw up and had some diarrhea but he had been playing with a friend who threw up at the park earlier that afternoon. I figured he caught it. He ended up not throwing up anymore and his sick friend ahd problems for 3 days.

Saturday we gave him a little bit of pb. I think I remember commenting on his eyes looking puffy, but dh again didn't see anything and I felt like I was being silly. I made peanut butter cookies that night. Ds had two bites of one, but seemed uninterested in them

Sunday ds had two bites of pb cookie, again not interested.

Monday at dinner gave ds a piece of toast with straight pb on it. DS took 2 bites. Toward the end of dinner he started crying, screaming. He hadn't had a nap that day and at first I thought he was being cranky but his face started to get so red and puffy. I said something to DH and he said it was from crying, but I felt concerned. Kept watching. Eyes started puffing up and hives started popping up on face. DS was itching at face and upset. I started coughing a bit. I quickly gave him benadryl and decided we would go to the ER. We live 2 min from the hospital. The coughing made me nervous. I have had an ana reaction before. Once DS stopped crying and DH looked at his face he realized mama wasn't crazy.

At the hospital swelling started going down and coughing decreased. They felt like he was ok to not need more medicine but gave us a steroid script in case he flared back up.

DS is allergic to eggs, but his allergy levels have been going down. I did grill some tofu in the frying pan that I cooked eggs in last thursday but obviously I washed it. The only thing new would be the peanut butter. Is there anything else it could be?? I was really hoping to get pb on his ok list but it is looking like it wont be.

[DevaMajka]

I'd go with pb here, myself. I think it's really common for pb reactions to escalate like that, and since you saw minor reactions after it before, I think it's very possible. I'd cut the pb (which you probably were going to do anyway) and watch for egg x-con reactions. If you see nothing egg related, perhaps see if you can test him for peanuts?

On second thought, can you get him tested for peanut allergies right away?

[joybird]

Oh, I'd be super-careful with the peanut thing.  The two times I've given it to my dd she threw up a bit later in the day.  I didn't connect it until the second time.  I won't be trialing peanut for a long long time.

Was your egg pan cast iron?  If so you need to use something else or keep your LO's pan separate.  The seasoning in the pan holds onto food that's been cooked in it.  You may already know this.  :)

[matey]

Originally Posted by DevaMajka 

I'd go with pb here, myself. I think it's really common for pb reactions to escalate like that, and since you saw minor reactions after it before, I think it's very possible. I'd cut the pb (which you probably were going to do anyway) and watch for egg x-con reactions. If you see nothing egg related, perhaps see if you can test him for peanuts?

On second thought, can you get him tested for peanut allergies right away?

We see the allergist in two weeks and since this looks like a reaction, they will have no issues with testing him. It actually works out well that it happened now. The allergist is 3.5 hours away so it isnt like we can just run in there. The thing with egg is he's never actually eaten it. he gets hives if it touches his skin. That is how we found out about his allergy in the first place.

[matey]

Originally Posted by joybird 

Oh, I'd be super-careful with the peanut thing.  The two times I've given it to my dd she threw up a bit later in the day.  I didn't connect it until the second time.  I won't be trialing peanut for a long long time.

Was your egg pan cast iron?  If so you need to use something else or keep your LO's pan separate.  The seasoning in the pan holds onto food that's been cooked in it.  You may already know this.  :)

The pan isn't cast iron. It's a new hard anodized non-stick pan. Instructions are hand wash only. I do have a little pan that I never use that I think I will just use for him until we know more. The only thing about egg is that the last time we were at the allergist, about a year ago, his levels had dropped considerably. They said that they assumed he would be within a safe zone to schedule a food trial after this upcoming visit. So I dont know if the egg would even set him off like that. I guess we will know soon enough as they will check the levels in two weeks while we are there but for now for safety reasons we are going to eliminate the peanut butter. Not too hard since it has only been in his life for 4 days!

[sublimeliving]

It could be soy. There is soy in bread (the toast), in most granola bars, and in some peanut butters. I hope he feels better. : )

[matey]

Originally Posted by sublimeliving 

It could be soy. There is soy in bread (the toast), in most granola bars, and in some peanut butters. I hope he feels better. : )

We have been through soy before. He's been trialed, tested, and never had an issue. Peanuts, however, had just been introduced.

[sbgrace]

Can the allergist call in a pediatric epi pen set in case? It sounds anaphylactic as you recognized. I know you won't be feeding him peanut anymore but trace and etc. I would feel uncomfortable/scared without an epi pen in your place.

[matey]

Originally Posted by sbgrace 

Can the allergist call in a pediatric epi pen set in case? It sounds anaphylactic as you recognized. I know you won't be feeding him peanut anymore but trace and etc. I would feel uncomfortable/scared without an epi pen in your place.

We already have one because of the severity of his egg allergy.

[sublimeliving]

Has he been prick tested or blood tested? Did they test for soy and peanuts?

My dd showed no outward signs of being allergic to soy. The only thing that made me think to bring her to an allergist and have her tested, was her eczema. I was happy to find out all of her allergies. It included birch pollen (and other trees) and grass, which caused OAS (oral allergy syndrome). He may be allergic to pollen and be having a cross reaction w/ peanuts. I'm sure you already know about OAS, but here is a list for others (the allergy to the trees or grass cause a similar allergy reaction from the protein in the food)-

Cross reactions

Allergies to a certain pollen are associated with OAS reactions to certain foods. For instance, an allergy to ragweed is associated with OAS reactions to banana, watermelon, cantaloupe, honeydew, zucchini, and cucumber. This does not mean that all sufferers of an allergy to ragweed will experience adverse effects from all or even any of these foods. Reactions may begin with one type of food and with reactions to others developing later. However, reaction to one or more foods in any given category does not necessarily mean a person is allergic to all foods in that group.

• Alder pollen: almonds, apples, celery, cherries, hazel nuts, peaches, pears, parsley, strawberry, raspberry
• Birch pollen: almonds, apples, apricots, avocados, bananas,^[11] carrots, celery, cherries, chicory,^[12] coriander, fennel, fig,^[13] hazelnuts, kiwifruit, nectarines, parsley, parsnips, peaches, pears, peppers, plums,potatoes, prunes, soy, strawberries, wheat; Potential: walnuts
• Grass pollen: fig,^[13] melons, tomatoes, oranges
• Mugwort pollen : carrots, celery, coriander, fennel, parsley, peppers, sunflower
• Ragweed pollen : banana, cantaloupe, cucumber, honeydew, watermelon, zucchini, echinacea, artichoke, dandelions, hibiscus or chamomile tea
• Possible cross-reactions (to any of the above): berries (strawberries, blueberries, raspberries, etc), citrus (oranges, lemons, etc), grapes, mango, figs, peanut, pineapple, pomegranates, watermelon

[matey]

I actually don't know anything about OAS. DS was prick tested for soy. He has not been tested for peanuts. We will be doing that in two weeks at our allergist appt. He was also prick tested for oak mix, grass mix, ragweed and several mold. All of those came up negative. I don't know if that matters in the OAS stuff.

I get what your're saying, I do. But my allergist is very uptight and clear cut. He will not test for all those other things. The only thing he will test for when we go there will be peanuts.

[sbgrace]

Originally Posted by matey 

Originally Posted by sbgrace 

Can the allergist call in a pediatric epi pen set in case? It sounds anaphylactic as you recognized. I know you won't be feeding him peanut anymore but trace and etc. I would feel uncomfortable/scared without an epi pen in your place.

We already have one because of the severity of his egg allergy.

Ah....I just assumed you didn't have one given you didn't use it? Why didn't you use it with those symptoms?

[matey]

Ahh, I know, because I'm stupid!! I was totally unprepared for what happened. I just gave him benadryl and threw him int he car. The hospital is 2 minutes down the road. When we got home, I got out my allergy stuff and told DH we should have used the epi pen. I feel stupid. I even just had the script refilled because our epi had expired. We had taken it out and were ready when we trialed shellfish a couple weeks ago. But then the true emergency happened and I completely failed.