Food Allergy Support

Discussion Boards => Main Discussion Board => Topic started by: becca on November 05, 2014, 09:38:04 AM

Title: Allergist appointment tomorrow
Post by: becca on November 05, 2014, 09:38:04 AM
I have a cramp in my left hand after filling out all the forms for the visit!  It has been several years, but dd has had chronic environmental allergies for the past 9 months or so.  I need help figuring out what we need to clean up, besides dust.  We plan to request hamster/rodent related tests(bedding and dander).

I suspect the visit will lead to us having to pull out all the wall to wall in our bedrooms, or at least, dd's soon, and putting down hardwood.  Goodbye kitchen reno, lol.  Basement is finished and has wall to wall as well.  I think a laminate would be better.  Maybe a high quality one that looks like wood. 

Anyway, it says it will be a 1.5 hour visit.  Wish us luck.  I do not expect any new news wrt food allergy.  This visit is because dd has this newer EA issue. 
Title: Re: Allergist appointment tomorrow
Post by: PurpleCat on November 05, 2014, 10:16:31 AM
Good Luck!  Hope you get good and clear answers!
Title: Re: Allergist appointment tomorrow
Post by: MaryM on November 05, 2014, 10:25:45 AM
Good luck!  Let us know how it goes.
Title: Re: Allergist appointment tomorrow
Post by: Macabre on November 05, 2014, 11:43:54 AM
I hope it's a helpful appointment!
Title: Re: Allergist appointment tomorrow
Post by: GoingNuts on November 05, 2014, 07:11:27 PM
Good luck!
Title: Re: Allergist appointment tomorrow
Post by: CMdeux on November 05, 2014, 09:29:56 PM
Wow, that is a long appointment.  Good luck!! 
Title: Re: Allergist appointment tomorrow
Post by: hezzier on November 05, 2014, 10:50:19 PM
Good luck tomorrow, let us know how it goes.
Title: Re: Allergist appointment tomorrow
Post by: becca on November 06, 2014, 06:09:24 AM
So, when I had dd go through the detailed list of ranking her symptoms in different environments, she is basically the worst at home, inside our home, and best at school, and by the beach(vacation). 

So, I clearly need to step up my cleaning, but am worried we have a mold issue I may not know about and how will we deal with that?  I also think it has a lot to do with old wall to wall and area rugs we have around.  She does seem better when I have freshly vacuumed and dusted.  However, at 15, I feel like she can pitch in, and especially in her own bedroom, where she insists on keeping a huge hamper full of stiffed animals. 

Anyway, I anticipate being scolded and admonished for having any rugs at all, and allowing her a pet and stuffed animals, etc...  But until 9 months ago, things were good.  I think her allergy cup got full with the awful spring season we had and she has never shaken it. 

She seems better after this course of amoxicillin she just finished, so maybe she was harboring a chronic infection in her sinuses and maybe she needs more treatment for that?  She has not had antihistamines for a week, and seems no worse, slightly better due to the abx treatment. 
Title: Re: Allergist appointment tomorrow
Post by: hezzier on November 06, 2014, 06:26:02 AM
It's one thing to get yelled at because you did not follow doctor's instructions, but you shouldn't get yelled at for having carpet.  We don't have central air and the doc didn't tell us to put it in, she just said don't open his window...they know there is only so much a family can do...sometimes you have to work with what you have...so maybe her room needs cleaning more often.  I know my whole house needs cleaning more often.  We certainly didn't get rid of the carpet in the last house...we happened to luck out with this house and DS got the room without carpet and a window barely opens anyway. 

Will getting the carpet steam cleaned help?

Maybe the doc can convince her to get rid of some stuffed animals.
Title: Re: Allergist appointment tomorrow
Post by: becca on November 06, 2014, 06:48:22 AM
Well, really, after 17 years, the carpeting should go.  Or changed, but if we do that we would get pre-finished HW since it goes in quickly without the fumes.  But, really, we have so much stuff, I am overwhelmed by the idea of clearing out the bedrooms to do this.  In the master bedroom, it would also require emptying the walk in closet.  But, just makes sense to try to do it all, if we do one room.  A friend suggested that some floor people will move things room to room for us, as they do each room, for extra $$.  Anyway, I am getting ahead of myself.  We will see how the appt goes. 
Title: Re: Allergist appointment tomorrow
Post by: becca on November 06, 2014, 03:49:07 PM
Allergist is still a bit of a curmudgeon, lol.  But, he now lauds my feeding dd cooked egg.  He discussed challenging her for scrambled, but we are not motivated to do that.  i doubt we could get her to actually eat a scrambled egg and it would require an appointment in the city prior to the actual challenge.  So, we quickly ended that discussion.  Her skin test was slightly + for that, barely 3mm. 

Dust mite was inconclusive!  But, red, so will do some second level testing for that, and a few others in 2 months. 

What was + was Alder for trees(early trees), grass, sage weed(not the cooking herb), Alternaria mold(found typically in damp leaves in outdoor air),  Cat, and drumroll....HAMSTER.  It was not overwhelmingly + but she had a hive, about 3-4 mm.  That is a positive result. 

Honestly, I am relieved, because I think getting him out of her bedroom will be a big help.  And now I have the doctors orders to make her do so. 

He was really pushing for her to give the flonase another go.  He feels it is the best treatment for her issues, since it is pretty much all sinus/post nasal drip/sore throat.  She hates it. 

Anyone use another steroid nasal spray without that strong fragrance that the flonase has? 
Title: Re: Allergist appointment tomorrow
Post by: YouKnowWho on November 06, 2014, 04:06:10 PM
The OTC nasal spray (Nasalcrom?) doesn't have a strong scent.  I always find it weird that nasal sprays aimed at the allergic folk stink to high heaven.
Title: Re: Allergist appointment tomorrow
Post by: becca on November 06, 2014, 04:10:12 PM
Is that a steroid one?  OTC?  I would give it a go. 

Anyone use air purifiers?  I worry I have an issue with the fireplace, and dampness, that could be connected to the alternaria mold allergy.  I see room sized ones that can be moved around.  Tempted to try one at $199, and move it room to room to control some allergens that might get in.  I could clean up the bricks and place it by the fireplace.  See if things change.  Would probably be good in the basement too. 
Title: Re: Allergist appointment tomorrow
Post by: CMdeux on November 06, 2014, 04:28:25 PM
Nasalcrom is NOT steroidal.  It is a mast cell stabilizer-- but you can use it alongside other meds, too.

Flonase and Nasonex are medically more or less interchangeable, and often people find one better than the other in terms of that nasty smell/taste.

Title: Re: Allergist appointment tomorrow
Post by: PurpleCat on November 06, 2014, 04:40:08 PM
DD uses Naxonex.  I asked her if it has a smell and she said she never noticed one.  She's been using this since she was 4 or 5.

I don't think an air purifier will help with dampness.  We use a dehumidifier in our basement year round.  It makes a huge difference to the dampness in the basement and I am surprised just how much water it can extract.  The basement is warmer (weird huh?) and we no longer have any mold issues in our house.  Another thing we had to do was rework our bathroom exhaust fans.  The contractor did not vent them out of the house properly.  When we did that I upped the size as well and our bathrooms are so much better and no longer have mold issues.

My SIL swears by air purifiers for her allergies however, they do not help her daughter's at all.  She also said even with that, she has to keep their windows closed during many pollen seasons.

Adler is an early one, sometimes if we have a warm winter it pops up in very early March.

As for the fireplace, consider what you burn.  DD can not be in a house with a real wood burning fireplace for more than an hour.  We don't use ours. 

One of my brothers had a pellet stove and his DD's (same child as above) allergies were awful in the winter.  When my DD was there she was miserable.  I finally talked to him and they shut if off for 2 weeks.  Next thing I knew it was pulled out of their house and replaced with a gas fireplace.  He said there was no way of knowing what kind of wood was in the pellets so he did not know what he was burning.
Title: Re: Allergist appointment tomorrow
Post by: Janelle205 on November 06, 2014, 05:07:17 PM
I'm weird and prefer flonase and hate nasonex, so maybe she would feel the other way. 

We have a small air purifier in our bedroom.  It might help some but daily vacuuming (roomba with the allergen filter) has helped WAY more.
Title: Re: Allergist appointment tomorrow
Post by: becca on November 06, 2014, 05:47:05 PM
we never use the fireplace.  I stopped when the kids were little and we have never gone back to using it.  It sits there and gets damp with heavy rains and lime leaches onto the bricks from the water.  but, maybe there is mold in that?  That is my concern.  I was more thinking of using the air purifier in the family room to help if there had bene a mold issue in there.  spores in the air.  I really want to get a gas insert. 

I know we somewhat near one another, PC.  If your brother is around here, maybe you can PM me with where they got that, or who converted it?  I know we had neighbors email the association looking for someone to do this, and there were no recommendations.  That email went to 51 of us! 

I just googled the white stuff on my bricks and it is "efflorescence."  Salt deposits from moisture.  We have tried several times to remedy the water issue, and it never has been resolved.  It gets damp in heavy rains, but not dripping or puddles.  Some dampness with melting snow around the roof by the chimney.  There is more wetness on the garage side of things, but it dries up in dry weather.  Anyway, where there is water there can be mold.  so I figure there could be some mold in the damp bricks, even if we do not see it.  Maybe we should try re-sealing things.  Sounds like Mookie solved her issue after 3 tries. 

Anyway, the mold dd is allergic to is outside all the time, in much greater concentrations whenever there is not snow cover, basically.  It typically gets inside via open windows.  So, I may be off track anyway with the mold, but I just have a feeling that chimney bothers us.  I get itchy eyes myself. 
Title: Re: Allergist appointment tomorrow
Post by: becca on November 06, 2014, 05:48:05 PM
Janelle, I could certainly vacuum more.  It kills my back, so I do not do it as often as we should.  Maybe we should get a roomba. 
Title: Re: Allergist appointment tomorrow
Post by: GingerPye on November 06, 2014, 06:39:37 PM
I use Nasonex and there is no smell to it. 

I think the roomba vacuum sounds like the way to go. 

can you have your fireplace sealed off?  completely closed off?  And maybe that won't solve the problem. 

We never open our windows; we have an air purifier in the living room, and we use a dehumidifier in the summer.  We should get rid of our carpeting and we should have more air purifiers, I think.  Maybe one in each bedroom in addition to the living area.

It's good that you found out about the hamster.  That could be a big part of it.
Title: Re: Allergist appointment tomorrow
Post by: becca on November 06, 2014, 06:53:22 PM
Dust was not +.  But It has been in the past. 

So, all we really know about for sure, inside, *is* the hamster.  We do not *know* we have mold inside.  But, we do open windows, though not now, due to cold.  I do think dust mites will be + on second level testing.  I think he wanted to recheck the dust, feathers and some others that way. 

PFT was fine, only improved 4% with albuterol. 
Title: Re: Allergist appointment tomorrow
Post by: hezzier on November 06, 2014, 09:12:10 PM
I can't remember is she on a daily antihistamine? 

Ok, dumb question since DS has only recently tested positive for leaf mold...isn't the mold due to moisture a different strain than leaf mold?Just wondering if the fireplace situation is really contributing?

Well, at least you know the hamster is part of the problem and can get him out of her room.
Title: Re: Allergist appointment tomorrow
Post by: becca on November 07, 2014, 05:35:38 AM
Alternaria mold, while commonly found in decaying vegetation outdoors, such as leaves, does get into homes, via doors and windows, and winds whip it around on dry days, when spores are actually very active, from what I can read.  It can come into homes on vegetables and fruits as well. 

I know I see mold in my bathroom, which I clean away.  But it grows unger where we hang our towels(damp) and I have to clean a spot there regularly, and the window moldings, where condensation collects.  I clean that regularly.  I do not see this in her bedroom or bathroom, or the 1/2 bath downstairs.  I think dh and my bathroom get heavier use so we have more moisture in there. 

I do not know at all if  have a problem with mold in the house, but just trying to guess what I could work on, given our results.  I do know we have a chronically damp chimney.

GP, the bricks on the chimney are porous.  There is not a single leak or spot, but they absorb water and it leaches out.  We have an oversized cap on it, but closing it off(not even sure how one does that) would not work for moisture, because it is still there and would still get wet.  While we have had flashing checked and roofing repairs around the chimney(a waste because it solved nothing maybe made it worse) the flashing always checks out.  But, it does seem to me there is some leak or failure where the roof meets the chimney.  Eventually, I bet that we have some major failure and need to remove it and rebuild or remove it and just vent the furnace and do a gas insert.  But presently, the furnace vents via the chimney.  It is on our list to call a chimney sweep to clean and reseal and inspect.  But my cousin, who is a mason, had nothing to offer me, and he is supposed to be pretty good.  He was honest, and pessimistic, based on the choice of bricks the builder used.  The particular brick is very porous.  I have seen the problem on other chimneys in the development.  Grrrr.  But, again, I have no proof that the chimney or dampness there is the cause of dd's problems. 

I do have proof that the hamster is a problem.  I would say, I also have proof, based on her symptoms, that dust is an issue, even if the testing was not an obvious +.  She feels better when I clean her room really well, and the same for the rest of the house.

I talked to dh about maybe getting a roomba, just to save my back, and I can do the heavy job once a week.  Either that or try an air purifier.  There is a size that can move easily room to room, so we could rotate it around the house day to day and dd could use it at night in her room.  Mulling it over.  Roomba is expensive and we have central vac, so our vacuum is vented outside and the cannister is in the garage.  when we vacuum, it all leaves the house, no air blows back in at all. 

He encouraged dd to use the flonase, or something, but she still would not do it last night.  I asked her if I got her one that does not smell, would she use it.  She shook her head.  Argh!
Title: Re: Allergist appointment tomorrow
Post by: becca on November 07, 2014, 05:39:04 AM
Oh, and he endorsed Allegra over other meds due to less side effects.  But he really pushed the nasal spray.  Suggested having her use saline regularly as a cheap and harmless way to get her used to the sensation.  She is a real nudge about unpleasant sensory experiences. 
Title: Re: Allergist appointment tomorrow
Post by: PurpleCat on November 07, 2014, 07:57:05 AM
Oh I know that one.  DD (and the boys, but they don't care) use saline spray and she hates to use it.  She says she knows how much better she will feel after but hates the feeling.  I have her do this just before she brushes her teeth at night.  Then when she goes to bed, her nose is rinsed of pollen. 

When she was young, I had to monitor her Nasonex until it became a habit because her preference was to skip it.  Our allergist was the same, a daily medication won't work as effectively as also using Nasonex every day.

My brother lives in a different state.  He does not have natural gas so he opted to have a propane tank installed in their backyard that fuels the gas fireplace which was some kind of insert into the existing space.

Allergra is DD's first choice.  Alavert is her second choice.

Becca, I don't know how you can eliminate mold in the fall.  It comes in the house on everything! 

If your DH is a leaf raker, watch your laundry.  I have to be careful when my DH mows the lawn and then does his laundry.  No kids towels or kids clothes can follow that batch.  Also he had a bad habit of not changing his clothes and coming into the living spaces.  Now he is "trained", in the basement he changes into sweats and leaves his pollen enriched laundry down there!

Our allergist had a good suggestion for me way back when.  She suggested one change to the house at a time until my DD had a good quality of life.  By doing so, there are things I thought we had to do that were not necessary.  For example, I never had the carpets pulled. 

It's all a big puzzle that takes awhile to figure out...and then they grow up and possibly go live in a dorm and who knows....it starts all over again!  Although for us, I am hopeful that the allergy shots we just started will put DD into a position where she can better tolerate allergens and be less sensitive to her surroundings.  Who knows though, we are at the beginning of the process and it works for some and not for others.
Title: Re: Allergist appointment tomorrow
Post by: Macabre on November 07, 2014, 08:40:21 AM
I use Omnaris bit is not a steroid. I've used Nasonex in the past with great results.
Title: Re: Allergist appointment tomorrow
Post by: GingerPye on November 07, 2014, 09:00:29 AM
I looked at my nasal spray last night.  Nasacort, not Nasonex.  Ooops.  I think it is similar.  No smell.

I have been using Allegra for a few months now after trying Claritin and Zyrtec.  It seems to work for me without the groggy feeling I get with the other two.