Doctor insights on:
Bupivacaine Allergy In Children
Same as any allergy: If there are hives/body or throat swelling/local rash / rapid heart beat, shortness of breath, low blood pressure after injection it MAY indicate allergy. BUT almost every time a patient tells me that we find the reaction was actually related to something mixed with the Bupivacaine (like epinephrine etc) which can cause similar symptoms as a normal side effect hence important to clarify with doc. ...Read more
If there are hives/body or throat swelling/local rash / rapid heart beat, shortness of breath, low blood pressure after injection it MAY indicate allergy. BUT almost every time a patient tells me that we find the reaction was actually related to something mixed with the Bupivacaine (like epinephrine etc) which can cause similar symptoms as a normal side effect hence important ...Read more
Therapeutic profile: The anti and proarrhythmic effects of bupivacaine have been studied (pubmed id 9605693). Similarly, the local anesthetic properties of class I arrhythmics (function through sodium channel blockade like local anesthetics) have been compared with Lidocaine and bupivacaine. Toxicity of bupivacaine must be understood in the context of complex cardiac effects. See pmid3408033 and tinyurl. Com/bjdzske. ...Read more
No: Lidocaine and bupivacaine are in the same family of local anesthetics as they are both amino amides but there are difference in onset of action and duration of action and toxicities. Lido is a shorter acting agent whereas bupivacaine is a longer acting agent. ...Read more
How many bupivacaine injections in the right scaplothoracic region are safe at one time? Is 8 ok? Are flu-like symptoms cause for concern?
Depends: You need to discuss the risks/benefits of multiple injections with your doctor. Depending on your condition, doing several injections, if beneficial, may be acceptable despite slightly higher risk. That decision needs to be made mutually in the clinic before the injections. ...Read more
Local anesthetic: Long acting local anesthetic with generic name bupivacaine, belonging to the class of amide local anesthetics, as opposed to some other "caines" that have an esteric bond in their molecule (procaine (Novocain), tetracaine). It is used by prescription for nerve blocks, labor epidurals, local infiltration to relive pain by temporarily numbing the nerves responsible for the sensation from the area ...Read more
Multiple ways: Bupivacaine is a long-acting local anesthetic. As such, it can be injected around a site to be operated on (local infiltration), around a nerve or group of nerves supplying an area of the body (a nerve block), into the sac of fluid bathing the spinal cord (spinal block) or outside that sac (epidural block), essentially numbing up a larger area (usually the lower half of the body) ...Read more
DiagnosticSUPINE celiac plexus block yesterday, only received bupivacaine. Painfree x10 hrs. Today, Bad new type of upper abd pain. Tender in mid & upper abd Doubled up at times. No fevers.
Exposure + Genes: One needs both a genetic component and "exposure" to a said allergen to develop an allergy. There is a growing support over the past 20 years, that growing up in an environment which is "too clean" can also lead to development of allergies down the road. Either way, allergies are on the rise. ...Read more
Nut allergy: Maybe. Your children may have inherited genes from you that make them more likely to develop an allergy, but they do not inherit a specific allergy to a food e.g. Nuts. The children have to be exposed to food proteins in the diet, before an allergy can develop. Once one develops an allergy then they are always allergic and need proper medical attention to prevent severe problems. ...Read more
Allergy tests: There are several types of testing. Some involve certain types of blood tests. Another method is to do a series of skin tests done by pricking the skin and applying different allergens. Other tests are provocative tests that can involve challanging the patient with allergic materials. Testing should be done by doctors specializing in allergy to obtain the best results. ...Read more
No: The pain is minimal with skin testing, similar testing can be done with a blood test which requires some blood being withdrawn with a needle. ...Read more
Symptoms do not appear for hours or even days. Poison ivy and similar plants cause some of the best-known delayed hypersensitivity reactions. When a person first touches the plant, no reaction occurs for the first 24 to 48 hours.
Read more: http://www. Livestrong. Com/article/253484-types-of-delayed-reaction-allergies/#ixzz2vcsli9lf. ...Read more
Several choices: For anaphylaxis, self injectable Epinephrine is recommended. Antihistamines available include: Allegra suspension down to 2 years old, Clarinex syrup down to 6 months old, Claritin syrup down to 2 years old, xyzal (levocetirizine) syrup down to 6 months old, zyrtec syrup down to 2 years old; palgic syrup down to 1 year old. Also, singulair is approved down to 6 months old. For severe allergies, see allergist! ...Read more
Does exposing small children to peanuts earlier in life make them more likely to develop allergies?
Could incorporating locally grown honey into my children's diet, help with their seasonal allergies?
Not at all: It is a common misconception that eating local honey helps allergies. Local honey contains pollen from local flowers. People generally have little exposure to and aren't allergic to flower pollen (except florists). Wind pollinated trees, grasses and weeds which release huge amounts of pollen cause most allergies. Eating pollen has no effect on allergies though holding pollen under the tongue may. ...Read more
I read that children under 1year can not eat any dairy products because they might be more liable to allergy or asthma. Is it true?
Not exactly: The ability to react to certain proteins in an allergic way is passed on from parents to their children, but a specific allergy is not. So if a mom is allergic to pollen and the dad is allergic to fire ants, their child may develop allergies but it may be to a food instead. If 1 parent has allergies, the child is 50% likely to develop allergies, but it's a 75% chance if both parents are allergic. ...Read more
Yes: Not all of the food allergies are created equal. Food allergies like dairy, egg, wheat tend to be outgrown. Tree nut and peanut are less likely (although recent studies suggest that 20-30% outgrow the peanut allergy). Environmental allergies tend to "grow on you" with time. Note: the allergy test may remain positive despite the child having outgrown the allergy. Consult with an allergist. ...Read more
It depends: It really depends on the age of the child, and whether you're talking about food or environmental allergies. I generally will skin test children over age 2 for environmental allergies, while many younger kids need food testing. In terms of frequency, children with environmental allergies may benefit from repeat testing after 2 years, as their allergies can change as they get older. ...Read more
Hygiene hypothesis: The immune system has two opposing arms, one makes protective antibodies against bacteria and viruses, the other makes allergic antibody. One theory is that early antibiotic use disrupts the gut flora which tips the scale away from fighting infection and more toward making allergic antibodies. Clean environments might be at fault as well, farm kids don't get allergies as much as city kids. ...Read more
Sometimes: Some people's allergies get better over years, some get worse, and some are stable. Keeping allergies well-controlled not only keeps kids feeling better and sleeping better, but also doing better in school (it's hard to learn material when you feel miserable)! also, keeping allergies under control decreases the risk of ear infections and sinusitis. ...Read more
Sometimes: But not all the time. Nasal allergies are not a frequent cause of a really bad persistent cough. In a child with allergies and a really bad cough (assuming no fever) I would be concerned about a reactive airway/asthma type condition. If the child also had eczema I would be even more concerned. ...Read more
Skin or Blood: Depending on the clinical history and suspected allergen, some practitioners choose the less painful and timely method, which is a blood test looking for specific ige antibodies, also called rast testing. Percutaneous skin tests are still the gold standard for allergy testing. This is something which you should discuss with your physician. ...Read more
Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more