What and how to feed the baby with FPIES

What and how to feed the baby with FPIES

Bailey Koch, RD, CSP, LD

Is a Registered Dietitian, board certified as a Specialist in Pediatric Nutrition. She founded Atlanta Pediatric Nutrition and joined the GI Care for Kids team, providing nutrition counseling to patients and families.

Breastfeeding or Formula in FPIES infants?  

  • Breastfeeding moms need to eliminate possible trigger foods from their diet (a portion of the food protein may have crossed their breast milk, and it can again)
  • Because of possible milk and soy reactions, formula fed babies need a fully hydrolysed formula
  • 10- 36% need a super expensive amino acid-based formula (but it's worth it)

Introduction of foods:

  • Any food already tolerated can be continued
  • Yellow fruits and vegetables should be started first instead of cereal at 6 months
  • If tolerated, grains, legumes, and poultry  can continue
  • If they haven't been started grains, it may be best to avoid them until 1 year of age
  • Tolerance to one food from a "high-risk" group may mean tolerance of another food in that group. (For example: tolerating chicken may mean they can eat turkey, if they are doing well on soy, they should be able to eat other legumes, etc.)

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