Summary

Food allergies occur when the body’s immune system mistakenly reacts to harmless proteins in food as though they are harmful. Common allergens include peanuts, tree nuts, milk, eggs, fish, shellfish, wheat, and soya. Most allergic reactions occur within 20 minutes of eating, and nearly always within two hours.

Symptoms can range from mild reactions like itching and skin rashes to severe symptoms such as difficulty breathing, swelling, and even life-threatening anaphylaxis. Anaphylaxis requires immediate treatment with epinephrine (adrenaline) to prevent serious complications. For less severe reactions, treatment may include removing the allergen and using antihistamines.

Diagnosis and When to Seek Help

If your child experiences any of the following symptoms after eating certain foods, seek medical attention:

  • Itching or skin rashes
  • Swelling of the lips, face, or throat
  • Breathing difficulties (wheezing, shortness of breath)
  • Dizziness or fainting

Abdominal pain, vomiting, or diarrhea
If anaphylaxis (severe allergic reaction) occurs, immediate injection of epinephrine and urgent medical care are required.

Management

Managing food allergies involves a combination of prevention, emergency preparedness, and long-term management:

  • Avoidance of the triggering food is the primary preventive measure.
  • Epinephrine (adrenaline) auto-injectors should be kept at all times, and the child should be taught how to use it correctly.
  • Emergency plan: Parents should ensure their child has access to medical identification jewellery and is well-prepared to recognize and react to symptoms of an allergic reaction.
  • Other treatments: For less severe reactions, antihistamines may help alleviate symptoms.

Follow-Up and Monitoring

Regular follow-up visits with an allergist are essential to monitor the allergy and adjust the treatment plan if necessary. Parents should continue to be vigilant about potential exposures to allergens and ensure their child understands how to avoid triggers and use the epinephrine auto-injector.

Food allergies can be life-threatening, so a comprehensive approach to management—including prevention, preparation, and quick response—is critical for keeping your child safe.

History and Exam

Key diagnostic factors

  • Presence of risk factors
  • Milk, egg, nut, fish, shellfish, wheat, or soya ingestion
  • Reproducible symptoms
  • Flushing, urticaria, or angio-oedema of the skin

Other diagnostic factors

  • Tachycardia or bradycardia
  • Reaction exacerbated by exercise or exertion
  • Alcohol or medication ingestion before reaction
  • Cardiac arrhythmia

Risk factors

  • Family history of food allergy
  • Atopic dermatitis
  • Newborn
  • Perinatal peanut oil exposure

Diagnostic Investigations

1st investigations to order

  • In vitro IgE-specific immunoassay
  • Skin prick testin

Investigations to consider

  • Food challenges
  • Component-resolved diagnostics

Emerging tests

  • Atopy patch testin

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      Social and emotional functioning refers to a child’s ability to understand, express, and manage their emotions, as well as to interact effectively with others. These skills are fundamental for building positive relationships, developing empathy, and coping with the everyday challenges of growing up.

      Children who experience difficulties in social and emotional functioning may struggle with recognizing their own feelings or those of others, regulating emotional responses, or responding appropriately in social situations. This can lead to challenges such as anxiety, low self-esteem, difficulty making friends, or misunderstandings with peers and adults.

      In the school environment, social and emotional difficulties can impact a child’s engagement, cooperation, and overall learning experience. Emotional distress may manifest as withdrawal, irritability, or disruptive behaviour, which can further affect academic progress and peer relationships.

      Assessment of social and emotional functioning as part of a neuropsychological evaluation typically includes behavioural observations, standardized rating scales, and information gathered from parents, teachers, and sometimes the child. This comprehensive approach helps identify strengths and areas for support in emotional regulation, social skills, and adaptive behaviours.

      Understanding a child’s social-emotional profile allows for the development of tailored strategies to enhance emotional wellbeing, build resilience, and improve social communication. Early intervention and supportive environments can empower children to navigate their emotions more effectively, fostering confidence and meaningful connections. 

      At Offspring Health, we aim to provide transparent information about the costs involved in neurodevelopmental and educational assessments.

      Neuropsychological assessments typically involve multiple sessions that usually take between 8 and 16 hours in total, depending on the complexity and individual needs. Our hourly rate is $260, so the total cost typically ranges between $2,300 and $4,230.

      Fees generally cover:

      • Initial consultation and history gathering
      • Testing sessions where your child will complete various fun and interactive tasks
      • Liaison with schools or health professionals as needed
      • Comprehensive case analysis and report preparation
      • Feedback sessions with families and, where applicable, educators or other professionals

      Please note that standard neuropsychological assessments are generally not covered by Medicare. However, some assessments and therapy services may be funded through the National Disability Insurance Scheme (NDIS) for eligible participants. We recommend discussing funding options with your NDIS planner or support coordinator prior to booking. Private health insurance may offer partial rebates depending on your level of coverage.

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