As told to me by my 3 year old...I have no clue how much she knows what she is saying.

[lnitti]

I was preparing a red pear for my dd's lunch this morning.  She asked if it was an apple.  I told her it was a pear.  She stated that pears are green.  I told her some are red.  She said at Nana's house she has green pears.  She says the pears at Nana's house sometimes make her mouth itch, but the ones I give her don't.  When I told her there are red and green apples too, she says that sometimes the green apples make her mouth itch too, but not the red ones.

Hopefully I am not missing any details in the story.

Here are my questions:

1.  Does this mean she may be allergic to pears and apples too?

2.  Is it possible to be allergic to green pears or apples, but not red ones?  Or does she not have a clue?

3.  Is it possible that there is no allergy to pears or apples, but the ones from Nana's house are cross contaminated with something she is allergic to?

4.  Is it possible this is OAS?  does that affect young kids or just grown or almost grown people?

5.  Should I no longer give her pears or apples even though I don't understand the specifics of the issue?

6.  Is it possible she is just making this up?  Doesn't seem likely to me though since it was so spontaneous that she just stated the ones Nana gives her make her mouth itch.

Is there something else I should do or look out for or ask her or whatever?

[lnitti]

her currently known allergies are:

Peanuts

Tree nuts (at a minimum cashew and almond, we haven't tested all of them since we are just avoiding them all)

Dairy

Soy

Sesame Seed

We were avoiding Mango as well since it was not tested previously and we had the positive cashew.  We were told to assume mango as well.  However, it was negative in the last RAST.  They don't have it for the SPT, but he said I could bring in a fresh slice we can use to test with.

We are also planning to test a ton of environmental stuff at that SPT appointment too as we know she has other seasonal and environmental allergies but we don't know what yet.

[SweetSilver]

If your 3yo is pretty verbal, I would take her at her word and not worry about the pear and apple.  Look for any swelling, listen for tummy ache complaints and GI distress, redness around the anus and/ or loose stool following eating these.  Keep her diet that day otherwise routine.  If all is uneventful , let her have the pear or apple.  If she is anything like my DD, she will learn to reject some of the things that make her feel bad.

     Having an allergic little kid, you come across new allergies and sensitivities all the time.  Skin can be sensitive, too, to all kinds of things without worrying that they will be full-blown allergies.  My DD, 6, just told me she gets a tingly mouth with raw carrots (she has tummy aches at night).  I remind her of this, and she avoids them or eats just a little.  

[scsigrl]

My first thought was OAS.  I would bring it up to your allergist next appointment.  depending on when that appt. is, I would make a call on if I kept on feeding them to her. If she has plenty of other fruits to choose from and the appt. is pretty soon, maybe I would pull them at this time. If they are the common ones she eats and you don't see any other reactions and she's good at verbalizing things (which from your post seems to be the case) I would keep them and just ask at your appt.

Good luck!

[lnitti]

We had a couple of discussions on this last night and this morning.

She says it is only when she gets them at Nana and Papa's house.  She says it doesn't happen at school or at home.  So I am still torn between cross contamination and OAS.

This morning I told her that if she is ever eating anything that makes her mouth itch, she needs to stop eating it and tell an adult right away.

She has been so good about her allergies especially for a kid so young.  I think maybe she didn't know that mouth itching was a bad thing.  But I think now that I have told her and told her what to do if it happens again, I am ok with leaving them in her diet for now.

Her appt is in 3 weeks.  I am definitely going to talk to the doctor about it.  She has to be off her allergy meds for a week before the SPT appointment.  I am dreading that week.

Her seasonal allergies are so bad she is on her 3rd "allergy induced reactive breathing" episode.  They told me before that once she has 3 they usually call it asthma, so I am not sure if we are at that point.  But this is the 3rd time in the last 12 weeks.  She is on Oral Pred again, plus Xopenex inhaler.

[Irishmommy]

Originally Posted by lnitti 

Her seasonal allergies are so bad she is on her 3rd "allergy induced reactive breathing" episode.  They told me before that once she has 3 they usually call it asthma, so I am not sure if we are at that point.  But this is the 3rd time in the last 12 weeks.  She is on Oral Pred again, plus Xopenex inhaler.

My mouth gets all itchy when I eat apples. I am officially (as in, allergist diagnosed, not just guessing) allergic to raw apples (cooking breaks down the proteins enough that they are fine). I also have really bad seasonal allergies, and my allergist says the seasonal and the apples are related.

[SweetSilver]

Isn't there one or two allergy medications that kids with seriously scary seasonal allergies can take before testing?  In extreme circumstances?  I seem to remember that from the last visit a year ago, but our seasonal allergies are mild and the info didn't apply, so i failed to remember what it was.

     If she doesn't have an EpiPen Jr. already, you should have one when you are out and about.  My allergic DD wanted to have hummous (sesame), and I let her have some, then realized i didn't have a EPJ and that was a bit dumb of me.  (No trouble, by the way.)  We have never used it, but I realized that I need it around just in case.

[lil_miss_understood]

I believe vitamin C may help with the seasonal allergies a little for the week prior to the appt. Just make sure to take her off of it 24 hours prior to the appt. I cannot help with a dosage though.

Also, there is a cross reactivity between apples and I *believe* it's birch pollen? I don't have my booklet in front of me to check though.

My first thought was also OAS but I wouldn't want to miss a possible worse reaction, esp considering she's on allergy meds.