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The diet is a preliminary step in omitting some of the foods that cause an allergic reaction, either immediate or delayed.
DESCRIPTION
The diet may be recommended once a recognized relationship has been established between a particular food or foods and a symptomatic reaction. Common signs and symptoms of food allergy include skin reactions (itching, erythema, hives, eczema, edema) or reactions of the gastrointestinal tract (vomiting, diarrhea, abdominal pain). Systemic anaphylactic reactions could include sneezing, wheezing, conjunctivitis, palpitations, cardiac arrhythmia, shock, or collapse. Reactions can be immediate, or take up to 72 hours to appear.
BASIC INFORMATION
The following information describes some of the more common food allergies (wheat, eggs, milk, corn). Other common allergies include: Seafood, nuts, legumes, chocolate, cola, citrus fruit, beef, white potatoes, pork, chicken, oatmeal, rye, mustard, garlic, tomatoes and cucumbers. The wheat-, egg-, corn- and milk-free diets commonly use an "elimination" approach to assess potential food allergies and intolerances. Elimination diets must be planned carefully and monitored regularly.
NUTRITIONAL ADEQUACY
If planned carefully, allergy diets are generally adequate in all nutrients. The exception would be the milk-free diet, which is inadequate in calcium and will likely require supplementation. The elimination diets can be deficient in calories, carbohydrates, vitamins and minerals; therefore, long-term use is not advised and monitoring of nutritional sufficiency is essential.
NOTE: These diets should only be utilized under the guidance of a "nutritionally trained" health care provider.
WHEAT SENSITIVITY
Avoid foods containing wheat and wheat products. These include:
- Beverages: Flavored milk drinks (malted, chocolate, etc.), instant coffee unless 100% coffee, coffee substitutes, beer, gin and whiskey.
- Breads: Commercial breads including rye unless 100% rye, soy, cracked wheat, graham, whole wheat, many corn breads, matzo, pretzels, melba toast, zwieback, etc.
- Cereals: All dry or cooked wheat cereals, wheat germ, wheat bran, graham flour.
- Crackers & Cookies: All commercial products.
- Desserts: Cakes, doughnuts, pastries, cones, commercial ice cream, prepared cake and cookie mixes, commercial pie fillings, custards, and puddings thickened with wheat flour.
- Gravies, Sauces, and Cream Soups: Commercially prepared products are usually thickened with wheat flour.
- Macaroni, Noodles, Spaghetti, Vermicelli: Avoid all, except specially made wheat-free products.
- Meats: Breaded or prepared with wheat flour, hotdogs, sausage, and bologna, canned meat dishes with sauce.
- Miscellaneous: Cream cheese dips, seasoned potato chips, soy sauce, salad dressing (thickened with wheat), and commercial baked beans.
EGG SENSITIVITY
Avoid foods containing eggs. These include:
- Beverages: Eggnog, root beer, malted drinks, any drinks made with eggs.
- Breads: Any breads and rolls with glazed crust, sweet rolls, pancakes, waffles, doughnuts, pretzels, French toast, etc.
- Broth & Consommes: Avoid all.
- Cookies & Cakes: Check labels of all commercial mixes and products. Frostings must be egg-free.
- Desserts: Cream pies, meringues, custards, ice cream, sherbet, candy, (almond paste, cream, chocolate, fondant, marshmallows, etc.).
- Noodles: Egg noodles.
- Meats: Any meat containing eggs such as meat loaf, meat balls, croquettes, breaded meats, etc.
- Dressings: Salad dressings and mayonnaise unless egg-free, egg sauces such as Hollandaise.
- Other: Egg substitutes containing eggs.
MILK SENSITIVITY
Avoid all foods products containing milk. These include:
- Beverages: Cow's milk in all forms - fresh, buttermilk, dry, evaporated, condensed, yogurt, whey, chocolate milk, cocoa, or any beverage made with milk.
- Breads: Commercial breads or rolls with milk or milk products added to ingredients list. Check prepared mixes.
- Fats: Avoid butter.
- Cheese: All kinds.
- Cookies & Cakes: Check labels on all commercial products and mixes.
- Desserts: Cream pies, custards, ice cream, sherbet, chocolate, and caramel.
- Creams: Cream, whipped cream, and sour cream.
- Meats: Meat loaf, cold cuts, frankfurters, etc.
- Miscellaneous: Mashed potatoes (made with milk), cream sauces, cream soups, creamed vegetables, milk gravy, and chowder prepared with milk.
CORN SENSITIVITY
Avoid foods containing corn, corn syrup and corn starch. These include:
- Beverages: Ale, beer, coffee creamer, gin, grape juice, instant tea, milk substitutes, soy milk, and whiskey.
- Breads: Corn bread, muffins, or rolls, enchiladas, English muffins, corn chips, tacos, corn tortillas, graham crackers.
- Cereals: Commercial, hominy, many ready-to-eat, such as corn flakes.
- Fats: Corn oil, corn oil margarine, gravies, salad dressings thickened with cornstarch, and shortenings unless source of oil is specified.
- Desserts: Cakes, candied fruits, canned or frozen juice, cream pie, ice cream, pastries, pudding mixes, sherbet.
- Soups: All commercial soups, homemade soup thickened with cornstarch.
- Meats: Bacon, ham, luncheon meats, sausage.
- Sweets: Candy, cane sugar, corn syrup, imitation maple syrup, jam, jelly, and preserves.
- Vegetables: Harbard beets, corn, mixed vegetables, succotash.
- Miscellaneous: Baking powder, catsup, chewing gum, cheese spreads, Chinese foods that contain corn or use corn starch, commercial mixes of all types, confectioner's sugar, distilled vinegar, MSG, peanut butter, popcorn, vitamin capsules and yeast.
WHEAT, EGGS, MILK, CORN FREE DIET - Sample Menu
SUGGESTED MEAL PLAN SUGGESTED FOODS AND BEVERAGES BREAKFAST
Fruit Juice
Cereal
Bread-Margarine
BeverageSUGGESTED BREAKFAST
Orange Juice
Oatmeal
Rice Cake
Coffee or TeaDINNER - NOON OR EVENING MEAL
Meat/Meat Substitute
Bread-Margarine
Vegetable and/or Salad
Dessert
BeverageSUGGESTED LUNCH/DINNER
Tuna Salad (non-egg mayo)
Rye Crisp Crackers
Tossed Salad
Fresh Fruit
Strawberries
Iced TeaSUPPER - EVENING OR NOON MEAL
Soup or Juice
Meat/Meat Substitute
Potato/Potato Substitute Dessert
Milk/BeverageSUGGESTED SUPPER/DINNER
Turkey Rice Soup
Baked Chicken
Rice
Peanut Butter Balls
CoffeeSNACK
Fruit or Juice
Bread
SUGGESTED SUPPER/DINNER
Fresh Orange
Rice Cake
Nutrient Analysis
Calories Protein Carbohydrate Fat Cholesterol Dietary Fiber Vitamin A Vitamin C Niacin Riboflavin Thiamin Folate Calcium Phosphorus Zinc Iron Sodium Potassium 1556 Kcal 89 gm 191 gm 55 gm 162 mg 20 gm 2869 IU 132 mg 30 mg 0.7 mg 0.9 mg 115 mcg 172 mg 1062 mg 7 mg 8 mg 1255 mg 2355 mg
ALLERGY LINKS
MoonDragon's Health & Wellness: Sulfite Allergies
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