Oh, Nuts!
Children’s food allergies are unpredictable, and misinterpreting them could be deadly. Learn to separate fact from fiction.
MYTH: Children are allergic to any kind of food that causes a negative reaction.
FACT: Many negative food reactions are unrelated to food allergies and are simply food sensitivities. True food allergies are not as common as people think and only affect 2% of children. Lactose intolerance, for instance, is different from a milk allergy. Doctors say a milk allergy would have life threatening consequences and those that are allergic to milk would have to skip milk protein all together. A real food allergy is a reaction of the body’s immune system to a certain component, usually a protein, in a food or ingredient.
Symptoms of food allergies can include watery eyes, wheezing and difficulty breathing, coughing, skin rashes, sneezing, vomiting, diarrhea and swelling around the mouth and throat. The more severe reaction is anaphylaxis, which involves enlarging of the larynx and a choking sensation that can lead to death.
The top 4 food allergens for children are peanuts (which are not true nuts but actually legumes from the bean and pea family), tree nuts (walnuts, peacans, cashews etc.), cow’s milk, and eggs (especially egg whites). Peanut allergies may be the most likely to cause life-threatening allergic reactions (anaphylaxis), but a cow’s milk allergy is the most common food allergy in young children.
MYTH: Children with allergies have them at the onset of birth.
FACT: While most food allergies begin at the onset of birth or early childhood, they can develop anytime in a person’s life. Interestingly, experts suspect that our society has become “cleaner” and healthier, which may be causing the immune systems in some children to fail in differentiating real threats from harmless invaders, such as food. Some also believe that because immune systems are no longer fighting real threats, they overreact and shift to turn on the body’s own tissues.
It’s good to note, however, that many children actually outgrow their food allergies. Some children can outgrow their food allergies if they eliminate them from their diet for two to three years. Approximately 85% of children outgrow their allergy to milk, but fewer will outgrow their allergies to peanuts, tree nuts and shellfish.
MYTH: Giving your child small amounts of food that he is allergic to helps him build up a resistance to the allergy.
FACT: On the contrary, if your child develops adverse reactions to certain foods, you must try to eliminate them from your child’s diet as soon as possible. Many children outgrow their food allergies if they completely avoid them for two to three years. If your child has multiple food allergies, eliminate all food he is allergic to, and rotate all other foods every four to five days.
MYTH: You can prevent a food allergy.
FACT: In pediatric allergy circles, this is a subject of much debate. Although women are often advised to avoid certain foods, such as peanuts, when they’re pregnant or breastfeeding, no one can say for sure that if this will lower a child’s risk of allergies.
What is known is that children who have parents with food allergies are more predisposed to allergies. There is also general agreement that strictly breastfeeding newborns and only introducing cow’s milk after your child’s first birthday has a protective effect. Breastfed children are less likely to develop eczema (a rash that’s often considered the first sign that a child is allergy-prone).
A hypoallergenic infant formula should be used if your baby needs a milk supplement. If your child is more predisposed to food allergies, only introduce solids after the sixth month of life – eggs after your child turns 2 and peanuts (only as smooth as peanut butter) and shellfish when your child is at least 3 years old. Introduce new foods slowly (i.e, every four to five days) so that you can easily identify which foods cause a reaction or allergy.
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