Nick Makwana

Nick Makwana Consultant Paediatrician with and interest in Paediatric Allergy and Infectious Disease
BSc(HONS) Pharmacology, MBChB, MRCPCH, PCME, MD

04/07/2025

Anaphylaxis in Children – Know What to Do
Anaphylaxis can come on quickly and unexpectedly. Symptoms might include:
• Swelling of tongue or face
• Breathing difficulties or wheeze
• Sudden tiredness, floppiness, or collapse
• Persistent vomiting

If in doubt – use the auto-injector and call 999
You will never be wrong for giving adrenaline. What you don’t want is to wait too long.

Adrenaline is safe. Giving it early saves lives.
Teach children, carers, schools, and friends what to look for – and what to do.

#999

Important information from allergyuk
02/07/2025

Important information from allergyuk

02/07/2025

🌍 World Allergy Week – Investing in the Future 🌱
Today I had the privilege of welcoming our new final-year medical students and sharing one of my passions: why allergy matters.

From food to environment, asthma to anaphylaxis – allergy touches every specialty and every stage of life. It’s a field full of science, challenge, empathy, and impact.

Training tomorrow’s doctors to recognise, manage, and even specialise in allergy is how we build a safer, healthier future for all.
Let’s raise awareness. Let’s inspire the next generation.


So pleased to be part of this great study with  to help reduce need for diagnostic food challenges in our patients.A new...
02/07/2025

So pleased to be part of this great study with to help reduce need for diagnostic food challenges in our patients.

A new blood-based diagnostic test may transform how food allergies are identified. With support from a FARE research grant, scientists are developing a next-generation basophil activation test (BAT) that can assess reactivity to multiple allergens using just a small blood sample, potentially reducing the need for oral food challenges.
While still in the research phase, this simplified and scalable test could lead to faster diagnoses, less patient anxiety, and fewer unnecessary food avoidances. FARE is proud to support innovations that move us closer to safer, more accessible food allergy care. Read more here: https://bit.ly/45PsLYX Healio

https://www.facebook.com/share/p/19EVjievDc/?mibextid=wwXIfrSo pleased to be part of this study with Alexandra Santos to...
02/07/2025

https://www.facebook.com/share/p/19EVjievDc/?mibextid=wwXIfr

So pleased to be part of this study with Alexandra Santos to reduce the need for diagnostic food challenges in our patients.

A new blood-based diagnostic test may transform how food allergies are identified. With support from a FARE research grant, scientists are developing a next-generation basophil activation test (BAT) that can assess reactivity to multiple allergens using just a small blood sample, potentially reducing the need for oral food challenges.
While still in the research phase, this simplified and scalable test could lead to faster diagnoses, less patient anxiety, and fewer unnecessary food avoidances. FARE is proud to support innovations that move us closer to safer, more accessible food allergy care. Read more here: https://bit.ly/45PsLYX Healio

30/06/2025

☀️ Hot Weather Reminder: Keep Your Auto-Injector Safe! ☀️
Adrenaline auto-injectors (like EpiPen, Jext, Emerade) are life-saving – but only if stored correctly.

Top tips for summer safety:
✅ Keep it cool – Store between 15–25°C
🚫 Don’t leave it in hot cars, direct sunlight, or beach bags
🎒 Use an insulated pouch when out and about
👀 Check the expiry date and the solution – it should be clear, not cloudy

Heat can damage the medication, reducing how well it works in an emergency. Take a few simple steps to keep your device safe and effective.

28/06/2025

Peanut Immunotherapy in Action
Saturday mornings = progress for our young people with peanut allergy – without missing school or preschool.

We’re proud to offer oral immunotherapy that’s tailored to the individual – whether they’re in preschool, starting school, or navigating teenage life. Every journey is unique, and every step forward is a win.

Empowering families. Building confidence. One dose at a time.

27/06/2025

🌼 Hayfever Help for Kids – The Right Way! 🌼
Hayfever can really knock kids off their game — itchy eyes, sneezing, poor sleep, and fatigue are no fun. But there are safe, effective ways to help!

✅ Use daily non-drowsy antihistamines
✅ Try a child-appropriate steroid nasal spray
✅ Sunglasses and hats protect from pollen
✅ Shower/change after being outdoors
✅ Keep windows shut on high pollen days

🚫 Avoid steroid injections
They’re not recommended for children — side effects can outweigh benefits and there are much safer options.

👉 Trusted advice: itchysneezywheezy.co.uk
📲 My hayfever tips: Instagram Post

Let’s help children enjoy the sunshine without the sniffles! 🌞

26/06/2025

✨ Growing Up with Allergies – and Growing Into Independence ✨
Transitioning young people with allergies into adult care isn’t just about handing over a clinic letter. It’s about empowering them with confidence, knowledge, and support to manage their condition safely as they take on new challenges at university, work, or beyond. 🌍💪

Let’s make allergy transition a planned, personalised, and positive experience. 🩺💼🌱

Great to have a UK team at the FAST-OIT conference in Dallas. Lots of discussion with       about treatment options for ...
21/06/2025

Great to have a UK team at the FAST-OIT conference in Dallas. Lots of discussion with about treatment options for food allergic children in the UK, including outside of London 🙂. So good to talk to benefit the young people we look after ❤️

Had a fabulous few days in  . Some great learning at the FAST OIT conference to help our young allergy patients when I g...
21/06/2025

Had a fabulous few days in . Some great learning at the FAST OIT conference to help our young allergy patients when I get back to the UK, and managed to squeeze in as well as the shooters window. A nostalgic trip to , Lots of exciting things ahead for our service 😁

Talking all things allergy to the wonderful Balbir on the Health Talk show on Raaj FM this morning. Important to ensure ...
27/09/2024

Talking all things allergy to the wonderful Balbir on the Health Talk show on Raaj FM this morning. Important to ensure our local communities understand childhood allergies and when and how to seek medical advice. Thanks for inviting me 😀

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