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 BREATHING: Difficult or noisy breathing CONSIOUSNESS: Persistent dizziness |
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’ |