This is a fortnightly series focused on raising healthy children, following the advice on DrSearsLean.com. Marcie Mom came across Dr Sears’ Lifestyle-Exercise-Attitude-Nutrition approach for healthy families and found it to be practical and fun to follow. However, parents of eczema children may have reservation on certain healthy tips such as bringing their child for swimming (‘Lifestyle’) or eating fruits and vegetables (‘Nutrition’). This series examine if there’s truly a need to restrict eczema children from following the LEAN tips and take note of DrSearsLEAN’s recommendation at the end of each post!
“Pick Your Salad’ – Can you pick everything for your child?
The first Lifestyle tip on DrSearsLean.com is to ‘pick your salad’ – it’s a fun way to learn about fruits and vegetables in a farm, by picking them and making your own salad. Most of the farms listed on pickyourown.org are in the US, but you can also find vegetable farms in Singapore! Parents of eczema children may think that their child is allergic or hypersensitive to certain foods, particularly when there’s an eczema flare after consumption of a new food. But is the food really a trigger?
How do parents know if it’s the food that’s triggering an itch?
There are certain foods that are more common in triggering an allergic reaction, but food in itself is not a common eczema trigger. The nature of eczema is that it comes and goes and it’s best to have the suspected food be confirmed in a skin prick test or if need to, an oral food challenge before excluding it. Should food be a trigger, usually it’s a few food rather than many foods. Even food that shows up positive in a skin prick test may not trigger itch and thus need not be excluded from your child’s diet.
You may start suspecting a food allergy when:
1. Your child shows immediate rashes or swelling around the mouth (oral allergy syndrome). This is less common in young children but some foods such as banana, kiwi, avocado, and potato have triggered such reactions. Other reactions could be itchy bumps or abdominal pain, vomiting, itchy eyes, sneezing or wheezing.
2. Your child shows delayed reactions, more than 24 hours, after consuming the food. However, such foods are harder to detect through skin prick test or by observation as abdominal pain, itchiness or diarrhoea could also be due to other reasons.
For a start, you can keep a food diary for your child, logging everything he/she eats for 4 to 6 weeks. I actually recorded from my baby’s first bite all the way to 9 month old but there’s no discernible pattern because my baby turned out to be not allergic to anything! I was a paranoid mom for so long until the negative results from the skin prick test, which is why I recommend it to every parent to save themselves the agony of second-guessing.
Eczema is a condition caused by two factors: first, a genetic tendency toward dry, irritated skin; and second, skin allergies to a variety of irritants and foods. The cause is mainly genetic – an inborn tendency toward dry skin and allergies. There is no way to change this genetics. The important issue is not what causes eczema in the first place, but what allergies and skin irritants is your child exposed to that is triggering the flare-ups.
If your child has any food allergies, then they will play a major role in causing eczema. The problem is, you may not know if your child has any food allergies, and if he does, which foods is he allergic to? Thankfully, there are six common foods that make up nearly 90% of possible allergic foods. These are milk, egg, soy, peanuts, fish and wheat.
MarcieMom: Thank you DrSearsLEAN for the advice. Our next interview will focus on these common food allergens.