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Touch your child’s lower lip with a crumb of the food. endstream endobj startxref Some cough and cold or travel sickness medicines contain antihistamines.

+*/K�7�|�`�l(�E����bcջ�=Nan���(,������)+lP�%�l/3NX?3������C������E�0q�=���4�u� This leaflet is intended for use in children with mild to moderate symptoms e.g. Please make sure you know what food your child will be eating and bring it with you on the day of the test. In both tests, your child eats the food under hospital supervision in case they have an allergic reaction. After about 20 minutes the nurse will come back and check that your child has eaten all of the food and that they are not having an allergic reaction. If your child has eaten all of their first dose of food and not had an allergic reaction, they’ll be able to have their next dose. Before giving your child any food, a nurse will do some observations. You may also like to bring some other food with you to mix with the test food such as yogurt or fruit puree. If your child has been in contact with someone who has had an infectious disease (such as chicken pox) within two weeks of the test, please let us know before you come. Your child should stop taking long-acting antihistamines, such as Cetirizine and Loratidine (also known as Zirtek© and Clarityn©) five days before the test. Also, just to add some more egg-citing egg-tertainment to this challenge (and every corny overused egg-cliche there is), here is an excerpt from a Farmer’s Weekly article, “Salmonella can cause a serious and sometimes fatal infection in anyone with a weakened immune system, in young children and in frail or elderly people. Allergic reactions usually cause a rash, itching, tummy ache or nausea but can sometimes make your child vomit (sick) or sneeze and have a runny nose. endstream endobj 32 0 obj <> endobj 33 0 obj <> endobj 34 0 obj <>stream Usually we give four or five doses of food and this will take about two hours. Your child might have their observations checked again. Once your child has eaten all of their doses of food, we’ll keep them on the day case unit for another two hours, to check for any signs of an allergic reaction. H��V]o�F}_��0��cf�,�zW��MW����̲(Rl�����Y�km�����s�=s�E��*..�?n߿i]�˷[�w���c�)RY�V���� Your child may have a food challenge or supervised feed if other allergy tests have not given us a clear answer about whether they have an allergy or not. Egg challenge stage 1 1.


234 0 obj <>stream H�ĖMk1����[�X#�� �'���ƥ��CH��S�!��;����m�{+�f�F�^�G �Opr2�8�{z If you would like a recipe and have not received one, please see the green suggested recipes box on this page. %PDF-1.5 %���� It is really important that your child is well enough to have a food challenge or supervised feed for two reasons: In the weeks leading up to your child’s test, make sure you check your child for signs of illness such as: If your child does not normally have these symptoms, but shows them in the week leading up to the test, please let us know. The allergy dietitians have developed some recipes for biscuits and cakes, which might make it easier for your child to eat the right amount of the food. These can be found in the green suggested recipes box on this page. A study from Evelina London has suggested a new area of research to prevent coeliac disease. tolerance to well cooked egg (e.g. scrambled) followed finally by raw egg. You’ll be able to ask questions and go through any concerns that you have, then you’ll be asked to sign a consent form before we start the food challenge or supervised feed. Your child will be asked to choose where they will sit for the day. %%EOF %PDF-1.5 %���� g�#8�����ʂ@ɇ@{F�Z�����,L�⦺~���w_�Ņ$�f���k/���X�����5}>t瀮u�����X��J�������]=��|.�O��W�{B=p՗��Wo��B�i�^���+}П���t'�F$ɾf��G/��+"RMZ=�H�Ȇ���`��푌}�hњF�FZˎ2҉=�H6t瀤�A�C�l�:t��&[�(�ҁ&��$h��>�za�RJ{ � '1ab=t1��]����!ӛc��6#t��Ͳ㌴c�0��=!�cDyd�N��:��>-�ƷZ��f+8s�����c� ��;�z��>l��$�����ɗ��|XrH�6̄�����{�jun��fn��49^:7ɚ�˗���4[���ӻjZ��������\�ev,���M��$������D� z�T�L2%�0�Uƒk˹�\l�94>.���`�T���k˅��nZ���Nr鏁F�A4H�_��l=`d��ˁ�1vZK؋׎���㲙. A supervised feed is a bit quicker, your child will only have one dose of the food and this test will take about two hours in total. A food challenge or supervised feed is a test carried out in hospital to see if your child is able to eat a certain food. We understand that you may be concerned about COVID-19 at this time.

If, at the end of those two hours, there is still no sign of a reaction, we will say your child is not allergic to that food and they will be able to eat it at home. Please let the nursing team know if your child has needed to use their reliever (blue) inhaler.

h�bbd``b`Z$�C�`�$�6��A�+H��@�B���|��,�09$���ցd)'�3�` 5c) They will also place a probe on your child’s finger to record how fast their heart is beating, and how much oxygen is in their blood. 188 0 obj <> endobj

0 endstream endobj startxref We have suggestions for recipes which you could try to make and bring with you on the day. The Egg, Sugar, Shot Challenge is a simple one but as you can see in the video below, it’s not pleasant. If your child has asthma, it is important that it is under control in order for them to do the test. If we find your child is not allergic to the food that has been tested, you should give this food to them at least three times each week.
%%EOF

It is fine for your child to use it if they need it, but please let the nurse know if you do.

Your child might have an allergic reaction during their test and this is why we do the test in the hospital. The nurse can then decide if it is safe for your child to continue with the test. o Children with moderate to severe eczema. Piriton©, Zitek© or Clarityn©), they will need to stop taking it before they come to the appointment as it may interfere with the results of the test. �{���̜v������U�%���MV)u��� �u���gz[��$wC�>����:ɳ��z���ѸNW� �@SL��6uQ�פּ�rpk�f��z^,���>f�u���ì���9)�U��E�����l-��?�j�`R�L]*�|`�E�\M��Y�B��=�9�0�݌��?p1Q�v���g+�c~���˄��v���Ӣ����u:}��|�n�m;��1��N���BHE��A���2 ˬiXƃ߳�w]��R���gq� z�D�p\���ַ��~A���;�la�P�u�h You will need to bring the food with you in the form your child will eat it, for example if your child will be eating nuts, you may bring with you whole nuts, ground nuts or nut butters. The allergy dietitians have developed some recipes for biscuits and cakes, which might make it easier for your child to eat the right amount of the food: Muffin to use in baked egg challenges (PDF 117Kb), Muffin to use in baked milk challenges (PDF 121Kb), Evelina London Children’s HospitalSt Thomas’ Hospital, Westminster Bridge Road, London SE1 7EH Tel: 020 7188 7188, Information on COVID-19 (also known as coronavirus). If you are unsure whether you can give these to your child before they come to the test, speak to your pharmacist or phone our specialist nurses on 020 7188 9783. A supervised feed is very similar to a food challenge however instead of several doses of the food we are testing, your child will have one dose, which is equivalent to a portion of that food, such as a glass of milk (200ml) or a handful of peanuts (15g). ��sY$�T����p%�~�\'�T��vȏ�1� ���F~D�$H�8HbF��i '�鶀���?2��xr�:�>MF���wKGs��_�I0�SCtQ�I4�c��ANhS��tT��1�(�������.�������k���&<0N�!����~P�^��{~�j�Ġ��U�A�c9E)��X�6��4[](�o�L1�J@]X��9[��[�DI�3α�c��z���~�Ұ�_�L{���M�y�^��›B� ބl Wx��U�l"WA.3���%��a���v�]�g���N�p�S�:q%|r�k0\�BG���Ur�X�cK���$?�XUX/(K�7S�`�!e�` ��� This is so their body will know that the food is something that should be eaten. mri�Py.�\�.���F��&�P��/�n�W�m~��w�B��+_�rmί��b��6J0|���jQ��v_�l�?P�s,����C�y�{8{��L�K�*ef �s�)ѱ�K��x,�2�F.I�1J��]�%*e���aps�o����\7��t�k7by�����0��~\�ć�4x�� HzW3S������HO��Z*T�e&U�5`v�J3"o�� 3KKCCY.���̂�O�͵>�����5�! :�=�u��r�@�O^`�ao7�e����o:�.Mr���Z�|������e4o �0�44_�������{�k�lƁ~��dm�$gE����q1`�$>Yo��>���ׄ1ɡ}��[G�=���kyJO�`R�f^nif��P��p���q0ə?�$^��~016�nF��}��: �)�x>��X�����;2�� �8k�_1� Once you’ve settled in, one of our specialist nurses will talk to you and your child about what will happen during the day.