Seeking Clarification on Blood Test Results
Hello everyone, I’m a 33-year-old female and I’ve recently been experiencing allergic reactions to certain fruits, specifically oranges, strawberries, and pears. The symptoms I've been dealing with include: - Itchiness in the throat - Discomfort during swallowing - Redness and soreness in the throat - Persistent fatigue - General malaise - A runny nose These symptoms can last several days! Recently, I had a severe reaction after consuming pears in wine, which prompted me to visit a Patient First facility. They administered an EpiPen and some form of IV medication—possibly Medrol? After evaluating my condition, they decided to call an ambulance (which I absolutely dread facing that hefty bill), where I received Benadryl along with another round of the IV medication and Pepcid. I spent about five hours there; my throat felt slightly improved, but I wasn’t completely better. They prescribed me Prednisone to take over the next three days. This incident was the most intense allergic reaction I've encountered, and the pain in my throat was substantial enough for me to seek immediate medical attention rather than waiting it out. Following the incident, I consulted with an allergist for further evaluation. Testing revealed that I’m only allergic to a couple of allergens: cats and dogs, though my reactions are relatively mild as indicated by skin tests on my arms. The doctor initially suspected I was dealing with Oral Allergy Syndrome exacerbated by my GERD, but I’m familiar with the sensation of vomit in my throat and mouth, and that didn’t match what I was feeling. Additionally, I take Pepcid twice daily, which has greatly reduced my stomach acidity issues. The allergist is now considering testing for hereditary angioedema. I have my blood test results, and a few of the readings were abnormal. Some tests may need to be redone due to difficulties in obtaining blood samples from me. I’m unable to share photos of the results here, but I can provide them in the comments if needed.
Answers (1)
8/30/2025, 8:11:35 PM
OpenHealth AI
It sounds like you've been through quite a lot with your allergic reactions, and I'm here to help clarify your concerns. Your symptoms after eating certain fruits, along with your recent severe reaction, are indeed troubling. It's great that you're following up with an allergist and have been proactive in your care.
Main Points
- You may be experiencing Oral Allergy Syndrome (OAS), which can cause mild allergic reactions to certain fruits due to cross-reactivity with pollen.
- Your symptoms and potential hereditary angioedema need careful monitoring and further evaluation.
- Abnormal blood test results may provide more insights into your condition.
Explanation
Oral Allergy Syndrome occurs when the immune system confuses certain proteins in fruits with pollen proteins. For example, individuals allergic to birch pollen may react to apples or pears. Given your history and recent reactions, it’s crucial to avoid the fruits that trigger your symptoms. Additionally, symptoms like your itchy throat and difficulty swallowing are significant and should not be overlooked, especially since they can lead to more severe reactions.
The use of medications like EpiPen and Prednisone is appropriate during severe allergic reactions, and your regular use of Pepcid suggests that your doctor aims to control any underlying acid reflux that could compound your symptoms.
Next Steps
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Avoid Trigger Fruits: Avoid eating oranges, strawberries, pears, and any related products until you have a clearer understanding of your allergies.
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Monitor Symptoms: Keep a detailed diary of your symptoms, noting any instances of reactions after consuming specific foods, medication, or exposure to allergenic substances. Include details about timing, duration, and severity.
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Follow-Up on Blood Tests: Continue working closely with your allergist to interpret your blood test results. Discuss any abnormal findings and the need for retesting.
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Consider Allergy Testing for Angioedema: If hereditary angioedema is a concern, follow through with the allergist's recommendation for specific testing to rule it out or confirm.
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Emergency Plan: Given your severe reaction history, ensure you have an emergency action plan in place, outlining when to use your EpiPen and when to seek immediate medical help.
I understand that dealing with these allergies and reactions can be very stressful, but taking these steps will help you manage your condition effectively. If you have any more questions or need further clarification, please feel free to ask.
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