Childrens Tea

Challenging Food Allergies In Children

Food allergies in young children can be troublesome for the child, the parents and the entire family. Most everyone agrees that it would be best if the food allergy could be overcome and everyone could just go on living and eating normally again. According to the Asthma and Allergy Foundation of America, 50% of child food allergies to milk, egg and soy and 20% of peanut allergies will be outgrown by age 6. Those who don’t and continue to experience reactions until age 12 will likely have these problems their whole lives. One of the methods used to treat food allergies in children is called the Food Challenge.

Currently, there are two preliminary tests for food allergies in kids. After going over the child’s and family’s medical history, a basic physical examination and asking questions about the child’s diet, pediatricians generally recommend a blood test. Even though this is not 100% predictive, many allergies can be ruled out this way. During this test, a small amount of blood will be drawn and observed for the presence of IgE antibody, which will reveal an immune system response to a particular food protein. For people with extreme shellfish or peanut allergies, this test is preferred because the patient does not have to be exposed to the potential allergens. During the 30-minute prick skin test, a tiny amount of solution containing a suspected allergen is placed on the skin, which is then pricked to let the solution get below the surface. If there is an allergic reaction, such as itchiness or a bump, then it’s likely there is a food allergy.

The prevailing theory is that food allergies in children can be overcome with a gradual Food Challenge test. There are three types of Food Challenges used today. During an Open Food Challenge, both the patient and the medical staff are aware that the patient is eating the suspected allergy-trigger. A child in an open egg allergy test may be given small (but increasing) doses of scrambled eggs every 15-30 minutes until a whole egg is ingested to test his threshold. In a Single-Blind Placebo-Controlled Food Challenge, the medical staff is aware what the patient is being fed, but the patient is not. This type of test is helpful when a patient expresses extreme anxiety about ingesting the food. A child may be given a small amount of egg concealed in pudding, for instance, until a whole egg can be ingested. A Double-Blind Placebo-Controlled Food Challenge occurs when neither child nor medical staff (aside from one doctor not directly involved) knows what the patient is being fed. This ensures that there are no emotional biases or stress-related reactions.

“The Food Challenge is what we call the gold standard for diagnosing food allergy,” said Dr. David Fleischer of the National Jewish Hospital. “It is the best test for determining whether someone has a food allergy. The problem is that a lot of people think they have food allergies; there are a lot of people that have reactions to food out there, but not every reaction is a food allergy,” he added. It is important to get rid of food allergies in children, if possible, so these kids can enjoy healthy and normal nutritional development. Currently, there is no other treatment for food allergy sufferers other than abstinence or trying to ingest small doses in a controlled setting.

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