Welcome to the South Bay Allergy & Asthma Blog where you will find tips and advice from board certified Allergy and Immunology doctors and nurses on dealing with nasal, seasonal, insect, medication, food and skin allergies. Also visit our blog to stay current on news and advances in care and treatment of allergy, asthma and immunology, including developments in the world of immunotherapy: allergy shots, drops and tablets.
Wednesday, September 28, 2011
Desperate for a donut?
Ingredients:
1 cup sorghum flour or millet flour
1/2 cup organic brown rice flour
1/2 cup tapioca starch or flour
1/2 cup packed light brown sugar
1 tsp baking powder
1 tsp xanthan gum
1/2 tsp baking soda
1/2 tsp fine sea salt
1/2 tsp ground cinnamon
1/4 tsp ground nutmeg
1/3 cup organic coconut oil or shortening
1/2 cup vegan sour cream or plain vegan yogurt
2 large organic free-range eggs, or egg replacer
1 tsp rice milk or coconut
2-4 tbsp rice milk or coconut milk
Powdered sugar and ground cinnamon for dusting
Method:
-preheat the oven to 350. Grease a 12-count mini-donut pan
-In a large mixing bowl, whisk together the sorghum flour, brown rice flour, tapioca starch/flour, brown sugar, baking powder, xanthan gum, baking soda, sea salt, cinnamon and nutmeg.
-Add the coconut oil or shortening by spoonfuls, and us a fork or pastry cutter to distribute it until the flour mix becomes sand textured.
-Stir in the vegan sour cream, eggs or egg replacer and vanilla. Mix until smooth.
-A tablespoon at a time, add the rice milk and mix until the dough is pliable. It should be slightly sticky, but not wet.
-Divide the dough into 12 sections and roll each piece in your palms to form a ball the size of a golf ball. Your hands should be slightly oily from the shortening - this is good. (If the dough is too wet and cannot easily form a ball when you roll it, add a bit of brown rice flour.)
-Using your palms, gently roll the dough into a cigar shape about 4 to 5 inches long. Drape the dough into one well of the donut pan, and slightly overlap the two ends to make a circle. Don't get fussy yet. Just lay it in there.
-Continue as above with the remaining dough balls.
-Using oily or wet fingers, smooth out the dough. But don't smoosh it down into the well - simply finesse a bit so that you're forming a ring.
-Bake in the center of the oven for 12-15 minutes, until firm to the touch.
-Remove the pan to a wire rack to cool for five minutes. Then gently remove the donuts from the pan and place them bottom side up on a wire rack (to help prevent soggy bottoms).
-When cooled, sift confectioner's sugar or a mix of confectioner's sugar and ground cinnamon all over the donuts.
-Best eaten the day you bake them.
Makes: 1 dozen mini donuts.
Monday, September 19, 2011
Gluten-Free Apple-Pear Muffins
Ingredients:
1/2 cup sorghum flour or millet flour
1/2 cup brown rice flour
1/2 cup millet flour
1/2 cup rice bran
1/4 cup tapioca starch/flour
2 tsp baking powder
1 tsp xanthan gum
3/4 tsp fine sea salt
3/4 tsp ground cinnamon
3/4 tsp ground ginger
1/4 tsp ground nutmeg
2 large organic free-range eggs, beaten, or egg replacer
1/2 cup pure maple syrup
1/4 cup coconut oil or vegetable oil
1/4 cup coconut milk or vanilla rice milk, more as needed
1 tbsp bourbon vanilla extract
1 cup diced apple
1 cup diced pear
Method:
-Preheat the oven to 350. Line a jumbo 6-muffin tin with jumbo paper liners.
-In a large mixing bowl, whisk together the sorghum flour, brown rice flour, millet flour, rice bran, tapioca starch, baking powder, xanthan gum, sea salt, cinnamon, ginger and nutmeg.
-Add the eggs or replacer, maple syrup, oil, coconut milk and vanilla extract. Beat until smooth. The batter should be think and a bit sticky, but not too wet. If the batter is stiff of dry, add more coconut milk one tablespoon at a time until it loosens.
-Using a spatula, stir in the diced apple and pear until combined.
-Spoon the batter evenly into your pan's 6 jumbo liners. Bake in the center of the oven for 22 to 25 minutes, until domed, golden and firm to the touch.
-Cool the pan on a wire rack for a few minutes, then pop the muffins out of the pan (to avoid soggy bottoms). Lovely warm.
-Wrap leftover muffins in foil, bag and freeze to preserve taste and texture.
Makes: 6 jumbo muffins
Monday, September 12, 2011
Avoid "Triggers" at The Gym
Bring your own mat. Yoga isn't relaxing if you break out in hives due to contact with a latex mat, the most common material used. If you have had any signs of latex allergy -- perhaps itching or rashes around the mouth after dental work, rashes on your hands after wearing latex gloves while cleaning your home, or reactions to elastic in your clothing or latex in Band-Aids -- be sure to bring your own latex-free mat so that you can enjoy doing floor exercises or yoga.
Friday, September 9, 2011
Ready for soccer season?
Thursday, September 8, 2011
Tips to Help Navigate Elementary School with Food Allergies
- Befriend the school nurse. Take your child to meet the school nurse before school begins so they can establish a relationship. Provide the nurse with your child's emergency medications and a list of what foods your child is allergic to, along with the action to be taken if the child were to accidentally eat that food. A Food Allergy Action Plan is available for download at http://bit.ly/alLobw . With the nurse you can identify important guidelines for your child's snack, lunch and class activities.
- Talk with your child's teacher. Request a conference with your child's teacher and provide them with basic information about your childs food allergies. It is important to leave additional copies of the infomation for substitutes.
- Send in reinforcements. There may be parties, science projects, and other celebrations that invariably include food. At the beginning of the school year, provide your child's teacher with an allergy-friendly snack box so your child can choose something from it during these special celebrations and not feel left out.
- Encourage extra-curricular activities. Don't shy away from birthday parties, play-dates, sports or scouts because of food allergies. These are all great oppportunities for social skill building and there should be no holding back if you do a little extra legwork and planning ahead.
- Volunteer. Volunteering in your child's classroom will allow for your input in class parties so you can help select safe foods. Attending class field trips will also ease your mind so you can oversee your child's food and medication needs rather than relying on chaperones.
- Say thanks! Nurses and teachers work hard throughout the year to ensure your child's safety, remember to show your thanks.
Monday, September 5, 2011
Study Up For A Sneeze and Wheeze-Free School Year
Make the Grade by Avoiding Asthma, Allergy Triggers Lurking in the Classroom
The new school year means new clothes, new classes, new teachers - and the same old misery due to sneezing and wheezing for children who have allergies or asthma. From the class hamster to dust mites residing in carpet to germs from cold and flu viruses, asthma and allergy triggers lurk throughout the classroom.
It's not suprising, then, that back-to-school season is associated with a 46 percent increase in asthma-related emergency department visits by grade school children. And allergies and asthma account for more than 14 million school day absences. But seeing an allergist can keep kids in the classroom: studies show that patients treated by allergists for asthma have better symptom control, including less wheezing and fewer absences, at lower cost.
To keep kids focused on their studies instead of their allergy and asthma symptoms, it's important that they recieve proper diagnosis and treatment, as well as work with their parents to develop a plan for avoiding classroom triggers.
Make sure your child doesn't suffer or miss school by following the advice, below, from South Bay Allergy and Asthma and the American Colelge of Allergy, Asthma and Immunology (ACAAI):
- Dust and mold and pollen, oh my - Many common triggers lie in wait for the allergic student. Dust mites and other allergens multiply in the class carpet, so suggset your child sit in a chair to read a book. Mold can grow in bathrooms and other dank areas, but are easily cleaned if brought to the janitor's attention. And ask teachers to keep windows closed this fall and next spring to keep sneeze-prompting pollens out of the classroom.
- The germ incubator - It's tough for the child with asthma to avoid germs at school, since they are pretty much everywhere from the pencil sharpener to the edge of the teacher's desk. Washing hands regularly and using tissues and antibacterial hand sanitizers also can help.
- Tag, you're - huff, puff - it - Jumping jacks during gym, tag during recess, soccer after school - these and other common school activities can trigger expercise-induced bronchoconstiction (EIB), commonly referred to as exercrised induced asthma. About 80 percent to 90 percent of those with asthma have EIB and 10 percent of people without asthma have EIB. If your child has difficulty breathing during or after exercise, see an allergist who can work with you on a prevention and treatment plan. Be sure to give teachers, from gym to homeroom, a heads up and make sure your child has medication available at school.
- Fear of furry friends - Kids love class pets, but many have allergies to the hairy or furry variety. Allergic children should be reminded not to touch the pet. You also might suggest the teacher consider a non-furry pet, such as a fish or hermit crab, which offer plenty of learning opportunities without the allergy-triggering dander. Children who have pets at home also may have pet dander on their clothes, triggering symptoms in a pet-allergic child. A new seat assignement may help.
- Food safety patrol - If your child has food allergies, potential problems can crop up almost anywhere, from the lunchroom to the classroom. Tell the teacher about foods that cause problems for your child. Also be sure to alert scouting and other club leaders, and suggest an allergen-free snack policy. It's also important to teach your child about what foods might trigger a reaction and advise them to ask a teacher or adult before eating food they are unsure about. Share a plan with teachers, coaches and the school nurse for dealing with an allergic emergency and make sure your child has medications with them like injectable epinephrine.
- The back of the class - Sitting at the front of the classroom - near the chalkboard - is a bad idea for kids whose allergies or asthma are triggered by chalk dust. And washing hands after writing on the chalk board is a must.
Thursday, September 1, 2011
My child is allergic to eggs, can he/she get a flu shot?
Since the influenza vaccine is made in chicken eggs, it is possible to have egg protein exposure when receiving the vaccine. This potentially could lead to problems in a severely egg allergic child, making this a contraindication for receiving "flu shots".
However, if a child has a history of a mild egg allergy (not a recent systemic reaction), it is generally safe for him/her to get the flu shot. Recommendation suggested in kids with a history of a mild egg reaction: Give 1/10 of the flu shot at the pediatrician's or allergist's office, and wait 30 minutes. If tolerated well, administer the remainder of the vaccine and observe in the office for another 30 minutes so that treatment can be promptly rendered in the unlikely case of allergic reaction.