Allergy Clinic Pretoria – Many children and adults suffer from allergies without knowing the reason behind the symptoms.

You may suspect that your child has an allergy but perhaps do not know what to do about it. Guidance on avoidance, appropriate treatment and where possible, desensitization can relieve symptoms and significantly improve the quality of life of the allergy sufferer and his/her family.

An allergic reaction occurs when the immune system reacts to a substance that is normally considered to be safe, for example animal dander, pollen and certain foods such as wheat, milk or eggs. Such a reaction can cause:

  • Runny, itchy or stuffed nose
  • Wheezing, coughing, trouble breathing
  • Skin rash, eczema, hives
  • Swollen lips, tongue, face
  • Nausea, vomiting

MEDAHEAD ALLERGY CENTRE provides a comprehensive allergy evaluation. We use scientifically proven diagnostic tests to determine if you or your child have allergies and which allergens are responsible for the allergy.

Should you like to know whether you or your child have allergies or if you need more information on how to manage your allergies, contact Dr. Carien Murray at the MEDAHEAD ALLERGY CENTRE.

 

Allergy Clinic Pretoria – Dr. Carien Murray

Allergy Clinic Pretoria - Dr. Carien Murray


MBChB, MPharmMed, MScSportsMed, Dip Allergology

ADDRESS : 21 WATTLE CRES, THE WILLOWS
PHONE : 012 816 8210
EMAIL : reception@medahead.co.za


Allergy Clinic Pretoria – Garsfontein Clinic – Baby Wellness

012 998 7023

Prevention of allergies and introduction of solids

Allergy Clinic Pretoria

“The incidence of allergy is increasing rapidly. This is probably due to a combination of factors, of which increasing environmental pollution, the urbanisation of previously rural communities; cigarette smoking in the home and artificial feeding methods in infancy is important causes.”

According to new research (ESPGHAN), delaying the feeding of solids and eliminating certain foods, have no allergy preventative effect on babies and children.

Breast feeding has a protective effect on high-risk babies and may delay the development of allergies.

On the other hand, The World health organisation (WHO) recommends exclusive breastfeeding for 6 months.

Allergy Clinic Pretoria – Prevention of the Allergic proses

Allergy Clinic Pretoria – In the past, doctors recommended lengthy delays in introducing certain food to high risk babies. However, recent research has shown that delaying the introduction of allergic foods may actually increase the risk of developing severe food allergies.

Allergenic foods (dairy, soya, wheat, egg, nuts and fish) should be introduced between 17 – 26 weeks.

Exclusive breastfeeding, or hypo allergenic formula is recommended before 4-6 months.

“Gut sampling” with gluten and wheat, is recommended before 6 months (very small amount 1x or 2x per week) Grains are difficult to digest due to shortage of enzyme AMYLAZE. Undigested food can lead to damage of the delicate intestinal lining. If damage occurs, extra mucus is produced for protection, fussiness, bloating, gas and foul smelling stools.

Allergy Clinic Pretoria – List of potential allergy-producing foods

Vegetables:      Tomato, Carrot, Potato, Garlic, Onion, Peas.

Fruit:                Oranges, Strawberries, Apples. (Bananas cause phlegm!!)

Nuts:                Peanuts, Hazelnuts, Brazil nuts.

Cereal:             Wheat, Rye, Barley, Oats, Maize/corn, Rice Buckwheat.

Meat:                Beef.

Dairy:               Milk, Cheese, Butter.

Egg:                 Egg white.

Sundry:             Sesame seed, soybean, Yeast, Coconut, White bean.

Fish:                 Crab, Shrimp, Blue mussels, Tuna, Salmon.

These foods should be carefully introduce with skin test first, then small amount to be repeated after 4 days.

“The intestine of the infant during the first 4 – 6 months of his life is very porous.  This means that foreign proteins in allergy producing foods are easily absorbed from the intestine into the blood. This allowed the early process of allergy to begin.

Ideally, depending on your baby’s weight and physical milestones, solids should be introduced between 17 – 26 weeks. Baby should be weighed very regular at your clinic with a step-wise and gradual introduction solid foods.

Whatever else, your baby should not be allowed to be hungry or starve!

Allergy Clinic Pretoria – INTRODUCTION OF SOLIDS

– Snacks can spoil your baby’s appetite for important antibody building foods, and can make her overweight.

– Start with a small amount, 1 tsp (5 gr) at a time and build up gradually, (2-3 baby tsp full.).

– Only one new food 4 – 7 days to determine reactions.

– Start with new food in the morning (in case the foods cause cramping).

– No added salt, sugars or fat, oil or butter.

– Organic food is always better!  No chemicals, – insecticides and better nutrition.

– Read labels – no preservatives, colourings.

– Milk before solids for the first 9 months.

– Introduce proteins after 9 months. Too high concentration protein at a too young age, can place a strain on the kidneys and can also lead to adult obesity.

– Grains are difficult to digest.

– Start with pureed food, but the consistency should gradually become coarser. Change textures age appropriately.

6-8 Months

Milk feeds stays 1000ml/24hours, breast feeding stays the same. Milk feeds during night on demand. If solids agree with the baby, change formula milk over to nr. 2 for more than 6 months. Breast milk babies must start with iron supplementation.

 

 

Week

 

6:00

 

8:00

 

10:00

 

12:00

 

14:00

 

16:30

 

18:00

 

1

 

Milk

 

1 tsp sweet potato

 

Milk/Sleep

 

 

 

Milk/Sleep

 

 

 

Bath/Milk/Sleep

 

2

 

Milk

 

1 tsp Pear

 

Milk/Sleep

 

 

 

Milk/Sleep

 

1 tsp Sweet potato

 

Bath/Milk/Sleep

 

3

 

Milk

 

1 tsp Butternut

 

Milk/Sleep

 

1 tsp Pear

 

Milk/Sleep

 

1 tsp Sweet potato

 

Bath/Milk/Sleep

 

4

 

Milk

 

2 tsp Butternut

 

Milk/Sleep

 

2 tsp Pear

 

Milk/Sleep

 

2 tsp Sweet potato

 

Bath/Milk/Sleep

 

5

 

Milk

 

3 tsp Pawpaw

 

Milk/Sleep

 

3 tsp Butternut

 

Milk/Sleep

 

3 tsp Sweet potato

 

Bath/Milk/Sleep

 

6

 

Milk

 

4 tsp Pumpkin

 

Milk/Sleep

 

4 tsp Pawpaw

 

Milk/Sleep

 

4 tsp Sweet potato

 

Bath/Milk/Sleep

 

7

 

Now, if there are no allergic reactions or signs of poor digestion, the appetite can lead (± one teaspoon per month of age.)

 

New foods to try

Avocado pear, all the pumpkins, baby marrow (peeled), beetroot, peaches, prunes, dates, guava, mango, litchi and kiwi. Start to make nice combinations with the food, try new food every 4 days.

After 8-9 months

Fresh spinach, green beans, broccoli and cauliflower (introduce with care for it can cause wind.)

Give dark green vegetables with midday meal. Start to mash food with fork.

After 9 months

Reduce milk feeds to 800 ml/24 hours; try to cut out night feeds (also with breast feeding).

If baby wakes up, offer a sip of water from a cup. (try to stop” suck – sleep” connection)

Add protein to diet.

Coarser foods and different textures.

Baby must try finger foods.

Chicken, lamb, egg (if not sensitive to egg), Yoghurt and white cheese (if not sensitive to dairy).

Plant proteins like soya mince, lentils, chickpeas, pulses and beans, soya yoghurt (Woolworths).

Holle teething biscuits and Holle or Olle, Hipp organic porridges.

After 1 year

Reduce milk feeds to 600 ml/24 hours.

Add seeds to diet for added nutrition.

Baby will now be on a full diet with family foods.

Still try to prevent chemicals in the food e.g. colouring, preservatives and flavoring.

Limit sugars as it will suppress the immunity.

Enjoy this new stage in your child’s life.  Allergy Clinic Pretoria – A battle over food is a waste of time, energy and emotion. Make mealtimes a positive experience.

Wikipedia

What are allergy tests?

Allergy skin tests are conducted for the purpose of detecting allergic reactions. Some tests can be done to detect allergic reactions immediately, while others test for delayed allergic reactions.

Source: drleslienteta.co.za

FAQ

What Can We Do for You?

If you’re struggling with allergies, give us a call or read further to find out how we can help you!

What is the Allergy Clinic?

Our clinic, which relocated from Rosebank to Blairgowrie in Johannesburg in 2019, specialises in offering a comprehensive allergy diagnostic and treatment service in adults and children.

What is Taryn’s background?

BDietetics (Pret) Taryn graduated from the University of Pretoria with a Bachelors in Dietetics.

What was your role?

She completed her Community Service at Rahima Moosa Mother and Child Hospital, where she stayed on as a permanent Clinical Dietitian.

What courses have you completed?

Having a desire to keep up to date with the most recent evidence-based nutrition, Taryn completed other courses in the fields of: – Irritable Bowel Syndrome (EatFit Low FODMAP accredited) – Nutrigenomics and Nutrigenetics (3×4 accredited) – Weight Management (CDE Optifast accredited).

What are the benefits of using her services?

This course has prepared her to provide the most up-to-date evidence based care to patients.

What are your qualifications?

MBChB (Pret), Diploma in Allergy (SA), Certificate in Allergies (Southampton) Dr Marinda McDonald has offered specialised treatments for allergies for most of her professional career.

What do you like most about your job?

And she finds great joy in seeing how the right treatment can change the lives of her patients and their families!

What are the risks of immunotherapy?

While the idea of being exposed to a dangerous allergen might be daunting, you can rest assured that immunotherapy is a carefully monitored and controlled process, and we evaluate our patients on an ongoing basis.

What are the symptoms of AERD?

Exposure to aspirin usually results in upper respiratory symptoms (increased nasal congestion, frontal headache or sinus pain, and sneezing) as well as lower respiratory symptoms (a cough, wheezing, chest tightness).

What are the symptoms of allergic asthma?

IgE-mediated reactions typically appear within two hours of ingestion or exposure to an allergen, and can manifest through the following symptoms: Shortness of breath Wheezing Urticaria or skin rashes Swelling of the lip and face Throat closing, change of voice Diarrhoeia or vomiting These symptoms can be caused by food allergies, medication allergies or insect sting allergies, and if in isolation, shortness of breath and wheezing can be a sign of allergic asthma.

What is Chronic Spontaneous Urticaria?

If urticaria (also known as as wheels or hives) appear on your body for more than six weeks, it can be a sign of a condition named chronic spontaneous urticaria.

What services are offered at the clinic?

The clinic runs a two day per week Allergy service, a full-time in-patient service and a monthly PID clinic.

What are the tests you can do?

Pulmonary functions (spirometry, challenge testing), exhaled nitric oxide, skin prick testing (aero-allergens, food allergens and drug allergens), PID testing (including genetic testing).

What is the difference between a National Health Laboratory Service (NHLS) and Ampath Private laboratory?

Ampath private laboratory provides both basic and advanced laboratory services for the diagnosis of allergy and primary immunodeficiency.

What is the new service?

Over the last 4 years the clinic has joined forces with three clinical immunologists to broaden the profile of the clinic to promote clinical care, advocacy and research and teaching in the domain of Primary Immunodeficiencies.

What are the main benefits of this programme?

This service is the only service offered in the north of South Africa and has been a major programme for the population as well as creating a new profile of academic achievements.

What are the support services offered by Dieticians?

Dietician Physiotherapy ENT support Dermatology support Ophthalmology support Cardiothoracic support

What are the different feeding schedules?

Milk feeds during night on demand.

What are the risks of introducing allergic foods to babies?

However, recent research has shown that delaying the introduction of allergic foods may actually increase the risk of developing severe food allergies.

What vegetables should I eat?

Fresh spinach, green beans, broccoli and cauliflower (introduce with care for it can cause wind.) Give dark green vegetables with midday meal.

What are the best ways to help baby sleep?

Coarser foods and different textures.

What foods are good for teething?

Holle teething biscuits and Holle or Olle, Hipp organic porridges.

What are the early signs of allergy?

This means that foreign proteins in allergy producing foods are easily absorbed from the intestine into the blood.

What should I do if my baby is hungry?

Whatever else, your baby should not be allowed to be hungry or starve!

What is the Allergy Test?

During this test, a small amount of an allergen is injected into the skin.

What is an allergy skin test?

Allergy skin tests are conducted for the purpose of detecting allergic reactions.

What is a patch test?

Allergens are applied to special patches, which are then applied to the skin.

What is an allergy test?

If you have had a skin prick or skin injection test, you will know the result of your allergy test during your consultation.

Statistics

  • At the Allergy Clinic 80% of our referrals are for suspected food allergies.
  • To complicate issues, the tests we have available are often not 100% specific.
  • The antibody called Immunoglobulin E (IgE) accounts for 90% of True Food Allergic reactions.
  • It is an inherited trait and affects up to 10% of the population, beginning in teenage years and gets worse with advancing age.
  • There is an HLA genetic blood test HLA DQ2/DQ8, but about 30% of the general population carry this gene, so it is not specific to CD.
  • The common offending foods in children that account for 90% of childhood food allergies are Cows milk protein, Hen’s egg white, Wheat, Peanuts, Cod fish and Soya bean.
  • Up to 7% of children suffer with true food allergy, while only about 2% of adults have true IgE mediated food allergy.
    • If you and your GP still have concerns, the COVID-19 vaccine can be administered in a medical facility with a test dose of 10% followed after 30 minutes observation with the other 90% dose. (allergyclinic.co.za)
  • While about 20 per cent of the population likes to believe it has food allergies, up to half of these people do not have medically diagnosed food allergies. (allergydoc.co.za)

Realted Sources

Children’s Chest and Allergy Clinic, University of Pretoria and Steve Biko Academic Hospital, Pretoria, South Africa The Children’s Chest and Allergy Clinic was initiated in September 2005 when the current director, Professor Robin J Green, joined the university. At that time South Africa had recently initiated a Diploma in Allergology through the College of Medicine of South Africa and Professor Green was one of the early awardees of this degree. Children’s Chest and Allergy Clinic, University of Pretoria and Steve Biko Academic Hospital, Pretoria, South Africa The Children’s Chest and Allergy Clinic was initiated in September 2005 when the current director, Professor Robin J Green, joined the university. The clinic has seen significant advances in patient care (and patient numbers), staffing numbers, publication outputs, collaborations with associated departments in the hospital, and most importantly the number of trainees who have passed the Diploma in Allergology and gone on to develop allergy clinics throughout South Africa to promote the better practice of Allergology in the country. The clinic has the following associated services: Dietician Physiotherapy ENT support Dermatology support Ophthalmology support Cardiothoracic support The NHLS (National Health Laboratory Service) provides basic allergy and immunology testing services for allergy and primary immunodeficiency. Ampath private laboratory provides both basic and advanced laboratory services for the diagnosis of allergy and primary immunodeficiency. Facilities The clinic runs a two day per week Allergy service, a full time in-patient service and a monthly PID clinic. There is collaboration between the NHLS and Ampath to provide a route of access to advanced tests for public sector patients. There is collaboration between the NHLS and Ampath to provide a route of access to advanced tests for public sector patients. Immediately the clinic set standards for patient care and advocacy, development of research directions and training programmes began. Today the clinic has a reputation for excellence in the practice of allergology and associated disciplines in the city and throughout the country. Teaching and learning The clinic actively teaches candidates to the Diploma in Allergology (40 successful candidates over 14 years). (worldallergy.org)

Download: Anti-discrimination and Escalation policy Posted on The Children’s Chest and Allergy Clinic at the University of Pretoria and Steve Biko Academic Hospital has been selected as a World Allergy Organization (WAO) Center of Excellence for the 2020-2023 term. Over the past fourteen years, the Clinic has contributed significantly to teaching and learning with forty candidates completing the Diploma programme in Allergology. (up.ac.za)

True Food Allergy True Food Allergy, is an Immediate IgE Mediated Allergic Hypersensitivity reaction, which involves antibodies that cause membrane Mast Cells to release the powerful pro-allergy chemical histamine, results in tissue inflammation and swelling. Classical IgE mediated food allergy presents with immediate weals or urticarial rashes, tissue angioedema of the face and neck and even anaphylaxis with shock and circulatory collapse. South African Pollen & Allergen Forecast December 2020 Pollen Level Indoor Level Mould Level Cape Town High Low Low Johannesburg High Low Low Durban High Low Low Pollen: Tree, grass & weed pollen (triggers hay fever) Indoor: Dust Mites, cat & dog dander (triggers asthma, eczema & rhinitis) Mould: Mildew spores (triggers asthma) Disclaimer: These aero-allergen levels are not real-time values but projections taking into account current climatic and weather conditions together with levels from previous years. (allergyclinic.co.za)

Patch test This type of test is performed in order to determine if a particular substance is causing a skin condition, like dermatitis. (drleslienteta.co.za)

The virus detector said this about the message: Report: idll.exe Infection: W32/Bagle.B@mm Executable DOS/Windows programs are dangerous in email (idll.exe) — MailScanner Email Virus Scanner The information provided does not constitute a diagnosis of your condition. (news24.com)

Over the last 4 years the clinic has joined forces with three clinical immunologists to broaden the profile of the clinic to promote clinical care, advocacy and research and teaching in the domain of Primary Immunodeficiencies. This service is the only service offered in the north of South Africa and has been a major programme for the population as well as creating a new profile of academic achievements. The clinic has the following therapeutic protocols: Food allergy diagnostic protocols Drug allergy testing protocols Asthma management protocol (including acute asthma) Allergic and chronic rhinitis management protocols Atopic dermatitis management protocols Chronic urticaria management protocols Isolated angioedema management protocols PID management protocols Protocols for management of rare allergic conditions The clinic has a 6-bed ward available for admission of patients with acute severe allergic conditions and for admission of patients who require wet wraps for atopic dermatitis and food challenge testing. The clinic has the following facilities available for diagnostic processes: Pulmonary functions (spirometry, challenge testing), exhaled nitric oxide, skin prick testing (aero-allergens, food allergens and drug allergens), PID testing (including genetic testing). Skin prick testing for food and inhalant allergy. Skin prick testing and intradermal testing for drug allergy. In addition, patients are admitted as ‘day patients’ for immunoglobulin replacement therapy. The clinics and ward base service have the support of a full-time pulmonary technologist, dietician, physiotherapist and psychologist. The clinic is staffed by 8 full and part-time specialists. (allergyfoundation.co.za)

Allergy Clinic Pretoria