How Do I Find Current And Accurate Information About Peanut Allergy Immunotherapy Treatment Options
When considering OIT, its important to make sure youre accessing trustworthy sources of information, says Douglas Jones, MD, a board-certified allergist and immunologist and food allergy specialist from the Tanner Clinic in Layton, Utah.
With food allergy in general, there is so much information out there, and probably just as much misinformation, Dr. Jones says. Then you add food allergy treatment options such as immunotherapy on top of that, and sometimes you may think: Where do I go? How do I even make decisions about this?
Ask yourself: Are my sources of information credible and trustworthy? What online resources am I using and what websites am I going to? What social media outlets do I visit and are they trustworthy? Getting good solid information is the first step.
OIT should be done by allergists with expertise in food allergy and with experience in managing patients through every stage of immunotherapy. Be sure to ask your allergist about their experience and training with OIT and what steps are taken to maximize safety, Dr. Jones adds.
Causes Of Nut Allergies
For all allergies, the immune system reacts to specific allergy trigger molecules . Your immune system, or that of a child in your care, produces antibodies that detect the allergen and cause inflammatory reactions and the release of a chemical called histamine. Histamine causes hives, hay fever and other allergic symptoms.;The molecules that trigger your allergic reaction can be present in a range of foods, and you may have an allergic reaction to foods containing that molecule. For this reason, some people are allergic to the same allergy trigger in cashews and pistachios. This is known as cross-reactivity. Speak to your doctor about cross-reactivity because it is difficult to predict.;In addition to peanuts, a wide range of tree nuts can also cause allergic reactions in some people. These include, but are not limited to:;
The most common type of seed allergy is to sesame, although other types of seed, such as sunflower and poppy seeds, can also cause allergies. Allergic reactions to eating coconut, a large seed, are rare. However, an allergic reaction caused by contact with coconut, and cosmetics and products containing coconut, is more common.;Peanut, tree nut and seed allergies are difficult to predict, so visit your doctor for an accurate diagnosis.;
Emergency Treatment For Severe Allergic Reactions
If you are at risk of a severe allergic reaction , carry an adrenaline autoinjector such as EpiPen® and a means of calling for medical assistance such as a mobile telephone.;Emergency responses for a severe allergic reaction are:;
- lay the person flat do not allow them to stand or walk
- administer adrenaline with an autoinjector ;
- always dial triple zero to call an ambulance in a medical emergency.
If you are at risk of a severe allergic reaction, make sure you:;
- have a severe allergic reaction action plan
- carry an adrenaline autoinjector to treat a severe allergic reaction
- wear medical identification jewellery this increases the likelihood that adrenaline will be administered in an emergency
- avoid medication that may increase the severity of allergic reaction or complicate its treatment such as beta blockers
- seek medical advice.
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Ascia Action Plans Are Essential
On average the nut allergic person will have an accidental exposure every few years. The difficulties of avoiding peanuts, tree nuts or seeds completely make it essential to have an ASCIA Action Plan for Anaphylaxis when an adrenaline autoinjector has been prescribed.
Nut allergy can be effectively managed
Under the supervision of a clinical immunology/allergy specialist and with a network of supportive contacts, people with allergy to peanuts, tree nuts or seeds can learn to manage their allergies. The knowledge that adrenaline autoinjectors are available offers reassurance, but is not a substitute for strategies to minimise the risk of exposure to allergen triggers.
ASCIA is the peak professional body of clinical immunology/allergy specialists in Australia and New Zealand.
ASCIA resources are based on published literature and expert review, however, they are not intended to replace medical advice. The content of ASCIA resources is not influenced by any commercial organisations.
For more information go to www.allergy.org.au
To donate to immunology/allergy research go to www.allergyimmunology.org.au
Cleaning Tables And Desks
Once peanut butter has gotten on a table, is it possible to get it all off? Do you need to use anything special to clean it with?
A 2004 study found that common household cleaners could easily remove all traces of peanut protein from tables. Researchers smeared a teaspoon of peanut butter over a square foot of the clean table. They then washed it off and tested the clean table for the presence of peanut protein. They found that these common cleaners left no detectable trace of peanut protein:
- 409 spray cleaner
- Lysol sipes
- Plain water
Washing with dish soap left a tiny but detectable trace of peanut protein on one-third of the tables. Researchers believe that the level of peanut protein left behind by the dish soap was below the minimum threshold for someone with a peanut allergy to experience a reaction. However, just to be safest, you should consider using one of the above cleaners instead.
Be aware that states and the federal government may have regulations that apply to cleaners used in school spaces, so if you’re using any of the above-listed cleaning products, make sure they comply with those rules.
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What Problems Can Peanuts Cause
Symptoms of an allergic response to peanuts will usually start within minutes of exposure, and they can include:
- Tightening in the throat
- Shortness of breath or wheezing
- Skin reaction such as hives or redness
- Tingling or itching in the mouth or throat
- Diarrhea, nausea, stomachcramps or vomiting
- A runny nose
Peanut Allergy Precautions For Child Care Providers
Organizations that provide licensed childcare services need to take extra steps in protecting the well-being of the child in their care. Parents should be encouraged to equip their children with medical ID bracelets detailing their childs allergies. Also, a part of the registration process for all new members should include a section asking for food allergies and these should be kept on file and be routinely updated. If a child has a diagnosed peanut allergy make sure they have given you all appropriate medications including antihistamines and injectable epinephrine.
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What Are The Symptoms
Nut allergy symptoms usually develop rapidly after a person eats or has exposure to nuts.
Symptoms can range from a mild runny nose to the life threatening symptoms of anaphylaxis, which include throat swelling, shortness of breath, and shock.
The same person can have different nut allergy symptoms at different points in time.
People with a nut allergy may experience the following symptoms after exposure to some or all types of nut:
- difficulty swallowing
- feeling faint
Anaphylaxis can be fatal without prompt treatment. People with severe nut allergy symptoms should speak with a healthcare professional about getting a prescription for an EpiPen an auto-injector with epinephrine. This device will give them ready access to the treatment that they need.
Peanut Dust And Particles
Reactions that appear to involve the smell of peanuts in the air are really about what you’re actually inhaling. Peanut dust and small airborne peanut particles can cause an allergic reaction.
If all you’re smelling is peanut butter, it’s unlikely any dust or small pieces of peanut are floating in the air. Peanut butter is sticky, not dusty.
One exception is if you’re smelling peanut butter near a nut-butter grinder, like some upscale grocery stores and health food stores have. These machines pose a real risk and you should stay away.
If people are shelling and eating peanuts near you, they can spread peanut dust in the air. That means you could not only be smelling peanuts but actually inhaling dust and particles.
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Managing A Cold With Hypertension
If you cant take a decongestant because of high blood pressure, there are other ways to reduce your cold or allergy symptoms:
Take Coricidin HBP, which is free of decongestants
Drink plenty of fluids including water, juice, tea and soup to prevent dehydration and clear mucus from your lungs;
Take a pain reliever such as Tylenol or Motrin for fever, sore throat, body aches and headache
Flush your sinuses with a saline spray to relieve nasal congestion
Soothe a sore or scratchy throat with lozenges
Use a vaporizer or humidifier if necessary to boost humidity
Get plenty of rest
Return to your doctor after five to seven days to make sure;youre on the road to recovery
What Causes Food Allergies
Food allergies happen when the immune system; the body’s defence against infection; mistakenly treats proteins found in food as a threat.
As a result, a number of chemicals are released. It’s these chemicals that cause the symptoms of an allergic reaction.
Almost any food can cause an allergic reaction, but there are certain foods that are responsible for;most food allergies.
Foods that most commonly cause an allergic reaction are:
- some fruit and vegetables
Most children that have a food allergy will have experienced eczema during infancy. The worse the child’s eczema and the earlier it started, the more likely;they are to have a food allergy.
It’s still unknown why people develop allergies to food, although they often have other allergic conditions, such as asthma,;hay fever and eczema.
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How Much Does This Cost Is It Covered By Insurance
Every insurance company determines its own coverage of certain treatments. The screening visit, we will submit a benefits investigation. Based on the paperwork submitted, you will be contacted by the specialty pharmacy to review your out of pocket cost and any potential assistance that may be available. There would be routine charges from NGPG Allergy and Asthma for the office visits, monitoring and testing involved in screening and treatment visits.
Whats Involved With An Allergy Test
If you think you are allergic to peanuts, see an allergist. Start a food diary before the appointment and keep track of any reactions.
If youve never had a severe reaction, they might suggest whats called an elimination diet. You would cut out peanuts or other suspected foods for a week or longer. Then you would add them back in one at a time to see what might be causing you to react.
Your doctor may also do a skin test, placing a small amount of the food on you and then pricking it with a needle. If you are allergic to peanuts, you will develop a raised bump or reaction.
You may also need a blood test to check to see whether your immune system launches an allergic reaction to peanuts.
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If You Are Allergic To An Ingredient In A Covid
If you have had a severe allergic reaction or an immediate allergic reactioneven if it was not severeto any ingredient in an mRNA COVID-19 vaccine,;you should not get either of the currently available mRNA COVID-19 vaccines .
If you have had a severe allergic reaction or an immediate allergic reaction to any ingredient in Johnson & Johnsons Janssen COVID-19 vaccine, you should not get the J&J/Janssen vaccine.
If you arent able to get one type of COVID-19 vaccine because you are allergic to an ingredient in that vaccine, ask your doctor if you should get a different type of COVID-19 vaccine. Learn about the different types of COVID-19 vaccines.
Peanut Allergy: What You Should Know
Peanuts were once a snack-time staple, but these days, they are largely off-limits for a growing number of kids and adults. Its common now not to serve certain foods at birthday parties or school to keep kids with peanut allergies safe.;
It can seem scary how much damage a little piece of food can do, but you can lower the risk of having a severe reaction if you learn how to spot your symptoms and avoid peanuts.
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Could Boiling Peanuts Lead To A Cure For Food Allergies
The idea behind boiling peanuts is based on principles of immunotherapy, as well as experience associated with other food allergies.
Past studies have shown that through extensive heating, allergens in certain foods, such as milk and egg, are altered. Most people with milk and egg allergies tolerate these foods when they are extensively heated. And, some people with milk or egg allergies who frequently eat these products in their heated form outgrow their allergies.
A recent study was performed on four children with peanut allergies who ate boiled peanuts in increasing amounts every day over the course of months. After months of this exposure, some of the children were able to eat raw peanuts. Experts suggest that sustained and frequent exposure to low amounts of Ara h 2 may lead to the development of oral tolerance.;
While these results are not definitive in terms of directing any type of treatment for peanut allergy, the information adds to the scientific knowledge about peanut allergies.
If you have a peanut allergy, it is very important that you do not try eating;boiled peanuts at home on your own.;The above-mentioned study only included a small number of patients, and people who have a peanut allergy can experience severe life-threatening;allergic reactions from eating boiled peanuts.
If you have been diagnosed with a peanut allergy, you can talk to your physician about whether you qualify to take Palforzia or to participate in any research trials.
Can People With Peanut Allergies Get The Covid Vaccine
The Pfizer/BioNTech COVID-19 vaccine is now being rolled out across the United States as part of the largest vaccination campaign in American history. But can people with allergies to foodsuch as peanutsget the shot?
According to guidance from the U.S. Centers for Disease Control and Prevention people who have a history of food, pet insect, venom, environmental, latex or oral medication allergies can receive the Pfizer/BioNTech vaccine.
The CDC recommend that vaccine providers should observe people with a history of anaphylaxisa severe, potentially life-threatening allergic reactiondue to any cause for 30 minutes after the individual receives the shot. Everyone else should be observed for 15 minutes.
“If you have a severe allergic responsefor instance people have peanut allergies or egg allergies or food allergiesyou can still get this vaccine, you just need to wait for 30 minutes in the area where you got the vaccine so if you do have an allergic reaction someone would be able to give you a shot of epinephrine to reduce it,” Dr. Paul Offit, who sat on the FDA advisory board that approved the vaccine, told reporters during a a Poynter Institute webinar on Monday.
The agency recommends that such individuals should undergo a risk assessment and discuss the potential harms of taking the vaccine with their doctors.
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What Are The Benefits Of Treatment
The main benefit of this treatment is development of a safety net in case a child accidentally ingests a food containing peanut. This medication has been shown to increase the amount of peanut needed to trigger a reaction and to decrease the severity of reaction in cases of accidental ingestion. This provides peace of mind for patients and care givers.
What Is Peanut Oral Immunotherapy
Dr. Chacko is using;a process known as oral immunotherapy, or OIT, to gradually desensitize patients to their allergens, so they no longer suffer allergic reactions. This therapy has been used to desensitize hundreds of patients.
The process is similar to that used to treat environmental allergies, such as hay fever. Instead of avoiding peanuts, children are given carefully measured amounts of peanut protein mixed with pudding, yogurt, or applesauce. The starting dose is typically around 0.1 mg. The dose is gradually increased to approximately 6 mg over several hours. If the patient is able to tolerate the protein, they are sent home with individual containers of the dose, which they must take every day. Patients must return to the clinic every couple of weeks where they receive ever-increasing doses. Eventually, patients graduate to eating peanut M&Ms or whole peanuts. Patients are considered desensitized when they can eat about 10 peanuts a day without a reaction. . Patients are required to continue on
OIT for food allergies is not without its critics. OIT has not been approved by the;Food and Drug Administration;. There are also questions regarding the long-term effectiveness of the treatment. The process is currently being evaluated in several clinical trials.
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What Causes A Peanut Allergy
A Peanut allergic reaction occurs when your immune system overreacts and releases chemicals, including histamine, into your blood. These chemicals can then affect different tissues in someones body, such as the skin, eyes, nose, airways, intestinal tract, lungs, and blood vessels. Its not yet discovered why peanuts trigger this response in some people.
Symptoms of a peanut allergy can be mild to severe. People who are allergic to peanuts may have a life-threatening reaction called anaphylaxis.; If not treated, death can be a result. Anaphylaxis usually occurs within minutes but can occur up to several hours after eating peanuts or peanut products. Symptoms of all peanut allergies, can start within a few minutes to a few hours after eating peanuts or peanut products, or come into contact with peanuts.
What reactions Do You Get if You have a Minor Peanut Allergy?
Evidence Continues To Build About Allergy Prevention
Experts base their recommendations on the groundbreaking LEAP Study, in which early introduction reduced development of a peanut allergy by up to 86 percent.; Today, guidelines from the National Institutes of Allergy and Infectious Diseases are endorsed by the American Academy of Pediatricians and championed by healthcare providers everywhere.; And evidence continues to grow.; In fact, the Dietary Guidelines for Americans, 2020-25 also encourage early introduction of peanuts and other foods.
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