Fatigue
Carolyn Torkelson, Catherine Marienau in Beyond Menopause, 2023
An elimination diet has multiple purposes: to identify hidden food allergens, to improve your body’s ability to detoxify and excrete substances that may be causing symptoms, and to support the function of your immune system. Every day, you are exposed to toxins in the environment, such as chemicals, pesticides, medications, food-borne toxins, and alcohol. Unhealthy gut bacteria sometimes also make toxins. As these toxins accumulate in your body over time, the demand on your liver to detoxify them becomes greater. If your diet doesn’t provide enough of the appropriate nutrients or your digestive system is not working properly, the liver can become overwhelmed. The result? Symptoms of chronic ill-health, including fatigue.
Nasal, bronchial, conjunctival, and food challenge techniques and epicutaneous immunotherapy of food allergy
Richard F. Lockey, Dennis K. Ledford in Allergens and Allergen Immunotherapy, 2020
Food elimination diets, whereby one or a few specific suspected foods are removed from the diet for a span of 1–2 weeks, can be helpful in identifying the culprit food, but elimination diet does not confirm the diagnosis of FA [78]. Oral food challenges (OFCs), whereby the allergen is ingested in incremental doses over time, are the gold standard for diagnosing FA [75,79]. There are three types of OFCs: open, single-blind, and double-blind, placebo-controlled (DBPC) [75,77]. The choice of challenge depends on the clinical assessment and the likely level of bias in interpreting the results [77,80].
Dermatology
Hilary McClafferty in Integrative Pediatrics, 2017
New methods such as atopy patch tests are under investigation, but require further study and close supervision by a trained pediatric allergist. Elimination diet over an observation period of 4–6 weeks may be helpful, although this is hard to control and factors such as placebo effect, or removal of masked triggers, such as aerosolized antigens or other unseen triggers, may be involved. Food diary can be a useful tool in this instance (Bergmann et al. 2013).
A general strategy for de novo immunotherapy design: the active treatment of food allergy
Published in Expert Review of Clinical Immunology, 2018
Stefania Arasi, Lucia Caminiti, Giuseppe Crisafulli, Giovanni Battista Pajno
The traditional approach to FA lies on the strict avoidance of the triggering food and keeping as rescue medications (including epinephrine, corticosteroids, and antihistamines) readily available in the event of an allergic reaction occurs [16,17]. However, an elimination diet represents often an unrealistic therapeutic option for several reasons. It is difficult and frustrating in patients with persistent FA, above all for those foods (such as CM and HE) that are pivotal in the common diet and, therefore, ubiquitous in store-bought foods, and in home and restaurant recipes [18]. Nothwithstanding, despite efforts to comply with this diet, accidental exposures leading to adverse reactions are frequent [19]. Allergens can be hidden in unsuspecting foods, labeling is often misleading, safe food can be contaminated when served with a dirty utensil, and cross-reacting allergens may be present in other alimentary sources [19].
Behavioral interventions for asthma self-management in South Asian populations: a systematic review
Published in Journal of Asthma, 2021
Charlotte Lee, Emma Alexander, Rachel Lee, Nneka Okorocha, Logan Manikam, Monica Lakhanpaul
One study (38) conducted in Pakistan involved 428 adults receiving an organization-wide intervention that included improved availability of context-sensitive guidelines and case management materials. Results from this study are yet to be released. Only one small study judged at severe risk (13) conducted an elimination diet based intervention. Significant improvements in IgE titers in 17 children were observed. However, there was no improvement for 25% of children observed and a negative difference in one child compared to the control group. One study (21) that used CBT found significant improvement in PEFR, asthma symptoms and Qol, compared with standard pharmacological treatment.
The role of the pediatrician in caring for children with tracheobronchomalacia
Published in Expert Review of Respiratory Medicine, 2020
Manisha Ramphul, Andrew Bush, Anne Chang, Kostas N Prifits, Colin Wallis, Jayesh Mahendra Bhatt
The increased incidence of esophageal eosinophilia in TBM was supported by a further retrospective study which concluded eosinophilic esophagitis was over 300 times more prevalent in children with repaired esophageal atresia, compared with the general pediatric population [87]. It is important for the pediatrician to recognize the potential concurrent diagnosis of eosinophilic esophagitis, as treatment may lead to an improvement in symptoms in half of the patients [85]. Measures that can be implemented include elimination diet with dietician support and food challenges to diagnose allergy.
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