Hope & Histamine: The Paediatric Allergy Podcast

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“Helping you understand allergies—one episode at a time” Welcome to Hope & Histamine, the trusted podcast for families navigating the complex world of paediatric allergies. Hosted by a dedicated healthcare professional, this show offers clear, compassionate, and evidence-based guidance on the diagnosis, treatment, and day-to-day management of allergies and atopic conditions in children. From eczema to food allergies, asthma to anaphylaxis, each episode breaks down medical facts into practical advice—empowering parents, caregivers, and patients with reliable information and hope. Tune in for expert insights, real stories, and up-to-date recommendations designed to help you breathe a little easier.

  1. 5H AGO

    Pancake Syndrome Explained: Dust Mite–Contaminated Flour and Severe Food Allergy

    🥞 Can pancakes really cause anaphylaxis? In this episode of Hope & Histamine: The Paediatric Allergy Podcast, we explore Pancake Syndrome — a rare but potentially severe allergic reaction caused by dust mite-contaminated flour rather than the pancake ingredients themselves. You’ll learn how improper storage of flour can lead to mite proliferation, why cooking does not eliminate the allergen risk, and which children are most at risk — particularly those with house dust mite allergy, eczema, or allergic rhinitis. We discuss the typical symptoms, including sudden vomiting, urticaria, wheeze, and anaphylaxis, and how Pancake Syndrome can be easily misdiagnosed as food allergy or food poisoning. This episode also covers: ✔️ The science behind Pancake Syndrome✔️ How to recognise red-flag symptoms early✔️ Practical flour storage and prevention advice for families✔️ When to prescribe adrenaline and refer to allergy servicesWhether you’re a parent, healthcare professional, or educator, this episode provides clear, evidence-based guidance to help keep children safe and informed. Sources:  Kano, Y. and Murata, K. (2025) ‘What Did the Patient Really Eat? Pancake Syndrome’, The American Journal of Medicine, p. e149.Sanchez-Borges, M. and Fernandez-Caldas, E. (2015) ‘Hidden allergens and oral mite anaphylaxis: the pancake syndrome revisited’, Current Opinion in Allergy and Clinical Immunology, 15, pp. 337–343.Sánchez-Borges, M., Capriles-Hulett, A. and Caballero-Fonseca, F. (2006) ‘Oral mite anaphylaxis (pancake syndrome) also observed in children’, Annals of Allergy, Asthma & Immunology, 96(May), pp. 755–756.Sánchez-Borges, M., Suárez-Chacon, R., Capriles-Hulett, A., Caballero-Fonseca, F., Iraola, V. and Fernández-Caldas, E. (2009) ‘Pancake Syndrome (Oral Mite Anaphylaxis)’, World Allergy Organization Journal, 2(May), pp. 91–96. 🎧 Listen now on Apple Podcasts, Spotify, YouTube and Amazon Music Disclaimer: The information shared in this podcast and on this website is not intended to replace professional medical advice, diagnosis, or treatment. Always consult your doctor or a qualified healthcare provider with any questions you may have about a medical condition. Please don't ignore or delay seeking medical advice based on content from this podcast or website. Buy me a coffee: https://coff.ee/goodlifecreations Send us a text Support the show Brought to you by - Goodlife Creations (2026). Music by - Denys Kyshchuk from Pixabay.

    30 min

  2. JAN 1

    House Dust Mite Allergy Explained: Symptoms, Triggers, and Practical Solutions

    Is house dust mite allergy the hidden cause of year-round sneezing, blocked nose, wheeze, or eczema in children? In this episode of Hope & Histamine: The Paediatric Allergy Podcast, we explore house dust mite allergy—one of the most common triggers of persistent allergic symptoms in children and adults. This episode explains what house dust mites are, why they cause allergy, and how exposure inside the home can drive ongoing symptoms such as allergic rhinitis, asthma, cough, and eczema. We cover: What house dust mites are and where they liveCommon symptoms of house dust mite allergy in childrenHow house dust mite allergy is diagnosedEvidence-based strategies to reduce exposure at homeWhen to consider medications and allergy specialist referralWith clear, practical advice and up-to-date evidence, this episode helps families and clinicians understand how to manage symptoms effectively—without unnecessary measures or anxiety. Sources: Miller, J.D. (2019) ‘The Role of Dust Mites in Allergy’, Clinical Reviews in Allergy & Immunology, 57, pp. 312–329.Sánchez-Borges, M. et al. (2017) ‘International consensus (ICON) on: clinical consequences of mite hypersensitivity, a global problem’, World Allergy Organization Journal, 10(14).  🎧 Listen on Apple, Spotify, Amazon, and YouTube Podcasts. Disclaimer: The information shared in this podcast and on this website is not intended to replace professional medical advice, diagnosis, or treatment. Always consult your doctor or a qualified healthcare provider with any questions you may have about a medical condition. Please don't ignore or delay seeking medical advice based on content from this podcast or website. Buy me a coffee: https://coff.ee/goodlifecreations Send us a text Support the show Brought to you by - Goodlife Creations (2026). Music by - Denys Kyshchuk from Pixabay.

    34 min

  3. 12/23/2025

    Grass Pollen Allergy (Hay Fever): Causes, Symptoms, and Modern Treatments

    Grass pollen allergy, commonly known as hay fever or seasonal allergic rhinitis, affects millions of children and adults—especially during the spring and summer months. In this episode, we break down what a grass pollen allergy is, why it happens, and how it can be effectively diagnosed and managed. You’ll learn how grass pollen triggers allergic inflammation, the common symptoms to watch out for (sneezing, itchy eyes, nasal congestion, cough, and fatigue), and how to distinguish hay fever from viral infections. We also explore evidence-based treatments, including antihistamines, steroid nasal sprays, avoidance strategies, and when allergen immunotherapy may be considered. With a clear focus on child and family health, this episode offers practical, reassuring guidance for parents, patients, and clinicians alike. Whether you’re navigating pollen season for the first time or looking to optimise allergy control, this conversation provides clear, trustworthy answers grounded in current allergy science. Sources: Bryson, R. (2012) ‘Sublingual Immunotherapy for Grass Pollen Allergy in Children: A Systematic Review and Meta-Analysis’, World Allergy Organization Journal, February, p. S75,.Darsow, U., Brockow, K., Pfab, F., Jakob, T., Petersson, C.J., Borres, M.P., Ring, J., Behrendt, H. and Huss-Marp, J. (2014) ‘Heterogeneity of molecular sensitization profiles in grass pollen allergy – implications for immunotherapy?’, Clinical & Experimental Allergy, 44, pp. 778–786,.Douladiris, N., Garib, V., Focke‐Tejkl, M., Valenta, R., Papadopoulos, N.G. and Linhart, B. (2019) ‘Detection of genuine grass pollen sensitization in children by skin testing with a recombinant grass pollen hybrid’, Pediatric Allergy and Immunology, 30, pp. 59–65,,.Fuertes, E., Jarvis, D., Lam, H., Davies, B., Fecht, D., Candeias, J., Schmidt-Weber, C.B., Douiri, A., Slovick, A., Scala, E., Smith, T.E.L., Shamji, M., Buters, J.T.M., Cecchi, L. and Till, S.J. (2024) ‘Phl p 5 levels more strongly associated than grass pollen counts with allergic respiratory health’, Journal of Allergy and Clinical Immunology, 153, pp. 844–851,,.Kiotseridis, H., Cilio, C.M., Bjermer, L., Tunsäter, A., Jacobsson, H. and Dahl, Å. (2013) ‘Grass pollen allergy in children and adolescents-symptoms, health related quality of life and the value of pollen prognosis’, Clinical and Translational Allergy, 3(19),.Senna, G.E., Calderon, M. and Milani, M. (2011) ‘Allergy immunotherapy tablet: Grazax® for the treatment of grass pollen allergy’, Expert Review of Clinical Immunology, 7(1), pp. 21–27. 🎧 Listen on Apple, Spotify, Amazon, and YouTube Podcasts. Disclaimer: The information shared in this podcast and on this website is not intended to replace professional medical advice, diagnosis, or treatment. Always consult your doctor or a qualified healthcare provider with any questions you may have about a medical condition. Please don't ignore or delay seeking medical advice based on content from this podcast or website. Buy me a coffee: https://coff.ee/goodlifecreations Send us a text Support the show Brought to you by - Goodlife Creations (2026). Music by - Denys Kyshchuk from Pixabay.

    37 min

  4. 12/18/2025

    Pollen Food Syndrome (Oral Allergy Syndrome): Symptoms, Triggers & Practical Management

    Pollen Food Syndrome (also known as Oral Allergy Syndrome) is one of the most common — yet frequently misunderstood — food-related allergic conditions. In this episode of Hope & Histamine, we unpack why people with hay fever or pollen allergy can experience itching, tingling, or swelling of the lips, mouth, and throat after eating certain fresh fruits, vegetables, and nuts. We explain: What Pollen Food Syndrome is and how it differs from true IgE-mediated food allergyThe role of pollen–food cross-reactivity (birch, grass, and weed pollens)Common trigger foods and why symptoms often occur with raw but not cooked foodsTypical symptoms, red flags, and when to seek specialist advicePractical, evidence-based tips for everyday management and reassurance for familiesThis episode is designed for patients, parents, and healthcare professionals, using clear language, real-world examples, and clinically accurate guidance to reduce anxiety and support informed decision-making. Sources: Al-Shaikhly, T. et al. (2024) ‘An International Delphi Consensus on the Management of Pollen-Food Allergy Syndrome: A Work Group Report of the AAAAI Adverse Reactions to Foods Committee’, The Journal of Allergy and Clinical Immunology: In Practice, 12(12), pp. 3242–3249.Edwards, S.E. and Halton, F.F. (n.d.) ‘Pollen food syndrome’, pp. 1–6.Eigenmann, P. and Ebisawa, M. (2022) ‘Editorial comments on: “Food allergy in early childhood increases the risk of pollen food allergy syndrome”’, Pediatric Allergy and Immunology, [e-journal]. Available at: 10.1111/pai.13788.Haidar, L. et al. (2025) ‘Pollen–Food Allergy Syndrome: Allergens, Clinical Insights, Diagnostic and Therapeutic Challenges’, Applied Sciences, 15(1), 66.Hamada, M. et al. (2025) ‘Evaluation of the incidence of systemic symptoms in PR-10-related pollen-food allergy syndrome in Western Japan’, Pediatric Allergy and Immunology, 36, e70104.Kim, M. et al. (2019) ‘Clinical Manifestations and Risk Factors of Anaphylaxis in Pollen–Food Allergy Syndrome’, Yonsei Medical Journal, 60(10), pp. 960–968.Mastrorilli, C. et al. (2016) ‘Endotypes of pollen-food syndrome in children with seasonal allergic rhinoconjunctivitis: a molecular classification’, Allergy, 71, pp. 1181–1191.Skypala, I.J. et al. (2022) ‘BSACI guideline for the diagnosis and management of pollen food syndrome in the UK’, Clinical and Experimental Allergy, 52(9), pp. 1018–1034. 🎧 Listen now on Apple Podcasts, Spotify, Amazon Music, and YouTube Disclaimer: The information shared in this podcast and on this website is not intended to replace professional medical advice, diagnosis, or treatment. Always consult your doctor or a qualified healthcare provider with any questions you may have about a medical condition. Please don't ignore or delay seeking medical advice based on content from this podcast or website. Buy me a coffee: https://coff.ee/goodlifecreations Send us a text Support the show Brought to you by - Goodlife Creations (2026). Music by - Denys Kyshchuk from Pixabay.

    44 min

  5. 12/13/2025

    Blueberries for Babies: Introducing Blueberry as a First Complementary Food

    Can babies eat blueberries as one of their first solid foods? When should blueberries be introduced during weaning and complementary feeding? Are blueberries safe, nutritious, and allergy-friendly for infants? In this episode, we explore the role of blueberries as an early complementary food for babies starting solids. Drawing on evidence-based infant nutrition guidance, this episode breaks down when and how to introduce blueberries, their nutritional benefits (including fibre, antioxidants, and vitamins), and practical preparation tips to reduce the risk of choking. We also discuss food allergy considerations, including why blueberries are considered a low-allergen food, how they fit into early dietary diversity, and what parents should watch for when introducing new foods. Whether you’re starting solids at around 6 months, navigating first tastes, or supporting a child with eczema or food allergy risk, this episode offers calm, trustworthy, and practical advice to help families introduce foods with confidence. 🎙️ Listen now and learn how blueberries can be a simple, nutritious, and baby-friendly first food. Sources: Glime, G.N.E., Matzeller, K.L., Frank, D.N., Kotter, C., Kofonow, J.M., Robertson, C.E., Venter, C., Campbell, W.W., Krebs, N.F. and Tang, M. (2025) ‘Introducing blueberry powder as one of the first complementary foods changes the gut microbiota composition and diversity in U.S. human milk-fed infants: a double-blind, randomized controlled trial’, Frontiers in Nutrition, 12, p. 1623521. Available at: https://doi.org/10.3389/fnut.2025.1623521.Venter, C., Boden, S., Pickett-Nairne, K., O’Mahony, L., Glime, G.N.E., Matzeller, K.L., Frank, D.N., Kotter, C., Kofonow, J.M., Robertson, C.E., Campbell, W.W., Krebs, N.F. and Tang, M. (2025) ‘Blueberry Consumption in Early Life and Its Effects on Allergy, Immune Biomarkers, and Their Association with the Gut Microbiome’, Nutrients, 17(17), p. 2795. Available at: https://doi.org/10.3390/nu17172795. 🎧 Listen on Apple, Spotify, Amazon, and YouTube Podcasts. Disclaimer: The information shared in this podcast and on this website is not intended to replace professional medical advice, diagnosis, or treatment. Always consult your doctor or a qualified healthcare provider with any questions you may have about a medical condition. Please don't ignore or delay seeking medical advice based on content from this podcast or website. Buy me a coffee: https://coff.ee/goodlifecreations Send us a text Support the show Brought to you by - Goodlife Creations (2026). Music by - Denys Kyshchuk from Pixabay.

    38 min

  6. 12/08/2025

    Precautionary Allergen Labelling: What ‘May Contain’ Really Means for Families

    Precautionary Allergen Labelling (PAL) — those familiar phrases like “may contain nuts” or “made in a factory that handles milk” — is meant to keep people with food allergies safe. But does it always help? Or can it create confusion and unnecessary fear? In this episode, we unpack the world of precautionary allergen labels and what they really mean for families living with food allergies. We explore how PAL is regulated, why companies use it, and the challenges it brings for parents trying to make safe food choices for their children. We also discuss: Why do different products use PAL inconsistentlyThe real risk behind cross-contaminationHow parents and clinicians can interpret PAL more confidentlyThe future of food allergen labelling and more transparent communicationWhether you’re a parent, healthcare professional, or someone living with allergies, this episode provides trusted, practical insights to help you make more informed decisions about the food on your plate. Sources: Dubois, A.E.J., Turner, P.J., Hourihane, J., Ballmer-Weber, B., Beyer, K., Chan, C.-H., Gowland, M.H., O’Hagan, S., Regent, L., Remington, B., Schnadt, S., Stroheker, T. and Crevel, R.W.R. (2018) ‘How does dose impact on the severity of food-induced allergic reactions, and can this improve risk assessment for allergenic foods? Report from an ILSI Europe Food Allergy Task Force Expert Group and Workshop’, Allergy, 00, pp. 1–10,.DunnGalvin, et al. (2019) ‘Evidence‐based approaches to the application of precautionary allergen labelling: Report from two iFAAM workshops’, Clinical & Experimental Allergy, 49, pp. 1191–1200,.Graham, F., Benhamou, A.H., Liu, Y.J., Caubet, J.-C. and Eigenmann, P.A. (2023) ‘Real‐life evaluation of tolerance to foods with precautionary allergen labeling in children with IgE- mediated food allergy’, Allergy,,. Available at: https://doi.org/10.1111/all.15821. 🎧 Listen on Apple, Spotify, Amazon, and YouTube Podcasts. Disclaimer: The information shared in this podcast and on this website is not intended to replace professional medical advice, diagnosis, or treatment. Always consult your doctor or a qualified healthcare provider with any questions you may have about a medical condition. Please don't ignore or delay seeking medical advice based on content from this podcast or website. Buy me a coffee: https://coff.ee/goodlifecreations Send us a text Support the show Brought to you by - Goodlife Creations (2026). Music by - Denys Kyshchuk from Pixabay.

    28 min

  7. 12/02/2025

    Nasal Adrenaline: A Game-Changer for Anaphylaxis Care?

    Severe allergic reactions can happen anywhere, anytime — and every second counts. In this episode, we explore the exciting new development of adrenaline nasal spray (Neffy) as a potential needle-free treatment for anaphylaxis. Could this innovation improve how quickly lifesaving medication is delivered? Could it reduce hesitation, fear of injections, and treatment delays? Join us as we break down: How adrenaline nasal spray works in the bodySafety, ease of use, and real-world benefitsDifferences vs. traditional adrenaline auto-injectors (e.g., EpiPen)What this could mean for patients, carers, schools, and emergency respondersThe future of anaphylaxis management and allergy careWhether you’re a clinician, parent, educator, or someone living with severe allergies, this episode helps you stay ahead of the latest advances in food allergy and anaphylaxis treatment — all in clear, accessible language. You can listen now to discover how a simple nasal spray could become a lifesaving revolution in allergy emergencies. Sources: Chen, J., Chilampalli, et al. (2019). A Phase 1, Single-Dose, Open-Label, 5-Treatment, Crossover, Pharmacokinetic Study of Comparative Bioavailability of Epinephrine Nasal Spray and EpiPen® in Healthy Adults With Seasonal Allergies. J Allergy Clin Immunol, February 2019, AB144 Abstracts.Crescioli, G., et al. (2025). Epinephrine nasal spray for the treatment of anaphylaxis: perspectives in pediatrics. Curr Opin Allergy Clin Immunol, 25(6), pp. 511–517. doi: 10.1097/ACI.0000000000001109.Dribin, T.E., et al. (2025). Intranasal epinephrine: The need to have confidence in efficacy. Journal of Allergy and Clinical Immunology, doi: 10.1016/j.jaci.2025.07.023.Ellis, A.K., Casale, et al. (2024). Development of neffy, an Epinephrine Nasal Spray, for Severe Allergic Reactions. Pharmaceutics, 16(811). doi: 10.3390/pharmaceutics16060811.FDA Approves First Epinephrine Nasal Spray (2024). AJN, 124(12), p. 16.Fleischer, D.M., et al. (2025). Pharmacokinetics and Pharmacodynamics of neffy, Epinephrine Nasal Spray, in Pediatric Allergy Patients. J Allergy Clin Immunol Pract, 13(6), pp. 1335–1341. doi: 10.1016/j.jaip.2025.03.019.Golden, D.B.K., Greenhawt, M. & Shaker, M.S. (2025). Prescribing nasal epinephrine spray: Confidence limits with novel treatments. J Allergy Clin Immunol, 156(614-5), pp. 614–615. doi: 10.1016/j.jaci.2025.06.008.Greenhawt, M., et al. (2024). Pharmacokinetic and Pharmacodynamic Profile of Epinephrine Nasal Spray Versus Intramuscular Epinephrine Autoinjector in Healthy Adults. J Allergy Clin Immunol Pract, 12(12), pp. 3274–3282. doi: 10.1016/j.jaip.2024.10.006.Treudler, R., et al. (2025). Adrenaline nasal spray in emergency management: An initial expert opinion. Allergologie select, 9, pp. 80–85. doi: 10.5414/ALX02590E. 🎧 Listen on Apple, Spotify, Amazon, and YouTube Podcasts. Disclaimer: The information shared in this podcast and on this website is not intended to replace professional medical advice, diagnosis, or treatment. Always consult your doctor or a qualified healthcare provider with any questions you may have about a medical condition. Please don't ignore or delay seeking medical advice based on content from this podcast or website. Buy me a coffee: https://coff.ee/goodlifecreations Send us a text Support the show Brought to you by - Goodlife Creations (2026). Music by - Denys Kyshchuk from Pixabay.

    35 min

  8. 11/29/2025

    Ultra-Processed Foods: How They Impact Your Health & Long-Term Disease Risk

    Ultra-processed foods (UPFs) are now a major part of children’s diets — colourful packaging, cartoon characters, and convenience make them hard to resist. But what are these foods really doing to young bodies and developing brains? In this episode, we uncover the science behind UPFs and children’s health, including: • How ultra-processed foods affect growth, metabolism, and immune health • Links with obesity, diabetes, fatty liver disease & heart disease risk • The impact on gut bacteria, behaviour, mood, and sleep • Why kids become “hooked” on high-sugar, high-additive foods • Practical tips for families to reduce UPFs without stress or guilt • Realistic swaps for school lunches, snacks & busy evenings Backed by evidence and expert insight, this episode empowers parents, carers, and healthcare professionals to make informed, child-focused nutrition choices — even in a world where UPFs are everywhere. Sources: Barbaresko, J., Bröder, J., Conrad, J., Szczerba, E., Lang, A. and Schlesinger, S. (2025) Ultra-processed food consumption and human health: an umbrella review of systematic reviews with meta-analyses. Critical Reviews in Food Science and Nutrition, 65(11), pp. 1999–2007. doi:10.1080/10408398.2024.2317877.Gibney, M.J., Forde, C.G., Mullally, D. and Gibney, E.R. (2017) Ultra-processed foods in human health: a critical appraisal. The American Journal of Clinical Nutrition, 106(—), pp. 717–24. doi:10.3945/ajcn.117.160440.Levy, R.B., Barata, M.F., Leite, M.A. and Andrade, G.C. (2024) How and why ultra-processed foods harm human health. Proceedings of the Nutrition Society, 83(—), pp. 1–8. doi:10.1017/S0029665123003567.Monteiro, C.A., Louzada, M.L.C., Steele-Martinez, E., Cannon, G., Andrade, G.C., Baker, P., Bes-Rastrollo, M., Bonaccio, M., Gearhardt, A.N., Khandpur, N., Kolby, M., Levy, R.B., Machado, P.P., Moubarac, J-C., Rezende, L.F.M., Rivera, J.A., Scrinis, G., Srour, B., Swinburn, B. and Touvier, M. (2025) Ultra-processed foods and human health: the main thesis and the evidence. The Lancet. doi:10.1016/S0140-6736(25)01565-X. 🎧 Listen on Apple, Spotify, Amazon, and YouTube Podcasts. Disclaimer: The information shared in this podcast and on this website is not intended to replace professional medical advice, diagnosis, or treatment. Always consult your doctor or a qualified healthcare provider with any questions you may have about a medical condition. Please don't ignore or delay seeking medical advice based on content from this podcast or website. Buy me a coffee: https://coff.ee/goodlifecreations Send us a text Support the show Brought to you by - Goodlife Creations (2026). Music by - Denys Kyshchuk from Pixabay.

    29 min
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“Helping you understand allergies—one episode at a time” Welcome to Hope & Histamine, the trusted podcast for families navigating the complex world of paediatric allergies. Hosted by a dedicated healthcare professional, this show offers clear, compassionate, and evidence-based guidance on the diagnosis, treatment, and day-to-day management of allergies and atopic conditions in children. From eczema to food allergies, asthma to anaphylaxis, each episode breaks down medical facts into practical advice—empowering parents, caregivers, and patients with reliable information and hope. Tune in for expert insights, real stories, and up-to-date recommendations designed to help you breathe a little easier.

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