Eosinophilic Esophagitis, and play dough cakes

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No thanks.

A parent in my case load recently told me that her child - in addition to get had given a diagnosis of autism - only a diagnosis esophagitis, Eosinophilic or "Ee". Both codes are common in children in my case load, and they are together often.  So, it has surprised me to hear that from this parent. The part that surprised me was the play dough birthday cake.

EE means many food proteins to intolerable, and may not be eaten. Apparently this had on this particular family given gloomy Outlook as feed this child in the context of EE, that, if birthday time they actually get rolled, a post on the Web to make a prop birthday cake from salt dough found. Candles were real, cake was fake - only a prop with set. The cake was not be eaten, saw, and used as a vehicle for birthday candles. Apparently had no one said this family, which could actually eat the child.

One of the best things about my job is hearing anecdotes as follows. They are tragic, ridiculous and fascinating at a time.

It is tragic that EE is now such a common ailment for young children, the specialists, mothers groups and list is used only for discussion abound. For now I'll skip evaluation and analysis of why arose among this generation - EE (much less autism), a completely different blog. It is also tragic that when a doctor finds this in a child, not on a professional teach referral, how you give this baby food, location, this family that needs it, to growth, gain, learning and development to support. Including birthday cakes. I hear that too often.

The ridiculous part: A play dough birthday cake? Is it for the child support? Or is it a pillar of the complete parents torment and guilt? Perhaps this is the tragic part. Imagine what thought the child.

Fascinating part: I get to fix the problem. It falls on me to come up with the safe, delicious cake recipe, the right total calories for this child, the safe proteins, etc.. I like that part.

EE is a long fancy name for too many white blood cells in the walls of the throat tissue. White blood cells show, if they think it is a job to do, such as fighting an infection. But in EE, the culprit is often allergy, not infection, so that the white blood cells to keep emerging reason. Finally, you can damage the throat (esophagus). The eosinophils (white blood cells) are much like those to make the infections in kids with inflammatory diseases such as asthma, rashes or chronic sinus.

EE is painful. It often occurs with reflux, which exacerbated the EE and pain. This is the non-verbal especially for children, because they do not say, if they are pain difficult. You affect generally; It is their only way to communicate pain and frustration. These are the kids in my practice who take food away from family members, because they don't want their siblings or parents to pain. You think food causes pain for anyone who is pain with food only part of life. I met children who take pain only to itself, with self-injurious behavior. Tragic part: to see medicines for "Behavior" rather than screened and treated for a painful State of GI.

The good news is that you confusing must be a child with EE toy props instead of food. Here's what you can do:

-Verwenden elemental protein sources.  These are the specialized formulas, which come in different formats: ready to drink in a juice box and straw, which can bring your child to school or Pack to travel; powdered, mixed how to do for infant formula. or modular - amino acids powdered that is just pure (these replace food protein), which can be combined in everything from spaghetti sauce or applesauce smoothies or sauce. Brand names are Elecare, Neocate child, Neocate junior, or splash EO28. These are covered by insurance for EE in some States.

-Erhalten you (IgE) food allergy and food sensitivity (IgG) screening. These screenings to describe two different ways that the immune system to food can be responds. Prioritizing you the worst offenders by removing them, turn the rest. Remove all food protein is an extreme measure, which is usually unnecessary and not successfully, even in children with multiple allergies and sensitivities.

-Treat each intestinal fungal (yeast or Candida) infections. Candida species may decrease reflux, interfere with normal digestion and absorption and painful constipation if allowed, bloom at the expense of the beneficial bacteria in the human intestine.

-Do not worry about a gluten sensitivity or allergy diagnostic, or tell me, you can make it. Can it, or can you in the hospital with your child. If your child can not eat wheat, there are still many ways to make a birthday cake! You get to the know many options for gluten free baking: mix, books and recipes are Koch everywhere. No more excuses! Cake gluten free birthday cakes are made from a wheat flour, if correct. Eggs can be replaced with non-protein egg substitute.

-If your child has used antibiotics often, again to populate healthy gut bacteria with probiotics. Use powers of at least 8 billion colony forming units (CFU) per dose, with mixes containing Lactobacillus and Bifidobacterium strains. Check special children must go Pharm free for more details on the use of probiotics in infants and children.

-Extreme and heavy EE cases can on an elementary formula diet, be inserted, which can rest, the GI tract to heal and restore, getting the food that you need. To do this, with close medical supervision and have to eat a plan for the transition within a few months back. Monitor Gut microflora and keep healthy it, as elemental formula can move the colonies of microbes in the gut to less favourable species. Insist on referral to a knowledgeable Pediatric dietitians to help you.

Here are some of my favorite resources with EE for children. You have not to play, fake cake dough.

Gluten free girl (uh, note the "Cake" button)

Mary Capone, celiac head (Italian dishes a speciality)

Gluten and peanut free summer camps

Neocate junior elemental formula for children over 1 year old (link from here to infants options to). This can be bought over the counter or prescribed. It is widely available on sites like Amazon, e-Bay or NexTag; Vouchers are often to reduce the cost for Neocate. Some States can cover this formula on insurance with a diagnosis of EE.

Options to replace eggs in recipes

State by State insurance mandates for specialized formulas (hereditary)

States with mandated insurance coverage for specialized formulas for EE

Essential amino acid mix drinks a powder, the additional soft foods or can be thick as a secure source of protein. This requires approval, a registered dietitian or doctor, and can be covered on insurance in some States