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Show ' WEEKLY NEWS JOURNAL, REFLEX-DA- VIS NORTH DAVIS LEADER, SEPTEMBER 24, 1981 mm! Common Problem BY RICHARD SAG, M.D. usually influence the development of allergies. In the first two parts of this series of articles on the subject of allergies in our children, we discussed how allergies are a common problem affecting 10 to 20 percent of all children. THE FIRST factor is to recognize who is born with the increased tendency to produce abnormal amounts of lgE antibody. At the present time it is impossible to predict with certainty who will have this trait. What can be done is to estimate the chances of hav ing the trait. This estimate depends upon the knowledge that the trait is somewhat hereditary. One would consider the child to be at high risk if both parents have allergies or if brothers or sisters have allergies. WE LEARNED how an abnormally large amount of 1GE antibody is formed towards foreign material in our environment and depending upon the amount of exposure, the t pe of foreign material and the inborn tendency of the child to develop increased amounts of 1GE. certain children will develop allergy. In this article we will discuss the possibility of preventing allergies in infants and children. Prevention of allergies in an infant is almost impossible to do in the child with a strong allergic tendency, but through an understanding an manipulation ofthree factors one can try and minimize the degree of allerev. The Darents need to hp to six months of life. aware of two factors: the nature of the exposure to foreign materials and the type of foreign materials. IT HAS been known for a long time that infants can react AS MENTIONED before, infants will first develop aller- gies to foods. The food which causes the least allergies in infants is breast milk. Where possible, all infants should breast feed, and where the infant is at risk of developing allergies, this becomes even more important. Breast feeding can provide a total nutritional diet for many infants through the first four to six months of life, and may continue to provide a substantial amount of nutrition for as long as possible. Where in the event that the mother is unable to breast feed, an infant formula should be chosen and maintained as the sole source of nutrition through the first four THE CHILD will be at low risk if there is no family history of allergy ; and will be at intermediate risk if there is only a small degree of allergies in the family. Once the infant is believed to be at risk, one can try to manipulate the environment to program, but may decrease the number of food allergies in infants. It is even possible that an occasional infant will develop increased allergies with this program. The message is that the with discomfort to certain foods that mothers eat while breast feeding. What was not known until recently is that breast feeding infants can become allergic to foods that the mother is eating. For instance, an infant may become allergic to milk if the mother drinks milk. One can influence the infants development of allergies by changes in the mother's diet. A mother with a high risk allergy infant should eat little of foods that commonly and easily cause food allergies like nuts, shell fish, and chocolate. program needs to be individualized and monitored if there is to be a good outcome. MOTHERS WHO wish to consider a rotational diet for themselves should discuss this with their doctor to make sure that all their nutritional needs are being met. Once the infants are four to six months of age, and solid foods are started, the infants diet should also be rotated every three to four days. As solid feedings are established it is important that the infant gets a balanced diet. Rotation of the infants diet should be within the different food groups; for example different grains, different fruits, and different vegetables may be rotated. AT THE same time, the mothers general diet should be varied, with the foods in her diet being rotated. The mother needs to eat a well balanced diet, but needs to rotate her food sources every three to four days. For example, if she drinks milk on Monday, she should not drink milk again until Thursday. By rotating the diet, the infants exposure to foreign material is kept low and not constant. Hopefully, then the infant will not develop allergies to food. WHILE IT is possible to completely control food intake in an infant, it is less possible to completely control inhaled foreign materials. To the degree that we can decrease the amount and certain types of inhaled foreign material, the infant will be less likely to allergies. Common inhalent material THIS IS not a guaranteed 0 o yiv STORYLAND (2-- CONSIDER shades or blinds instead of curtains. Consider a plastic cover for the mattress. Avoid pillows or blankets made of animal products. Consider hard floors instead of carpets. Using reasonable measures, one can usually reduce the amount of dust exposure to the infant which will hopefully reduce the amount of alelrgies developed to dusts. Molds are almost completely impossible to control. Molds grow in damp places like basements, bathrooms, kitchens, swamp coolers, humidifiers, window sills, damp walls, and normal life as possible, knowing that most alelrgies are mild and easily treatable. In general, the more severe the allergies are or the risk of allergies are, the more careful one needs to be. In the final article on allergies in our children, we will learn how allergies are diagnosed and treated. Dr. Sag is a board certified pediatrician practicing in Layton. Any questions or comments about this article may be made to him at North Davis Pediatrics. 2084 N. 1700 W., Layton, Ut. 84041 or telephone ONE SHOULD avoid exposure time in areas that remain musty like basements and sheds. One should change the filter of the swamp cooler and consider adding a fungicide to the swamp cooler water. If one uses a vaporizer, or humidifier it should be cleaned weekly if possible. Following these recomendations, the mold exposure will be lessened and hopefully the infant will devleop less allergy to mold. As the child grows, he will be exposed to more and more unavoidable materials and may develop allergy to these. High risk allergic children, or children with already severe allergies like asthma should avoid repeated exposures to highly allergy causing materials if possible. For instance, the chores of the child should be safe. Completes Basic Training Pvt. Stacy L. Nuzman, daughter of Kay Atwood of 3 3 East 060 North , Layton , has completed basic training at Fort McClellan. Ala. DURING THE training, students receive instructions in 1 ONE WOULD not have the child mow the lawn, clean out the garage or shed, or take care of family pets. One would also think twice about leisure activities that involve a high risk to drill and ceremonies, weapons, map reading, tactics, military courtesy, military justice, first aid, and Army history and traditions. He is a 1981 graduate of Layton High School. allergies, like developing horseback riding. w VR 4 m:js. children who are beginning to learn all about the magical worlds that can be explored through books, in words and pictures. r The Storyland begins promptly at 10 a.m. at 56 North Main Street, Kaysville. Diann Brown of Kaysville , will be returning as Story Lady." half-hou- aged children years old) are invited to attend. The stories will be chosen especially for young L amount of dust in the house. One should avoid materials that collect dust. One needs to change the furnace filter frequently. In the infant's room, use dolls and toys that are not fuzzy or dusty, or at lease leave the dusty toys on a shelf and not in the crib. the approach to each child, causing as little disruption of Two Kaysville youngsters want to get in the reading habit early by making their reservations for the new Storyland at the Kaysville Library. KAYSVILLE Kaysville City Library is bringing back Storyland once again this fall. The first Storyland will be held on friday, Oct. 2, at the library. but one can decrease the One needs to individualize anywhere else there is the tendency to be damp. One tries to find mold and to clean it especially when located in living areas. lvvtV' Carrs')r i ) ONE MAY need to remove the pets from the home, or merely to place the animals away from the children so there is minimal exposure. One cannot eliminate dust, N v J- W'ts 4 that causes allergies in young childrenure animals, molds, and dust. Depending upon the allergic risk to the child, one needs to tailor the need for elimination of foreign materials. Mothers (or dads) are welcome to wait for their children during r the story time in the library. Books and magazines may be checked out, too, durign this time. half-hou- STORYLAND WILL continue from Oct. 2 through April 30, on Fridays. . , ,V (V 7. V ,aV . s os v m Small Medium Large 2.75 4.35 5.95 2.75 4.35 5.95 3.25 5.25 7.25 3.25 5.25 7.25 3.25 5.25 7.25 3.25 5.25 7.25 2. CHOPPED onions 3. GREEn pepper 1 w'7 J 1. CHEESE V7 V3' ' w (w TO kv . ,V - 4. CHOPPED OLIVES 5. HAM 6. MUSHROOMS 7. 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