So, Evan is not doing so well in the how-to-stay-out-of-the-ER-department. Last night was our second trip in 3 weeks.
My parents were over our house for dinner....they had just arrived and things were a bit crazy with the "let me show you this" and "come over here" and things on the stove cooking and etc, etc.
There was a can of mixed nuts open - Evan helped himself to a cashew. Nothing out of the ordinary. He's had nuts before so we didn't think anything of it. He ate the first one and then went to eat a second one but started coughing and spitting out the first second one into Bryan's hand. He was making gagging noises and really loud coughs. At first, we thought he swallowed a piece wrong or something. His eyes were watering, his cheeks were getting blotchy and he continued to cough - it started to sound like a croup cough and then the wheezing started. It wasn't really sinking it that fast what was going on. Then I turned around and looked at him and I said, "he's having an allergic reaction to that nut!" We called the doctor but before she could call back we were already in the car on the way to the hospital. Evan was clawing at his throat, nose was running like a faucet, wheezing, coughing, eyes watering, face swollen and cheeks and neck were red and blotchy. (I wish I'd taken a picture so you could see what I'm talking about). He threw up once in the car - which was gross but probably the best thing. He was already improving once he did that. I went to Arlington Memorial because the drive out to Cooks just seemed endless when he wasn't breathing well. They got us in right away and didn't mess around.
They determined that it probably was an allergic reaction to the cashew. Cashews are a tree nut not a peanut - so it has a different potential for a reaction. The doctor told us that he visited a cashew farm in Costa Rica on vacation once. Apparently the shell and the fruit of a cashew are highly toxic to people - that's why you never see a cashew in a shell. Huh, what do you know? Okay, doc...get back to helping my kid. He said we would have had no way of knowing if he was going to be allergic until you actual take the first bite. And the odd thing is - he hasn't had ANY sensitivities to food or skin products - at least, that we know of or have seen.
So he got Predisone (a steroid to dry up all the mucus he was producing), Benadryl (to stop the reaction), a breathing treatment to improve his oxygination level and an X-ray to determine if he aspirated on anything and to make sure a piece of the cashew wasn't stuck in there. Everything came back fine. The hardest part was keeping our hopped-up-on-steroids-and-Benadryl-no-dinner-past-bedtime-2-year-old entertained in an ER room for 2 hours. The nurse was very nice and actually took Evan to find the doctor so he could release us. Whew!
Evan is great today - he slept well last night and there is no sign of ANY problems today.
Honestly, this couldn't have happened at a better time. My parents were there, so we were able to leave right away and know that Brennan was taken care of. We were at home and not on vacation, a restaurant, a ballgame, etc. We were close to a hospital that did the most thorough job of taking care of him.
I guess we'll be avoiding all nuts from now on until I can go to get him tested for what other allergies he might have. Anyone with any food allergies have any suggestions for us?