Reply to Peanut avoidance vs. OIT

Forum Index » Health and Medicine

Reply to "Peanut avoidance vs. OIT"

Subject:

Emoticons





More smilies

Text Color: Font: Close Marks

[quote=Anonymous][quote=Anonymous]Anyone here have a kid who has a peanut (or other food allergy) and chose to go with avoidance rather than OIT?

I am on the fence about it. It's discouraging that it is such a long process that does not end up working for everyone, with certain risks, and the ultimate result is not a cure where you are freely eating peanuts anyways. At the end of the day, seems like you are still technically "allergic", you can just tolerate a certain dose.

vs. continuing what we have always been doing, which is avoiding peanuts, which has worked out so far and we have not had any bad reactions. This seems like a much easier path.

I know plenty of people are doing OIT and I'm totally in support of that. I'm wondering if there is anyone who has chosen avoidance and could shed some light on their thought process.

[/quote]

We are dealing with this now OP. Our daughter is 14 months so while I dont have years of experience with it I am in the trenches where every outing and family event and Halloween trick or treat feels like Russian roulette. The problem IMO with your premise is that with OIT you are still likely having to do avoidance for lots of those that "fail". Maybe I am mistaken but the goal isn't absolute free feeding with OIT, although that is the "best" outcome, the goal is to increase the threshold for ingestion so that ANY exposure wont trigger anaphylaxis. That's the way I am choosing to look at it because even if we only get to 1/2 tsp or 1 tsp tolerance that's still better than 0 tolerance for exposure or ingestion.

Peanut avoidance is tough. We also have egg to navigate but peanut is sticky vs egg proteins aerosol, etc. Nothing, unfortunately, is cut and dry in the allergy world. You could wait for some of the other advancements that are hopefully coming out in the next 5-10 years but not every therapeutic works on every kid.

The age of your child matters to because my understanding is the ES-HS have the highest rates of accidental because of being ashamed of their allergy/not wanting to feel different, trusting peer sources, less adult involvement and oversight, etc. Issues with romantic involvement and accidental exposure there... I mean the list goes on. 
[/quote]

Options

	Disable HTML in this message
	Disable BB Code in this message
	Disable smilies in this message

Review message

Search Recent Topics Hottest Topics