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Allergies

Thursday, April 29, 2010

Food Intolerances and Allergies

In today’s society children face many of life’s obstacles very early, even while at the breast.  Some children react to breast milk.  This invariably is attributed to what the mother is eating.  There may be a lactose intolerance, cow’s or goat’s milk intolerance or a reaction to a certain type of food which their mother is eating and is passed through the breast milk to the child.  Some of these children may grow out of their reaction other may be found intolerant or allergic to these foods.  Food intolerances can also occur with bottle fed babies too such as a cow’s milk or soy intolerance.  Some allergies and food intolerances are only picked up when a child starts solids.   

Symptoms of an intolerance or allergy may begin in a baby with: vomiting, diarrhoea or loose smelly or mucusy stools, flatulence, irritable, excessive crying, black circles under the eyes, runny nose, wheezing, coughing, food refusal which may also indicate a reflux problem or it may appear as eczema, hives, itching, lethargic and in older children even aggressive or uncooperative behaviour.

For many years The National Health and Medical Research Council of Australia (NHMRC) followed the World Health Authorities recommendation of not starting solids before baby is 6 months.  Unfortunately, it may be possible that this recommendation to delay the introduction of solids have done more harm than good.

Today, many Australian health professionals have revised their recommendation and have  changing the age for starting solids to between four and six months.  This is primarily due to the dramatic increase of all types of allergies, especially food related allergies, in children.  Immunologists, doctors and dieticians specialising in allergies have suggested that delaying the introduction of solids may be interfering with the normal immune development reducing food tolerance and increasing allergies.  Thus delaying the introduction of foods may actually be to the child’s determent.   (see article: The Solids Controversy written by Karen Simmer PHD FRACP. Professor of Newborn Medicine, University of Western Australia).

Difference between Food Allergies and Intolerances

What is the difference between food allergies and intolerances?  An allergy will give an immediate response as it is the immune system reaction to food proteins.  An intolerance doesn’t involve the immune system but is triggered by food chemicals which irritates the nerve endings.  These chemicals are found in groups of foods which accumulate in the body and eventually cause a reaction.
 

Food Allergies

Food allergies are often inherited and are associated with eczema, asthma and hay fever.  Food allergies can range from mild to severe causing vomiting, cramps and diarrhoea, hives, swelling on the face, mouth, eyes.  The most sever is a life threatening anaphylaxis attack which cause breathing difficulties due to the throat and tongue swelling or asthma.  

Common children’s allergies are soy and cow’s milk, egg, sesame, wheat, seafood, peanut and other nuts.  Many children grow out of their food allergies by five but peanut and seafood may continue through adulthood.   Allergies but not intolerances can be diagnosed through a skin prick test.

Food Intolerances

Many foods have additives including colourings and preservatives but others have natural chemicals those low in chemicals are almost never a problem.   Natural chemicals in foods help to enhance their flavour.  Levels may either be high in unripe fruits and decrease with ripening or visa versa.  MSG for example is found naturally in tomato, mushroom, silver beet, prune, plum and grape.  Organically grown foods may have higher levels of natural preservatives and pesticides in their skin.  

Foods moderate in natural chemicals:
The following foods are moderate in natural chemicals:
Fruits:  pear, apple (golden, red delicious), mango, banana, papaya, rhubarb.
Vegetables: choko, potato, sweet potato, swede, leeks, celery, carrot, beetroot, marrow, pumpkin, parsnip, turnip, peas, snow peas, Chinese veg, asparagus.
Meats: chicken, eggs, fresh fish, veal, rabbit, lamb, beef.  
All dairy foods other than mild and tasty cheeses.  
Grains:  rice, arrowroot, barley, rolled oats, sago, wheat, rye, buckwheat.

Foods high in chemicals:
Fruits: avocado, date, kiwi fruit, orange, pineapple, grape, plum prune, sultana.
Vegetables: cauliflower, eggplant, broccoli, mushroom, silver beet, tomato, broad bean.
Meats, fish and dairy: Tuna, salami, sausages, seasoned meat and chicken, tasty cheese.  
Others:  honey, jams, fruit or chocolate flavoured drinks, stocks and sauces.

Food intolerances are rarely serious.  If you suspect your child has a food intolerance or allergy contact your family doctor of Paediatrician.

The good news is children often grow out of food intolerances and allergies.
The Royal Prince Alfred Hospital Allergy Unit, NSW has put out a recipe book called “Friendly Food’.  It is a guide to avoiding allergies, additives and problem chemicals in foods and can be purchased through the allergy clinic or your local book store.  

It is wise to consult a health professional or dietitian if there is a family history of food intolerance, allergies, eczema or asthma (particularly if you are a breastfeeding mother).  Restricting a child’s diet unless under professional supervision is not recommend as essential nutrition may be lost.  Most babies have grown out of their milk protein intolerances by 9 months and can once again tolerate cow, goat and soy based formulas.   While older children usually grow out of food allergies around 3 years of age.  

Not all children develop allergies or food intolerances but it is good to be aware and understanding towards those who have these challenges.  

This article was written by mothercraft nurse Sally Hall from Cradle 2 Kindy Parenting Solutions.  If you would like more information on this and other similar topics our E-books are packed full of practical parenting tips.  Down load an E-Book specifically related to your child's age group through Publications at Our Shop.

Disclaimer: Article on our website are for education purposes only.  Please consult with your doctor to make sure this information is right for your child.

All articles on this website have a copyright any use of any material must have permission from Cradle 2 Kindy Parenting Solutions.

Perinatal Mood Disorders

Thursday, April 01, 2010
Also known as perinatal anxiety and depression or antenatal and postnatal depression.  

What Does it Actually Mean?


Women who experience a depressed mood during the perinatal period (ie pregnancy to one year post partum) for 2 weeks or more that is impacting on their life.  The symptoms may include tearfulness, changes to sleep and eating patterns, feeling overwhelmed, anxious, angry, tired, hyperactive.  Around 20% of women and 10% of their partners will experience perinatal anxiety and depression.

Difficulties Associated with Diagnosis


Perinatal mood disorders are multi-factorial with a biological, psychological and social basis.  Hormones and chemicals play a role, as does the media, portraying motherhood as blissful and mother as beautiful.  General life experiences (past or present) and stressful events (such as moving/renovation, financial concerns), and issues relating to the pregnancy and birth are also factors.  Many mothers do not have realistic expectations of motherhood and the major bi0-psycho-social changes that occur.  When the reality is exhausting, repetitive and isolating, the transition from independent to invisible can be a shock.

Many women do not want to admit they are not living up to societal or their personal expectations.  Other women are not able to articulate their feelings. Women do not want to be judged as mad, bad or sad.

There is under-reporting by women and misdiagnosis by professionals.  Referral pathways are difficult.

Getting Professional Help


Professional counselling is considered the most effective treatment.  Antidepressant medication can be prescribed in conjunction with counselling, but should be carefully monitored.  Professionals who can help include: PG, obstetrician, psychologist, psychiatrist, ECHC nurse, mothercraft nurse, midwife, supported play group.

There are differences in the nature, severity and duration of symptoms of perinatal mood disorders and professional help is recommended in order to diagnose and then identify the best approach to treatment.

General practitioners

General practitioners are generally the first step in seeking professional help. Some GP’s have an interest in PND and will identify and optimal treatment plan for you.

Furthermore, an increasing number of GP’s are registered with the Better Outcomes Project and can refer you to a social worker or psychologist trained in the psychological assessment and the treatment of PND.  The Better Outcomes Project enables you to have a number of sessions with a rebate via Medicare.
Remember that your obstetrician or paediatrician can also assist you in seeking help if you let them know that you need help.

Social Workers / Psychologists /Psychiatrists

These professionals are skilled in psychological assessment and in a variety of treatment approaches and can be assessed in private practice or may be part of a medical/counselling practice.  They will assess your individual/family needs and tailor a treatment plan to meet your needs.

Early Childhood Health Centres

A number of projects going on and much greater awareness within nursing community and Perinatal mood disorders.  

www.gidgetfoundation.com.au
contact@gidgetfoundation.com.au

Disclaimer:
Article on our website are for education purposes only.  Please consult with your doctor to make sure this information is right for your child.

All articles on this website have a copyright any use of any material must have permission from Cradle 2 Kindy Parenting Solutions.

Kids Health

Thursday, April 01, 2010
Kid's Health information
  • Statistics from National Health & Medical Research Council show that 25% of adults are overweight or obese and 1 in 5 children are also overweight or obese. Both these figures are on the rise.
  • Obesity in childhood constitutes a risk factor for a range of health problems:
    • Diabetes
    • sleep apnoea
    • liver disease
    • psychological problems especially in girls
  • Health experts recommend children consume nutritious foods for proper growth and development.
  • Set up healthy habits from the start
  • Parents should offer fresh foods with fewer preservatives and low in additives and refined sugars. It is also important to watch the fat levels.
  • READ FOOD LABELS!!: Aim for Fat 10g/100grams, sugars 15g/100grams, high fibre, low salt (sodium)
It is important to find the balance of healthy eating and physical activity.

Some tips for mums and dads:

  1. Enjoy a wide variety of foods – 5 serves vegetables, 2 serves fruit try and choose different colours for different vitamins & minerals
  2. Never skip breakfast! Its true that children perform better at school if they have started the day with a healthy, high fibre breakfast such as weetbix, low fat milk, fruit and wholemeal or multi grain toast
  3. Watch portion sizes – very important to serve food in the recommended quantities: ½ plate vegetables, ¼ plate Meat/Chicken/Fish, ¼ plate rice, pasta or potato. Choose smaller plates, bowls
  4. Get children involved in healthy meal preparations and planning meals and healthy desserts. Get them to plan a ‘menu for the day’. They will love the challenge
  5. Have set meal times and only allow healthy snacks such as fruits and vegetables
  6. Try not to purchase unnecessary snacks bars, including nut bars and dried fruit/muesli bars, these often contain too many calories.
  7. Limit snack foods, especially biscuits, chips, chocolates, lollies. Include fresh fruits and vegetables. Try making fruit kebabs, vegetables boats and healthy dips such as yoghurt, light cream cheese spread (philli light)
  8. No juice, even freshly squeezed or “no added sugar” varieties should be offered. These contain a lot of natural sugars which can contribute to weight gain.  Soft drinks are also considered a big “no, no” should not be offered unless on a special occasion. Low fat milk and water should be the only drinks offered.      
  9. Limit take-away to once/month. If you are a family relying on take away, choose healthy sandwich wraps, small kebabs (no hommus or cheese please!), have water as part of the meal deal and choose salad instead of fries. Avoid anything deep fried. Have fruit or yoghurt as your dessert.
  10. Eat slowly; allow your hunger signal to turn off before too much food is consumed. Never force children to finish their meals if they are full. Kids will never starve themselves!
  11. Dessert is not a mandatory part of the menu
  12. Exercise; be actively involved in sports, swimming, tennis, soccer, football or dancing. Join a gym if you’re 13 years or older.                                                                     

Kids lunchboxes

Recess:
  • 2 pieces of fruit tip: fresh = better than tinned or dried fruit
  • e.g. 15 grapes and 2 plums or 1 apple and 1 nectarine
  • Rice crackers – limit to 6 or Sakata biscuits (packet) this is better than chips
  • Raisin toast – 1 slice
  • Mini fruit homemade muffin
  • Frozen low fat yoghurt
Lunch:
  • 1 x Sandwich with wholemeal or wholegrain bread/wrap
  • With salad m/c/f or vegemite or light cream cheeselight sliced cheese/tomato/lettuce or light jam/margarine/labni (homemade with skim milk)
  • Add a favorite vegetable e.g carrot/cucumber/tomato/celery
  • Water or diet cordial
  • Try to avoid left overs and limit canteen treats to once/week or even once/fortnight. Don’t allow your children to purchase canteen food or to assume its a normal thing.
  • Ice blocks have 1 tablespoon of sugar per serve which would take 30 minutes of money to burn off, soft drinks and juices also have a significant amount of sugar
  • If you are frustrated the fruit and veg comes home, just offer it for afternoon tea instead of cake or biscuits.
This information has been brought to you by Hanan Saleh (APD,AN) Accredited Practising Dietitian Consultant Paediatric/Adult specialist in weight management
As seen on SBS TV series “Food Investigators”
Her website: www.thefooddoctor.com.au
Email: nutrition@thefooddoctor.com.au

For more information on similar parenting topics you may like take a look at our e-books Publications on this link.

Disclaimer:
Article on our website are for education purposes only.  Please consult with your doctor to make sure this information is right for your child.

All articles on this website have a copyright any use of any material must have permission from Cradle 2 Kindy Parenting Solutions.