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There are many ways you can help children and their families get the care they need.
Children visiting the EGID Clinic typically meet with a number of specialists during their visit. All of our doctors and staff work extremely hard to see each child at their scheduled time and make their visit as enjoyable as possible.
Boston Children's Hospital
Fegan Building, 5th floor
Tuesday mornings, second and fourth weeks of the month
To schedule or cancel an appointment call 617-919-9958. When canceling an appointment, please give us as much notice as possible, so that we may accommodate other patients.
What we need prior to your visit:
Our preference is to have these documents faxed to 617-730-0495 Attn: EGID. If they can not be faxed due to a large volume of records, please mail them to:
Boston Children's Hospital
EGID program – Attn: Maura
300 Longwood Avenue – Hunnewell Ground Floor
Boston, MA 02115
Our gastroenterologist will review your child’s medical history with you and answer any questions you might have. He/she will also perform a physical exam and may recommend that your child have additional tests performed, such as an endoscopy or radiology study.
Our allergist will also review your child’s medical history with you, answer any questions you have and perform a physical exam. He/she may also recommend additional tests such as skin or blood tests.
We understand the frustration of restricting your child's diet due to food allergies. Our dietician will meet with you to make sure that you have the tools you need to make healthy dietary choices for your child.
Our social worker can provide coping support, connect you with the EGID community both locally and nationally, introduce you to support groups, and help you to be an effective advocate for your child with EGID.
Clinical Coordinator: Clinical Coordinator serves as your primary contact person to facilitate communication with your child's treatment team, schedule appointments and various activities to coordinate patient care.
Any number of tests may be used to identify foods that may be triggering your child’s condition. These include skin prick tests, blood tests and food patch tests.
For new patients, the first visit typically lasts about 3 hours. Return visits are usually shorter than this. Tests may include endoscopy, skin prick, skin patch, blood tests, and barium swallow test.
Identification of foods that may be triggering your child’s condition may be performed by any of the following methods described below. No test can definitively diagnose or rule out an allergy. All results need to be interpreted by an allergist in context of the medical history.
used to evaluate for food and environmental allergies
performed by applying a drop of suspected allergen on to the surface of the skin
a positive test will be seen within 15 to 20 minutes with a hive and redness at the test site
a positive test does not always mean your child is allergic to that allergen
not considered painful but positive reactions can cause itching which may be uncomfortable
some medications may interfere with skin testing and should not be taken prior to the allergy visit
commonly known as RAST tests
used to measure IgE antibodies to food and/or environmental allergens
may be used when skin tests cannot be performed
does not predict the severity or the type of reaction, but gives information on the likelihood of having a reaction if exposed to a particular allergen.
used to detect possible delayed-type food allergies
differs from the RAST blood test or skin prick tests, which are used to evaluate for immediate (IgE-mediated) reactions that may result in symptoms such as hives or anaphylaxis.
requires two separate visits to the Allergy Program
during the initial visit, a food patch test panel will be placed on the back of you/your child. These panels consist of prepared foods placed on shallow aluminum disks that are secured to your child’s back with tape. The selection of foods to be tested will be determined by your allergist.
If your child is taking medication, it is important that you follow these directions.
Do not give your child medicine that contains antihistamines prior to the visit.
Do not give your child the following medications for 7 to 10 days before your visit:
Do not give your child Zyrtec for 10 to 14 days before your visit.
Antihistamines are found in many non-prescription cold or allergy medicines. These should be stopped at least 3 days before the visit. Examples are:
Triaminic cold formulas
If you do not know whether your child's medicine contains antihistamines, ask the pharmacist or call the Boston Children's Allergy Program at 617-355-6117 and ask to speak with a nurse.
If you are unable to stop the medication, or your child develops symptoms while off the medication, please call the Allergy Program at 617-355-6117 and ask to speak with a nurse.
Do not stop other medications prescribed by your doctor.
Do not give your child asthma medications (bronchodilators) such as albuterol, Ventolin, Proventil, Xopenex or Maxair on the day of the visit unless your child is coughing or wheezing. Other asthma medications and antibiotics should be given as usual.
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