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How effective is the RAST test?

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1.5K views 7 replies 7 participants last post by  Satori  
#1 ·
We are waiting for results on the RAST test. Ben's doctor didn't sound like he had a lot of faith in the results, but I've since heard that it's very effective.

Ben reactions are mild, and sound more like food sensitivities than allergies from what I've read. If the results come back negative, how do I go about figuring out what he's reacting to? I'm also confused about whether I should let him let those foods that he reacts to or not. What are the long term problems he could be facing with continued exposure?

And last, Ben has a weird form of hives. They only appear when he cries. His allergies appeared when we started solids, disappeared after a year, and now are back. These elusive hives have come with them. Both the doctors who have treated him called it stress response, but they are obviously related to the allergies. has anyone else seen or heard of them?
 
#3 ·
Both the boys' tests came back o.k., but both obviously react to dairy and soy, and for a while AJ reacted to eggs. Dr called it sensitivities too and said he'll outgrow them. I'm planning a soy challenge maybe in a month and then milk around his birthday? Hives can be a stress response, but that doesn't mean it's not something else triggering it. If it is food though, that's serious. Have you ever kept a food/reaction diary? Keep him away from anythging that obviously bothers him and keep the diary to see if there's more you're missing.
 
#4 ·
Every test has its limits, but I think the RAST is fairly accurate in dxing IgE-mediated allergies. However, there are allergies--real allergies, not sensitivities or intolerances--that are not IgE-mediated. There is no conclusive way to dx those allergies except via reaction. And, unfortunately, those reactions tend to be more delayed than those caused by IgE-mediated allergies. Additionally, many of the symptoms are not "classic" allergy symptoms and are frequently dismissed by drs.

There is an IgG test, but it is not reliable and, really, the allergies that are sometimes referred to as IgG-mediated allergies, aren't. It's more involved than just IgG, so the test is usually useless.

Missy
 
#5 ·
I had a RAST test when I was a teenager...
It annoyed me to no end that so many foods I KNEW made me sick weren't on there, but a ton of things I ate all the time were...I knew I didn't have 'allergies' like hives and stuff, but I still expected some sort of confirmation that I was getting sick from food!
I know now why it didn't, and I know you know the difference....but be prepared for it to potentially not show things that you, as a mom, know are going on in your babe's body.

btw, it came back saying I have a SEVERE allergy to raw peanuts....
never had a problem with them in my life.
EVER.

Nuts are probably the one thing that don't give me agita (well that is what we always called it...really talking about stomach cramps, diarrhea, headaches, etc...)

So...in short.....
I found the test to be a relative waste of time and money...
but that was back umm 15 years ago or so
maybe its better these days?
 
#6 ·
dd's has had mutiple RASTS and all were neg but yet she tests pos on skin pricks to stuff we've seen severe reactions to. I've had RAST done on myself and the only thing it ever showed was a rye allergy. Totally missed peanuts which I am severely allergic to as well as several other foods. I dont do RAST anymore, doesn't work for us.
 
#8 ·
Quote:

Originally Posted by LizaBear
Reaction trumps test results regardless of how accurate a test is supposed to be.

Tell that to my dd's GI
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Jerk wouldn't believe me till she finally tested positive on skin prick to EVERYTHING (cept peanuts, go figure) I'd been saying she's allergic to for 3 friggin years. He stopped fighting us after that and has been a cooperative Dr since. Its like he got a personality transplant or something
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