Please note that this information is based on personal experience with baby’s food allergies and should not take the place of the advice of a medical professional. If you suspect your child is having an allergic reaction please seek immediate medical attention.
Our First Experience with Baby’s Food Allergies
I wasn’t exactly sure why, but when my daughter Elise hit six months-old and it was time for her to start eating solids, I was extremely nervous to introduce allergens. I put it off month after month until my doctor reminded me that introducing allergens before your child’s first birthday reduces their chances of developing lifelong allergies. I discussed my concerns and she told me that we wouldn’t know unless we tried. Our families didn’t have a history of food allergies, so there was no reason to continue putting it off.
The next day I decided to take our doctor’s advice to start introducing allergens to Elise’s diet. I knew that peanut butter when served on its own was a choking hazard, so I mixed a teaspoon of peanut butter with two teaspoons of her favourite fruit and veggie puree to thin it out. I plopped her in her highchair and decided to go for it. I placed a spoonful of the mixture into her mouth. She made a happy sound and opened her mouth for more. I gave her another spoonful and waited a few minutes. She seemed fine. I was starting to feel like we were out of the woods. She asked for more and as I was filling another spoon with food something in her eyes changed. I examined her face and saw that her cheeks and underneath her chin were more red than usual. Seconds later, hives began forming and spread across her face.
We had just moved into a new home a few months prior, and proximity to a hospital hadn’t been at the top of my “must haves” list. Whether the home was move in ready, had the correct number of bedrooms and more than one bathroom had been my main concerns. At the time, being twenty minutes away from the closest hospital did not seem unreasonable. Sitting there watching the hives and redness spread like a wave over her face I fell deep into mom guilt. Why the hell hadn’t being around the corner from a hospital been at the top of my list? I have children and emergencies can happen at any time. Shouldn’t a hospital have been more important than an extra bathroom?
And why did I decide to give her a top allergen at home? If I had been smarter I would have driven to a hospital and given her the peanut butter there, that way if she reacted I could’ve just run inside and she would have received immediate attention. Stupid! You stupid, horrible mother!
I grabbed my phone with shaking hands and called 911. I had never had to dial for an ambulance or the police before, I had never been in an emergency. The small red hives were now down her neck and continuing underneath her clothes. Elise was screeching and clawing at the itchy bumps all over her body. Her ears were red and swollen now. What was happening? Were the hives in her throat? Was her throat going to close? Was my baby going to die? I could feel the tears running down my face, but I had to keep it together. She was the one dealing with a medical emergency. I needed to do everything I could to get her through it. She was still screaming, but screaming was good. Screaming meant she could still breathe.
The emergency operator picked up the phone, “Hello 911. What’s your emergency?”
“Hi, I gave my daughter peanuts for the first time and she is having a major allergic reaction. I need paramedics.”
The operator told me the fire department and ambulance was on its way. She asked me to describe what was happening and provide our personal information. I held my baby and began packing up in case we were going to the hospital. She told me to remain calm and asked for updates. She stayed on the line until they arrived. The fire department arrived first, with the ambulance five minutes behind them. The paramedics looked my daughter over and hooked her up to a machine to check her oxygen levels. While they were helping her the allergic reaction began to go down. After an hour had passed since her initial reaction they thought that she was stable and went to head out to their next emergency. Before they left they gave Elise a moose stuffed animal that was wearing a paramedics t-shirt and told me that I did the right thing by calling.
I took Elise upstairs, nursed her, and held her close. I closed my eyes and took some deep breaths. I would call the doctor in the morning and find out if she needed an EpiPen and also ask for a referral to an allergist. While I was just beginning to relax, Elise started squirming aggressively in my arms and making unhappy sounds. I looked down and a fresh batch of hives were making their way around the back of her neck. They were moving fast and soon were on her cheeks and even on one of her eyelids. The angry hives stopped looking like small bumps and started to look more like water blisters. The blister-like hives were getting bigger and bigger and began to merge into super-hives.
My daughter didn’t even look like herself anymore. A blister expanded and took over her eye, it was now swollen shut. She unlatched her swollen lips and began screeching again. NO, NO, NO! Please, not again! I was so confused. Could there have been left over peanut residue in her mouth that was rinsed down while she was nursing? Why was a new reaction happening?
I called 911 again. The paramedics were on their way back. When the same paramedics walked through the door they looked surprised at how much bigger Elise’s second reaction was. They examined her again and told me to grab our bags and put her in her car seat, we were going to the hospital. They strapped the car seat to the stretcher and off we went. Elise was
mesmerized by all of the lights and beeping equipment in the ambulance. She pointed at different items and looked over to make sure I was paying close attention to everything that she was showing me. I nodded and gave her the words for as many items as I could. I told her that she was brave and that I loved her. I told her the hospital was going to make her all better and we’d be able to go back home soon. She seemed very uncomfortable, still itching and unable to see out of one eye.
We got to the hospital and checked in. We were given a room in the ER and then it was a revolving door of nurses and the doctor coming in and out to look at Elise and monitor her. They administered an EpiPen and it worked like magic. Immediately the hives began to disappear, the swelling went down and Elise looked at me in wonder.
I could tell she was starting to feel better too because she started to babble more and was no longer scratching at her skin. They gave her oral steroids and other medication. They told us we would have to stay until it had been six hours from her initial reaction because multiple waves of allergic reactions were possible.
I learned that because Eli had eczema, she was more likely to have food allergies. Apparently food allergies, eczema, and asthma often go hand-in-hand. The first allergic reaction tends to be the most mild, and Elise would require an EpiPen to be with her at all times moving forward. The doctor prescribed one EpiPen for daycare and two for home. The doctor sent the referral to an allergist and advised me to keep her away from products containing peanuts.
We would now have to be diligent about checking food labels moving forward. My head swam with all of this information and all I kept thinking was, “food could kill my baby.” I felt helpless. I may be able to protect her at home, but what about all of the places she could be exposed to peanuts outside of the house: restaurants, school, camp, planes, friend’s and family’s homes. I opened my phone and sent a quick email to the daycare letting them know of her diagnosis.
It’s now been six months since Elise’s first allergic reaction. Our allergist works with us to navigate Elise’s allergy and I’ve had time to come to terms with her diagnosis. We’ve had to feed her other allergens to rule them out. She’s also had allergy appointments, blood tests, skin prick tests, as well as her first oral food challenge. We are currently considering oral immunotherapy, a treatment where the patient is given increasing amounts of the food they are allergic to in order to build up tolerance to it. We are hopeful that this treatment could help keep her safer in life moving forward.
I still feel that her allergy is out of our control, but we are careful to avoid peanuts and I am thankful that modern day medicine and treatments exist. Elise and her peanut allergy are a package deal. We love her the way she is and so we will manage her food allergy and continue to protect her.
MILWAUKEE (AP) — Whooping cough is at its highest level in a decade for this time of year, U.S. health officials reported Thursday.
There have been 18,506 cases of whooping cough reported so far, the Centers for Disease Control and Prevention said. That’s the most at this point in the year since 2014, when cases topped 21,800.
The increase is not unexpected — whooping cough peaks every three to five years, health experts said. And the numbers indicate a return to levels before the coronavirus pandemic, when whooping cough and other contagious illnesses plummeted.
Still, the tally has some state health officials concerned, including those in Wisconsin, where there have been about 1,000 cases so far this year, compared to a total of 51 last year.
Nationwide, CDC has reported that kindergarten vaccination rates dipped last year and vaccine exemptions are at an all-time high. Thursday, it released state figures, showing that about 86% of kindergartners in Wisconsin got the whooping cough vaccine, compared to more than 92% nationally.
Whooping cough, also called pertussis, usually starts out like a cold, with a runny nose and other common symptoms, before turning into a prolonged cough. It is treated with antibiotics. Whooping cough used to be very common until a vaccine was introduced in the 1950s, which is now part of routine childhood vaccinations. It is in a shot along with tetanus and diphtheria vaccines. The combo shot is recommended for adults every 10 years.
“They used to call it the 100-day cough because it literally lasts for 100 days,” said Joyce Knestrick, a family nurse practitioner in Wheeling, West Virginia.
Whooping cough is usually seen mostly in infants and young children, who can develop serious complications. That’s why the vaccine is recommended during pregnancy, to pass along protection to the newborn, and for those who spend a lot of time with infants.
But public health workers say outbreaks this year are hitting older kids and teens. In Pennsylvania, most outbreaks have been in middle school, high school and college settings, an official said. Nearly all the cases in Douglas County, Nebraska, are schoolkids and teens, said Justin Frederick, deputy director of the health department.
That includes his own teenage daughter.
“It’s a horrible disease. She still wakes up — after being treated with her antibiotics — in a panic because she’s coughing so much she can’t breathe,” he said.
It’s important to get tested and treated with antibiotics early, said Dr. Kris Bryant, who specializes in pediatric infectious diseases at Norton Children’s in Louisville, Kentucky. People exposed to the bacteria can also take antibiotics to stop the spread.
“Pertussis is worth preventing,” Bryant said. “The good news is that we have safe and effective vaccines.”
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AP data journalist Kasturi Pananjady contributed to this report.
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The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
How a sperm and egg fuse together has long been a mystery.
New research by scientists in Austria provides tantalizing clues, showing fertilization works like a lock and key across the animal kingdom, from fish to people.
“We discovered this mechanism that’s really fundamental across all vertebrates as far as we can tell,” said co-author Andrea Pauli at the Research Institute of Molecular Pathology in Vienna.
The team found that three proteins on the sperm join to form a sort of key that unlocks the egg, allowing the sperm to attach. Their findings, drawn from studies in zebrafish, mice, and human cells, show how this process has persisted over millions of years of evolution. Results were published Thursday in the journal Cell.
Scientists had previously known about two proteins, one on the surface of the sperm and another on the egg’s membrane. Working with international collaborators, Pauli’s lab used Google DeepMind’s artificial intelligence tool AlphaFold — whose developers were awarded a Nobel Prize earlier this month — to help them identify a new protein that allows the first molecular connection between sperm and egg. They also demonstrated how it functions in living things.
It wasn’t previously known how the proteins “worked together as a team in order to allow sperm and egg to recognize each other,” Pauli said.
Scientists still don’t know how the sperm actually gets inside the egg after it attaches and hope to delve into that next.
Eventually, Pauli said, such work could help other scientists understand infertility better or develop new birth control methods.
The work provides targets for the development of male contraceptives in particular, said David Greenstein, a genetics and cell biology expert at the University of Minnesota who was not involved in the study.
The latest study “also underscores the importance of this year’s Nobel Prize in chemistry,” he said in an email.
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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.
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