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Peanut Allergy Diet for
Children
General
guidelines for peanut allergy
When
your child has a food allergy, he or she must follow an allergy-free diet. This means
your child can't have the food they are allergic to, or any products containing that
food. The items that your child is allergic to are called allergens.
A
peanut allergy is the body's abnormal response to the proteins found in peanuts. Peanut
allergy is the leading cause of food allergy-related deaths in the U.S.
In order to not eat foods or use
products that contain peanuts, it's important to read product labels. Peanuts are very
different from tree nuts. But some people with peanut allergies also need to stay away
from tree nuts. Tree nuts include walnuts, almonds, and cashews.
The
Food Allergen Labeling and Consumer Protection Act (FALCPA) requires U.S. packaged foods
to state clearly on the label if they contain peanuts. Federal law requires that all
foods regulated by the FDA must list peanuts as an ingredient if they contain peanuts.
The lists below may not include all foods or products to stay away from. But they can
help guide your decisions. It is up to you to carefully read all food
labels.
How to read
a label for a peanut-free diet
Don't give your child foods that contain any of the following ingredients:
-
Arachis hypogaea. This is the scientific name for the peanut plant.
-
Artificial nuts
-
Beer nuts
-
Cold-pressed, expressed, or expelled peanut oil
-
Goobers
-
Ground nuts
-
Mixed nuts
-
Monkey nuts
-
Artificial nuts
-
Nut pieces
-
Nutmeat
-
Peanuts
-
Peanut butter
-
Peanut flour
-
Peanut protein hydrolysate
Foods that
may contain peanut protein
-
African, Chinese, Indonesian, Vietnamese, Thai,
and other ethnic dishes
-
Baked goods
-
Candy
-
Cereals
-
Chili and spaghetti sauce
-
Chocolate in candy or candy bars
-
Crackers
-
Egg rolls
-
Enchilada sauce
-
Flavoring (natural and artificial)
-
Hydrolyzed plant protein
-
Hydrolyzed vegetable protein
-
Ice cream and frozen yogurts
-
Marzipan
-
Mexican dishes
-
Mole sauce
-
Nougat
What to know
about other possible sources of peanuts or peanut products
-
Most children with allergies can safely eat
foods with peanut oil, unless it is
cold-pressed, expressed, or expelled peanut oil. Don't give your child
cold-pressed, expressed, or expelled peanut oil. Ask your child's healthcare
provider if it's safe to give your child foods with or cooked in other types of
peanut oil.
-
Some products have warning labels such as "may
contain peanut" or "made in a facility that may have processed peanuts." Ask your
child's healthcare provider if your child should stay away from products with
these statements.
-
Peanuts are very allergenic. They could cause a
fatal reaction if eaten by a child who is allergic to them.
-
Ethnic foods, commercially made baked goods, and
candy can be cross-contaminated with peanuts. This is because peanuts are often
used in these types of foods.
-
Peanut butter, peanut flour, or both are
sometimes used as thickeners in homemade chili and spaghetti sauce.
-
Foods made with hydrolyzed plant and hydrolyzed
vegetable protein may contain peanuts.
-
Artificial nuts are peanuts that have been
deflavored and reflavored with a nut such as pecan or walnut.
Foods that don't contain peanuts could be contaminated during manufacturing. It's
important to know that some labels are voluntary. These include "processed in a facility
that also processed peanuts" or "made on shared equipment." These are not regulated by
the FDA. Ask your child's provider if your child may eat products with these labels. Or
if your child should stay away from them.
There are some foods and products that are not covered by the FALCPA law. These
include:
-
Foods that are not regulated by the FDA
-
Cosmetics and personal care items
-
Prescription and over-the-counter medicines and supplements
-
Toys, crafts, and pet foods
Your child should always carry 2 epinephrine auto-injectors. Check that your child and
those close to your child know how to use it. Your child should wear a medical alert
bracelet or necklace with their allergy information. If your child doesn't have
epinephrine auto-injectors, talk with your child's healthcare provider. Ask if your
child should carry them.
In a restaurant, food may be cross-contaminated with peanuts. Always read the labels on
your child's food. And always ask about ingredients at restaurants. Do this even if
these are foods that your child has eaten in the past. Your child should stay away from
buffets with peanuts. This can help prevent cross-contamination of foods with shared
utensils.
Online Medical Reviewer:
Daphne Pierce-Smith RN MSN CCRC
Online Medical Reviewer:
Deborah Pedersen MD
Online Medical Reviewer:
Marianne Fraser MSN RN
Date Last Reviewed:
11/1/2016
© 2000-2019 The StayWell Company, LLC. 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.