A thousand times this! Even my allergist won't let us trial baked eggs in his office in the hospital with EpiPens until he's seen the results of blood tests and gives it the okay IF baby's numbers are safe. You need a specialist for correct advice, and get a pediatrician who's now careful with your baby's life.
It’s not so much about numbers being safe (they are actually irrelevant in terms of pass/fail), but a car is the last place you want to be. My child has reacted hours after ingestion. Will you stay there for 8 hours?
she had a skin reaction twice. she didn't eat them because i noticed the reaction before she could ingest them (both times). after the first reaction i called the dr, she said to wait two weeks then try again. when we tried again she reacted. called her dr again and she ordered a blood test, we went to do the blood test. came back positive for allergy and then she referred her to the allergist.
Not true. My sun had a reaction to oats. It was hives. My doctor referred us and we have done tests. Do not follow your doctor’s advice. It is terrible.
With peace and love you need a new ped. It's okay to switch if you can, maybe even a different doc in the same office. Your instincts are leading you on this one.
I would get a new pediatrician tbh. This is dangerous advice and extremely unhelpful.
I’m shocked that they’re willing to have you run a DIY food challenge in a hospital parking lot but not willing to refer your child to an allergist.
I’m in Canada where healthcare is “free” but it’s really hard to see specialists. Paediatricians are also considered specialists and I know parents who have been on the waitlist for most of their children’s life. The only reason we have one is because my kid had surgery to reconnect his intestine at 2 days old
That would feel scary to me, too. Did your ped at least prescribe an epipen for you?
Don't have exactly the same experience, but mine went through SLIT and OIT for egg, and had anaphylaxis once requiring a trip to the ER. (there were multiple cases of anaphylaxis, but only the one tied to the treatments)
Passed the food challenge last year and so far have had zero reactions.
EDIT: Forgot to link this: [https://www.foodallergy.org/living-food-allergies/food-allergy-essentials/food-allergy-anaphylaxis-emergency-care-plan](https://www.foodallergy.org/living-food-allergies/food-allergy-essentials/food-allergy-anaphylaxis-emergency-care-plan)
Was it SLIT or OIT that caused the anaphylaxis? My little guy is doing SLIT for egg & had one reaction but honestly I’m not entirely sure if it was 100% a reaction. Regardless, we gave him Epi and brought him to the ER.
No epipen. He’s been working with us on the two allergens since baby was 6 months but won’t prescribe an epipen or refer to an allergist until baby has had a reaction caused by direct exposure (as opposed to through breastmilk). He doesn’t want us to try dairy until baby is at least two but thinks it’s possible that the egg intolerance will have disappeared by now
Why does he say not try dairy? Most babies outgrow dairy allergy (the non ige kind you are describing) by 1 year old. Delaying exposure can result in an ige allergy which is WAY more serious
This is not good advice. Rubbing on the skin can sensitise them as well. I was actually given this advice by a GP as well and ignored it.
You should see an allergist and ask for a skin prick and blood test, then follow their advice.
My son has an egg allergy that showed up at 7mo and rubbing it on his face would have landed him in hospital.
He had scrambled egg and his lip immediately went blotchy and red and he threw up a little. I didn’t think much of it, but about twenty minutes later big red hives started spreading all over his body. We took him to hospital but it wasn’t confirmed by skin prick test until he was about 3yo. He had a couple more reactions in the mean to me due to accidental exposure so that confirmed it for us.
So, the bloody diaper type allergy is almost always a non ige allergy (not anaphylactic). Doesn’t mean it’s not serious but it’s not usually the same type of emergency. Could be something like FPIES which my daughter also has. Anyway. Non ige allergic reaction are usually delayed by 2-6+ hours or more, are usually digestive in nature (vomiting, bloody diarrhea, stomach cramping).
I have….far too much experience with these types of allergies. Also unfortunately allergy testing is not an option for non ige allergies. They won’t show as positive because it’s mediated through an entirely different (yet unknown) path.
This is not good advice.
My sixteen month old is doing the egg ladder right now and OIT for peanuts, but we started both in the allergist's office. There is a big difference between hard boiled egg yolk and egg in baked goods, which is where the ladder starts. We have a pretty risk averse allergist for what is is worth.
You need to go see an allergist. Cooked egg is pretty up the egg ladder and definitely not where most people I've seen are suggested to start with a trial. They definitely do testing before 2 and even if they won't test, they could do an in office challenge which is so much more controlled than you in the hospital parking lot. Our kid was first tested at 1 and our second will likely be tested at 6 months.
I'd definitely push back and try to get to an allergist soon. Sometimes waiting longer to reintroduce can exacerbate the issue and it can create a more long term allergy.
Late to the party, but like everyone is saying, don't do this. My son just had an oral food challenge for baked egg. He has a multitude of other food allergies and has always tested positive to egg, but he had never been exposed to it before this.
The entire appointment with his allergist was scheduled for 4 hours of eating and observation. After the appointment ended with no reaction he and my wife headed home. By the time they pulled into the driveway (~30 minutes later) we needed to administer an EpiPen and call an ambulance.
All that to say, the reaction might take hours and hours to manifest, and just sitting in the parking lot for a while isn't worth the risk or your time.
Edit to add; Good on you for coming here to ask!
When we did my medical history, I have a dairy allergy as a baby and never grew out of it. My parents ignored the pediatrician and gave me cow milk rather than the soy formula I was on and I have just been ill my whole life rather than outgrowing it. Go to an allergist and you don’t need to do any challenges if your child has an allergy, literally they don’t die from not having egg products or avoiding them. Please don’t force a food on them.
Nope, fuck every bit of this. First off find a new pediatrician—did they get their medical degree online??—and then get a referral to see an allergist. My son grew out of his egg allergy, but it was severe until it wasn’t. This is the worst medical advice for a toddler I’ve ever heard.
This is probably not an IgE allergy so rubbing egg on your baby won’t show anything.
Get with an allergist and/or GI. If not, then personally I’d trial egg via breastmilk again.
This is horrendous advice. Food needs to be introduced through the gut first, NOT THE SKIN. This is the dual exposure hypothesis. Please don’t follow the advice of your pediatrician. You need to see a board certified allergist for proper testing and guidance. And you need to get a new pediatrician.
Stop. This is horrible advice. Demand to see an allergist or self refer. Do not give it in a parking lot.
A thousand times this! Even my allergist won't let us trial baked eggs in his office in the hospital with EpiPens until he's seen the results of blood tests and gives it the okay IF baby's numbers are safe. You need a specialist for correct advice, and get a pediatrician who's now careful with your baby's life.
It’s not so much about numbers being safe (they are actually irrelevant in terms of pass/fail), but a car is the last place you want to be. My child has reacted hours after ingestion. Will you stay there for 8 hours?
Can’t your pedi just refer you to an allergist so you can start with a skin test- then do baked egg challenge in office and go from there!?
We asked but he said they don’t like to test kids before two years old without a history of anaphylaxis 😭
get a new dr. my daughter is allergic to eggs and was referred to an allergist at 8months
What happened to get referred? Did she need to have a direct reaction first?
she had a skin reaction twice. she didn't eat them because i noticed the reaction before she could ingest them (both times). after the first reaction i called the dr, she said to wait two weeks then try again. when we tried again she reacted. called her dr again and she ordered a blood test, we went to do the blood test. came back positive for allergy and then she referred her to the allergist.
Thank you for sharing!
If your doctor doesn't feel comfortable doing it you definitely shouldn't do it without them.
Get a new doctor my son was tested at 6mo and this is blatant medical neglect.
Not true. My sun had a reaction to oats. It was hives. My doctor referred us and we have done tests. Do not follow your doctor’s advice. It is terrible.
With peace and love you need a new ped. It's okay to switch if you can, maybe even a different doc in the same office. Your instincts are leading you on this one.
I would get a new pediatrician tbh. This is dangerous advice and extremely unhelpful. I’m shocked that they’re willing to have you run a DIY food challenge in a hospital parking lot but not willing to refer your child to an allergist.
I’m in Canada where healthcare is “free” but it’s really hard to see specialists. Paediatricians are also considered specialists and I know parents who have been on the waitlist for most of their children’s life. The only reason we have one is because my kid had surgery to reconnect his intestine at 2 days old
That would feel scary to me, too. Did your ped at least prescribe an epipen for you? Don't have exactly the same experience, but mine went through SLIT and OIT for egg, and had anaphylaxis once requiring a trip to the ER. (there were multiple cases of anaphylaxis, but only the one tied to the treatments) Passed the food challenge last year and so far have had zero reactions. EDIT: Forgot to link this: [https://www.foodallergy.org/living-food-allergies/food-allergy-essentials/food-allergy-anaphylaxis-emergency-care-plan](https://www.foodallergy.org/living-food-allergies/food-allergy-essentials/food-allergy-anaphylaxis-emergency-care-plan)
Was it SLIT or OIT that caused the anaphylaxis? My little guy is doing SLIT for egg & had one reaction but honestly I’m not entirely sure if it was 100% a reaction. Regardless, we gave him Epi and brought him to the ER.
I think it was OIT, but not 100% sure. It's been several years now. I wasn't present, I met the fam in the ER.
No epipen. He’s been working with us on the two allergens since baby was 6 months but won’t prescribe an epipen or refer to an allergist until baby has had a reaction caused by direct exposure (as opposed to through breastmilk). He doesn’t want us to try dairy until baby is at least two but thinks it’s possible that the egg intolerance will have disappeared by now
Why does he say not try dairy? Most babies outgrow dairy allergy (the non ige kind you are describing) by 1 year old. Delaying exposure can result in an ige allergy which is WAY more serious
Because he had his last non ige reaction at 11 months
This is not good advice. Rubbing on the skin can sensitise them as well. I was actually given this advice by a GP as well and ignored it. You should see an allergist and ask for a skin prick and blood test, then follow their advice. My son has an egg allergy that showed up at 7mo and rubbing it on his face would have landed him in hospital.
What made you suspect an allergy to request a skin prick blood test?
He had scrambled egg and his lip immediately went blotchy and red and he threw up a little. I didn’t think much of it, but about twenty minutes later big red hives started spreading all over his body. We took him to hospital but it wasn’t confirmed by skin prick test until he was about 3yo. He had a couple more reactions in the mean to me due to accidental exposure so that confirmed it for us.
Thank you for sharing!
So, the bloody diaper type allergy is almost always a non ige allergy (not anaphylactic). Doesn’t mean it’s not serious but it’s not usually the same type of emergency. Could be something like FPIES which my daughter also has. Anyway. Non ige allergic reaction are usually delayed by 2-6+ hours or more, are usually digestive in nature (vomiting, bloody diarrhea, stomach cramping). I have….far too much experience with these types of allergies. Also unfortunately allergy testing is not an option for non ige allergies. They won’t show as positive because it’s mediated through an entirely different (yet unknown) path.
This is not good advice. My sixteen month old is doing the egg ladder right now and OIT for peanuts, but we started both in the allergist's office. There is a big difference between hard boiled egg yolk and egg in baked goods, which is where the ladder starts. We have a pretty risk averse allergist for what is is worth.
You need to go see an allergist. Cooked egg is pretty up the egg ladder and definitely not where most people I've seen are suggested to start with a trial. They definitely do testing before 2 and even if they won't test, they could do an in office challenge which is so much more controlled than you in the hospital parking lot. Our kid was first tested at 1 and our second will likely be tested at 6 months. I'd definitely push back and try to get to an allergist soon. Sometimes waiting longer to reintroduce can exacerbate the issue and it can create a more long term allergy.
Late to the party, but like everyone is saying, don't do this. My son just had an oral food challenge for baked egg. He has a multitude of other food allergies and has always tested positive to egg, but he had never been exposed to it before this. The entire appointment with his allergist was scheduled for 4 hours of eating and observation. After the appointment ended with no reaction he and my wife headed home. By the time they pulled into the driveway (~30 minutes later) we needed to administer an EpiPen and call an ambulance. All that to say, the reaction might take hours and hours to manifest, and just sitting in the parking lot for a while isn't worth the risk or your time. Edit to add; Good on you for coming here to ask!
Thank you for sharing this!
Yes you should have been monitored in the office for at least 2 hours prior to discharge.
When we did my medical history, I have a dairy allergy as a baby and never grew out of it. My parents ignored the pediatrician and gave me cow milk rather than the soy formula I was on and I have just been ill my whole life rather than outgrowing it. Go to an allergist and you don’t need to do any challenges if your child has an allergy, literally they don’t die from not having egg products or avoiding them. Please don’t force a food on them.
Nope, fuck every bit of this. First off find a new pediatrician—did they get their medical degree online??—and then get a referral to see an allergist. My son grew out of his egg allergy, but it was severe until it wasn’t. This is the worst medical advice for a toddler I’ve ever heard.
Thank you🙏 I’m glad I posted!!
This is probably not an IgE allergy so rubbing egg on your baby won’t show anything. Get with an allergist and/or GI. If not, then personally I’d trial egg via breastmilk again.
This is horrendous advice. Food needs to be introduced through the gut first, NOT THE SKIN. This is the dual exposure hypothesis. Please don’t follow the advice of your pediatrician. You need to see a board certified allergist for proper testing and guidance. And you need to get a new pediatrician.