Why aren’t we afraid of asthma?

I have been following the buzz in the food allergy online support groups for a while now. It seems many of the parents in these groups live in fear of an allergen being encountered casually and thus causing anaphylaxis and death.  Yet many don’t think of the more common killer. Asthma.

 

Asthma is a chronic lung condition. Triggers of asthma can be the following:

Environmental triggers, such as dust, mold, pollen

Weather: weather changes, cold weather. High ozone

Pets, odors, viral infections and exercise induced asthma.  

 

According to the CDC, Asthma affects 18.7 million adults and 6.8 million children in the United States; it’s responsible for 1.8 million ER visits, and 439,000 hospital admissions and 3,630 deaths in 2013. Interestingly enough, a comprehensive study into anaphylaxis was done in 2014 (Comprehensive study of allergic deaths in the U.S.) It found that medications like antibiotics etc, are the main culprit of anaphylaxis.  The study found that over a 10 year period there were 2,458 deaths due to anaphylaxis. Of the deaths, they found that the majority of deaths were due to medication (58.8%) followed by unspecified anaphylaxis (19.3%), followed by venom due to insect bites with 15.2%; and food (6.75%).  

Asthma kills more in one year then anaphylaxis does in 10! Yet asthma is not treated with the same fear as peanut allergy or any food allergy. Why is that?  Yes both can kill, but uncontrolled asthma is much more of a risk. Parents worry about someone bringing in a peanut butter sandwich into the cafeteria but not asthma. Did you know having asthma puts you at higher risk for having a severe reaction, especially when the asthma is not kept under control? Why is it that we have deep heated discussions about food allergies, yet asthma is hardly mentioned? Nobody is posting every death article about someone who has died from an asthma attack, but for every death from a food allergy, it’s all over the place! Asthma needs to be taken as seriously as food allergies. If you fear food allergies, then fear asthma also.

It is also next to impossible to eliminate all asthma triggers; mold, viruses, and dust, weather changes to some extent are all beyond our control.The common cold can put some asthmatics in the hospital. This is why it is so vital to use controller medication even when no symptoms are present. Even if you haven’t had an attack in years, something can cause an attack. There is no such thing as outgrowing asthma. Can it get milder? Yes! But once you have sensitive airways, you’re always at risk for an attack.

It’s vital that one stays on all medications prescribed for their asthma and follow their asthma action plan. It’s also important that if you notice you are using your rescue inhaler more often, then you should contact you doctor. Frequent use of rescue inhalers can indicate poor control of asthma.

It is time that food allergy parents realize that asthma poses a threat, and to start taking it more seriously. Asthma is a major contributing factor in fatal anaphylaxis deaths. All people with asthma with or without food allergies should have an action plan and be followed by a doctor.

http://www.einstein.yu.edu/news/releases/1043/comprehensive-study-of-allergic-deaths-in-u-s–finds-medications-are-main-culprit/

http://www.cdc.gov/nchs/fastats/asthma.htm

 

Everything The Mom of a Dairy Allergy Kid Is Sick Of Saying.

I am the mom of two boys, both have anaphylaxis to dairy.  I too am allergic to dairy although less severe.   I often find myself feeling that having a dairy allergy is much harder to live with than having a peanut/tree nut allergy.    This is not intended to start a debate about which food allergy is worst, they are all difficult to live with and present many challenges.  In this post I am just presenting some of the unique aspects of living with a dairy allergy that people maybe don’t think about.

1)      Milk and dairy are in many more items than most people realize.  It can be in anything and everything.  Of course pizza, cake, cookies, breads, sauces to begin with.  Then we get to the next category of items, which is everything cooked with butter.  When eating out, it is shocking to learn how many items are cooked in butter.  Examples we often see include “plain pasta”, “steamed vegetables”, and “plain rice”.  All cooked with butter we find out when asked.   Luckily we have solved many of these issues by mostly eating at kosher meat restaurants.  In these restaurants, no milk or dairy is allowed, so that makes life easier.  These kosher restaurants have also done amazing things with non-dairy desserts.   Many pizza places are now offering Vegan options and with the invention of Daiya cheese, it tastes and looks so much better! That being said, cross contamination is still huge issue.  I tell them dairy allergy and I tell them to wipe counter and either don’t cut pie at all or some have a knife just for the Vegan pie.  However, most often, it’s me making my own pizza pies at home.

2)      I HAVE A DAIRY ALLERGY! NO, IT’S NOT LACTOSE INTOLERANCE!  I really hate having to state that! 99% of people who hear my boys have a dairy allergy respond with,” oh they have lactose intolerance, take Lactaid and all will be good.”   I then have to respond with “NO… we are allergic to the protein in milk, and the reaction can be the same as it is for someone with a peanut allergy”. (I have to use that reference because that is the only allergy people seem to equate with anaphylaxis) I then have to further explain lactose intolerance is just the body not tolerating lactose, the milk sugar, and has nothing to do with dairy allergies.  Two very different things.  Most people don’t say much after that the “Oh… I never knew dairy could be deadly or as allergic as peanuts.”

3)      BANS! Peanut bans.   Sorry to say it, but peanut bans anger me.  Yes, I am a fellow food allergy mom.  I get it.  My youngest was allergic to soy, wheat, eggs, peanuts, tree nuts, dairy, beef, all legumes and sesame.  He has outgrown a few of them.   Among those he has outgrown are peanuts, almonds, and wheat.  Yes, I have seen the scary reactions that require the use of an Epi pen, and hospitalization due to cross contact.  That said, I still do not support food bans.  Why should one allergen be considered to be more risky then another?  My kids are just as allergic to dairy and anyone else is to nuts.  Somehow, a mother of a child with a nut allergy can demand a ban of all things that contain, or may contain nuts, yet I can’t walk in to a school and say no MILK with lunch! No pizza! No Mac and cheese, no Cheese sandwiches.  We can’t take the position of banning a food allergen one type of allergy.  The top doctors in the field of food allergies do not even agree that peanut bans are good policy. http://www.huffingtonpost.com/sz-berg/food-allergies-an-intervi_b_1945753.html

4)      Every social event seems to involve pizza and/or cake.   Each birthday party is about me supplying my kids with their own food.  Each week seems to bring another example of my kids being left out of some kind of school prize.  E.g., “Pizza party for the class that has the best attendance!”.  It’s always a pizza or ice cream party and never, ever is it considered that perhaps one of the kids cannot participate.

Living with a dairy allergy requires adapting, just like any other food allergy.  What makes it especially difficult is the lack of attention and seriousness the dairy allergy gets and how much people don’t understand it.  It’s a serious medical condition.  It’s life threatening and dairy is everywhere, probably more prevalent then you realize.  I hope that if you didn’t understand it before you read this,  maybe it’s something to think about.  If you have questions feel free to ask me.