L.G. asks from Doylestown, PA on February 11, 2008
3 Mo Old Son Has Food Allergies
Hi moms,
I am worried about my young 3 mo old. I'm currently nursing him (no trouble there), but he has a particularly bad case of ezcema on his cheeks... This has been going on for about 3 weeks. I've used eucerine calming cream, and that seems to keep the dry, scaly skin from getting too bad. The doc recommended using a 1% hydrocortisone cream, but i'm nervous since those have not been proven completely safe for infants... In the last few days though, he has had a flare up that caused him to vomit (just once after I took my calcium supplement) and now he a very red angry looking rash all over his face (not just his cheeks) and spots are showing up on his legs now.
I have been keeping a food diary and noting his reactions to certain things. I've noticed in particular that he has flare ups after I eat anything with soy or wheat in it.... (if you or your baby hasn't had this reaction and you haven't ever checked the ingredients list on ANY processed food- almost EVERYTHING we eat has wheat or soy in it!!!)
So my questions are these:
Is the hydrocortisone safe for use in infants? Have you seen a big change with the hydrocortisone cream verses the eucerine?
Does anyone have any advice on how to eat a mainly meat and fruit/veggie diet?? I'm getting SOOOOOOOO bored! I've been eating rice products (milk, cereal, side dish for dinner) to substitute... i'm over salads already! haha, It's like i've been put on a (crazy and expensive!) diet with out my choice! I want to continue breast feeding, but i need some help!
I'm also wondering the earliest age that a baby can be tested for food allergies. I know if you test too early you can get a lot of false positives, but it would be better to know for sure what he's sensitive to...
Thanks a lot for your advice in advance!
More Answers
S.P. answers from Buffalo on February 12, 2008
I used hydrocortisone very minimally only on the worst flare-ups for my son, but sometimes, even if I put lotion on him 5 times a day it just wouldn't go away and itched like crazy. I know eucerin is the standard lotion peds tell you to use but try lotion shopping too... I've tried close to ten brands probably. As for the diet, you may want to consider an elimination diet. It's hard, really hard (try eating turkey, rice, potatoes, and pears for a week) but it's well worth it. I did a total elimination diet for my son and he was a completely different baby once I got rid of the offending foods (behavior, sleep, skin, poop... everything was affected). If you find the offending food it's best to COMPLETELY eliminate it or you are constantly exposing your baby to small threats and that will significantly lower his chances of outgrowing it. Testing, from what I've read and been told is not reliable until AT LEAST 12 months. Even then they don't totally believe it. My son was tested at 2 yrs and they told me even then not to go by it but go by his symptoms. Elimination and challenge of the offending food is the gold standard, not blood testing. Dr. Sears has some good info on doing an elimination diet. If you do it, be prepared to lose weight. I was 138lbs preprego, gained 42lbs and went down to 115lbs because of the elimination diet. Good luck. It's a long frustrating road. FYI, my peds (2 different practices) have not been any help on this matter, maybe yours will be. Also, proteins can take up to 2-3 weeks to get out of your system and another 1-2 weeks to get out of your son, so eating just a little bit of the offending food and then supplementing won't save him the agony, just lessen it.
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L.G. answers from Pittsburgh on February 12, 2008
Hey there-
I have a 4 month old son, breasting feeding as well. He too has these flare-ups over his body. His cheeks are the worst. We got to the point we thought it was causing him to lose sleep and it seemed he was scratching at it. We took him to the dr. and they gave him Hydrocortisone and this other prescription cream. He is a new child now. Skin is beautiful and he is getting much better sleep. I hear ya about the medicine, but my son was no good without it. I'm doing the best I can breast-feeding. Not so sure I can adjust the diet much more. Please feel free to email me again- maybe we can tag-team this dilemma.
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E.J. answers from York on February 11, 2008
L.,
I was in your same boat about 4-5 months ago. My daughter has ezcema and hers would flare up when I ate dairy products. Everything seems to have milk and eggs in it too!!
She got to the point where she was miserable. She would scratch her itches until they bled, which just started a bad cycle. After seeing her ped. and a dermatologist, we started using a generic Valisone cream (which is a steroid cream). I'm not a huge fan of having to use it, but it takes care of her flare ups, then we use a combination of Eletone (non-steroidal), Aquaphor (to keep her skin moist) and a cool mist humidifier to help with the dry air.
And I have been told that the allergists don't like to see children until they are around 5 or 6 years old.
Good luck! I hope your litte man feels better!
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J.C. answers from Philadelphia on February 12, 2008
The only thing that I have to add that is not similar to the other emails is that the type of cream that you are using makes a big difference. Both of my sons have terrible eczema, and we were just at the pediatrician yesterday. We were using hydrocortisone, Aveeno and Eucerin on my 6 month old for rashes, and the doctor suggested that we switch to Curel. Since we have switched (it's only been a little over a day) I have noted a huge difference. She said that most creams contain lanolin to block out moisture/wetness, and many people react to this, as it is similar to what is found in wool and makes it hard for many people to wear wool sweaters. She thought my son might be reacting to the use of lanolin, and I think she was right. He had terrible flare ups on his cheeks, and also in the creases of his legs and arms. I used the Curel after his bath last night, and I have noticed a huge improvement in all of his rashes. Good luck- I hope you find something that works for you in all these great suggestions.
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M.A. answers from Philadelphia on February 12, 2008
Wow, exact same situation for me when I was nursing my 4th baby - she has a slew of food allergies, which we found out through skin testing at Woodlands Healing and Research Center in Quakertown, PA (worth the drive!). She's now 5, but when she was a baby she would get the worst rashes, and I went off of dairy, wheat, you name it, but I could never stick to the diet (I feel terrible!) But interestingly enough, I ended up having myself tested, and I have a gluten (wheat) and dairy allergy pretty severely, and have been off of gluten now for 18 months, and off of dairy for almost 3 weeks - the dairy started to give me eczema on my face!
I wish you the best - there is an epidemic number of kids w/ allergies nowadays. The more you can do now for him the better, and breastfeeding is a huge way of helping, even if you don't have the perfect elimiation diet going on. Whole Foods, Trader joes, Giant, Super Fresh, etc have isles of gluten free foods, and they almost always have rice flours that taste almost like the real thing for baking. Don't forget that you can eat chips & guacamole, rice w/ spagetti sauce, eggs, nuts, chicken, salad, tuna salad on lettuce leaves, soups, gluten free waffles & breads (way better toasted!). Once you really start to find the foods you need, you will become accustomed to having them around and not feel like you're starving.
Best wishes,
Meg in Jenkintown
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J.L. answers from Philadelphia on February 12, 2008
Hi L.. My son had a severe case of eczema (which sounds similar to Brayden's) since he was very young. We had him tested for food allergies at around 4 months. All of the food came up negative, but it did turn out that he was allergic to our dog. Do you have any pets? It sounds like it could be an environmental allergy. Has he had any diarrhea at all? My son has been lubed up with a prescription moisterizer that contains 1% hydrocortisone since he was 4 months old (he is now 13 months) with no side effects at all. If this continues, I would contact a pediatric allergist. We go to CHOP in King of Prussia (Dr. Palowski) and he is great. Also, I happen to have Celiac Disease (allergy to wheat, rye, barley and oats) so if it turns out that your son is allergic to wheat, I would be happy to help you out with your diet. Feel free to email me directly if you have any other questions since I have pretty much been through everything you are referring to.
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E.G. answers from Philadelphia on February 12, 2008
Keep breastfeeding!! Don't take the chance that he may be allergic to many formulas! Secondly, it is great that you are keeping a food allergy journal and eliminating wheat. What he/you are probably allergic to is the gluten. There are many gluten intolerant people out there (my sister for one) who have completely changed their diet. To make this a quick response to you, do an internet search on a "gluten free diet" to find out exactly what gluten is and what does and does not contain gluten. There are many wonderful grains that do not contain gluten and cookbooks for those who are gluten intolerant. Whole Foods actually has an entire gluten free section. Still keep a food journal after eliminating gluten just to be sure you are eliminating the right food. All the best!
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S.R. answers from Pittsburgh on February 12, 2008
Sorry to hear about the eczema - both of my girls had the same thing. I didn't figure out it was food related with my first until she was 6 months old and her eczema was horrible. With my second, who is now 15 months, I was on the lookout early and figured out at 2 months that peanuts and eggs were the worst for her. I also ended up eliminating wheat which got rid of a green poop issue she was having. I stayed off of all of those until she was 8 months and we got her allergy tested (I think they can do as young as 6 months). Strange thing was she only came out positive as allergic to milk - the one thing I was still eating that she didn't seem to react to. So, since then I've gone back on wheat and eggs (she broke out a little for about a week and then seemed to get over it) but I'm still off of all nuts and now off dairy as well. I also don't give her straight eggs but she seems OK with small amounts of eggs in baked goods.
I've since read that the majority of eczema in newborns is egg and/or dairy related, so I would try those 2 first. It is definitely hard (and expensive!) depending on what you end up eliminating, but it can be done and I really think that my youngest has been so much better off skin-wise because I started the elimination early. My theory is that their immune systems can't handle the dairy/eggs/wheat at the young ages and if you stay off of them until they are older, they can handle it better when you finally introduce it.
As for the hydrocortisone - definitely use it, even on the face. We were also afraid to use it with my oldest but the raging eczema can cause way more damage (infections, scarring) than the cream. I finally started using it as soon as I saw it starting and it went away more quickly and never got out of control. We also use the Elocon steroid cream - again, if you use it early, you don't end up using nearly as much. My oldest daughter's face was her worst spot for a long time and we had to use the steroid very often there which I know they warn against. However, she didn't experience any thinning of the skin or other side effects. Aquaphor is also the best thing we've found - we put it on both girls every day.
One other thing we've tried is probiotics - also expensive, but they are supposed to help eczema, among other things. I can't say I've seen any marked improvement in their skin, but I'm not sure how long it takes to see the effects.
As for food - get some Ener-G egg replacer if you go off of eggs, it works pretty well in baking. Corn tortillas are good to have if you're off of wheat. The rice pastas are pretty good - rice bread is horrible. I used flour and a cookbook from www.foodallergygourmet.com to make decent bread and other baked goods. Earth Balance is a great butter substitute if you can have soy - works in baking too. (some things I read said that soy oil and lecithin should be OK for soy sensitive people, but everyone is different). Van's frozen waffles have good wheat/dairy/egg free versions.
Sorry for the long message - it's just a subject I'm painfully familiar with - hope you find something that works and feel free to ask more questions.
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