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Ask the Allergist

Can Baked Egg Be Egg Safe?

Q: My 7-year-old is anaphylactic to milk and peanut. He also has a mild egg allergy: he has never had a problem tolerating foods containing baked egg, and has mild diarrhea if he eats an actual egg. But based on a mild-positive skin test, our new allergist is recommending complete avoidance of egg, and says this […]

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Why isn’t Sesame a Top Allergen in the U.S.?

Q: My 11-year-old has sesame allergy and I keep hearing about more and more sesame-allergic children. Why isn’t sesame on the top allergens list and labeled on foods as an allergen? Dr. Sicherer: Sesame is not regulated in U.S. labeling laws, although it is included in these laws in many other countries, including Canada. The […]

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What can we safely feed our child with multiple food allergies?

Q: I have a 2-year-old who is highly allergic to milk, eggs, wheat and tree nuts and is still on his hypoallergenic infant formula. It’s so difficult to move forward with introducing new foods, and I can’t bring myself to experiment with rice drink (milk). I’m fearful he’ll have an anaphylactic reaction, such as he […]

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Do Asthma Inhalers Contain Milk Protein?

Q: I’ve recently read that asthma inhalers can contain a small amount of milk protein. Since my child has milk allergy and asthma, I’m worried. Is this true and how can she avoid the exposure? Dr. Sharma: It is true that some asthma inhalers contain lactose, and as a result, contain trace amounts of associated […]

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Does Alcohol Make Food Reactions Worse?

Q: I’m a university student with food allergies. I’ve heard that if you accidentally eat a food with your allergen while also drinking alcohol, your allergic reaction will be worse. Why would that happen? Dr. Sicherer: “Co-factor enhanced food allergy” is a term used to describe a situation where a food- allergic reaction is worse […]

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Question on Exercise-Induced Wheezing

Q: My 14-year-old daughter wheezes when she exercises, so our family doctor prescribed her a salbutamol inhaler to use to relieve the wheezing. Is that appropriate or should she be on a daily medication? Dr. Watson: Exercise-induced wheezing is a sign of asthma. It was appropriate for your family doctor to prescribe a “reliever” inhaler […]

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Do Blood Test Results Show Allergy Likelihood?

Q: My daughter, who’s 4, was diagnosed with peanut allergy shortly before her third birthday after experiencing a rash around her mouth when she ate a peanut butter cup. Her blood test for peanut showed an antibody level of 4.85, and it was 3.82 a year later. Her allergist suggests a food challenge in a […]

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Can Asthma Be Outgrown?

Q: I had asthma as a kid, but seemed to outgrow it. I’m 33 now, and I’ve developed a cough, and have felt tight in the chest around my girlfriend’s cat. Can asthma come back? Dr. Bassett: We know that asthma tends to persist from childhood through adulthood. A person may not have symptoms for […]

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Could Baby’s Rash Be Food-Allergy Related?

Q: My 10-month-old often has a rash on her cheeks. Her pediatrician described it as mild eczema. Her skin is clear elsewhere. Could the rash be from something she is eating or that I’m eating (I’m breastfeeding)? Should I keep a food diary? Dr. Watson: Rashes on young children’s faces are common, and eczema can […]

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Can Skin Contact Cause Anaphylaxis?

Q: My daughter, who’s 7 years old, has dairy and other allergies and asthma, and has had one anaphylactic reaction. Then last fall, she broke out in big welts on her arms where another child’s milk spilled on her. (She did not get wheezing.) Is it possible to get anaphylaxis from skin contact with an […]

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