Vivienne Pither - Dietitian

NOURISHING THE BODY AND THE MIND FROM PRECONCEPTION ONWARDS 

THE ELIMINATION DIET STEP- BY- STEP

1. FAMILY HISTORY - We ask you to look into your family's background with the help of a prompt sheet to properly assess a possible history of food sensitivity.

2. WHAT TO EXCLUDE? - After assessing the severity of the symptoms, we can then determine the degree of elimination we need to do (strict, moderate or simple approach) +/- any food proteins (gluten, milk, soy, egg).

3. ELIMINATION - Using the RPAH elimination diet handbook as a guide, we eliminate the necessary foods for 3-4 weeks until we have no symptoms for 5 straight days. Children often respond faster as their smaller bodies  quickly metabolise and remove the affecting chemicals. 

4. CHALLENGES - we then begin challenging each chemical group (amines, salicylates, glutamates) and food protein (if necessary) separately.

5. REINTRODUCE FOODS TO TOLERANCE - Once the problem substances have been determined, we will then begin gradually reintroducing foods to the individual's threshold. As children grow and mature they will usually be able to tolerate a greater chemical load. We can reassess your child every 6 months to try and reintroduce more foods.



FULL LIST OF FOOD INTOLERANCE SYMPTOMS

SKIN
AIRWAYS
 DIGESTIVE SYSTEM
NERVOUS SYSTEM 
Eczema, hives, rashes
Cradle cap
Swelling of lips, eyelids
Itching
Flushing
Sore, red vagina
Excessive sweating, body odour
Dark circles under eyes
Pallor - pale skin



 
Asthma
Hayfever, blocked/runny nose
Snoring
Nasal polyps
Frequent nose bleeds
Chronic throat clearing
Sinusitis
Frequent tonsilitis, colds, flu
Frequent ear infections, glue ear


Recurrent mouth ulcers
Indigestion
Nausea/Vomiting
Bad breath
Diarrhoea and/or constipation
Stomach ache
Bloating
Flatulence
Reflux
Colic
Sneaky poos
Sticky poos

Headaches/migraines
Tinnitus
Dizziness/vertigo
Fatigue
Agitation
Sound sensitivity
Tic disorder
Tourette Syndrome






BLADDER
  SKELETAL
HEART
ANXIETY & DEPRESSION
  Bedwetting
Incontinence



 Growing pains
Joint pain
Swelling/arthritis
Muscle weakness

  Rapid heart beat
Heart palpitations
Arrhythmias


Anxiety
Panic attacks
Depression
Self-harm
OCD tendencies
 IMPAIRED MEMORY / CONCENTRATION
 SPEECH
 OPPOSITIONAL DEFIANCE BEHAVIOUR
 UNINHIBITED BEHAVIOUR
Vague/forgetful
Foggy brain
Unable to concentrate
Unmotivated
Disorganised
Easily distracted
Difficulty reading and writing 








 Loud voice
Speech delay
Stuttering
Repetitive noises
Talks too much
Makes silly noises
Hums constantly
Whistles constantly








Uncooperative
Argumentative
Grouchy
Easily annoyed
Short tempered
Temper tantrums / outbursts
Constantly says 'no'
Breaks rules
Blames others
Angry, resentful, defiant
Spiteful
Difficulty in making friends
Easily bored 
Fights with siblings
Destructive, aggressive
Unreasonable
 Can't wait
Always butts in 
Deliberately annoys others
Unexplained aggression
Can't explain behaviour
'Can't help it'









(Table adapted from Dengate, S 2008 'Fed up: Understanding how food affects your child and what you can do about it'.)