”I have a child who has eczema and a dairy allergy. I am pregnant again and wonder if that means this child will have the allergy too or is there anything I should be aware of/avoid when she is born?”This is quite a common scenario and parents who have one child with food allergy understandably hope to prevent its occurrence in subsequent siblings.
Non IgE-mediated milk allergy causes skin problems such as eczema and abdominal symptoms, including colicky abdominal pain, vomiting and loose stools. Symptoms may not appear for more than 24 hours after exposure. A small dose may be tolerated but larger doses are not. In small children, food allergies can exacerbate pre-existing eczema. However, there is no justification for manipulating a child’s diet until skin care with topical emollients and steroids is optimised. There is no evidence that avoidance of food allergens in pregnancy will prevent the development of food allergies. Where possible, all infants should be exclusively breastfed until 6 months of age and breastfeeding should be encouraged and supported.
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