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. 5D AGO

    Scombroid (Histamine) Fish Poisoning: Symptoms, Treatment & How to Prevent It

    Ever seen someone develop flushing, hives, a pounding headache, or even wheeze soon after eating fish—and everyone assumes it’s a “fish allergy”? In this episode, we unpack Histamine (Scombroid) Fish Poisoning, a common and often mislabelled cause of allergy-like reactions after eating fish such as tuna, mackerel, mahi-mahi, sardines, anchovies, and bonito. You’ll learn why it happens (histamine build-up from improper chilling/handling), how fast symptoms start, and the key clinical clues that help you tell scombroid vs true IgE-mediated fish allergy. We cover typical features like flushing, urticaria, burning/peppery taste, nausea/diarrhoea, palpitations, dizziness, and when to worry about more severe symptoms. We’ll also walk through first-aid at home, when to seek urgent care, and the evidence-based treatment—including why antihistamines usually help quickly and why adrenaline isn’t always necessary (but may be used if there’s genuine anaphylaxis or uncertainty). Finally, we zoom out to prevention: what safe storage looks like, what to do with leftovers, why multiple people getting ill after the same meal is a big clue, and how to avoid unnecessary lifelong “fish allergy” labels. Perfect for parents, clinicians, and anyone who loves fish and wants the facts—fast, practical, and myth-busting. Source: Feng, C., Teuber, S. and Gershwin, M.E. (2016) ‘Histamine (Scombroid) Fish Poisoning: a Comprehensive Review’, Clinical Reviews in Allergy & Immunology, 50, pp. 64–69. doi:10.1007/s12016-015-8467-x.   🎧 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 a text Support the show Brought to you by - Goodlife Creations (2026). Music by - Denys Kyshchuk from Pixabay.

    43 min

  2. FEB 8

    Shellfish Allergy in Children: Symptoms, Diagnosis, Testing & Treatment

    Shellfish allergy can feel scary—especially when reactions can be sudden and severe. In this episode, we break down shellfish allergy in a clear, practical way: common symptoms (from hives to breathing problems), when to suspect anaphylaxis, and what to do in the moment. We also cover diagnosis and testing (skin prick tests, blood IgE, and when an oral food challenge might be considered), plus the tricky stuff like cross-contact in restaurants, takeaway risks, and food labels. Whether you’re a parent, teenager, or clinician, you’ll leave with a confident plan—how to avoid shellfish safely, when to carry and use an adrenaline auto-injector, and how to manage school, travel, and eating out without living in fear. Sources: Gerez, I.F.A., Llanora, G., Yap, G.C., Cheng, Y.K., Thong, B.Y., Tang, C.Y., Van Bever, H.P.S., Shek, L.P.C., Curotto de Lafaille, M.A. and Lee, B.W. (2012) ‘Clinical Characteristics of Prawn Allergy in an Asian Population’,Journal of Allergy and Clinical Immunology [Abstract 643], February.Giovannini, M., Beken, B., Buyuktiryaki, B., Barni, S., Liccioli, G., Sarti, L., Lodi, L., Pontone, M., Bartha, I., Mori, F., Sackesen, C., du Toit, G., Lopata, A.L. and Muraro, A. (2023) ‘IgE-Mediated Shellfish Allergy in Children’, Nutrients, 15(12), p. 2714. doi: 10.3390/nu15122714.Khora, S.S. (2016) ‘Seafood-Associated Shellfish Allergy: A Comprehensive Review’, Immunological Investigations, 45(6), pp. 504–530. doi: 10.1080/08820139.2016.1180301.Lopata, A.L., Kleine-Tebbe, J. and Kamath, S.D. (2016) ‘Allergens and molecular diagnostics of shellfish allergy’, Allergo Journal International, 25, pp. 210–218. doi: 10.1007/s40629-016-0124-2.Lopata, A.L. and Lehrer, S.B. (2009) ‘New insights into seafood allergy’, Current Opinion in Allergy and Clinical Immunology, 9, pp. 270–277.Nguyen, N.N.Q., Nguyen, T.H., Le, M.K., Duong, T.B., Pham, D.L., Tran, T.T. and Trinh, T.H.K. (2025) ‘Integrated Diagnostic Approach Using Basophil Activation Test and IgE Assays for Shrimp and Prawn Allergy’, Medicina, 61, p. 1040. doi: 10.3390/medicina61061040.Shi, J., Ren, F., Zhang, X., Yuan, X., Zhong, Q. and Zhang, J. (2025) ‘A comprehensive review on biological properties of fish and shellfish allergens’, European Food Research and Technology, 251, pp. 3417–3444. doi: 10.1007/s00217-025-04848-1. 🎧 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.

    33 min

  3. JAN 31

    Does Colostrum Protect Against Peanut Allergy? Birth Cohort Findings Explained

    In this episode, we explore a fascinating question in early-life allergy prevention: could colostrum act as a protective factor against peanut allergy? Using evidence from a birth cohort study, we break down what the research actually found, how strong the association is, and what it might mean for parents and clinicians. We’ll cover: What colostrum is and why it matters for immune developmentHow a birth cohort study is designed (and what it can and can’t prove)Possible biological mechanisms: immune tolerance, gut barrier function, and early microbial influencesKey limitations and confounders (because correlation ≠ causation)Practical takeaways for infant feeding conversations and allergy-risk counsellingWhether you’re a parent navigating feeding decisions or a clinician trying to stay up to date with prevention science, this episode gives you a clear, balanced, evidence-based overview—without the hype. Source: Bhasin, M., Cooper, M., Macchiaverni, P., Joys, R.S., O'Sullivan, T.A., Keelan, J.A., Venter, C., Palmer, D.J., Lowe, A.J., Prescott, S.L., Silva, D. and Verhasselt, V. (2025) ‘Colostrum as a Protective Factor Against Peanut Allergy: Evidence From a Birth Cohort’, Allergy. doi: 10.1111/all.70043. 🎧 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.

    38 min

  4. JAN 25

    Extraintestinal Manifestations of Coeliac Disease: Symptoms Beyond the Gut (Skin, Anaemia, Bones & Brain)

    Coeliac disease isn’t always a “gut problem.” In this episode of Hope & Histamine: The Paediatric Allergy Podcast, we unpack the extraintestinal manifestations of coeliac disease—the symptoms that show up beyond the digestive tract and can be easy to miss. We explore the most common non-GI presentations, including iron-deficiency anaemia, fatigue, poor growth or delayed puberty, mouth ulcers, dental enamel defects, bone pain/low bone density, headaches, low mood/brain fog, and the classic skin condition dermatitis herpetiformis. You’ll learn why these symptoms happen, which red flags should prompt testing, and the practical steps to diagnose coeliac disease (including the role of coeliac serology and when to consider referral). Whether you’re a parent, patient, or clinician, this episode will help you recognise coeliac disease when the gut symptoms are mild—or not there at all—and understand how a strict gluten-free diet can improve whole-body health. Sources: Durazzo, M., Ferro, A., Brascugli, I., Mattivi, S., Fagoonee, S. and Pellicano, R., 2022. Extra-Intestinal Manifestations of Celiac Disease: What Should We Know in 2022?. Journal of Clinical Medicine, 11, p.258.Jericho, H., Sansotta, N. and Guandalini, S., 2017. Extraintestinal Manifestations of Celiac Disease: Effectiveness of the Gluten-Free Diet. Journal of Pediatric Gastroenterology and Nutrition, 65(1), pp.75–79.Nardecchia, S., Auricchio, R., Discepolo, V. and Troncone, R., 2019. Extra-Intestinal Manifestations of Coeliac Disease in Children: Clinical Features and Mechanisms. Frontiers in Pediatrics, 7, p.56.Salarian, L., Khavaran, M., Dehghani, S.M., Mashhadiagha, A., Moosavi, S.A. and Rezaeianzadeh, S., 2023. Extra-intestinal manifestations of Celiac disease in children: their prevalence and association with human leukocyte antigens and pathological and laboratory evaluations. BMC Pediatrics, 23(1), p.8. 🎧 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.

    34 min

  5. JAN 19

    Coeliac Disease Explained: Symptoms, Testing, and Going Gluten-Free

    Coeliac disease can be easy to miss — and the symptoms aren’t always “classic” tummy pain or diarrhoea. In this episode of Hope & Histamine: The Paediatric Allergy Podcast, we break down what coeliac disease is, why it happens, and how to recognise it early, especially in children. We cover: The common and hidden symptoms (from abdominal pain and bloating to fatigue, anaemia, mouth ulcers, headaches, and poor growth)Who should be tested — including children with family history, type 1 diabetes, thyroid disease, or persistent unexplained symptomsThe diagnostic pathway: blood tests (tTG-IgA, total IgA), what to do with IgA deficiency, and when an endoscopy/biopsy is consideredWhy you shouldn’t start a gluten-free diet before testingPractical, real-life guidance for living gluten-free: labels, cross-contamination, school meals, eating out, and staying nutritionally balancedFollow-up care: dietetic support, monitoring, and when to re-check symptoms and bloodsWhether you’re a parent trying to make sense of symptoms, or a clinician wanting a clear refresher, this is a calm, practical guide to coeliac disease diagnosis and gluten-free living. Sources: Amil-Dias, J. and Polanco, I. (eds.) (2022) Advances in Celiac Disease: Improving Paediatric and Adult Care. Cham: Springer Nature Switzerland AG.Catassi, C., Verdu, E. F., Bai, J. C. and Lionetti, E. (2022) ‘Coeliac disease’, The Lancet, 399, pp. 2413–2426. Available at: https://doi.org/10.1016/S0140-6736(22)00794-2.Lin, J. C. (no date) ‘Diagnosing paediatric coeliac disease’, Journal Club.Lindfors, K., Ciacci, C., Kurppa, K., Lundin, K. E. A., Makharia, G. K., Mearin, M. L., Murray, J. A., Verdu, E. F. and Kaukinen, K. (2019) ‘Coeliac disease’, Nature Reviews Disease Primers, 5, Article number: 3. Available at: https://doi.org/10.1038/s41572-018-0054-z. 🎧 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.

    24 min

  6. JAN 13

    Wheat Allergy: Symptoms, Causes, Diagnosis & Management

    Wheat allergy can be confusing — especially when “gluten-free” gets mixed up with coeliac disease, wheat intolerance, or everyday tummy troubles. In this episode of Hope & Histamine: The Paediatric Allergy Podcast, we break down wheat allergy in babies and children in a clear, practical way. You’ll learn the common symptoms (from hives and vomiting to wheeze and anaphylaxis), when to suspect an IgE-mediated reaction vs a delayed reaction, and how clinicians diagnose wheat allergy using a focused history, skin prick testing, specific IgE, and (when appropriate) supervised oral food challenges. We also cover hidden sources of wheat, smart label-reading tips, cross-contamination risks, and how to build a safe plan for nursery, school, parties, and travel. Whether you’re a parent looking for reassurance or a clinician needing a quick refresher, this episode gives you a confident framework for recognising reactions, managing risk, and supporting healthy nutrition while staying safe. Sources: Cianferoni, A. (2016) ‘Wheat allergy: diagnosis and management’, Journal of Asthma and Allergy.Ebisawa, M., Shibata, R., Sato, S., Borres, M.P. and Ito, K. (2012) ‘Clinical Utility of IgE Antibodies to ω-5 Gliadin in the Diagnosis of Wheat Allergy: A Pediatric Multicenter Challenge Study’, International Archives of Allergy and Immunology, 158, pp. 71–76.Inomata, N. (2009) ‘Wheat allergy’, Current Opinion in Allergy and Clinical Immunology, 9, pp. 238–243.Mäkelä, M.J., Eriksson, C., Kotaniemi-Syrjänen, A., Palosuo, K., Marsh, J., Borres, M., Kuitunen, M. and Pelkonen, A.S. (2014) ‘Wheat allergy in children – new tools for diagnostics’, Clinical & Experimental Allergy, 44, pp. 1420–1430.Pi, X., Ren, S., Ye, H., Cao, J., Chu, J., Cao, L., Li, B. and Zhang, B. (2025) ‘A review of wheat allergy: allergens characteristic, the impact of processing on allergenicity and future perspective’, Trends in Food Science & Technology, 164, p. 105244.Pourpak, Z., Mesdaghi, M., Mansouri, M., Kazemnejad, A., Toosi, S.B. and Farhoudi, A. (2005) ‘Which cereal is a suitable substitute for wheat in children with wheat allergy?’, Pediatric Allergy and Immunology, 16, pp. 262–266.Venter, C., Maslin, K., Arshad, S.H., Patil, V., Grundy, J., Glasbey, G., Twiselton, R. and Dean, T. (2016) ‘Very low prevalence of IgE mediated wheat allergy and high levels of cross-sensitisation between grass and wheat in a UK birth cohort’, Clinical and Translational Allergy, 6(22).Yanagida, N., Takei, M., Saito, A., Sato, S. and Ebisawa, M. (2022) ‘Clinical cross-reactivity of wheat and barley in children with wheat allergy’, Pediatric Allergy and Immunology, 33, p. e13878. 🎧 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.

    42 min

  7. JAN 8

    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

  8. 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
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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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