Guest guest Posted December 10, 2009 Report Share Posted December 10, 2009 I have more then I want allergy babies. I found with so many foods listed that there is one food that kicks everything off. Look for a formula that has no high fructose corn syrup or make one up for a temporary trial period of 3-5 days. Also consider looking at intestinal yeast over growth. It may also be advisable to give him some bowel rest to try and get down the amount of gut inflammation. If you find the right allergen the skin problem will most likely go away. Been down this road and it was eggs that turned out to be a false negative.  Jackie Chase RD Dillingham AK Subject: Seeking help for a poor little boy with food allergies and bad reflux To: rd-usa Date: Thursday, December 10, 2009, 11:56 PM  Hi, I know there are a lot of you on this list serve with experience in food allergies and sensitivities, GI issues and pediatric feeding problems, so I am writing to you to seek help for this poor 23-month old boy. This is my friend's son. He has bad eczma, has Neocate Junior as his only nutrition source, can't sleep for more than two hours at a time, and requires three adults to take care of him. Here are some information about his conditions. He has pretty bad eczema that requires topical steroids every 3-4 days, which is an improvement since he stopped all other foods. He has seen GI doctors and allergists, and was diagnosed with GERD and eosinophilic esophagitis. His blood allergy tests at 18 months showed that he is allergic to many, many foods including rice, oatmeal, wheat, barley, all kinds of meat, all tested fruits and vegetables. He always has a lot of gas throughout the day. He often becomes very fussy and not willing to play, then gets better after a burp or passing gas. His day is composed of repeated cycles of feeding, burping, getting fussy, passing gas, and feeding again. His medicines include: cetirizine syrup twice a day prevacid 30mg x2/day Gastrocrome four times a day. He is not gaining weight, and not willing to take more Neocate. His mom got depression because of his condition. His parents are desperate. I don't have much experience in these conditions, but I know with so many excellent dietitians on this list serve, I have a good chance of finding someone that can help him. So please chime in if you have any idea or resources that his parents could try to improve his condition. Thank you so much! Ruiwen Qin, MS, RD ____________ _________ _________ _________ _________ _________ _ 好玩贺å¡ç‰ä½ å‘,邮箱贺å¡å…¨æ–°ä¸Šçº¿ï¼ http://card. mail.cn.yahoo. com/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 11, 2009 Report Share Posted December 11, 2009 There is one more thing that may be an issue here. The clue may be all this gas he has. Has the child been checked for a disaccharide intolerance? People with lactose intolerance get gas and diarrhea. He has a lot of gas from the sounds of it . Neocate is basically high fructose syrup and amino acids etc. High fructose is fructose and sucrose. See if his doctor will test him for disaccharide intolerance, I believe it is a simple breath test. This does not remove the food allergies but may stop his gas issues. Jackie Chase RD Dillingham AK > I have more then I want allergy babies. I found with so many foods > listed that there is one food that kicks everything off. Look for a > formula that has no high fructose corn syrup or make one up for a > temporary trial period of 3-5 days. Also consider looking at > intestinal yeast over growth. It may also be advisable to give him > some bowel rest to try and get down the amount of gut inflammation. > If you find the right allergen the skin problem will most likely go > away. Been down this road and it was eggs that turned out to be a > false negative. > > Jackie Chase RD > Dillingham AK > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 11, 2009 Report Share Posted December 11, 2009 Jackie, Thank you so much for your reply! I will forward your suggestions to the parents. I also have the impression that blood allergy tests are not 100% accurate. I have the feeling that maybe the boy's body is so inflammed that he appears to be allergic to everything. But how could you sort out the false positives and false negatives? Are skin tests more accurate? There was a period that the boy had such bad eczema that it was hard to find a good skin area to test. Ruiwen --- 09å¹´12月11日,周五, Jackie Chase 写é“: å‘件人: Jackie Chase 主题: Re: Seeking help for a poor little boy with food allergies and bad reflux 收件人: rd-usa 日期: 2009å¹´12月11æ—¥,周五,上åˆ10:11  There is one more thing that may be an issue here. The clue may be all this gas he has. Has the child been checked for a disaccharide intolerance? People with lactose intolerance get gas and diarrhea. He has a lot of gas from the sounds of it . Neocate is basically high fructose syrup and amino acids etc. High fructose is fructose and sucrose. See if his doctor will test him for disaccharide intolerance, I believe it is a simple breath test. This does not remove the food allergies but may stop his gas issues. Jackie Chase RD Dillingham AK > I have more then I want allergy babies. I found with so many foods > listed that there is one food that kicks everything off. Look for a > formula that has no high fructose corn syrup or make one up for a > temporary trial period of 3-5 days. Also consider looking at > intestinal yeast over growth. It may also be advisable to give him > some bowel rest to try and get down the amount of gut inflammation. > If you find the right allergen the skin problem will most likely go > away. Been down this road and it was eggs that turned out to be a > false negative. > > Jackie Chase RD > Dillingham AK > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 11, 2009 Report Share Posted December 11, 2009 What happened with my worst case head to toe was after he had been clear for a month they retested him and the number of foods he is allergic to dropped. That said when he has a flare up many of the orginal foods give him grief. Until the major source of inflamation is found he may react to everything be it a blood test or skin testing. The Gold standard is still the elimination diet with blinded food testing. Not easy and very time consuming. Good luck. Jackie Chase RD Dillingham Ak Subject: Re: Seeking help for a poor little boy with food allergies and bad reflux To: rd-usa Date: Saturday, December 12, 2009, 12:29 AM Jackie, Thank you so much for your reply! I will forward your suggestions to the parents. I also have the impression that blood allergy tests are not 100% accurate. I have the feeling that maybe the boy's body is so inflammed that he appears to be allergic to everything. But how could you sort out the false positives and false negatives? Are skin tests more accurate? There was a period that the boy had such bad eczema that it was hard to find a good skin area to test. Ruiwen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2009 Report Share Posted December 12, 2009 What about LEAP?http://www.nowleap.com Just another suggestion, but results, if the whole protocol done correctly, can be life-changing... Jenna Becker, RD(909)731-9936 From: ruiwen qin <rwqinyahoo (DOT) com.cn> Subject: Re: Seeking help for a poor little boy with food allergies and bad reflux To: rd-usayahoogroups (DOT) com Date: Saturday, December 12, 2009, 12:29 AM  Jackie, Thank you so much for your reply! I will forward your suggestions to the parents. I also have the impression that blood allergy tests are not 100% accurate. I have the feeling that maybe the boy's body is so inflammed that he appears to be allergic to everything. But how could you sort out the false positives and false negatives? Are skin tests more accurate? There was a period that the boy had such bad eczema that it was hard to find a good skin area to test. Ruiwen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2009 Report Share Posted December 12, 2009 Jenna, Thank you for the suggestion. I wen to the website and watched the animation of the MRT test. It looks very reasonable. I also googled the test and found that the test has " a sensitivity of 94.5%, a specificity of 91.7%, and split sample reproducibility consistently greater than 90% " , which is quite impressive. But MRT detects food sensitivities using different pathways from allergic reactions, how can it rule out " false positives " in blood allergy tests? If MRT groups a food as " non-reactive " , does it mean that the person is not allergic to the substance? Thank you so much! Ruiwen --- 09å¹´12月12日,周å…, Jenna Becker 写é“: å‘件人: Jenna Becker 主题: Re: Seeking help for a poor little boy with food allergies and bad reflux 收件人: rd-usa 日期: 2009å¹´12月12æ—¥,周å…,下åˆ1:34  What about LEAP?http://www.nowleap. com Just another suggestion, but results, if the whole protocol done correctly, can be life-changing. .. Jenna Becker, RD(909)731-9936 From: ruiwen qin <rwqinyahoo (DOT) com.cn> Subject: Re: Seeking help for a poor little boy with food allergies and bad reflux To: rd-usayahoogroups (DOT) com Date: Saturday, December 12, 2009, 12:29 AM è½ Jackie, Thank you so much for your reply! I will forward your suggestions to the parents. I also have the impression that blood allergy tests are not 100% accurate.è½ I have the feeling that maybe the boy's body is so inflammed that he appears to be allergic to everything. But how could you sort out the false positives and false negatives? Are skin tests more accurate? There was a period that the boy had such bad eczema that it was hard to find a good skin area to test. Ruiwen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2009 Report Share Posted December 13, 2009 Ruiwen, Great question! I am still in the " training " process of becoming a CLT (Certified LEAP Therapist) so I am sure cannot give you as detailed a response as those RDs who have been " LEAPers " for some time. However, I do know that LEAP tests Non-IgE mediated food and food-chemical hypersensitivity (including Type 3 and 4 hypersensitivity reactions). The process is called Mediator Release Testing (MRT). While this test is wonderful, the most important part is conducting the entire protocol correctly, which includes the elimination diet following the results. That is the main reason I suggested it. Instead of doing a " blind " elimination diet, as I recall being suggested, I figured this might be an option to look into for a bit more efficacy. As I said, however, I am far from an " expert " in LEAP at this point (but am learning daily;  and it is indeed fascinating and exciting) but do know that there are several RDs who could provide you with much more info as well. I believe a few are on this list-serve? If I can answer any other specific questions you have, I will indeed try. And I can also help you get in contact with more of the " experts " if you so wish? Thanks, and have a great Sunday! Jenna Becker, RD (909)731-9936 From: ruiwen qin <rwqinyahoo (DOT) com.cn> Subject: Re: Seeking help for a poor little boy with food allergies and bad reflux To: rd-usayahoogroups (DOT) com Date: Saturday, December 12, 2009, 12:29 AM è½ Jackie, Thank you so much for your reply! I will forward your suggestions to the parents. I also have the impression that blood allergy tests are not 100% accurate.è½ I have the feeling that maybe the boy's body is so inflammed that he appears to be allergic to everything. But how could you sort out the false positives and false negatives? Are skin tests more accurate? There was a period that the boy had such bad eczema that it was hard to find a good skin area to test. Ruiwen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2009 Report Share Posted December 13, 2009 I was cleaning my book shelves yesterday and found Mark Hyman MD's  Ultranutrition. Is this similar to the LEAP program? He advocates a 7 day elimination/detox diet with ultrabroth and ultrashakes. ________________________________ To: rd-usa Sent: Sun, December 13, 2009 1:19:55 PM Subject: Re: Seeking help for a poor little boy with food allergies and bad reflux  Ruiwen, Great question! I am still in the " training " process of becoming a CLT (Certified LEAP Therapist) so I am sure cannot give you as detailed a response as those RDs who have been " LEAPers " for some time. However, I do know that LEAP tests Non-IgE mediated food and food-chemical hypersensitivity (including Type 3 and 4 hypersensitivity reactions). The process is called Mediator Release Testing (MRT). While this test is wonderful, the most important part is conducting the entire protocol correctly, which includes the elimination diet following the results. That is the main reason I suggested it. Instead of doing a " blind " elimination diet, as I recall being suggested, I figured this might be an option to look into for a bit more efficacy. As I said, however, I am far from an " expert " in LEAP at this point (but am learning daily;  and it is indeed fascinating and exciting) but do know that there are several RDs who could provide you with much more info as well. I believe a few are on this list-serve? If I can answer any other specific questions you have, I will indeed try. And I can also help you get in contact with more of the " experts " if you so wish? Thanks, and have a great Sunday! Jenna Becker, RD (909)731-9936 From: ruiwen qin <rwqinyahoo (DOT) com.cn> Subject: Re: Seeking help for a poor little boy with food allergies and bad reflux To: rd-usayahoogroups (DOT) com Date: Saturday, December 12, 2009, 12:29 AM è½ Jackie, Thank you so much for your reply! I will forward your suggestions to the parents. I also have the impression that blood allergy tests are not 100% accurate.è½ I have the feeling that maybe the boy's body is so inflammed that he appears to be allergic to everything. But how could you sort out the false positives and false negatives? Are skin tests more accurate? There was a period that the boy had such bad eczema that it was hard to find a good skin area to test. Ruiwen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2009 Report Share Posted December 13, 2009 There are always going to be false positives and false negatives in any test done. It is the nature of the beast but it has come a long way from where they started. This is a rapidly changing field and unfortunately a rapidly expanding field. What are we learning is that earlier introduction of solid foods may be good not bad for the reduction of food allergies. That a little dirt and animal dander helps the immune system. In the mean time we test for allergies in children that may have poorly developed immune systems due to lack of exposure. Jackie Chase RD Dillingham AK > Jenna, > > Thank you for the suggestion. I wen to the website and watched the > animation of the MRT test. It looks very reasonable. I also googled > the test and found that the test has " a sensitivity of 94.5%, a > specificity of 91.7%, and split sample reproducibility consistently > greater than 90% " , which is quite impressive. > > But MRT detects food sensitivities using different pathways from > allergic reactions, how can it rule out " false positives " in blood > allergy tests? If MRT groups a food as " non-reactive " , does it mean > that the person is not allergic to the substance? Thank you so much! > > Ruiwen > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2009 Report Share Posted December 13, 2009 There are always going to be false positives and false negatives in any test done. It is the nature of the beast but it has come a long way from where they started. This is a rapidly changing field and unfortunately a rapidly expanding field. What are we learning is that earlier introduction of solid foods may be good not bad for the reduction of food allergies. That a little dirt and animal dander helps the immune system. In the mean time we test for allergies in children that may have poorly developed immune systems due to lack of exposure. Jackie Chase RD Dillingham AK > Jenna, > > Thank you for the suggestion. I wen to the website and watched the > animation of the MRT test. It looks very reasonable. I also googled > the test and found that the test has " a sensitivity of 94.5%, a > specificity of 91.7%, and split sample reproducibility consistently > greater than 90% " , which is quite impressive. > > But MRT detects food sensitivities using different pathways from > allergic reactions, how can it rule out " false positives " in blood > allergy tests? If MRT groups a food as " non-reactive " , does it mean > that the person is not allergic to the substance? Thank you so much! > > Ruiwen > Quote Link to comment Share on other sites More sharing options...
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