Managing food allergies in children - Pediatric advice for parents, VAAs a new school year begins, the challenges of managing your child's food allergies while they're away reemerge. Food allergies in children are increasingly common, with the Centers for Disease Control (CDC) stating that they affect approximately 1 in 13 children in the U.S.(opens in a new tab) This means that in any given classroom, there are likely to be at least two students grappling with this issue.

Furthermore, the school environment, being full of shared spaces and communal meals, presents unique risks and challenges. This makes managing your child's food allergies especially critical during the school year. In this guide, we aim to empower parents with practical strategies and resources to ensure their child's safety while also encouraging an enjoyable school experience.

Understanding Your Child's Food Allergy

A food allergy is the immune system's response to a certain food allergen that the body mistakenly identifies as harmful. When someone with a food allergy consumes the offending food, their immune system triggers various symptoms that can range from mild to severe.

The most common food allergens in children are milk, eggs, peanuts, tree nuts, soy, wheat, fish, and shellfish. These eight foods account for the majority of severe allergic reactions, and each one poses unique challenges in terms of avoiding exposure and managing allergic reactions.

There is a wide range of food allergy symptoms, including hives, a rash, or red, itchy skin; swelling of the lips, tongue, or face; stomach pain, diarrhea, or vomiting; coughing, wheezing, or difficulty breathing. The most severe allergic reaction is anaphylaxis, a potentially life-threatening allergic reaction that requires immediate medical attention. It's important to note that symptoms can vary from one child to another and may not be the same every time an allergic reaction occurs.

Importance of Informing Your Child's School

One of the best ways to help your child manage food allergies is to ensure that the school is informed and prepared to handle any potential reactions. This will help protect your child from coming in contact with dangerous allergens, as well as provide them with access to immediate medical care if needed. Inform the school as soon as possible about your child's allergies, specifically their teachers, the school nurse, and administrators.

When communicating with your child's teacher, provide a detailed list of foods your child is allergic to and describe what symptoms to look out for in case of an allergic reaction. Even if your child has common food allergies, such as peanut allergies, it's still important to inform their teacher and not take any risks. It might also be helpful to discuss how your child communicates when they are feeling unwell or when they think they may have consumed a food allergen.

Remember that communication is a two-way street. Make sure to ask questions about the school's policies related to food allergies and procedures for handling a food allergy emergency. After all, it's always good to be aware of what extra measures are in place for keeping your child safe!

The school nurse should also be provided with a written plan, ideally prepared by your child's pediatrician or allergist, that outlines the steps to be taken in case of an allergic reaction. This plan should include the names and dosages of any medications your child requires, such as an EpiPen.

The more informed the school is about your child's food allergies, the better prepared they will be to handle any potential issues or food allergy emergencies. Remember, the goal is not only to protect your child but also to instill a sense of responsibility in them and enable them to navigate a world where food allergies are a reality.

Creating an Allergy Action Plan

An allergy action plan is a personalized document that outlines how to manage a child's allergic reaction in a variety of circumstances. It provides specific instructions for school staff to follow when your child displays symptoms of a food allergy. It's an integral tool for families managing food allergies, as it specifies the allergens and the symptoms of a reaction, and outlines the appropriate response, including when and how to administer medication.

Schools and daycares will often provide you with an allergy action plan form. If they don't, FARE has a form available for free on their website. If you have any questions or need help completing the form, the team at Capital Area Pediatrics is here to help.

Creating an effective allergy action plan involves:

  • Identifying Allergens: The first step is identifying the foods that your child is allergic to. This can be done through allergy testing under the guidance of our experienced pediatricians or through an allergist. Once identified, these allergens will be listed prominently on the plan. Recording Symptoms: It's crucial to recognize the signs and symptoms of a reaction to initiate quick treatment. The action plan will detail the specific symptoms your child may exhibit during an allergic reaction.
  • Outlining Response: Depending on the severity of the reaction, different responses will be required. The action plan will outline these responses, ranging from administering antihistamines to using an EpiPen and calling emergency services.
  • Providing Contact Information: The plan should also include emergency contact information for parents, caregivers, and your child's pediatrician at Capital Area Pediatrics.
  • Reviewing and Updating Regularly: Because food allergies can evolve over time, it's essential to review and update the allergy action plan periodically. This can be done in regular consultation with Capital Area Pediatrics, who remain at the forefront of food allergy research and treatment.

Teaching Your Child About Their Allergy

Educating your child about their allergy is a pivotal step in helping them manage their own health. It's important to explain to them the nature of their allergy, the risks involved, and what they can do to protect themselves.

Explain in simple, age-appropriate terms what an allergy is and how certain foods can make them sick. In fact, one of the key skills students with food allergies need to develop is identifying and avoiding allergenic foods. Start by teaching your child to recognize these foods in their whole form. For instance, a child with a nut allergy needs to know what different types of nuts look like.

Next, teach them to read food labels. This can be a complex task, as allergens can be hidden in food under different names. Guide them to look for the 'Contains' statement on food labels, which should list any potential allergens.

Then, stress the importance of not sharing food with others. Even though this is a common practice among kids, students with food allergies should understand that it's not safe for them to eat food that hasn't been checked for allergens.

Finally, teach your child to recognize the symptoms of an allergic reaction. This knowledge can be life-saving in an emergency situation, allowing them to seek help promptly if they feel unwell after eating something.

When students with food allergies understand their condition, they can begin to take ownership of their own safety. By empowering your child with the relevant knowledge and skills, they'll be able to navigate their world with greater confidence and safety.

Talk to Your Child's Pediatrician

In summary, managing your child's food allergies during school is crucial for their safety and well-being. It involves open communication with the school about your child's allergy, creating a thorough allergy action plan, educating your child about their allergy, and regular consultation with their pediatrician.

We understand that managing your child's food allergies can be a challenging journey. But remember, you don't have to navigate this path alone. At Capital Area Pediatrics, we are committed to providing comprehensive assistance and support in managing your child's allergies.

Our experienced team is readily available to answer your questions, address your concerns, and help create an effective allergy action plan for your child. Reach out to us today and let's work together toward creating a healthier, safer future for your child.

From well-child visits to specialty care, the team at Capital Area Pediatrics is here to help your family stay healthy all year long. Request an appointment online, or find a location near you today.