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Writer's pictureRonit Himmelfarb, PA-C

Understanding Food Allergies in Children: A Parent’s Guide

Updated: Oct 8

Knowing how to understand food allergies in children is crucial for managing your child’s diet and health. Some conditions, like food intolerances and Celiac disease, are often mistaken for food allergies. Let’s break down these differences to help you navigate your child’s health with confidence.


 

Food Intolerances and Understanding food allergies in children: What You Need to Know


When it comes to understanding food allergies in children, it’s important to differentiate between food allergies and food intolerances. A food intolerance, such as lactose intolerance, happens when the body can’t properly digest a certain component of food—like lactose in dairy. This can cause bloating, diarrhea, and stomach cramps, but unlike food allergies, intolerances don’t involve the immune system and are not life-threatening.


Local Skin Reactions vs. Food Allergies


Another key to understanding food allergies in children is recognizing local skin reactions. Some kids might develop a red rash or hives around their mouth after eating certain foods like strawberries or citrus fruits. This reaction is usually due to direct contact with the food on the skin, not an internal immune response like a true food allergy. The rash typically clears up once the food is cleaned off the skin.


 Child with a rash around the mouth from eating strawberries, illustrating a local skin reaction, not a food allergy.

Celiac Disease vs. Food Allergies


Celiac disease is often mistaken for a food allergy, especially a wheat allergy. However, Celiac disease is an autoimmune disorder triggered by gluten, a protein found in wheat, rye, and barley. When someone with Celiac disease eats gluten, their immune system damages the small intestine’s lining. While symptoms might overlap with those of a wheat allergy, understanding food allergies in children means knowing that Celiac disease involves different biological processes.


Grains containing gluten, which can trigger Celiac disease but not a typical food allergy.

Non-Allergic Food Hypersensitivity


Sometimes, a child might experience symptoms similar to an allergic reaction, but without the immune system’s involvement. This condition, known as non-allergic food hypersensitivity, includes issues like food protein-induced enterocolitis syndrome (FPIES). Symptoms can range from vomiting and diarrhea to more severe reactions like shock, but this is not the same as an IgE-mediated food allergy.


Child uncomfortable after eating, potentially showing non-allergic food hypersensitivity, which differs from food allergies.
 

Conclusion:


Understanding food allergies in children is vital for their health and well-being. By knowing the differences between food allergies, intolerances, and other conditions like Celiac disease, you can better manage your child’s diet. Always consult a healthcare professional if your child shows any adverse reactions to food. Accurate diagnosis is key to ensuring your child’s health and safety.


To get personalized support, book an appointment with one of our registered dietitians or visit MyorThrive.com to learn more about food allergy prevention.

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