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Introducing allergens: peanut, egg and the rest

Common food allergens (peanut, egg, milk…), when and how to introduce them, signs of a reaction and of an emergency

Reviewed against 3 sources, listed below

When to call

  • Call 911 for anaphylaxis: trouble breathing, throat tightness, fainting or confusion, unresponsive. Epinephrine right away if prescribed, then call 911. An antihistamine never replaces epinephrine.

At a glance

  • The foods behind most food allergies: cow's milk, eggs, peanuts, soy, wheat, tree nuts, fish and shellfish, and sesame.
  • Starting around 6 months, offering these foods can help lower the risk of food allergy; delaying them may actually raise it.
  • Babies with eczema or a family history of allergies: check with the pediatrician first. For severe eczema and/or egg allergy, peanut allergy testing is recommended before peanut.
  • Introduce one new food at a time, in small amounts, and watch for a reaction; the CDC says wait 3 to 5 days between new foods, and bring in the allergenic ones (eggs, shellfish, nut butters, wheat) alongside other foods rather than holding them back.
  • Peanut never as whole nuts or chunks of peanut butter (both choking hazards).
  • Signs of a reaction: hives, itchy rash, swelling; sneezing, coughing, wheezing; in babies also excessive crying, eye rubbing, arching the back, going floppy.

In Livia

Log each new food on the day it's offered: you'll see which allergens are in, and can tell the pediatrician exactly what came before a reaction.

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Sources

Education from the sources listed, not medical advice. If you're worried about your child, call your pediatrician; in an emergency, call 911.