Please bring the food to be tested and other snacks for yourself and your child. Please be on time for your appointment. A delay in starting will delay your departure in the afternoon.
Your child's doctor will examine her, particularly her breathing and skin condition. If we do not feel that your child is well enough to safely participate in the challenge, we will reschedule the challenge.
A small amount of the food will be given to your child. Approximately every 20 minutes, an increasing amount of the food will be given. If your child has a reaction, the challenge is stopped and your child is considered allergic to that food. If your child can tolerate a full serving of the food, the challenge is stopped and your child is considered not allergic to that food.
Your child needs to be observed for any late-phase reaction for about two and a half hours after the last dose of food. You can expect to be here from 8 a.m. until approximately 2 p.m. to 3 p.m. Children who experience a significant reaction may be observed for up to four hours or more. If necessary, symptoms occurring during the challenge will be treated in the clinic area. In an emergency, your child can be taken to the Hospital's Emergency Department.
If you have any questions or concerns about the food challenge, please call us at 215-590-2549.
Your child's usual daily maintenance medicines, e.g., ADVAIR, FLOVENT, SINGULAIR and nasal sprays.
Please call us
Your child may not have anything to eat from midnight the night before the test until the test begins. That means no breakfast the morning of the test. During this time, you may give your child clear liquids only. If your child is breastfeeding, you may continue to breastfeed your child.
You may be required to bring another food that is not listed above. Our office will call with instructions prior to the challenge visit.
Please bring lunch for you and your child. He/she may be permitted to eat lunch/snacks approximately one hour after the last dose of food is given.
You and your child will be here for several hours. Favorite toys, books, etc., will help you and your child stay occupied.
For you and your child in case of vomiting.
Reviewed by: Paulette Taylor, RN, CPN, AE-C
Date: October 2008