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Food Allergy Living is a resource for parents of children with food allergies, brought to you by Nutricia, the makers of Neocate. For more in-depth information about our purpose & authors, see our About Food Allergy Living page.

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infant

All About Diarrhea

Posted 3.31.11 | Rob McCandlish, RD

Here at Neocate, we get lots of questions about diapers. I mean lots! Many questions relate to constipation or diarrhea. We’ve posted about constipation in the past, but I thought it would be helpful to pull together our past comments on diarrhea, as well as provide some more medical information on the topic courtesy of the National Institutes of Health, or NIH.

Defining “Diarrhea”

Simply defined, diarrhea is loose, watery stools. It also means having these loose stools three or more times a day. There are more specific guidelines, but most people know diarrhea when they see it. Diarrhea happens to everyone, usually about once a year for adults and twice a year for young children.

Typically, diarrhea is acute, meaning that it lasts one or two days and then goes away. This type of diarrhea is typically caused by an infection. If diarrhea lasts more than two days, it can be something more serious. Diarrhea lasting more than two to four weeks – chronic diarrhea – may be a symptom of a chronic disease or condition.

The concern with diarrhea, especially when it lasts more than two days, is a risk of dehydration. Our bodies absorb most of the water and some minerals at the end of our digestive tract. When we have diarrhea we can’t absorb those things, leading to dehydration, which can be serious.

Diarrhea in Infants

New parents quickly become experts at several things, one of which is changing diapers. Since infants go through about eight diapers a day, parents easily pick up on anything abnormal. Every baby’s stools are different in terms of how watery they are, which makes defining diarrhea in infants difficult. To keep it simple, diarrhea is typically a sudden onset of frequent bowel movements that are more watery than usual.

The risk of dehydration from diarrhea is much higher in children than most adults, and especially in infants. Since infants can’t tell us what they’re feeling, it’s important to keep an eye out for signs of dehydration. With children and infants, you shouldn’t hesitate to call their healthcare provider if you have concerns. For infants under 4 months, the recommendation is that you contact the doctor at the first sign of diarrhea or dehydration.

Diarrhea and Food Allergies

Pulling this all together, diarrhea is one of the top signs of a food allergy, especially for infants. In infants with food allergies, diarrhea often lasts more than just a few days and may even be combined with other symptoms. It’s not uncommon to also see blood or mucus in the stool. Diarrhea can also result from lactose intolerance, which is not as severe as a food allergy, but which may also require a change in diet.

Like we hear from many Neocate parents, diarrhea is often one of the first signs to clear up after they start using Neocate. This is because Neocate doesn’t contain any lactose (or any dairy at all!) or whole proteins. These substances would normally cause a reaction in the body that leads to poor absorption and diarrhea. Infants are able to absorb the nutrients they need from Neocate without the bad reaction that often results in diarrhea. Most parents tell us that the switch to Neocate has meant more solid stools and many fewer diapers.

- Rob

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What to Expect At Your Next Doctor Visit

Posted 2.23.11 | Sarah O'Brien

Do you have a doctor’s visit coming up and wondering what to expect? Whether it be a well visit, a sick visit, or a visit to a specialist that you’ve been waiting to see, it’s always good to go prepared and know what to expect as best as you can.

Before your visit

The first thing that always comes to my mind when going to see a new doctor is all the paper work that must be filled out before the exam. This usually requires arriving early and taking 15-20 minutes to complete all the forms. If you’re anything like me after having my little one, arriving on time – let alone early – is a challenge within itself. It can also be hard to keep your little one entertained and sitting quietly while you fill out all the paper work. Some pediatric offices are making their required forms available online to download and complete before you get there which is a big help. If your doctor’s office does not have this available, call and ask if they can mail the paper work to you ahead of time.

Another helpful thing to do before your visit is to write down all those questions that you’ve been thinking of to ask the physician. It’s easy to get distracted and conversations can easily go down one particular path, especially when dealing with food allergies. The topic of most visits would probably be just that – food allergies, but what about those other questions that you had, like sleeping issues, or maybe a behavioral issue. If you write down your questions you’ll be sure to leave with all of your answers.

If possible try to bring your significant other, grandparent, or close family friend to the visit with you. It’s always good to have an extra pair of hands if your infant starts crying, or your toddler starts to misbehave. It’s also good just to have a second set of ears to listen so you don’t miss anything.

During your visit

As with most doctor visits, a weight and height check is always to be expected along with listening to heart and lungs, maybe checking ears and asking about what’s been happening since your last visit. Most pediatric doctors are also interested in hearing about your child’s developmental skills, like can your infant sit up, or can your toddler stack blocks.

Now is your opportunity to ask all those questions that you have written down. Don’t be nervous to ask what you think is a dumb question; a good doctor will hear anything and be happy to answer. If not, you may want to think about switching doctors. If it’s something that worries you, ask – no question is too minor. And if you need clarification on a question that has been answered at a previous visit or even at the beginning of this visit, it’s always best to ask again so you are not left guessing. Also, you may want to have the doctor write down what they are recommending so you don’t forget when you get home.

After your visit

If a follow-up visit is necessary, try to schedule it before you leave the office. This can save you time and help get you in with less of a wait.

If you have visited a specialist, follow-up with your pediatrician to make sure your specialist relates all of their findings back.

What other tips/hints have you discovered to help get yourself prepared for doctor visits? Would love to hear about them.

- Sarah


Why I Am Thankful – Part Three

Posted 11.19.09 | Christine Graham-Garo

You may have read Sarah and Mallory’s “Why I’m Thankful” posts over the last couple weeks. In case you missed them, we are sharing what we are most thankful for in our lives. Here are my reasons for being thankful this Thanksgiving!

First and foremost I am thankful for my family and friends. I am fortunate to have such a supportive and loving family.

Another important thing I am thankful for is my health When I was just 8 years old I was diagnosed as a type 1 Diabetic. At the time it was a very new and frightening thing. The fact that I had to live with diabetes for the rest of my life (and give myself insulin injections on a daily basis) was a big adjustment for me and my family to deal with.

Although I have been diabetic for about 20 years, I have made it my goal to make sure my diabetes is controlled. Besides the fact I have this condition, I am fairly healthy otherwise. I always feel it could have been much worse for me, and I am thankful that it wasn’t. With the future of medical science, more and more tools are being introduced to help diabetics control their sugars (as well as help manage other conditions). I make sure to eat a balanced meal and exercise daily (although that may be easier said than done!). With the help of my family I have been able to live a full life regardless of my condition.

Finally, I am thankful for the fact that I can help families in need. As a nutrition specialist for Nutricia North America, specializing in infant nutrition, I am able to help many families by educating them about our formulas. Everything from explaining to parents and caregivers how to use and mix the formula correctly, what to expect when their child is on it, and how to make sure they are doing everything correctly, has truly helped Neocate families and it’s extremely rewarding to know that I’m a part of that process. I have always wanted to use my knowledge of nutrition to help people make the best decisions for their health. Being a nutrition specialist has helped me to do that and I am so thankful for it.

- Christine