Could you please provide more details about allergens and related issues?
Hello, doctor.
I would like to ask you three questions:
1.
For an 11-month-old baby, if allergy testing is to be conducted, is it done through a blood test? Where can I go to have this test done?
2.
If an 11-month-old baby has allergies and I want to change the formula, can I mix the original formula with the new one for the baby to drink? How should I transition from the original formula to the new one?
3.
When introducing eggs to the baby, should I start with the egg white or the yolk? I have received different answers from various doctors.
Thank you!
mei, 20~29 year old female. Ask Date: 2004/10/25
Dr. Lin Wenxian reply Pediatrics
Dear May,
Hello May: In Taiwan, with the advancement of civilization and industrialization, allergic issues among children have become increasingly common, becoming a focal point of concern for parents.
I will address your questions in order.
1.
Regarding the timing for allergen screening, whether through blood tests or skin tests, it is generally recommended to conduct these assessments after the age of three.
While testing can be performed at a younger age, the results may not be accurate due to the child's age.
In other words, a negative result for a specific allergen does not guarantee that the child will not develop an allergy in the future.
Both blood tests and rapid skin tests are available at Tainan City Hospital's pediatric department.
2.
How can we prevent the onset of allergic diseases? Current research indicates that exclusive breastfeeding until six months of age is optimal, followed by the introduction of complementary foods.
It is advised not to introduce whole cow's milk, eggs, or shellfish before the age of one.
Additionally, it is important to create a dust mite-free environment at home.
Commercially available hydrolyzed protein formulas partially break down cow's milk protein into smaller molecules that are less likely to trigger allergies.
However, the effectiveness of these formulas does not compare to that of exclusive breastfeeding.
When transitioning to a new formula for younger infants, it is indeed advisable to gradually increase the proportion of the new formula to avoid discomfort.
However, for an 11-month-old child, the frequency and amount of complementary foods should gradually increase to become the main source of nutrition.
By the age of one, milk intake can be reduced to twice a day, and the child's diet can be similar to that of adults, making formula less important.
At this stage, it is more crucial to encourage the child to practice eating a variety of foods and develop chewing skills.
3.
Generally, egg whites contain more allergenic substances than yolks.
For children who may have an allergic predisposition, it is recommended to introduce eggs after the age of one.
If eggs must be introduced before one year of age, starting with the yolk is advisable.
Wishing you good health and all the best from Tainan Hospital!
Reply Date: 2004/10/25
More Info
When it comes to addressing allergy testing and dietary changes for infants, particularly for an 11-month-old baby, there are several important considerations to keep in mind. Let's break down your questions one by one.
1. Allergy Testing for an 11-Month-Old:
Allergy testing in infants can be a complex issue. Generally, it is recommended that allergy testing, whether through blood tests or skin prick tests, be conducted after the age of three. This is because younger infants may not have developed a consistent immune response, which can lead to inaccurate results. If you still wish to pursue testing for your 11-month-old, you can consult a pediatric allergist or your pediatrician, who can guide you on the appropriate testing methods available at local hospitals or clinics. In Taiwan, for instance, many hospitals offer these services, but it’s crucial to discuss the potential benefits and limitations with your healthcare provider.
2. Changing Formula for an Allergic Baby:
If your baby has been diagnosed with allergies and you are considering changing their formula, it is advisable to do so gradually. Mixing the old formula with the new one can help your baby adjust and minimize gastrointestinal discomfort. Start by mixing a small amount of the new formula with the old one, gradually increasing the proportion of the new formula over several days. This method allows you to monitor your baby for any adverse reactions to the new formula. It's also essential to choose a formula that is specifically designed for infants with allergies, such as hydrolyzed protein formulas, which are broken down into smaller proteins that are less likely to trigger an allergic response.
3. Introducing Eggs to Your Baby's Diet:
When it comes to introducing eggs, it is generally recommended to start with the egg yolk rather than the egg white. The egg white contains proteins that are more likely to cause allergic reactions, especially in infants with a family history of allergies. If you choose to introduce eggs, wait until your baby is at least one year old, as this is when their digestive system is more developed. If you decide to introduce eggs before this age, start with a small amount of cooked egg yolk and observe for any signs of an allergic reaction, such as rashes, vomiting, or diarrhea.
Additional Considerations:
- Dietary Diversity: As your baby approaches their first birthday, it is crucial to introduce a variety of solid foods to help them develop a well-rounded diet. This includes fruits, vegetables, grains, and proteins. The earlier you introduce a diverse diet, the better it may be for reducing the risk of developing food allergies.
- Monitoring for Allergies: Keep a close eye on your baby’s reactions to new foods. Common signs of food allergies include skin rashes, gastrointestinal symptoms (like vomiting or diarrhea), and respiratory issues. If you notice any concerning symptoms, consult your pediatrician immediately.
- Consulting Healthcare Providers: Always discuss any dietary changes or concerns with your pediatrician or a registered dietitian who specializes in pediatric nutrition. They can provide personalized advice based on your baby's health history and nutritional needs.
In summary, while allergy testing can be beneficial, it is often best postponed until the child is older. When changing formulas, do so gradually and monitor for reactions. When introducing eggs, start with the yolk and be vigilant for any signs of allergies. Your pediatrician is your best resource for navigating these decisions and ensuring your baby’s health and well-being.
Similar Q&A
Understanding Allergies in Infants: Symptoms, Testing, and Dietary Tips
Hello, doctor. My baby is over seven months old. I started introducing solid foods at six months. The diet mainly consists of root vegetables and rice. Recently, I tried two new foods. The first one caused a significant reaction: redness and swelling around the lips and eyes, alo...
Dr. Ma Yiqun reply Pediatrics
Hello: Allergen testing is generally performed after the age of 2. There are countless types of food allergies, and blood tests may not be able to comprehensively identify all of them. It is still recommended to introduce only 1 to 2 new foods per week to your baby. If any allerg...[Read More] Understanding Allergies in Infants: Symptoms, Testing, and Dietary Tips
Understanding Food Allergies in Children: Egg and Dust Mite Sensitivities
Hello, doctor... My child has atopic dermatitis. Recently, blood tests revealed an allergy index of 3 for eggs and 4 for dust mites. Since many foods contain egg ingredients, does this mean that any food with egg components should be avoided?
Dr. Xiao Kaiwen reply Pediatrics
The gastrointestinal immune system of the human body tends to develop "tolerance" towards food proteins, meaning that over time, it may not produce allergic reactions. However, test results may still show positive reactions. Therefore, it is essential to closely observe...[Read More] Understanding Food Allergies in Children: Egg and Dust Mite Sensitivities
Should Your Child Undergo Allergy Testing After Multiple Reactions?
Dear Doctor: My child is 4 years old and has experienced two allergic reactions within 15 days: one on August 1 and another on August 14. Both times, he developed a rash all over his body that itched. Should we conduct allergy testing? We visited the hospital on August 3, and the...
Dr. Xiao Kaiwen reply Pediatrics
Allergen testing for skin allergies is often ineffective because there are hundreds of potential allergens that can cause skin reactions. Standard allergen tests cannot possibly cover all of them, leading to random and inconclusive results. Moreover, not all allergens are overt; ...[Read More] Should Your Child Undergo Allergy Testing After Multiple Reactions?
How to Identify Allergies in Infants: A Guide for Parents
Hello, doctor. My baby is 4 months old, and I would like to know how to determine if he is allergic. I asked the hospital, and they said that allergy testing through blood work can only be done after the age of three. However, some people say that allergic babies should drink wat...
Dr. Pei Rensheng reply Pediatrics
Hello: Allergic diseases are related to two factors: one is the allergic constitution, and the second is allergens. The allergic constitution is hereditary; many scholars have statistically found that if one parent has an allergic constitution, the child has a one in four to one ...[Read More] How to Identify Allergies in Infants: A Guide for Parents
Related FAQ
(Pediatrics)
Complementary Foods(Pediatrics)
Diet(Pediatrics)
Infant Nutrition(Nutrition)
Gastrointestinal(Pediatrics)
Breastfeeding(Pediatrics)
Food Allergies(Nutrition)
Accidental Ingestion(Pediatrics)
Medical Report(Pediatrics)
Tongue(Pediatrics)