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Looking for guidance..

post #1 of 5
Thread Starter 

I started a thread back in June after a possible allergic reaction to avocado, at the time dd was 9 months. Avocado was the first "solid" food we tried, starting at 8 months. She wasn't too interested, so we didnt push the solids, so by 9 months, she had tasted and ate a tsp amount maybe 3 or 4 times.

The reaction went like this.

"force" her to eat a tsp amount of avocado (we had just had our 9 month appt and the ped was pushing solids..) 2 hours later, severe vomitting every few minutes, bright yellow bile, going limp, called 911, first responders gave oxygen, that woke her up, went to hospital, she vomited another few times, er dr looked her over, and sent us home. Vomiting lasted about 3 hours, and she was back to her happy breastfeeding self.

We've since tested her (at 10 and 14 months) for banana and avocado allergies. All skin prick and blood tests came back negative.

dd is now 17.5 months and only SLOWLY starting to be interested in solid foods (we've had her evaluated, no sensory issues, just not interested in anything but breastmilk).

So here's my question. Do I trust that she isnt allergic to avocado? I have no plans on giving her any, but what about banana? And should I have anything on hand in case of a reaction? She used to have horrible diaper rash, like to the point of bleeding, any time poo would touch her skin, and that stopped when I stopped eating avocado. The allergist told me that was a coincidence... ummm ya..

SO now that she is actually wanting to try foods, Im worried about allergies.. I started eating banana again a few weeks ago, and she still has no diaper rash. Yesterday she bit off a piece of my banana (that is HUGE for us, she never let food near her mouth before) but it made me a little nervous. She was fine though.

Dh is allergic to peanuts, although he doesnt have an epi-pen ( I think he used to as a child). I should get him to the allergist soon and get tested. If he eats something with peanuts in it, his mouth gets itchy immediately, so he stops eating it and is fine. But I've read that one can never know how severe the next reaction might be.. so maybe we should have an epi-pen for him..

This whole world of allergies confuses and scares me like crazy!

post #2 of 5

I would look into FPIES.  Was she really sleepy after the reaction?  If so, it sounds like what happened to my DS with bananas as well. 

 

Also, if it is FPIES, there isn't anything you can do but get to the ER for fluids for dehydration if you can't avoid.

post #3 of 5
Thread Starter 

She was very tired, but it also happened at 9:30 pm, so its hard to say if she was tired because of the time of night + all the vomiting or because of something else.

I will look into that, thank you for your suggestion :)

Are there usually less severe reactions to a food before a life threatening reaction? We are vegan, and eat a lot of nuts and nut butters, and she is showing interest in them. I am worried to let her have any. How do you introduce "high allergen" foods carefully. Im being extra paranoid, never would have thought we'd have an issue with avocado!

post #4 of 5
I wouldn't do the avocado. You don't need to after all and the stool reaction would make me wary. It sounds like no reaction to banana so I would call that one a success at this point. You will make yourself nuts if you worry that every single food might be an allergic reaction though I can certainly understand, given how scary that was, why you'd feel that way. hug.gif I'd just introduce things one thing at at time and slowly so that, if you do have a reaction, you will be better able to identify the culprit. I don't know what to tell you on nuts. There is certainly a school of thought that early introduction means less potential allergies. My son had other food allergies (hive/skin prick and RAST positive) and the allergists told us to wait until at least 5 if not 6 for peanuts and nuts but that was because they wanted him to be able to tell us if he was experiencing symptoms like mouth tingling. His first taste of nuts he was 6 or almost 6 and he went anaphylactic. I later realized he had been consuming trace nuts through gluten free flours and such prior to that though and that was the sensitization. Your daughter is getting at least trace nut exposure through your breastmilk (assuming you're eating) and doing fine at this point. FWIW, neither my husband nor myself have any food allergies let alone anaphylactic ones. Further, your daughter has an increased risk of allergies generally because of her father's allergies but not an increased risk of specific food allergies or, to my knowledge anyway, anaphylaxis either.

Yes, I'd want an epi pen if your husband has a history of anaphylaxis and now eats peanuts and has a tingling mouth. If he's allergic still to peanuts (you could allergy test but it sounds as if he is) I think he needs an epi pen just because of the potential of that allergen. Adult epi pens and kid ones are different doses.
post #5 of 5
Thread Starter 

I have still been eating nuts while nursing, and as far as I can tell, they haven't affected her.  She can be very gassy some nights, but it doesn't wake her up or cause her any pain. I know shes had some direct exposure to sesame, cashews, almonds, and pistachios recently, and hasn't reacted. (but she also has only "consumed" a tiny amount, like a toddler finger tip dipped in hummus / sauces).

I know I'm probably being super paranoid, but I want to be armed and ready in case of a reaction. The avocado incident really scared me, she went from my perfectly healthy baby to vomiting and limp within minutes. I felt completely helpless and confused, it had been over 2 hrs since she had eaten, I thought somehow she had been poisoned. It was awful.

So, should I have chidrens benedryl on hand? I dont even know if I would know when to use it. My allergist pretty much brushed us off, he told me she can eat avocado again, I don't trust that!

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