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Jul 06, 2008
katiesmommy
Tracey, mom to Katie diagnosed with GERD at 3 week.
What to expect at the allergist?
Hi all, we are taking Katie to the allergist on Tues. and don't know what to expect on this first visit. She is almost 9 mo. old; will they take blood to test allergies or do they use the scratch test method? Thanks!
Jul 06, 2008
mdbarbagallo
Melissa - Mommy to Sebastian, born 9/28/07 @ 7 lbs 7 oz and 20.75 in. At docs at 12 months: 27 pounds and 32 in! Good grief! GERD - currently on Prevacid suspension (liquid equivalent of 45 mg a day). Allergic to dairy, soy, eggs, wheat, all treenuts, peanuts, fish, shellfish, peas, sesame, bananas, barley, coconut, dust, dust mite, dog, cat, latex. Seasonal allergies. Oral Allergy Syndrome (OAS). Neocate only - no solids - until further notice (drinks and loves water, too). Loves his doggie, our rescued Treeing Walker Coonhound, Louise, even though he is allergic to her. Louise will make your doctor a homemade pie if you would like her to. PHOTO: We couldn't do a cake on Sebastian's birthday, but that didn't stop him from tossing around the contents of a big bowl of popcorn! He now tries to eat it when we play with popcorn, so no more of that game.... :(
Hi there. I hope your appointment goes well.

During the first visit, they will ask you a million questions (if your allergist is any good!) about Katie's history of reactions, as well as about your and her dad's family histories. They should explain the different types of allergies (if they don't mention delayed reaction, Type 4 non-igE allergies, ask about them. If they say they don't exist - like my first allergist, run away fast).

I would ask for RAST testing, especially given her age. Sebastian has many, many allergies, and the only thing he tested positive for on a skin test was eggs. However, he tested positive for nearly everything on the RAST (blood) test (which we had done twice with the same results). The skin test isn't very reliable in kids this young. Sebastian is a squirmy, super active kid, and he did fine with having his blood drawn, so don't let that deter you. He screamed more, I think, beause he didn't like being clamped in my lap rather than because of pain. We got a referral and went to the lab (as far as I know, they don't draw blood in the office). They told me the results would take a week, but both times, I had him tested on a Monday at around 11 and had our results back by Wednesday morning. Good luck!
Jul 06, 2008
daniejo
Mom (Danie) to Adam (9-4-03) & Nate (3-7-07) Nate was diagnosed with silent AR at 2 months old. He was on neocate, prevacid 30mg per day and couldn't start solids till he was almost 8 months old. He started cow's milk at 14 months and is currently off all meds!! So far so good :) PIC: Disney trip 2008. Nate didn't know Piglet was there, he didn't like the characters too much.
Hello there. On my first visit with Nate, he was 10 months. I was given the option to wait till he was 12 months to do the scratch test, or they would have done it that day (I waited). My oldest boy had the scratch test done at 2yrs old...it is fairly simple. The hardest part was getting him to sit still for 20 minutes. I never went back for the scratch test with Nate...his symptoms went away by about 13 months. We had already had the blood work done at the ped's office. Nothing ever showed up...it's all a mystery I guess :) Let us know how it goes.
Jul 06, 2008
popz4120
Bryson (3/06), former Neocate, Nexium, and Reglan baby. Diagnosed with peanut allergy and asthma. Weaned from meds in Spring 0f 08. Brother, Parker (6/04), was also on Prevacid and Pregestimil (formula) as an infant.
One thing to keep in mind is that if your child is going to be tested make sure they do not take an antihistamine for 3 days prior to the testing because it can cause inaccurate results. Our docs office always leaves that message on their appointment reminder calls. Our son was tested at 15 months of age by scratch test. The only positive result was peanut 4++ out of 4. However, when they did the follow-up RAST testing for all nuts, the peanut was only .7. He was one hundredth of a point from moderate level. I am not sure why the scratch test was so high and the RAST was lower. I am not sure which is more accurate. Our doctor felt better about the RAST test being lower and he is not as concerned after seeing the results. As someone else mentioned the hardest part of the scratch test is keeping your child on their stomach for 15 minutes to get the results. We even tried watching Elmo, but didn't help. Good luck!
Jul 06, 2008
popz4120
Bryson (3/06), former Neocate, Nexium, and Reglan baby. Diagnosed with peanut allergy and asthma. Weaned from meds in Spring 0f 08. Brother, Parker (6/04), was also on Prevacid and Pregestimil (formula) as an infant.
We were also told that the scratch test is not as accurate until 2 years of age. However, if you get a positive it is definitely positive. Due to their age, some allergies may not register as positive. We were told that some could show as negative, but in reality the child may have an allergy to it. Not sure if anyone else has heard this information. I hope it helps! amanda
Jul 06, 2008
katiesmommy
Tracey, mom to Katie diagnosed with GERD at 3 week.
Thanks for the info! Melissa thank you for the questions to ask! My husband has ezcema and tested positive for EVERYTHING on the scratch test and I noticed an ezcema like rash on my daughter after swimming one day so I was hoping they wouldn't do the scratch test because I've heard if you have sensitive skin at all it is not reliable. We did have blood drawn at our first GI visit to rule out electrolyte imbalance and to measure T cells and such and it broke my heart to hear her scream! I have a history of milk allergies and my husband is allergic to soy and corn so we buy Alimentum in liquid form because it is the only hypoallergenic formula without corn and I am hoping they can give us a better idea of what to avoid vs. what she can eat. Thanks for the tips and I will let you know how it goes!
Check with your
doctor first!