Dietary Restrictions for Mothers Breastfeeding With Atopic Babies

When your baby experience allergic disease there will be many things should we notice, including mother-breastfeeding’s dietary. There are restrictions for mother to not freely consume any dietary product, because those food’s components can trigger atopic occurrence in your beloved one. Here are the list of foods for you to be avoided if you breastfeeding your baby with high risk allergic disease:

1. The nursing mother should not freely consume CM and eggs, or any food that contains them. We and others recommend lowering CM consumption to 150–200 ml/day and eggs to two a week.


2. If the nursing infant presents disorders attributable even to minimum amounts of these or other foods in breast milk, the mother should completely eliminate them from her diet.


3. Foods that contain any CM and/or egg derivatives should be eliminated, as well as casein or sodium caseinate, etc.


4. Meat consumption is permitted, avoiding beef if the nursing infant shows signs of allergy.


5. Peanuts, shellfish and mollusks must be eliminated. Peanuts eaten by a lactating mother provoked an allergic reaction in her 2-week-old infant.


6. The mother should add calcium orally to her diet on a daily basis.

In spite of restrict your daily dietary to prevent allergic occurrence in your baby, you have to also supply your beloved baby with antibody in order to enhance your baby’s immune protection, those are fundamental for newborn. Actually there is only one best resource to acquire immune enhancer, but it can be divided into two groups, those are:

First is from colostrums. Colostrums are rich in immunoglobulins (Igs), sIgA and EGF (epidermal growth factor), IgE-suppressing factors, which contributes to maturing intestinal defense and to intestinal closure, and EFA (essential fatty acids).

Second is from breast milk. Breast milk is rich in crucial cells, important protective anti-inflammatory and immunological defense factors, above all sIgA, as a result of which IgA in breast-fed babies will increase 12%/year until the age of 7 years. It also contains EFA, that only partially dependent on maternal diet, and nucleotides which build up the immune system. Breast milk performs an immune-modulating action on infantile immune mechanisms, by the transfer of cell-mediated immunity (CMI) and cytokines. Breast milk is the prototype of hypoallergenic food, since it provides the only proteins recognized as homologous by the infant and they are automatically nonallergenic. Moreover, breast milk ensures an excellent growth standard: based on Bayley’s indexes of mental and psychomotor development, breast-fed babies surpass bottle-fed peers in terms of intellectual [262], cognitive and behavioral development. It is the only food that allows such personal, intimate and emotionally important contact between mother and child, also promoting breast milk production, impaired by maternal admission to the maternity ward and CM administration there.

Regards.



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Prevention of Atopic Disease in Babies

In order to prevent atopic disease in high risk babies and children there are many things that you should be avoided. In this particular posting, I want to share with you about things that you should avoid to prevent atopic disease. It begins from before your baby’s birth, when birthing process and in infancy. Besides, you have to notice in many things, such as to the environment around your baby. Here are the things should be avoided:

Before birth

1. Stop maternal smoking during pregnancy.


2. Free diet for pregnant women (from the allergological point of view) .


3. Remove pets and have the house thoroughly cleaned.


4. Prefer to live on a high storey (if feasible) .


5. If feasible adopt an under floor heating.


6. Ensure adequate ventilation and humidity.

Perinatally

1. Non-traumatic delivery.


2. No hidden cow’s milk (CM) formula at the maternity ward.

In infancy

1. Stop maternal smoking during breast-feeding.


2. Encourage exclusive breast-feeding, prolonged if possible up to the 6th month of life.


3. Consider an elimination diet of nursing mothers (CM, egg) .


4. Clearly explain to parents, especially to grandparents, caregivers and baby-sitters the significance of such avoidance measures.


5. Recommend a soy protein formula (SPF) or homemade meat-based formula (HMMBF), as breast milk back-up or replacement up to the 6th month of life (two pediatric guidelines prefer to avoid SPFs and suggest extensively HFs [5, 198]).You can also use soy + pork collagen formulas.


6. Consider supplemental calcium during restrictive diets.


7. No solid food for the first 6 months; at that age vegetable broth with fresh lamb meat, rice flour, olive oil, and pear may be initiated.


8. Delayed introduction of dairy products until 1 year of life, starting with parmesan at gradually increasing doses.


9. CM- and egg-free pasta and cookies, and bread at 8 months (if the child is not allergic to cereals).


10. Delayed introduction of eggs up to 2 years, and fish, peanuts and nuts up to 3 years of age.


11. Introduce new foods one at a time.


12. Postpone feeding beef and antibiotics.


13. Postpone foods potentially cross-reacting with pollens.


14. Do not cook apples, spinach, citrus fruit in stainless steel pots, both new and used, or pressure cookers.


15. Pediatrician or allergist suggestions or skin prick test results shall specify which potentially sensitizing foods could be introduced next.

Environmental allergen avoidance

1. Wash baby with Marseille soap.


2. Use underwear exclusively of white cotton to be washed in a washing machine with Marseille soap at a Temperature more than 60⁰C, wash blankets every 15 days.


3. Absolute ETS (environmental tobacco smoke) cessation at home or in daycare center.


4. Do not allow furred pets in the home.


5. Reduce the early exposure to major allergens especially in the baby’s bedroom, and limit any potentially sensitizing factor such as house dust, wool, molds, animal danders, cockroaches, etc.


6. Remove upholstered furniture and stuffed toys and replace with leather, plastic, vinyl, or wooden furniture and toys, removing plush toys, carpets, wall-to-wall carpeting, bedside rugs, wool and/or feather mattress and pillow.


7. Encase in allergen-impermeable cover but water permeable fabric, both mattress and pillow in the child’s bedroom.


8. Air the child’s bedroom daily and vacuum it using a vacuum cleaner with an HEPA filter weekly, scrub bedsprings outside the room.


9. Maintain at home a temperature of about 20⁰C and reduce indoor humidity up to less than 50%.


10. Consult pediatrician or allergist about any uncertainty and/or before taking any initiative.

Hopefully those things above could help you in preventing atopic disease in your baby.

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Prevention of Atopic Disease: Rooms in The House

Atopic dermatitis is a disease characterized by chronic inflammation of the skin which is atopic, hereditary, and non-contagious. Atopic dermatitis is never observed at birth and rarely in the first 6 weeks of life, the mean age of onset generally being around the 3rd month, thus earlier than that of asthma. In genetically at-risk babies, the onset in 48%–65% of cases was in the first 6 months of life, but even before 4 months of life in 66 babies (57%), in 75%–80% of cases within the 1st year, with a male prevalence higher than females with the comparison 1.3–1.5:1.

One effective step to prevent atopic dermatitis in baby is by avoiding contact with allergen. Effective avoidance is primarily based on physical rather than chemical measures, requires a full regimen in the bedroom(s) and is only relevant to children who are specifically allergic. The room that should take care of is not only the baby’s room, but also the other room that might your baby frequently goes there. Below are the list that you should do in order to avoid contacting between baby and allergen that will cause atopic disease.

In your baby’s bedroom

1. Air the bed, blanket, and pillows daily.


2. Scrub mattress and pillows and beat them with a rug beater; if feasible, expose all to sunlight.


3. Clean mattress and pillow covers with a damp cloth and wash in the washing machine every 3–4 months.


4. Change both sheets and pillow slip at least weekly.


5. HEPA air cleaner should be used at least weekly to remove airborne dust particles from mattress and pillow.


6. Air the rooms in the morning when allergen levels are lower.


7. When the room is vacuumed, the child should avoid being in the room while vacuuming is occurring until at least 20 min after it has been completed.


8. The room should remain closed the whole time the baby is away.


9. Keep the doors and windows of the bedroom closed as much as possible when not using the room.

Briefly, the child’s bedroom should be sunny, well-ventilated and dry, uncluttered by excess furniture and any items that can act as allergen, because babies spend a larger proportion of their lives in their bedroom than do adults. If a crib is necessary, this and portable crib mattresses should be encased in miteproof material.

In the other room

1. Do in the same manner:
   
   
   In the parents’ bedroom and the other bedrooms, even if the child does not stay or sleep there daily.
   
   In all other rooms where the child frequently goes.
   
   In the home of relatives.
   
   In holiday houses.
   
   If possible in hotel beds the mattress covering should be used.


2. Prepare the other rooms where the child goes, although less frequently, such as, where the child watches television, in the same manner, removing the armchair upholstery, heavy curtains and carpets.


3. Baby should stay away from normally damper and not sunny rooms.


4. Remove non succulent green plants and domestic pets; leaving them in the garden, courtyard or balcony is not a useful approach.


5. Avoid a specific irritants, including kerosene, cosmetics, formaldehyde, gas oil, insecticides, turpentine, paints, chemicals and strong odors.


6. An aquarium may increase the humidity level. Humidity indoor should be reduced.


7. Prefer synthetic fibers for curtains, blankets, bedcovers and the like; mites burrow in the weft of closely woven cotton or wool fabric and hold on tight; thus they are unlikely to be completely eliminated.


8. Maintain environmental Temperature less equal than 20^oC.


9. Uniform heating throughout the home, avoiding Temperature differences.


10. Maintain indoor relative humidity not more than 50%.


11. Wash all bedding, including mattress cover, blankets, curtains, etc. at temperature more than 60^oC.


12. Dry cleaning of wool clothes, plush, stuffed toys, etc., at temperature more than 60^oC, then wash in cold water

Hopefully the points above can help you providing safe room in order to prevent atopic disease in your baby or your children.

Regards.




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Milk Intolerance vs Milk Allergy

In the previous posting I’ve already explained to you about food allergy. Now, in this particular posting I want to make another explanation about the difference between cow’s milk allergy (CMA) and cow’s milk intolerance (CMI). Then the question emerges, should I explain about those things? I think I should, cause people sometimes often mistaken between milk allergy and milk intolerance. The better you know about the definition of milk allergy and milk intolerance, the better you’ll be in managing those problems, just in case if in the later time your beloved child experiencing this unpleasant situation of milk allergy and/or milk intolerance.

It’s different with CMA, CMI should refer to non immunologic reactions, such as disorders of digestion, absorption, or metabolism of certain cow’s milk components. The range of symptoms which can be induced by CMI is very similar to those caused by CMA. Those symptoms are eczema, vomiting, diarrhea, and stomach cramps, but not hives or breathing problems (symptoms of milk allergy). In comparison with CMA, CMI is not dangerous. The onset of symptoms is often delayed, and this makes recognition of causative food component quite difficult. This contrasts with CMA, in which the symptoms emerge immediately and often occur early in life.
The severity of symptoms in CMI is dose-dependent, and the dose can be cumulative over days of ingestion. This characteristic further increase the difficulty of diagnosis, as the symptom-inducing food component may be common to many foods, so that different foods may appear to cause symptoms on some occasions. The most effective to diagnose for testing of food intolerance is to remove all potentially offending foods from the diet for a few weeks and notice the resolution of the symptoms. The diagnosis of food intolerance and identification of the food component involved are then confirmed by gradually re-introducing individual foods or food chemicals into the diet in increasing doses over several days.

The most common cause of CMI is malabsorption of lactose due to lactase deficiency in intestinal. This is mostly acquired during late childhood or adulthood. It results an inability to break down lactose as the main sugar present in dairy product. It is estimated that more than 70% of adults have trouble digesting lactose. Interesting when I know that up to 45% of women who are lactose intolerant will regain the ability to digest lactose during pregnancy.

Intolerance reactions to food or food components (especially lactose intolerance) can occur at any age but, generally, babies born are capable to produce the enzyme (lactase) so they can digest milk and do not show signs of lactose intolerance until they are at least 3 years old. Temporary lactase deficiency can result from viral and bacterial enteritis, especially in children, when the mucosal cells of the intestine are injured. Additionally, this milk intolerance is a condition that is often genetically passed on from parent to child. In some rare cases a child is born without the ability to produce lactase at all. In this instance, a baby will be prescribed an infant formula based on soy protein, rather than cow’s milk.

Lactose intolerance has been shown to have high racial predilection, being highest in dark-skinned populations and lowest in northern Europeans.

GBU



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