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[quote=Anonymous][quote=Anonymous]OP here - thanks all for your responses, I appreciate it. I will make sure to carry around an Epi-pen at all times and look more into OIT. It's eye opening to see how seriously people take this. I don't know if my allergist was just relaxed about it, but we go and do a skin prick test every year, he confirms that my kid is still allergic, prescribes a new epi-pen and sends us on our way. It has not been an issue and we frequently go to restaurants, travel, etc. But I hear you that this can be life threatening, so I will be more diligent. [/quote]

You need a better allergist who follows the updated guidelines NUMBER 1.

Blood should be drawn to see if her levels have decreased enough to warrant an in-hospital challenge or even if she warrants OIT or some other program. You want your kid to be challenged (safely) on their allergen because if she can handle cross contamination or even 1/8tsp of peanut butter then shes less likely to have a reaction upon accidental ingestion or exposure through cross contact or god forbid her partner or child (down the line) has peanut butter and they kiss her.  In my allergy group a mom posted about her daughter needing to go to the hospital because she sipped from the same straw as her husband who had egg during the meal where he drank that juice, her daughters allergy is egg.

Two the fact that you dont carry the EpiPen around is seriously negligent. Note that Epis need to be kept in a specific temp range so you cant take it outdoors or leave it in the car unless you have a special pack to keep it regulated. Do you know how to check if the Epi is still good? It shouldnt be cloudy or have particles in it. It must be clear. Take to pharmacist to check if you ever have concerns. Make sure you have an Epi at all times and make sure the school does. Get permission for your kid to self carry and TEACH HER HOW TO DO IT. There is a trainer with most Epis now.

Also you need to check out the FARE guidelines. If she has widespread hives, not just localized, its considered anaphylaxis. Your allergist should be completing or given you an allergy action plan for when to use zyrtec, when to use epi if zyrtec doesnt work, and when to go straight to an epi. If they arent doing that then AGAIN FIND A NEW ALLERGIST.  [url]https://www.foodallergy.org/living-food-allergy/food-allergy-essentials/free-downloadable-resources[/url]

If they havent explained that its not just hives or not just wheezing, see the caps above. Also, Benadryl is no longer suggested. If they suggest Benadryl then see the caps above. These are warning signs that your allergist is not up to date on best practices.

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