19 January 2011

Delay in Eating Whole Peanut Probable

Probable delay in eating 1 Whole Peanut. Alexander is due this Thursday, January 20 to have his peanut dose increased from 500 mg of peanut flour in capsule form to 1 Whole Peanut. We have been counting down the days to this momentous occasion.
See my prior posts 
"3 Days Until 1 Peanut" and 
"Countdown to 1 Whole Peanut"
This past weekend Alexander started having a runny nose and sore throat. 
My thoughts rambled..."could this be a slight reaction due to the 500 mg peanut dose?
or "is this due to seasonal allergies caused by a change in the weather?  
Nasal and asthma symptoms in Alexander are often triggered by weather changes. 
"Perhaps attending an extremely cold soccer game last Friday night wearing only a thin hooded sweatshirt might have started the whole thing". 

Very cold night to watch a soccer game in a hoodie
He seemed to get a little better until last night when after playing in a soccer game he said "I feel sick to my stomach. I think I ate too much at lunch." He proceeded to eat very little dinner. 
When the time came to take his peanut dose he said "I can't do it". The thought of it makes me want to throw up anyway and my stomach is already gurgling."  
Hmmm- what to do?  
Tell him he must take the dose? 
The dosing instructions we received from Dallas Allergy Immunology for the peanut desensitizing treatment are very precise. The patient is to avoid any deviations from the dosing schedule. If a dose is missed for any reason a call is to be placed to the doctor.

Alexander pleaded with me not to take his peanut dose so I called the doctor's answering service. 
Dr. Wasserman returned my call and he agreed that Xander should not take the dose. 
His instructions:
Skip the dose. Take a half dose in the morning followed by a full dose in the evening. 
We followed those instructions. 
My son was very happy he did not have to take the peanut dose.

Dateline this morning- Xander still feels sick to his stomach. We requested he take the dose anyway. Of course he threw it up immediately. 
Alexander really dislikes the taste of peanuts and almost gags any time he takes a dose. 
He always managed to ingest the dose successfully in the past; however,this time an already queasy teenager plus the dreaded peanut taste was the perfect combination for a return trip of the peanut dose. 
Stay tuned to find out what happens next....

17 January 2011


The days are ticking down until Alexander eats his 1ST WHOLE PEANUT! 
Last Thursday January 13th Alexander's dose was increased from 250 mg of peanut flour encased in a capsule to 500 mg of peanut flour. If he tolerates this increased dose, Alexander will eat 1 WHOLE PEANUT this Thursday morning!

Hopefully there are only a few days left to take the dose in a capsule which per Alexander is "kind of a pain". Every last bit of peanut flour has to be scraped out of a small capsule into the liquid of your choice. 
 Alexander perfected the method. The peanut flour is mixed into the liquid. He then drinks his smelly "cocktail". Next more liquid is poured into the same glass then stir and drink. 
It's also important to rinse your mouth and swallow to remove all peanut flour from that area. 
Per Xander " it's like using mouthwash and then you swallow it."
See my post "Peanut Allergy Treatment #3 and #4 for information on the peanut flour filled capsules. http://justalittlepeanut.blogspot.com/2010/12/peanut-allergy-treatment-3-and-4.html

The only possible "hitch" (ie-complication) affecting the decision to increase the dose this  Thursday is the runny nose Alexander has developed this week. 
We believe the runny nose is due to the weather change and sitting outdoors in cold weather watching a nighttime soccer game without a warm coat. 
We will have to wait till Thursday to see what Dr. Wasserman advises.

Tonights peanut flour "cocktail"?  
Knudsen's Just Cranberry Juice (very strong flavor) mixed with the peanut flour from the capsule. Alexander pinches his nose to reduce the flavor and makes very unhappy noises as he chokes down the elixir. He chases it with fresh squeezed tangerine juice to DROWN OUT the peanut taste. His dad comments " you'd think he was swallowing ... (I must censor the comment). Suffice to say Xander is not liking the flavor of peanuts!