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Complementary feeding in CMPAPractical Tips
for Parents
Tips for when
you’re away from
home
Some tips for eating out
Eating out at parties or restaurants can pose a challenge when you have a child with a food allergy.
When choosing a restaurant, look at the website in advance for allergen information. Many more restaurants are aware of food allergies and want to cater for your needs, however this might depend on where you live.
Alternatively, you could call ahead to ask questions about the menu and ingredients used. Avoiding the busiest mealtimes may help to give staff more time to check ingredients properly.
It is very important to be clear to restaurant staff about what your child needs to avoid. If you do not understand what the food item contains, or there is no information on it, then err on the side of caution and do not order it.
In self-service or buffet areas, be aware that cross-contamination between food allergens can occur.
Some tips when your baby or child is at a crèche, childcare or school
Providing a safe environment for your baby at creche or pre-school requires a bit of advanced planning. It is important to have good communication with the creche or pre-school team in advance.
It’s a good idea to have an up to date, detailed treatment plan for the creche or pre-school team in the event of your child having an allergic reaction. Staff should be trained on how to administer any medications e.g., adrenaline autoinjectors (epinephrine) etc., that your child might require.
If the school provides meals, look at the menus and snack options and provide them with a list of suitable foods. Alternatively, pack food from home and teach your child not to share food or drinks with other children. Providing the school with safe treats for your child, for special occasions, ensures that they aren’t excluded. This is important for your child.
Tips for travelling
Traveling with your baby or young child with a CMPA also requires preparation and planning. If your child is on a specialty formula, make sure you bring enough with you for the entire trip. Or check in advance that it is available at the destination.
It’s a good idea, if you are travelling abroad, to check in advance how to describe your child’s milk allergy in the local language. And if you are flying, speak to the airline well in advance, to inform them of your child’s food allergy and to make sure they can meet your child’s dietary needs, if that is needed. On board, make yourself known to the flight crew to ensure the correct meal is received. Alternatively, take suitable foods or snacks for the journey.
Always carry your child’s rescue medication e.g., antihistamines, adrenaline autoinjector with you. And make sure you have the telephone number of the local hospital or emergency services with you. If in doubt, consider self-catering options in case there are no safe places to eat out.
Tips for managing playdates or visiting friends
If your child is going on a playdate or visiting friends, it’s a good idea to inform the family in advance of your child’s milk allergy. Explain how severe it can be, what to do if your child has a negative reaction and what foods they need to avoid.
Also, inform the family of the foods which are allowed or safe, and how to recognize a reaction. It might be a good idea, depending on the family, to provide a supply of suitable snacks for your child.
Tips for reading
food labels
Reading food labels is important to master when your child has a food allergy. Know that ingredients and manufacturing processes can change without warning, so try to read the label each time.
By law, food companies must label their products clearly if they contain milk/dairy. If a food item does not have a food label, or you have doubts about it, or you cannot read it, avoid giving your child that food.
When reading food labels for milk/dairy, look out for the following:
- Milk or Cow’s milk may be mentioned
- “Whey (milk)” casein (Milk) or “milk proteins” in parentheses may be mentioned
- “Contains milk” might be included
Some food companies use precautionary allergen labels, for example “may contain milk” or “made in a factory with milk.” These labels can be confusing because they do not tell you if it definitely contains milk or not.
In this case, especially if your child has had a severe reaction, it is better to avoid the food, at least until you talk to your child’s dietician or healthcare provider about it. They can usually tell you if it’s safe for your child or not.
Tips on medications
Your baby’s healthcare provider may prescribe medications to treat your child’s milk allergy. Antihistamines can provide relief from a minor allergic reaction.
If your child suffers from a severe reaction, the healthcare provider might prescribe an injectable form of adrenaline (epinephrine) in an auto-injector to prevent anaphylaxis.
Always carry this with you when you are out of the house with your child. Also, check with your child’s healthcare provider on how to use it and what to expect once it has been used.