sienna has food allergies. maybe. it depends on whether you believe the results of her blood test or the skin test. and even if she doesn’t have a true allergy, it is possible that her eczema is triggered by certain foods. so for the past month, sienna has been on an elimination diet. it was confusing for me because mommy and daddy used to always tell me to share things with sienna. then all of a sudden, i wasn’t allowed to share any food with her at all. not even cheerios. mama explained to me that some foods make sienna itchy. okay, i get that.
here are the details of the first 4 weeks of her elimination diet. if you don’t care about the details, you can skip down to the results summary.
week 1: no eggs, wheat, or peanuts. those are the foods that she is allergic to (according to the blood test). also, no oats. mommy just wanted to make it more difficult to find anything for sienna to eat. just kidding. apparently, oats are a common eczema trigger. mommy had a hard time baking snacks for us without wheat and eggs, but she experimented with substitutes. she wasn’t thrilled with the results, but sienna and i gobbled up everything that she made. but guess what. sienna’s eczema flared up. mommy realized that in eliminating oats and wheat, she had inadvertently increased the dairy in sienna’s diet (e.g. breakfast became fruit with cottage cheese or yogurt, instead of oatmeal). apparently, dairy makes sienna itchy, so bye bye dairy.
week 2: no eggs, wheat, peanuts, oats, or dairy. this sounds impossible, right? but sienna could still eat meat, veggies, fruit, and rice. mama tried not to give her too much rice because of the recent news about arsenic, but she likes gluten-free pasta and quinoa. so don’t worry, she didn’t starve. (by the way, some things just shouldn’t be made gluten-free. like tortillas. bleccch.) her skin looked great. no eczema.
week 3: no eggs, wheat, peanuts, or dairy, but we added oats back into her diet. she did fine with it. no eczema. whew. yay for oats!
week 4: no eggs, peanuts, or dairy, but we added wheat back into her diet. wheat didn’t cause anaphylaxis, but her eczema came back. apparently, wheat makes sienna itchy, so we eliminated wheat again. although… sienna had the stomach flu that week, and her eczema seems to flare up when she is sick. hmmm…
oral food challenge: egg. this morning, sienna went back to LPCH for an oral food challenge. she was assigned to a room that had a bunch of medical equipment and she was seated on a gurney. a little unsettling, no? sienna looked unsure of her surroundings. can you blame her?
the nurse started sienna off with 1/8 tsp of scrambled egg. that’s almost as small as an edamame bean! mommy urged the nurse to let sienna eat a bigger piece. for one thing, she had eaten eggs in baked goods plenty of times, and she didn’t die. plus she was starving. the nurse insisted on stick to the plan and gave sienna the tiny little piece of egg. if she had tolerated that, she would have continued eating larger and larger pieces until she finished the whole egg. but she didn’t. within 10 minutes, hives appeared on her face, she started scratching herself all over, and she got really fussy. 5 more minutes passed, and the hives continue to spread. at that point, the doctor called off the challenge. FAIL. (for the record, the nurse never told mama “i told you so”.)
over the next 30 minutes, the nurse stayed with sienna, just in case she needed medical attention. the nurse offered benadryl several times, but mommy declined it. 75 minutes after eating the bean-sized piece of egg, sienna’s symptoms were almost gone. she was free to go. i guess she really is allergic to eggs. the blood test results were accurate, and the skin test gave a false negative.
RESULTS SUMMARY
sienna is continuing on her elimination diet, but here’s where we are so far:
- oats are fine. (all tests negative.)
- no wheat. no traditional allergy, but we think it makes her itchy. (blood test results were MODERATELY positive, skin test negative.)
- no dairy. no traditional allergy, but we think it makes her itchy. (all tests negative.)
- no eggs. allergy confirmed by oral food challenge. (blood test results were MODERATELY positive, skin test negative.) the doctor says that she can probably eat eggs in baked goods, but mommy is steering clear for now.
- no peanuts. since it’s easy to avoid peanuts, we won’t be experimenting with them for now. (blood test results were HIGHLY positive, skin test negative.) although… we do have epi pens, so why not give me a chance to use them? 😀
the thing about eczema is that it can flare up for no reason, so we might be blaming foods that are really “innocent”. we’ll re-test wheat and dairy soon. everyone/everything deserves a second chance, right? 😉