Allergy Testing My 2 Year Old

Updated on August 25, 2014
M.O. asks from McKinney, TX
5 answers

I am trying to decide whether or not to have my son allergy tested. His doctor has left it up to me, offering the testing but also offering a wait-and-see approach, or an elimination diet.

Here's what's going on: He is falling off his growth curve, a little bit in height (under 5% difference from 1 year) but quite a bit in weight. He started at 65% at 1 year, and at 2 years is at 9%. He actually lost weight since his last appointment a month ago, although his doctor thinks that might be due to a gastrointestinal virus he had. He is constipated almost all the time. It gets much worse when he's given milk, BUT he was on formula through a supplemental nursing system and never had any trouble with that (milk-based formula). In the past couple of months he has begun to refuse old favorite foods like yogurt and cheese. Now he has little bumps (like a heat rash) around his private area and in his arm pits.

On the Elimination Diet:
We have removed whole milk and the constipation seems a bit better, but we haven't removed all dairy and we really aren't sure where to begin with the elimination diet because we don't want him to lose any more weight by removing the foods he will eat. We have tried oat milk, almond milk, coconut milk and all were refused, so we are still trying to figure out how to replace the calories from milk.

On the Allergy Testing:
I have heard (from family and my doctor) that the blood allergy tests are tricky and may give false positive results (it's a RAST test they do at his pediatrician). I'm not sure if I should put him through a blood draw if the results are not clearly informative.

On Wait-and-See Approach:
I should mention other than a slight speech delay he is otherwise happy and healthy, full of energy, curious, and just a sweetheart.

Has anyone been through this with their child? I would love to hear from any experienced moms with advice!

ETA: His current diet consists of whole foods with no HFCS, No food dyes/preservatives. We eat organic whenever possible.

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M.P.

answers from Portland on

I recommend going to a pediatric allergist. My granddaughter tested positive for several thinks with thec blood test. She had eczema and asthma as a baby which prompted the blood test. Sometime between 1 and 2 years my daughter took her to the aallergist. My granddaughter dealt well with the prick test. Everyone in the pediatric allergist's office knew how to help a toddler with the testing.

A pediatric allergist has a much broader scope of knowledge to allergies
than a pediatrician. By getting the testing done and help with it's management you will have this under control much faster. Also consider that he may have environmental, not food allergies that can also have a negative effect on his health.

I suggest trying enriched organic rice milk.I'm lactose intolerant and have used it for years. The taste to me is closest to cows milk of all the substitutes. My granddaughter drank rice milk at that age. BTW she outgrew the milk protein allergy by age 6. I buy the rice milk in the steri-cartons on the shelf. I've not tasted the refrigerated kind.

Her little sisters, ages 1 and 3 drink almond milk. I think they buy the vanilla flavored kind. I also like the vanilla coconut milk found in the refrigerated dairy case.

You could try mixing cow milk which he's used to with a nut or rice milk gradually decreasing the amount of cows milk. This works when transitioning to milk from formula.

Anything you make with milk you can make with any of the substitutes. I use rice milk in soups as well as baked goods. You could add calories with cream sauces. You could make smoothies. By blending a fruit with the milk you increase the nutrition and change the flavor.

About dairy products. My granddaughter could eat hard cheeses such as cheddar even tho she couldn't tolerate milk. And there are ice creams made with rice and coconut milk. The coconut ones are best.

I have several food allergies and tried isolating them with an elimination diet. I found doing this difficult and stressful as well as not very effective. To do a true elimination diet one starts with eating just a basic 2-4 foods snd add a new food every 7-10 days all the while keeping a food diary. I couldn't stick with it besides it would take forever to test all foods. After testing with pin pricks I had less foods to test. I initially avoided all the foods that tested positive and soon felt better. Over the years I've found that the initial testing was aaccurate.

1 mom found this helpful

D.B.

answers from Boston on

What about effective supplementation? There are really safe ways to replace the calories, ease the constipation, and often help kids with even worse weight problems like failure-to-thrive. I have a lot of friends whose toddlers and babies had constipation and allergic-type reactions, who boosted the immune system to get rid of these reactions. These auto-immune responses aren't normal and often can be eliminated. The elimination diets are so difficult to police especially as kids get older and go to friends' houses or restaurants. Even anaphylactic situations can often be brought to the point that, while you're not giving the child the trigger food, they won't get a reaction from cross contamination. I have a colleague whose daughter has Celiac - she's now 20 and, while she doesn't eat gluten, she hasn't had any sort of reaction by being accidentally exposed to it. Your child's situation isn't that severe so I don't know why this wouldn't work for him. If you do the testing, it can give false results as you say, can frustrate the child to the point that they don't ever want to go to the doctor, and they're only going to point you toward elimination of foods anyway. You could try the other approach first and delay the testing to see if it's even needed.

1 mom found this helpful
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G.B.

answers from Oklahoma City on

Why nit add Miralax to his daily intake and allow him to eat what he wants. There isn't a need to worry about taking anything out if he's going to the bathroom. My grandkids are always getting blocked up but if we simply do the Miralax it is fine with no issues.

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M.H.

answers from Chicago on

http://vitalhealth.org/

This dr. does an EAV testing. It test for numberous things, and is NOT evasive. I am not sure if there is a dr. near you that would do this type of testing.

My son and daughter had this testing. And it was a wonderful experience.

My son is Gluten Free, Dye free, off all fake sugars, Fructose, corn syrup, HFCS.

He is doing very well.

Strawberries can cause the rash you are talking about. but so can other foods.

What you are describing is possible dairy challenge, and other foods.

FYI I took my son off gluten before the testing, and saw a huge improvement.

S.T.

answers from Houston on

We are taking the wait and see approach with daily diet monitoring because it has been enough for us.

Both of my sons are lactose intolerant (not allergic) as is my husband which is how we figured out what was going on in the first place. My oldest couldn't tolerate even milk based formulas while my youngest could. With my oldest we had to phase out all dairy for a long time. He ate veggie cheese, goat yogurt, lactose free yogurt, soy milk, etc. After 18 months we gradually started adding regular dairy back into his diet, one item at a time. If he handled it well, then we'd hold steady for a bit before trying another dairy item. At almost four his diet is normal which makes eating outside the home much easier and keeps him from being self-conscious about his diet. We still monitor how much dairy he consumes because he can overdose on dairy. Too much yogurt, cheese, ice cream and milk over the course of a few days can overload his system. My husband is the same way so again we learned by paying attention to our own diets, needs and reactions. My youngest is better but he too can overload his system.

With my oldest we did the blood draw but it was such a miserable experience I wouldn't repeat it with my youngest. My oldest was too young to understand what was going on and all the pep talk in the world didn’t make the actual blood draw any easier. The blood draw hurt so he fought the techs, making the procedure so much worse. He came out bruised, shaken and terribly upset. The sad part was the test was inconclusive. I put my child through all that misery for nothing which was exceptionally frustrating.

By eliminating dairy and monitoring the overall dairy intake, we have seen good results. We have noticed both boys have gotten much better as they age but even then they will always have to watch their dairy intake. My husband is in the same boat so it's a family affair regarding dairy intake. Good luck.

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