Monday, September 12, 2011

MSPI

Recently I saw a lecture about food allergies and their seemingly increase in our culture. There are multiple theories as to why they are increasing-some believe it is because certain foods are introduced to infants too soon-others believe it is not soon enough. Some believe it all boils down to what the mother intakes while she is pregnant. Some believe it is genetic. There are some theories that suggest it is the amount of processed foods we eat. In any case--there are only theories-no one knows for sure.

It is also important to note that there a difference between a food allergy and a food intolerance. According to the Mayo Clinic, a food allergy is when a body's immune system is literally attacked even after a very small amount of the offending food is eaten. The result is swelling, hives, watery eyes, trouble swallowing, and sometimes cause death. On the other hand, an intolerance is an intestinal irritation caused by the lack of an enzyme in the body to properly digest a certain food or part of a food. It does not cause death, but discomfort. Small amounts of the offending food can be eaten and there will be no instant reaction. Some of the classic cases of food intolerances include lactose intolerance, irritable bowel syndrome, or even food poisoning.

My daughter was diagnosed with MSPI (intolerance to milk and soy proteins) in her first month. My first reaction when I realized the change that would have to take place in my diet, was "How in the world am I going to do that?" After a month, I realized, it is really simple. It is only became complicated when we were invited for dinner somewhere or ate out. As my baby has gotten older, I have become less stringent and will not question what is placed before me when a guest in someone's home. If I suspect there is dairy or soy, I will eat very little. Other than eating at someone's home, I still maintain a strict milk and soy protein free diet. So far that has worked out fine.  

Since MSPI is a fairly new diagnoses for babies, a lot of doctor's still do not test for it in newborns. Thankfully Emma's pediatrician checked for it when I voiced concerns of her fussiness. 

There are many reasons babies cry and fuss, but it is usually a clue that something is not right. Emma was extremely fussy by her third week-to the extent she would scream without any apparent reason. She would drink a little milk--cry and head back for a little more-cry. I alter learned that this is a normal reaction for a baby with MSPI because the milk soothes her for a little bit and makes her tummy feel better, then it hurts again. 

A doctor can tell if a baby has an intolerance to a food by taking a stool sample and testing for blood in it. That shows the baby's intestines are inflamed. The doctor cannot tell what the baby is intolerant to without injecting a small amount of that product under the baby's skin and checking for a reaction. That test is not usually done until after the baby is a year old. So the first thing that is often recommended to be avoided is milk and soy products. Thankfully that is all it was for Emma. After a couple weeks, she was fine. It could have been an intolerance to eggs, peanuts, gluten, or tree nuts. Many mothers struggle for some time to eliminate the right foods from their diet. Some just skip that step and eliminate all of the above. 

It takes about a day for milk and soy proteins to clear the mother's milk, but can take up to two weeks for the baby to healed up depending on how soon the intolerance was detected. Most babies who are intolerant to milk and soy recover by the age of one and are not allergic to either for the rest of their life.

To be of help to other mother's who have babies with MSPI, I have developed a list of foods that do not contain MSPI. It is much nicer to have a "can eat" rather than a "can't eat list" to work from. 

Safe to eat foods and substitute

Dairy
Blue Bonnet Reduced Fat Margarine
Any flavor of rice, almond, or coconut milk-I like rice milk for baking and cooking because of it's bland flavor, but almond milk is my favorite to drink alone or on cereal.
Almond yogurt-available at health food Stores or it can be made at home. It is a good substitute for sour cream in reckless

Dry Goods
Almost all pasta
Rice

Frozen Foods
Van De Kemps fish stick or fillets-too pricy and not all that good for you anyway.
Frozen fruit and veggies are all ok

Fresh fruits and veggies are all good of course

Meat
Non breaded chicken-read ingredients some fresh and frozen chicken is injected with milk to make it more moist-the label tells all
Non breaded fish
Beef 
Pork
Oscar Meyer beef franks
Deli meats and sausages usually have soy products, but Farmland sausage links are safe

Cereals
I have yet to find one that is not ok-they are a safe food

Snacks
Unseasoned potato chips
Corn chips
Oreos

Eating out
I have only listed popular chains-it is also a good idea to double check before purchasing-sometimes ingredients change

Burger King
Only bread served without milk or soy is the Ciabatta Buns
All hamburger patties meat (not buns)
Tendergrill Chicken Fillet (not buns)
Spicy Chicken Crisp Patty (not buns)
Chicken Tenders
BK Fried Fish Fillet (not buns)
Chicken Fries
French Fries
Onion Rings
BK fresh apple pies

Breakfast:
Bacon
Sausage
Ham
English Muffin
Flour Tortilla
Southwest Potatoes
Hash Brown Rounds

Culvers
Chicken Tenders (not the chicken basket)
Sweet potato fries
Coleslaw

Chick-fil-A
Chargrilled Chicken Sandwich - bun is ok too!
Waffle Fires
Cole Slaw
Sauces: Polynesian, barbeque, balsamic vinegar, Italian,Thousand Island, Honey Mustard

Breakfast 
Hash-browns
Multi-Grain Oatmeal w/ or w/o toppings

Kentucky Fried Chicken
Hot Wings
Sandwich Buns
Flour Tortillas
Potato Salad
Potato Wedges
Caesar Salad no croutons

Long John Silvers
Battered Fish
Battered Chicken
Battered Shrimp
Alaskan Flounder
Seasoned Rice
Bread-sticks
Crumblies
Corn Coblet
Coleslaw

McDonald's
Hamburgers-beef patty and bun
Bacon
Buns are ok too!
Chicken Selects-not nuggets
Tortilla
McChicken Patty
McRib Pork Patty
New Grilled Chicken Fillet
New Crispy Chicken Fillet
Side Salad 
NO FRIES-they contain milk

Breakfast:
Breakfast Steak-no biscuits
Bacon
Egg
English Muffin
Potato vegetable Blend

Subway
Cold Cut Combo
Ham
Honey Mustard Ham
Italian BMT
Roast Beef
Turkey Breast
Turkey Ham
Subway Club
Veggie Delight
Breads: all but Honey oat, Wheat, and Deli rolls
Sauces: Mustard, mayonnaise, sweet onion, honey mustard (not Atkins)

Wendy's
Baked Potato-plain
Chili
Regular Sandwich buns are ok-not premium
Kids Meal Hamburger
Krispy Chicken Sandwich
Ultimate Grill Chicken Fillet 
Crispy Chicken Patty
Home-style Chicken Fillet
Tortilla
Hamburger
Natural Cut Fries
Spicy Chicken Fillet


A couple website I found that are very helpful in determining what restraunts serve are:
http://foodallergies.about.com/od/livingwithfoodallergies/a/chainguides.htm
http://www.avoidingmilkprotein.com/USARest.htm 

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