The transition to “adult” food is a very important step, especially when the baby is diagnosed with atopic dermatitis, because his skin can react to everything new, unusual for the body.
Our pediatrician recommended starting with vegetables (despite small weight gain), since vegetables contain plant enzymes that help to digest food. The vegetables were supposed to help the small body ripen. The doctor immediately warned: “If it starts to pour in, mom needs to be psychologically ready. We do not cancel products due to rash. Only if the stomach bothers or the rash is very severe. “
It was decided to introduce complementary foods at exactly 6 months in accordance with the recommendations of the World Health Organization. At that time, Vika had a small plaque element in the healing stage on her left cheek, and white dry spots on her arms and legs. A month has passed since Vika ceased to be bothered by gaziks and 1.5 months since her mother stopped following a senseless hypoallergenic diet. We can say that this was our period of remission (I wrote about our experience of “treatment” of atopic dermatitis here ).
We decided to start with a “can” vegetable marrow according to the pediatric scheme. The first day – 1 tsp, the second – 2 tsp. In the morning on the third day, several new pimples appeared on the face, but the introduction of complementary foods continued – 4 tsp. About an hour later, Vika had a stomach ache (a little later, liquid stools were added), and she was covered with pimples. For 2 weeks, they decided to cancel complementary foods (pimples disappeared in 3 days, but it took time to restore the intestines).
The second attempt started with canned cauliflower. This time the approach was somewhat different. We started with 1/4 tsp, the second day – 1/2, the third day – 1 tsp. The stool became runny, several pimples appeared, so further enlargement was very slow. For 10 days we brought it to 50 grams. My daughter didn’t want to eat anymore – I didn’t insist. The rash disappeared on the seventh day of the introduction of cabbage, but she continued to weaken.
At 7 months, they began to introduce buckwheat porridge – we had breakfast. Cauliflower turned to lunch. Buckwheat porridge was introduced in a week, starting with 1/2 tsp. and up to 20-30 ml. It was only a couple of days that fell on her, but the chair finally got better.
Then we went back to vegetables (they were introduced at lunch). At first she gave a new vegetable, then she fed her already acquaintances – how much she would eat. Introduced broccoli and potatoes. It took one week for each vegetable. There was a rash on broccoli for several days (no stool changes), there was no reaction to potatoes. Taking into account that the familiar vegetable gave “how much to eat,” the portion of vegetables gradually increased.
At 7.5 months in the morning we had only buckwheat porridge, for lunch we alternated: color. cabbage + broccoli; color cabbage + potatoes; broccoli + potatoes. Vika did not like porridge, so the volume remained, at best, 30 ml, with vegetables the situation was better – about 100 grams. (watery “can” vegetables).
And then, against the background of the teeth, my baby caught some kind of infection. Three days with fever and white lumps in stool. Accordingly, all complementary foods for these three days were removed – only breast milk. Dermatitis, of course, worsened. After normalization of temperature and stool, complementary foods were returned in a couple of days.
The introduction of new products continued after the skin turned white. It was decided to leave zucchini, pumpkin, carrots until better times. They began to introduce porridge. Since there is a tendency to loose stools, rice was introduced. Vika categorically refused to eat more than 20-30 ml. They began to add a little applesauce to buckwheat, and prunes to rice. All of this was introduced quickly enough (3-4 days per product), since the amount was small (even with fruits, my button did not express a special desire to eat porridge, and in principle it is not worth giving a lot of fruits, since they have few calories).
I replaced the “cans” with homemade vegetables. Since enzymes and vitamins die during the heat treatment, I did not soak the vegetables and did not cook them for long. I steam it, grind it with a blender and give half to Vika (I put the other half in a glass puree jar and put it in the refrigerator until lunch the next day). Considering that the consistency of home-made vegetables is thicker, the eaten volume was half the amount of “can” puree.
Pimples periodically appeared in small quantities and disappeared again.
And at 8 (with “kopecks”) a miracle happened! Vika herself began to ask for more! In just a week, we increased the portions of porridge to 120 ml (it didn’t matter with or without fruit). Introduced corn and oatmeal, pear and plum puree. Fruit purees were introduced in a volume of 30 g. (if more – just came out undigested), cereals by 9 months reached 180 ml.
After that, they tried to introduce the zucchini again. The stool was liquid, but the stomach did not bother. For four days she gave “canned” puree, then switched to freshly prepared. And everything was calm on homemade puree (I suppose because I peeled off the peel, and no manufacturer of “cans” does this). The pumpkin was introduced according to the same scheme – there was no reaction to the “can” reaction, the first time was a little added to the homemade one. As an afternoon snack, she began to give goat curd with already familiar fruits or vegetables.
Closer to 9 months, the introduction of meat also began. A turkey and a rabbit were introduced, 50 ml each. And here Vika again sprinkled – the pediatrician said that the liver had increased. I removed the meat for two days – it became much better. Then the meat was gradually returned, but 40 ml each.
At 9.5 months, the introduction of sour milk began, namely, acidophilic milk. Two liters of milk was fermented in a multicooker with the acidolact leaven from Vivo. I introduced it very gradually: they reached 180 ml. in 2 weeks. And here again there was a jump in the development of the gastrointestinal tract. Vika began to demand more food (she had to introduce dairy-free cereals for dinner) and finally her skin became smooth! The dry spots on the arms and legs are gone.
From 10 months, Vika began to eat fresh fruits (after introducing them in a “can” form) and gradually move to the common table. The liver is normal, the skin is clean.
Unfortunately, the complementary foods did not go as smoothly as we would like, but in general everything worked out. From our experience, I can highlight the following
principles of introducing complementary foods to a child with atopic dermatitis:
1. During pregnancy and breastfeeding, it is necessary to acquaint the baby with various products, including allergens, since it is much easier to introduce those products that were in the mother’s diet.
2. It is not worth starting the introduction of complementary foods during the exacerbation period, as well as in the presence of factors contributing to the exacerbation (you can read more about such factors here ).
3. It is necessary to very carefully introduce each new type of food (vegetables, cereals, fruits, meat, sour milk). New products containing a protein similar to the protein of an already introduced product can be introduced a little faster if there is no reaction in the first day or two (everything is individual here).
4. A new product should be canceled only if there is a reaction from the abdomen (bubbling / bloating / increased gas formation / diarrhea / constipation (you can read about what to do in case of constipation here )) or severe exacerbation. The reaction must be assessed individually: sometimes it is enough just to pause the increase in the portion and give one amount for several days so that the body can adapt (we had this with many products: on the first day or two, gases, loose stools, and then everything is fine); sometimes it is necessary to slightly reduce the portion already injected so that the reaction stops. After the negative symptoms disappear, the portion increase gradually continues.
5. Pediatric complementary foods with large amounts of complementary foods are not suitable for atopics.
6. You should not rush with complementary foods. Until 8 months, complementary foods were difficult for us. My daughter ate it without interest, there were negative reactions from the skin and gastrointestinal tract. And when there was a clear nutritional interest, then there were practically no problems with the introduction.
7. Do not force a child to eat. Appetite is directly proportional to the amount of enzymes produced by the body that are needed to digest food. What the baby eats without appetite will wander, overload the gastrointestinal tract, cause an exacerbation of atopic dermatitis, and in the end it will come out undigested and will not bring any benefit.
8. It is necessary to be patient and understand that a small rash is not so scary as a child under three years old who eats 5-6 foods for which there is no rash.
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