This past Wednesday Jaya and I went to see her allergist in Burlington for a peanut challenge. It’s her fourth oral food challenge since last year:
July 30 2018 – Skin Test for peanut, individual tree nuts, cow’s milk and egg.
August 29 2018 – Passed Almond challenge
September 24 2018 – Passed Walnut challenge
April 3 2019 – Passed Hazelnut challenge
The peanut challenge was next. I was really nervous because her wheal on the skin test was 12 mm and Peanut IgE from December 2015 was 5.87. But she had never ingested peanuts so it was possible she was sensitized and not truly allergic.
For the peanut challenge we brought Kraft Only Nuts Peanut Butter & Premium Plus crackers. In order to pass the challenge she had to eat 20 grams of PB (the amount in the cup).
11:20 am – Jaya ate a “spot” of PB. Shortly after she complained that her tongue was stinging, and her tummy was hurting.
11:37 am – 1/4 tsp of PB
11:45 am – sneezed once, nose felt stuffy, tummy ached increased
11:57 – throat hurt, slight cough, she started to clear her throat
12 pm – 1/2 tsp PB on a cracker
After eating her lunch Jaya felt better and her tummy ache was gone. Perhaps the tummy ache had been due to hunger.
12:25 pm – 1 tsp PB on a cracker
12:38 pm – 2 tsp PB with 2 crackers
12:53 pm – sneezed once
12:58 pm – Ate 2 crackers covered with PB
1:15 pm – Ate 2 crackers covered with PB
Jaya complained of a stomach ache on & off until 2:30 pm and fell asleep for about 20 minutes during this time. Her breathing and heart rate were normal.
Jaya was assessed by Dr Mack 2 hours after her last dose. She passed the challenge but he recommended giving her 1/2 peanut daily to start and then slowly increase to maintain tolerance. Her system veers towards allergy so we have to incorporate the allergenic foods in her diet after passing the food challenges.
After the challenge we decided to visit Kelly’s Bake Shoppe. We’ve been to Burlington regularly since 2016 but hadn’t visited the Shoppe yet. Everything in the store is safe for Jaya!
After eating our treats we walked around downtown Burlington.
It was a lovely end to a tiring & often trying day.
I’m so proud of Jaya.
Next: blood tests for milk, egg, cashew & pistachio to decide next steps for these allergens.