As with all medical issues, you should discuss any questions or concerns you have about your child and food allergies with your doctor. 

I was never super worried about introducing most potential allergens, and for the most part, the boys haven’t had any reaction but utter love for almost everything they’ve tried.  Elliot, however, did develop an immediate rash on his face and body when he tried lentils and chickpeas.  I can live without lentils and chickpeas in our daily diet, so this wasn’t a huge issue except they’re legumes . . . just like peanuts.  Wah wah wah.

No food allergies for me!

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While he reacted poorly to these two foods, he had no problems with other legumes such as peas, beans, and edamame.  At their 9-month appointment, we spoke with our pediatrician about what he had reacted to and if that would increase his likelihood of having a reaction to peanuts.  He said there is some increased chance, but that it was still more than likely that he would not have a reaction at all.  He asked us to hold off introducing any kind of peanut products and said we would discuss when and how to introduce them at their 12-month appointment.

Last week, we took the boys in for their one-year appointment, and as planned, we had a discussion on the peanut issue.  We’ve carefully avoided exposing either boy to peanuts, which has been no easy task since we both have a deep and abiding affection for peanut butter.  Our pediatrician suggested waiting until 18 months to introduce them, an idea that I’m sure has merit, but it really wasn’t the answer I wanted.  Peanuts are everywhere, and I hate having to worry and wonder about whether a restaurant uses peanut oil, whether someone at daycare will have something peanuty that the boys will accidentally get into, etc.  After some more discussion, our doctor suggested that we bring them into the office with some peanut butter and introduce it for the first time there.  They have epi pens on hand and the children’s hospital is literally the next building over, so if Elliot had a serious reaction he would be able to get treatment immediately.

Today was the day for the Great Peanut Butter Introduction of 2014.  I made some oatmeal with two spoonfuls of peanut butter in it as an easy way for us to get some peanuts in their system.  We were shown to an empty exam room, and they said just to go ahead and feed them some and they would check in on us or we could call out for help if we needed it.  The boys took to peanut butter oatmeal right away (like parent like child!), and I told Mr. Blue, “This is a good sign.  Surely God wouldn’t be so cruel to let them fall in love with peanut butter if they could never have it again!”

The nurse came in after a few minutes and was chatting with us about food allergies.  She said that with nuts, they will typically show a reaction within minutes.  We weren’t seeing anything at that point, so all signs were pointing up!  As we chatted, Mr. Blue noticed Elliot had some redness on his cheeks near his mouth.  The nurse couldn’t tell if it was a reaction to the peanut butter or from him rubbing his face after we had wiped it off, so she asked us to hold tight and stay a few more minutes.  We asked a few more questions and she told us that often allergies build in your system over time and you have increasingly severe reactions to something after you’ve eaten it several times.  She said if the redness did end up being a rash with no other symptoms, we would still need to avoid introducing peanuts again because it could be a worse reaction the next time.

She also gave us some general signs to watch for with a food allergy:

  • rash/redness usually starting near the mouth, but can spread over the whole body;
  • smacking lips or tongue/mouth together (this is in response to a swelling tongue; it feels funny so they start moving their lips and tongue as a reaction to the swelling);
  • Swelling in the face, hands, & feet;
  • Any kind of breathing problem (wheezing, gasping, etc.).

If he gets a rash in the future, she said to give him a dose of Benadryl (the amount is based on weight, so she told us how much we would need to give), and if that isn’t helping or the symptoms get worse to go to the ER.  Of course, if severe symptoms (breathing, swelling tongue, etc.) occurred, we should immediately seek medical attention.

After a few minutes, his cheeks cleared up, and we all felt confident that the redness was just from him rubbing his face.  Finn also had no issues.  She did remind us that they could still have a reaction the next time, so we should just watch carefully when we give them any peanut products in the near future.

Celebrating no reaction with one of his BFFs, Roxie.

I know a couple of kiddos with severe peanut allergies, and it is such a scary thing.  I’m thankful that the boys didn’t show any signs today of a peanut allergy, but this experience has made me more cognizant and sympathetic to kids and parents living with the realities of a severe allergy.  I’ll definitely be vigilant about sending peanut products to school or having them in items we serve at home when our boys are old enough to have friends over.

Do you or your LO have any severe allergies?  How did you learn about the allergy?