Childhood Diseases

Posted by: Candice | 2011/11/22


Possible nut allergy

Hi Dr

My almost 3 year old son was having trouble breathing and it sounded a whole lot like croup, and the gp that was on call at the emergency room said it was croup. however, he had not been sick at all - no couching or anything. When i realised that he was struggling to breath i gave him an asthma pump (he had previously been diagnosed with asthma, then another Dr said it cant be asthma - so i still had the pump) and they neublized him at the emergency room. the pump actually seemed to help as he was almost better within the 15 min it took to the hospital.
We had been to a party that afternoon where i know my son ate far too many chocolates. I am concerned that it is a nut allergy or something similar (but perhaps more an intollerance?)

i have been very concerned about chocolate and my son before when he was younger and he only recently started eating choc. i am convinced that he could breath as a direct result of eating the chocolates - but he seems fine if he eats like 1, and he is also fine when he eats peanut butter (but i know that a legume and not a nut)

Do you think that it could be a nut allergy?
(he has had a skin allergy test, but not tested for tree nuts)

thank you

Expert's Reply



You have given a very good description of your son's problem. His symptoms could definitely be due to a nut allergy especially an allergy to a tree nut and in particular to hazel nuts.You have to be sure about his diagnosis as he may need to have emergency treatment with him at all times. It would be best to take him to be seen by a paediatric allergist.There are experts in all the main centres in SA.This should be done as soon as possible.

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Posted by: candice | 2011/11/22

ps - i have another question regarding the above

the Dr prescribed antibiotics for " croup"  but as far as i know croup is viral and antibiotics only work on bacteria?
am i correct??
He also precribed ponstan (son had no fever) prelone (no problem with that) and anithistimine (allergex) and the antibiotic (augmentin)

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