Showing posts with label Allergen-friendly foods. Show all posts
Showing posts with label Allergen-friendly foods. Show all posts

Sunday, December 3, 2017

Preparing for a Food Challenge

When navigating through the FPIES reality, one of the more regular activities is a food challenge. When we began introducing foods to our son, several challenges resulted in days worth of medical attention. Now, each and every food introduction we do (whether the food is a typical FPIES trigger or not), is conducted in the hospital as a monitored challenge.

Here is what I’ve learned to best prepare for each challenge:

To Do:
  • Schedule a challenge when it is most convenient for you. Don’t try to squeeze it in between a work deadline and a holiday, or any other time frame that will add stress. Select a day that works for you and your family, even if it means pushing it out on the calendar a bit. The less additional stress, the better!
  • Line up the help you need in case the challenge extends into the day (or days). Ask neighbors to be on-call in case your dog needs to be walked, invite a relative to stay with your other children, etc.
  • Review the protocol for the particular challenge, and then go beyond the recommendations. It is standard for the hospital or clinic to provide guidelines on what to bring in terms of food. We adhere to these guidelines, and then also go above and beyond with our food preparation. Occasionally, our son will not ingest the recommended form of the food and we are thankful to have also packed options. For instance, the guidelines for egg was an egg powder packet that the hospital provided stirred into applesauce. This, perhaps not unsurprisingly, created a texture and consistency that was unappealing to our child. Instead, he ate the egg I scrambled that morning and brought in a Thermos. (He then failed the challenge, so perhaps I should have wished I wasn’t as prepared, but alas!)


To Wear:

  • Don a plain cotton dress. This may seem very specific, and it is!  Here’s why. I have learned to wear a dress as it allows me to use the restroom quickly with a toddler in tow who may or may not be feeling well. I also learned to never wear a top with a zipper, buttons, or other adornment as my son often wants to sit on my lap and rest (as a challenge is a long time period), and with a plain top, he has a smooth surface to lean on. If his stomach hurts, I don’t want to add an annoying button against his cheek! And finally, my son has eczema (as some children with FPIES do) and 100% cotton is the best material against his sweet, sensitive skin. A simple cotton dress hits on all three lessons learned and is super comfortable for a long day for mama, to boot!
  • For the food challenger, comfort is also key. I dress my son in loose clothing with sleeves that can easily accommodate an IV or tourniquet if needles must be used or a cuff if blood pressure must be taken. For bottoms, either shorts or sweatpants that have an elastic waist for both comfort and ease (now that we are officially potty-trained).


To Bring:

  • A stroller. Even if you’re toddler typically refuses to sit in one, bring it. Challenges can be tiring and I am always grateful to have something that my son can sit in to rest. A stroller is also ideal to idle down the hallways looking at the beautiful and incredible art collection our hospital boasts.
  • Small, engaging activities. We have challenged in multiple hospitals and each time, the sole means of entertainment is a movie. My toddler is not exactly a movie fanatic, so I collect little, mess-free toys and crafts for our challenges. Our favorites include:
    • Reusable stickers so we can create scene after scene
    • Small cars so we can push them all around our room
    • Puzzles that are easy enough to complete but challenging enough to pass the time
    • Neon markers and black construction paper so we can create works of art and then deliver to adoring fans at the nurses’ station
    • Search books so we can find every last image 
    • Growing capsules that turn into animals and other shaped sponges. Our last three challenges have all been in the same room which has a sink, as most clinic rooms do. We bring a couple of plastic cups that we fill with water from the sink, drop in the capsules, and watch them grow in the water. It definitely bides the time.

  • Non-challenge food. If you are in the clinic for long periods of time, hunger will certainly set in and being hangry is not quite ideal. Bring plenty of safe foods for your little challenger and plenty of adult munchies for you.
  • Cell phone charger. If you are like me, grandparents, spouses, and close friends will be texting for updates and you want to be sure to respond without worrying about the dreaded red battery once below 20 percent. 
  • Overnight bag. My goal is obviously to never need it, but I bring it just in case. A pair of cotton pajamas for the challenger and the same for the parent, a toothbrush and toothpaste for you both, and comfortable outfits for a potential day 2 is all you need. I leave the bag in the trunk of the car, far enough away to not be thinking about an overnight stay but close enough to grab if we are admitted.
  • A favorite lovey or blanket. Even if the challenge is a pass and all goes swimmingly, it is a long day and who couldn’t use a little extra bit of comfort?


May this post help you prepare and may all your challenges be a pass! 


This post was written and contributed by Margaret Hancock.  Margaret is a writer, a mother to three including a toddler with FPIES, and an allergy navigator herself since the age of twelve. Margaret recently launched Hots&Olives, a blog dedicated to living joyfully with allergies that can be enjoyed at hotsandolives.blog

Wednesday, October 25, 2017

Living with FPIES: Halloween Idea's!

Halloween is one of my favorite days of the year. I love holidays in general, and even though Christmas will always have a special place in my heart, there are some pretty big expectations wrapped up (pun intended) around December 25. Big extended-family get-togethers, possibly involving travel, a fancy dinner – of which our children living with FPIES may or may not be able to eat a single thing without major modifications – and choosing (and paying for) the perfect presents. All of that can definitely add some stress to the joy of the season.

But Halloween… dress up, eat treats, and hang out with our kids? Yes, please. Up through my twenties, I was all about the candy. I was almost as excited for the day after Halloween, when all the sweets went on sale. But now, after having had two kids with FPIES, and having to restrict my own diet in ways that rule out most commercial candy, we celebrate in different ways, but enjoy it even more. My kids are a few months from turning 3 and 5, so what works for our family may not work for yours, but I hope you can find some ways to keep the focus off the candy and on having fun.

We do Halloween/pumpkin/fall crafts throughout the month, mostly card making. Making cards has got to be my favorite craft of all time, because it’s relatively cheap, easy for me (I provide supplies and some ideas, then my involvement is limited to occasional help with scissors and reminders like “don’t put stickers on the dog”), and the finished product helps us stay connected with family and friends who don’t live close to us. We haven’t decorated very much in the past, but I hope to start next year. We also are going to paint some pumpkins teal to put on our front porch in honor of the Teal Pumpkin Project

But what about the day itself? And what to do about trick-or-treating? For some families, not participating in trick-or-treating may be the best option, but we have always let our kids participate. We only took them door-to-door for the first time last year, but the preschool they attended had a trunk-or-treat event every year during the school day. All kids are different, but we found that before the age of two, they had fun but didn’t really get the concept, so we just quietly went through their bags for any non-food items they may have gotten (like bubbles), made a big deal out of those, and took all the candy away.

What we did last year, and will do again this year, is to start off by giving them a small basket of treats. I love those little tin pails that come in different colors from craft stores, so I put some special things in those. We participate in the Teal Pumpkin Project, so I often include a few of whatever we’re handing out for that. This year, they’re getting an orange-and-black mini notebook, a Halloween pencil, a glow stick or two, a Spiderman toothbrush, an orange matchbox car, a jumping spider, play dough, a small coloring book, and some safe treats. (I’ll list some ideas at the end of this post for homemade treats, though obviously this will look very different depending on what your safe foods are.)

Then we take a similarly small bucket and trick-or-treat. Our children are young, so we go early, and don’t visit very many houses. Honestly, sometimes it can be hard to watch my FPIES kid trick-or-treating, collecting candy that I’m going to have to take away from him, but knowing that he has some non-food and safe treats he’s excited about waiting for him at home really helps both him and myself. When their buckets are full, we come home, and get set up on the porch to hand out treats. I think this was the favorite part of the day for all of us last year. The boys, extroverts to the core, acted as hosts in handing out our candy and non-food treats, played with the new things they’d gotten from us, munched on sugary snacks they don’t eat very often, stayed up past their bedtime, and just generally had a ball.

My oldest has outgrown FPIES, and my youngest has recently added a particular brand of chocolate to his list of safe foods, so my oldest will get to keep his loot from the night, and we will trade with my youngest for some safe things. I know some families do the Switch Witch, where they leave all or some of their treats in a special place, and the “Switch Witch” comes by sometime in the night and leaves a present in exchange for the candy – like a book, movie, stuffed animal, or so on. Older kids may enjoy donating their candy to the troops or utilizing a dentist buy-back program.

For us, Halloween has been a fun, no-stress time of hanging out together as a family, and the fact that for most of our Halloweens together so far we haven’t been able to give our kids commercially produced chocolate hasn’t impacted that at all. We focus on the fun of dressing up, getting some special surprises, visiting our neighbors’ houses, and ending the day by playing on the porch, handing out treats and getting to see all the costumes that other kids are wearing.

How does your family handle Halloween?

Homemade Safe Treat Ideas:
  • Lollipops – I made this with just sugar, water, and cream of tartar, and I suspect they’d work fine without the cream of tartar.
  • Animal cookies  – I’m going to make these with a jack-o’-lantern cookie cutter.
  • Marshmallows  – homemade marshmallows are surprisingly easy to make. I substitute cane sugar syrup for the corn syrup and skip the powdered sugar/cornstarch topping. When the marshmallows are ready, I melt them in the microwave, mix with a safe cereal and a little safe oil, then pour into an oiled pan to make Rice Crispy Treats.
  • Chocolates – if you have a safe chocolate chip, or even chocolate bar, you can melt the chocolate and pour it into silicone molds to make fun shapes. Or just eat.
  • Gummies – I haven’t made these myself, but if you have juice and gelatin as a safe, the steps are fairly simple.
  • You could use silicone molds to freeze purees or juice (or even water!), or bake muffins or cupcakes in.
  • You could use cookie cutters to make cookies, or cut shapes out of soft foods, such as fruit or homemade granola bars.
This post was written by FPIES Foundation guest blogger volunteer Janie. Janie Dullard lives in Pearland, Texas with her husband and two children, both diagnosed with FPIES as infants, though her oldest has now outgrown it. She works as a freelance editor and has written a children's book, available here: https://www.amazon.com/Elephants-Tour-Yellow-Umbrella-Company/dp/0990799522/ . Her days are spent chasing after her two preschool-aged children, working, and concocting strange FPIES-friendly foods that her children will sometimes even eat.


Friday, May 22, 2015

Someone's In the Kitchen with FPIES: Winter Veggies!

Someone's In the Kitchen with FPIES
I have always loved being in the kitchen and even though my eldest daughter's FPIES diagnosis threw me for a loop, it didn't change that love. Creating new recipes for her and her little sister, also diagnosed with FPIES, has become a way of coping with the ups and downs of this complex diagnosis.

That said, there have definitely been some frustrations along the way. Dealing with leftovers has been one of them! When each member of the family has a separate, distinctly different meal and when the kids are picky, leftovers are a big reality. Over the years, I have learned ways to not only use leftovers creatively, but also to use them to boost the nutrition content of the girls' baked goods.


Our Favorites-- Loving Those Winter Veggies!
My youngest daughter, C , is able to eat all forms of winter squash. When I roast a squash for her, I use what she does not eat to make baked goods and “Squasher Tots,” one of her favorite finger foods. One amazing mom I met on BabyCenter back when B was a baby, talked about using squash as an egg substitute. Now I know why-- it gives a wonderful texture to muffins and biscuits but it also helps them to be less crumbly! I have also used the squash to make homemade soup and a type of sauce for her pasta. Even the seeds can be saved-- toss them with a little oil and salt and roast them for a snack, make a seed butter, or even make a seed milk (I use this for baking). C would like to share her “Squasher Tot” recipe in the FPIES Recipe Box with you today! 




My oldest daughter, B, loves beets-- her favorites are the “stripey ones” (Chioggia). Not only are beets a nutrition powerhouse, they have a lot of uses in the kitchen. Just a touch of the puree mixed into a frosting recipe can make a beautiful red or yellow-orange color (depending on the beet variety you use!). The greens can be cooked or eaten raw as a salad. Our favorite uses for leftover beets include pureeing cooked beets to use: as an egg substitute in chocolate cakes, to change the color of biscuits or tortillas by adding beet puree to the dough, and in a new recipe, baked glazed beets. B would like to share the last recipe in the FPIES Recipe Box with you today!





Join Us in the Kitchen!
There are a lot of amazing parents out there, cooking up some amazing creations in the kitchen for their little ones affected by FPIES! Are you one of them? We would love to feature you in our monthly segment, “Someone's in the Kitchen with FPIES!” Write an article, about 500 words or less, featuring a special tip, an allergy-friendly cookbook review, and/or an original recipe and submit it to us via contact@thefpiesfoundation.org. Upon approval, recipes will be published on our website recipe section and your article will be featured here on The FPIES Foundation's blog. For more information and submission guidelines, contact a.lefew@thefpiesfoundation.org today!
This post was written by Amanda LeFew of the Executive Board of The FPIES Foundation 

Monday, January 21, 2013

Food Free Birthday Celebrations!


Your little one has been diagnosed with FPIES (or other food allergies), their birthday is approaching and you don’t have enough safe ingredients to make a cake.  What can you do?  There are so many fun options!! We wanted to share a few of the ideas that parents have done to help inspire you. 

Gift Box Surprise Cake








This is a cake your little one can really ‘tear" into!



Supplies needed:
  • Stacking size boxes- almost anything will do, shoebox, Kleenex boxes, gift wrap boxes, or you can find at craft stores that sell plain hat/treasure boxes that work great!  You can get circle or square/rectangle!  (note- rectangle is easier to wrap!)
  • Tissue or wrapping paper – this will allow them to rip into their cake, but be careful that your child does not eat the paper!  If you are concerned that your child may eat the paper- you can substitute for fabric.
  • Tape or ribbons- to secure paper or fabric to boxes.
  • Decorations: stickers, toys, puffy letters, etc…
  • Small tokens/treasures for inside the boxes *optional
    Directions:  Fill boxes with token, if desired.  Then, wrap boxes (empty or with a token/treasure/gift) with wrapping/tissue paper, or fabric.  Secure with tape and/or or ribbons.  Next, decorate paper if desired with stickers (spelling out their name, writing happy birthday, etc), stack toys on top or around towers of cake (these can match your theme or be something special to save for years to come).  Stack boxes to give look of a tiered cake!  Have fun with it!

    Fabric Quilt Cake


    The fabric from this cake can be made into a special blanket for a new tradition!

    Supplies needed:
    • Fabric
    • Stacking size boxes- almost anything will do, shoebox, Kleenex boxes, gift wrap boxes, or you can find at craft stores that sell plain hat/treasure boxes that work great!  You can get circle or square/rectangle!  (note- rectangle is easier to wrap!)
    • Ribbons /fabric tape or fun tak – to secure fabric to boxes.
    • Decorations: *optional
    • Small tokens/gifts for inside the boxes! *optional but this can be a fun way of presenting the presents!
      Directions:  Fill boxes with gifts or tokens/prizes.  Then, wrap fabric around boxes, secure with ribbons, or fabric (or strong) tape.  Stack boxes and decorate with toys around, or ribbons on fabric, etc.  Stack boxes to give the look of a tiered cake.  Have fun with it!


      Surprise Party Cake Slices


      This cake can be ordered and is realistic and fun!







      Supplies needed:
      • This cake can be ordered from:  The Oriental Trading Company (Birthday Cake Slices Treat Boxes).  Be sure to allow time for shipping!
      • Tokens or small gifts/surprises for insides boxes.

      Toy cakes

      (can purchase in store/order online)
      For a first birthday:
      For toddler and preschool kids:

      For three and up:

      Please visit our website for additional resources on Cooking and Nutrition and Food Free Festivities!

      Thank you to parents Joy Meyer, Jill Terwey, and Heather Hughes for sharing their birthday cake pictures pictured in this post. 


      This post was written by the Executive Board of The FPIES Foundation