“Allergy”
Female | 30 years old
Complaint duration: One month
Medications: None
Conditions: Allergy to Sulla and milk
![](https://www.findatopdoc.com/var/fatd/storage/images/_aliases/question_thumbnail_4/questions/allergy/1/4707496-1-eng-US/1.jpg)
![](https://www.findatopdoc.com/var/fatd/storage/images/_aliases/question_thumbnail_4/questions/allergy/2/4707499-1-eng-US/2.jpg)
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12 Answers
I evaluate many causes of hives, but often they are "idiopathic," which means there is no specific trigger for the hives. I work with your PCP to make sure that your heart palpitations and shortness of breath aren't due to asthma.
Best to you!
Lynn A. Wiens, MD
Per your report and pics, it does sound like you do have cow's milk mediated IgE hypersensitivity. It sounds like your symptoms are increasing in severity. I highly recommend that you avoid cow's milk and cow's milk products (butter, ice cream, cheese, yogurt etc.) and keep an EPIPEN on hand at all times. In the event of accidental ingestion of cow's milk, then I recommend using the EPIPEN ASAP and seeking medical attention. Each time that you ingest the cow's milk, the humoral arm of your immune system produces more antibodies to cow's milk, hence the increased severity with subsequent exposures.
1. Broad allergy testing to rule out other allergies,
2. Blood work to check on your immune system, since hives may be seen in other medical conditions
3. Get a pulmonary function test to rule out allergic asthma.
4. Till all this is completed, you must avoid all milk products.
Best,
Evelyn Tolston, MD, FAAAAI
I'm sorry to hear that your reactions to milk seem to be increasing in severity. This is not rare; food allergy reactions can change with time and frequency of exposure. There are people that outgrow their milk allergies, but others will have their milk allergy for their entire lives. In general, we recommend diagnostic testing to confirm the particular food allergy. After confirmation, our patients are advised to avoid the offending food allergen as well as to carry an antihistamine, such as Benadryl, as well as injectable epinephrine for accidental ingestions. There are food desensitization protocols being developed for patients that do not appear to be outgrowing their food allergies. I would suggest a consultation with an allergist for testing and a comprehensive treatment plan.
-Hives
-Stomach upset
-Vomiting
-Bloody stools, especially in infants
-Anaphylaxis, a rare, potentially life-threatening reaction that impairs breathing and can send the body into shock.
Make an appointment with us or for more detail you can e-mail docts.org@gmail.com.