Milk is Still Evil

Bug had a second food challenge for the year at the end of July. I made him cake that had baked milk and baked dried milk powder in it. He was so excited to eat the cake he didn't even ask for icing. He had eaten a good amount and I was pretty sure it was about time for him to react to the milk. We think he ate about 1/4 of a cup of baked milk. Sure enough after eating a little more than the prescribed portion the coughing started. It is amazing what happens at the food allergy clinic at Hopkins when they hear a cough. He got immediate attention and they kept an eye on him continuously to see if the cough was going to develop into anything worse or if the cough would get worse. After a short period, they gave him a dose of Benadryl. They still weren't happy with the cough, which was luckily all upper airway and not at all in his lungs or chest, and they gave him the nebulizer with Albuterol. There was one point when the nebulizer was going and the Bendaryl had kicked in where he looked like he was going to fall asleep on the table. The Albuterol kicked in pretty quickly and his coughing subsided. They declared his challenge a success since he didn't have an anaphylactic reaction and said he could have 1/16th of a cup of baked milk once a day to help get his body used to the proteins. They gave us specific instructions for how to introduce baked milk over a period of time and it was great to leave with a starting dose that will hopefully be safe for him. Unlike the peanut challenge where he was one of the first to leave, he was the last to leave so they could make sure he was better and safe for the ride home. He fell asleep in the car while we were still in Baltimore, and even slept through an hour delay for an accident we witnessed, and slept almost the entire way home. We'll see how introducing baked milk goes, hopefully well. In the meantime we have a safe starting dose and know if he consumes regular milk that it will be an anaphylactic reaction. For such a long day, he was super!