Food Challenge 15: Cindy vs. Avocado

Spoiler alert/disclaimer

I am writing this post while on 100mg of Benadryl (normal dose is 50) and a shot of epi. So forgive me if it’s not entirely coherent.

I tried an avocado today. I thought it would go well because it didn’t show up as an allergy on my blood test, but I’d had reactions in the past (I haven’t eaten an avocado in about 7 years, maybe more) so we decided to challenge it anyway. But I figured I’d be eating guacamole all week! (Well, three times, anyway).

Avocados don’t taste as good as I remember, first of all. I was grimacing the entire time I was eating it, and finally started to feel sick about 3/4 of the way through. The doctor stopped me and told me to take Benadryl, as he could see I was not responding well.

“But the blood tests were negative!” I told him.

He told me it’s a different kind of reaction – an oral allergy, not a food allergy – wherein I’m not allergic to avocado the food, but the pollen of the birch tree that’s found in avocado. It’s just as real, just as painful, but not technically a “food” allergy and also cannot result in anaphylaxis. But it can result in crazy swelling, which it did. Throat, tongue, eyes, ears, lips. I didn’t puff up bc I took the Benadryl fast enough but my eyes were so crazy it was impossible to keep them open. They gave me a  half dose of epi with the 5o mg of Benadryl to see how that was.

My first epi ever, by the way. 26 years of dozens of food allergies and I just lost my epinephrine virginity today. Not bad. It’s not as scary as I thought, though the nurse administered a shot to my shoulder, not a pen through my jeans. The epi made me shake so the nurse had to hold my legs down, but it was ok. Shaking meant it was working.

Well, sort of. I was getting worse and more swollen and my mouth was burning and I felt like I had bronchitis, my throat was so inflamed. They gave me more Benadryl – a shot in my hip, this time – and when that didn’t do the full trick, the rest of the dose of epi. I fell asleep for a little while (2o minutes) and woke up feeling less swollen and, while still shitty, out of the woods. I was at the doctor for a total of 3 hours. I wasn’t allowed to drive, but luckily I got a ride (thanks, M!) and I’ve been ordered to stay in bed all day and check in first thing tomorrow morning with the doctor.

So how does it feel to have an allergic reaction? It feels cloudy and overwhelming and exhausting and like there is a beast inside of you that is eating you from the inside and it can’t come out. But the epi shoots the beast in the head and all is well except you’re dizzy, disoriented, and still exhausted. I can barely walk without holding on to something, and I’m out of it in a way I haven’t been in a while, but hey. I survived the food, learned more about allergies, and learned that epipens are, as advertised, a good thing. Oh, and having an allergist take care of you instead of an ER doctor is a dream come true. Well, sort of. I mean, it’s better to not need any care, but that’s not a reality I’m aware of.

So the unofficial fruit of California and I are not going to be friends unless I get environmental allergy shots for the birch tree and try this again. But at least avocados are green and easily found, right?

FOOD CHALLENGE TALLY

Cindy: 10

Allergens: 5

Up Next: TBD, since the doctor’s office is closed for the holidays!

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6 responses

    • No, they only gave me the regular dose that is in a pen, they just did it in two shots. But in any case, the epipen merely bides you time before you have to get to a hospital, so it is possible to need further doses in a future reaction (especially one that is truly anaphylactic and not just mirroring anaphylaxis), but in theory by the time you need that you are at a hospital already. I think the protocol is to use the epipen and call an ambulance asap so you’re at a hospital within fifteen minutes or so.
      Bottom line: I move along as I was, just farther from avocados than I would have expected ( or liked).

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