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Gradual introduction of allergens for your child

Please note: this challenge should only be followed under the direction of a clinician.

Children with one or more food allergies are usually able to tolerate a wide range of other foods without any reaction.

To ensure your child’s nutritional needs are met, it is important to provide them with a varied diet containing many different types of food. There is growing evidence that suggests it may be beneficial to introduce possible allergens into a child’s diet earlier rather than later. This guide is designed to help you offer new foods safely into your child’s diet.

Golden rules

  • Ensure your child is well before introducing a new food.
  • Introduce new foods in your home so you can easily obtain help/advice if needed
  • Introduce the food in the morning, preferably not just before the child is due a nap, but when you have plenty of time to monitor your child at home.
  • Should an allergy reaction occur you should act promptly.
  • Ensure you have your emergency allergy treatment close to hand.

Gradual introduction

  • Day 1: offer a pea size amount of the food orally. If no reaction go to day 2.
  • Day 2: offer two pea sized amounts of the food orally. If no reaction go to day 3.
  • Day 3: offer four pea sized amounts of the food orally. If no reaction go to day 4.
  • Day 4: offer a teaspoon of the food orally. If no reaction continue to double the quantity offered until the child is able to tolerate an age-appropriate portion of the food.
  • Continue to have the new food regularly in the diet, ideally a few times a week.

Possible allergic symptoms

Mild to moderate Signs of anaphylaxis
Symptoms Swollen lips, face or eyes

Itchy/tingling mouth

Mild throat tightness

Hives or itchy skin rash

Abdominal pain or vomiting

Sudden change in behaviour

AIRWAY:

Persistent cough
Hoarse voice
Difficulty swallowing
Swollen tongue

BREATHING:

Difficult or noisy breathing
Wheeze or persistent cough

CONSIOUSNESS:

Persistent dizziness
Pale or floppy
Suddenly sleepy
Collapse / unconscious

ACTION Give antihistamine (if vomited, can repeat dose) Lay child flat with legs raised (if breathing is difficult allow child to sit) Give Adrenaline if available.

Call 999 and say ‘ANAPHYLAXIS’