Breastfeeding and failsafe
FOOD INTOLERANCE NETWORK FACTSHEET
Breastfeeding and failsafe
Keywords: food intolerance, baby, babies, weaning, Tresillian, childcare, food additives, artificial colours, food colors, sleeping, sleep
Maternal health nurses, midwives and sleep centres need to know about the effects of additives and salicylates on breastfed babies.
Feedback from the 2012 Fed Up Roadshow:
 Tresillian wasn't for us (October 2012)
Our baby was waking up to 15 times a night, but Tresillian wasn't for us, it was too harsh, it wasn't doing anything. We were supposed to stay until the Friday but we left on the Wednesday. They are supposed to help mothers with new babies but they don't seem to know anything about salicylate sensitivity - there were numerous similar complaints on the Fedup Roadshow 2012.
 Delaying babies due to difficult first babies (October 2012)
I am a midwife. I came to your talk because of what I am finding with my clients. Those who are having second babies have often left it as long as possible because their first babies were so difficult - crying and unsettled for hours at a time, and sleeping poorly. It seems to be increasingly common. As a nurse, we tell them to eat everything in moderation while breastfeeding but I realise now they may need some more information – from Fedup Roadshow 2012.
 RN doesn't know about salicylates and sticky poos (October 2012)
I am an RN (registered nurse). I run an encopresis and continence clinic and am interested to hear more about what you describe as 'sticky poos'. I obtain great success with her management methods, but I currently have a case where the boy's faeces are so sticky it's like a layer of wallpaper on his bottom." (We would regard this as due to food intolerance – most likely salicylates - and would expect to see the problems resolve completely on the elimination diet) – from Fedup Roadshow 2012
 Nearly crazy with fatigue and confusion –baby's insomnia (February 2008)
Since birth, my son Noah had trouble with sleep it didn't matter what I did or what time of day or night it was, it would always take him at least 2 hours to get to sleep, and then if I put him down in his cot, he would wake 10 minutes later screaming. Then it would take another 2 hours of pacing the dark hallways before he'd doze off again. In the end, I spent the first 12 months of Noah's life sleeping in the rocking chair with him, just so he would sleep. I nearly went crazy with fatigue and confusion. I tried everything I (and everyone around me) could think of.
In the end, I insisted that there was something going on because the times he wasn't crying, I could see that he really had a very social, gentle and loving nature that was at odds with the furious, red screaming insomniac he was the rest of the time! He was breastfed and everything got much worse when I introduced solids. I was advised by a homeopath to stop eating dairy and give him slippery elm powder to help settle his guts. Everything got so much worse after that. The only thing he could have been reacting to in the slippery elm was salicylates so she put me on a low-salicylate diet. Noah improved but I didn't take it fully seriously I was naughty a lot! I continued drinking coffee and some other things like that. Finally, when Noah was 18 months old, I discovered your website. It changed my entire life, and you will never truly know how indebted I am to you for the work you do. – Alison, Qld
 Miraculous change in extreme sleeping problems (November 2009) COURAGE AWARD
I was a single mother living alone away from family support, breastfeeding and juggling a wonderful son who at 12 months was barely sleeping 4 hours a day. Most days he looked as if he had drunk a can of "red bull" - eyes rolling, twitching and distant - and sleep only ever seemed to come lightly for short periods once he was beyond exhausted.
He had a rash all over his body that just kept spreading and it made me cry watching him tear at it all day and all night without any relief.
At 12 months I put him into a local day care centre for 2 days a week for some sort of break (sleeping sometimes in the car just around the corner too tired to make it home to sleep after dropping him off). He was a real handful there as he would not settle and ever sleep and would upset all the other babies with his screaming.
I was beside myself by the time I swallowed what pride a new sleepless mum had left and sought every kind of assistance I could - my baby health nurse, my local doctor, and then another doctor all said it was normal (as they all shrugged their shoulders) and the eczema was a lifetime hereditary thing ...
I was even assessed at a local government "sleep clinic" on the gold coast - an awful experience with him not sleeping at all for them and them saying 20 hours without sleep "may be normal for him " - (bugger me !!)
After my lowest darkest point whereby at about 14 months he barely slept in 40 mins increments I was sent to the state children's sleep school in Brisbane. The basic program philosophy is about controlled crying - but that wasn't his problem ...
It was a 5 day hellish event I would wish on no one. He screamed and cried for the first 3 days solid and set new limits in sleep deprivation - made easier the 3rd day only because he totally lost his voice and his screams couldn't be heard !!! By day 4 he slept (passed out) from sheer exhaustion - so that was apparently a success and I was sent home day 5!!
After only a day or two at home it was obvious there was no improvement.
The next few weeks as I contemplated our future without support, sleep or potential for work as things stood really took its toll, until I was blessed to come across a pharmacist in our local pharmacy. She sat me down and really talked me through the failsafe approach - and really took the time to make it sink in. I was an unwilling participant as when you are so exhausted anything new seems to be insurmountable.
It took 4 days!!! only 4 days !! from having someone waking 8 times a night to 2 times a night!!! from sleeping 4 hours a day to 8 hours - and 10 hours by the end of the week. Once I switched to A2 milk the loop was complete and he started sleeping the night through by the end of week 2. The change was nothing short of miraculous.
For my son to go from the least favourite boy in his kindy to the favourite almost within a week!! It was like someone had handed me a new son.
He became an affectionate loving inquisitive boy that every mum would be so proud of - no tantrums, no fits of rage, renewed energy and able on concentrate on things so much better he simply bloomed, like watching a wilted flower come back to life after rain.
His rash completely healed - completely!! He is now 2.5 years and it has never returned!!
When I tell people about all the positive changes we have had on the diet, they seem to think the diet I fed him before failsafe was really poor. They assume it was full of red cordial, McDonalds, coloured commercial lollies etc but I was aware of colours and MSG and he NEVER had those. At the time I was following the diet recommended by the child care centre. It was the sulphur dioxide in dried fruits, the hidden nitrates in meats, and natural colour 160b I wasn't aware of, that were our biggest problems, also I was breast feeding at the time and was having more "junk food" and stimulants from comfort eating to keep me functioning so he was getting it that way. I realise my mistake in overdoing a "healthy diet" mostly consisting of a mega high salicylates, high amines and glutamates!! and although I was careful about colours and some preservatives, my son's biggest and most immediate reactions came from fish/ meats/ and preserved fruits.
Having followed all the information you have put out there in the Failsafe Cookbook my son has thrived!! He has come from behind to be the tallest and fittest in his class. The effect this failsafe lifestyle has had on Patrick has been evident to all who knew him "before diet" as we call it.
I often have people ask me about your work, especially from his childcare centre as they have followed his progress and it's so rewarding to see the individual but still dramatic change it has on other babies, toddlers and children.
I get angry when I think of the torment and the lost first 12 months of his life - and that a children's hospital in a week could not assist or pick up what a pharmacist did in seconds - but promise in my own prayers of thanks for you and the pharmacist that I will do my best to help those similar suffering mums that cross my own path. Thank you. - Patrick's proud mum, Qld
 282: "My babies woke up 8 times every night" (March 2005)
A friend gave me your book "Fed up" to read and I simply can't believe the difference it has made to our lives. I have four children. Three of them have been terrible sleepers right from birth. I have spent a week at Tresillian house with my 3rd child, where he was handed back to me at the end of the week unchanged. My babies all woke up on average 8 times every night and I have been so sleep deprived over the past 8 years that I became postnatal. I have a Degree in Early Childhood and have worked as a Director in a Pre-School for many years, and thought that I could control their behaviour by employing techniques acquired through professional training. It was frustrating to find that I couldn't cope. My first child was such a shock! I simply couldn't leave the house with him.
This book came in time for my 4th and final child. My daughter fell into the same terrible broken night sleep pattern as the others. After struggling for 8 months, she did start to settle down, waking perhaps once a night. This was great until I started her, at age 10 months, on bread. She immediately returned to night waking - for no apparent reason - and also had a clear runny nose. I found that the bread she was having had 282 in it. SO we stopped feeding it to her. Within a couple of nights she again settled down to a peaceful nights' sleep! AND her nose cleared up! I can't believe that it could have been that simple!
My question to you regards my children when they were babies, constantly struggling to sleep - could this additive (calcium propionate, 282) have been passed on to the baby through my breastmilk, causing a similar reaction???- By email [The answer is of course, YES, food chemicals are passed through breastmilk – Sue]
 Insomnia in mother and baby a major issue (April 2002)
I have been an insomniac since I was 16. From my mid 20s it has been a major issue in my life. I have lived on approximately four hours sleep a day. I have spent thousands of dollars in trying to find the answer. I have seen naturopaths, homeopaths, medical doctors, Chinese herbalists, acupuncturists. I have been to a sleep centre where they tried to teach me to sleep. I have tried every imaginable trick to try to sleep. For three years, I stopped drinking or eating anything with caffeine. I would drink warm milk before bed. I would take a run before bed. I would read a book before bed. Have a bath before bed. You name it, I have probably tried it. By the time I turned 30, I decided that I had to learn to accept my insomnia - 'this is as good as it gets' sort of thing. In the worst scenario I would read till all hours of the morning. Having said that, I had to also accept the fact that I was tired most of the time.
I had my son at the age of 31. He was a colicky baby, a terrible sleeper. He also had heartburn at night, which his ped attributed to the fact that my son still breast fed at night, up to the age of 25 months. I never understood the relationship between breastfeeding at night and heartburn, so continued doing it. My main resource and my inability to accept my ped's advise was due to my own travels to primitive cultures, where I saw babies and toddlers breastfeeding constantly; 24/7 days a week and these babies were NOT colicky, did not suffer heartburn. In fact, they seemed very happy, content, and rarely cried. When they did cry, it was more of a whimper rather than the cries I hear in western society.
Being a 30 something Mum, I also was fully aware of what sort of Mum I wanted to be. I had clear visions of being a compassionate Mum; this entailed no spanking, no yelling, but rather validating feelings, finding alternatives whereby both of us would be happy, and in the worst scenario just accepting that my child and I would not always agree, but I would still respect this difference rather than fight it. My son' s temperament, however, tested me to the core and I failed often in living my maternal visions. Yes, I have yelled at my son, yes I have spanked him (to date, three times - he is 2.5 years old and each time I think about it, I do cringe with disappointment with the evidence of my weaknesses). My son, from an early age was high need and wanted full on hands on care, was constantly on the breast, slow to unwind, wanted in-your-face attention, constantly in my arms. In a nutshell I found him draining, and highly strung. I remember when he was only five months old, having this real desire just to throw him across the room and the reality of my feelings shocked me to my core. I am by nature sensitive to other people's feelings, gentle, gracious, etc.
I took him to a sleep centre, where the staff tried to teach me to help my son to fall asleep on his own and all I kept thinking about was "seen this movie before". I thought I was going insane; my son took two hours to unwind before he would fall asleep and when he did, he would sleep only for one hour, waking up and then would demand the breast to go to sleep again. After the sleep centre experience with my son, I decided to go by my instincts; one thing I was sure about was that I would never let my son cry it out, no matter what. Part of my reasoning stemmed from 'what if he has the same problems as me? Maybe its genetics?' another real reason for me was 'he must be waking up for some reason?'...to my mind, it may be hard to fall asleep, but once asleep, a person wakes up for a reason...so I decided that if my son woke up every hour, I would just learn to live with that too and together we would get through it. I put up with it literally till my son was 25 months old and by that stage, I am sure the night nursing was more a habit rather than a real need, ie, whatever was causing the night waking as an infant/baby, no longer existed by the time he was a toddler.
He was a very active little boy, who seemed too busy to sit for any period of time. His thoughts also were busy, talking constantly without taking a breath. As a result, he always looked like he was misbehaving because he seemed to have no physical self control, although he was very gentle, loving and extremely aware of the needs of others. But then, he would all of a sudden display vocal aggression, and physical aggression, seeming to get pleasure in hurting. I could not understand this Jekyll and Hyde personality.
Most people that I turned to, either suggested more discipline, in the forms of spanking or severe punishment. Others suggested that I was giving him too many sweets. Others suggested that I train him at home, for instance sitting with him for ten minutes today, then fifteen minutes tomorrow. Others suggested that my son and I were too attached and he was playing on my weaknesses. Others implied that I was not a consistent mother regarding discipline. But I saw my son for the person he was. I had these real glimpses of his real personality. I thought about taking him to a naturopath or a homeopath. I resisted though because my real fear was that his behaviour would become an issue in our life like my sleeping disorder became an issue in my life. Again, I turned to my own common sense here and decided that I preferred to accept the package rather than fight it all the time. Then I stumbled on your book at a health shop and bought it.
I have only read probably one quarter of your book. But the next day I eliminated wheat, dairy and all preservatives/additives. Within two days, the son that I only had glimpses of suddenly emerged for a period of five consecutive days ... and I suddenly found myself able to fall asleep in ten minutes. My son would still wake up, and I would still respond in the same manner, but again, I would be able to fall asleep without any problems. Day six was the day that I cried. I have spent the better part of my adult life wanting to sleep and feeling tired. I have wasted years of my youth thinking about sleep. I am at times angry and at times relieved to just get out of the woods. I just can not believe that I no longer have to describe myself as an insomniac. My son now sleeps much better, but I have realized only today that I think he is also salicylate sensitive and probably so am I. Both of us, I realize now, demonstrate aggression for unknown reasons. I can control that side of me because I am an adult, but my son is more honest with himself and his world.
Today, my son was pushed over the edge, so tomorrow, I am getting stricter with salicylate and amine side of the challenges - but I feel good about it. I know where I am going now, I have direction and that my undisciplined boy does not need more discipline. In fact in the five days that he was his real self, I had absolutely no problems. There was such harmony between us that my heart upon just writing that, is swelling up ... more importantly, it has nothing to do with my adequacies as a mother, or my sons personality. It is all external to the problem. This makes me feel more confident than ever ...
I wanted to tell you my story and to thank you from the bottom of my heart. If only someone had told me at 16 what was causing my insomnia ... but then, I also know that my insomnia stopped me from resorting to ignoring my son's cries and if I was not going to find the motive of his behaviour and cries, I was just going to accept this boy as he was ... for better or worse ...
I have learned one thing in life and that is, that it is the worse situations that are character building and through them I can choose the path I decide to tread ... I am just happy that you wrote your book 'Fed up' and I am just happy that I chose to read it ... thanking you very very much ... - Ingrid, Melbourne
 Emily Rose: obstructive, obstinate, defiant and plain horrible to tantrum-free (March 1999)
Having just finished reading Fed Up I felt compelled to speak to you - your book struck such a chord! For two years now we have been battling with our daughter's health and behavioural problems and have been fobbed off left right and centre. It was such a wonderful relief to speak to you and read of your experiences and know that we are not alone in this.
Right from the start Emily Rose was a 'difficult child' - never slept for longer than two hours at a time at night and had only two short catnaps of about 30 minutes during the day. She cried a great deal, wanted to be held constantly and often woke up screaming. Clearly this was going to be a challenge. After four months the sleep deprivation really hit home and we began doing the rounds of the doctors in an effort to establish the nature of the problem. We had no answers apart from maybe it's colic, watch your diet, cut out brassicas, fruit juice, yellow stoned fruit, onions and garlic. No one mentioned cutting out dairy, tomatoes or tea! ...
 Red ears in a baby a common sign of food intolerance (October 2010)
My first child was what some would call a colicky baby. There seemed no pattern, and sometimes nothing I did would settle him. When he was distressed nursing helped, but he was restless, pulling off the breast after a few minutes. In fact he snacked all day and night, rather than taking full feeds. My midwife suggested that something could be going through my milk which disagreed with him, and I stopped eating dairy, citrus and onions for a while, but to no effect. I asked many people about an odd thing – when he fed, he often got one red ear. No-one knew what it was or thought it important.
By six months his distress had settled down, though he remained an anxious baby and toddler (a friend described him as a 'whiny baby'). At 18 months he became very ill with gastroenteritis. From this time on he was never the same. His anxiety increased, he'd have what seemed like panic attacks, clinging to me with a highpitched squeal and a bewildered little face. He kept getting red ears, one or the other or both, flushed cheeks, and red lips. Yet at other times he seemed fine. (It took another 3 years for this mother to discover that food intolerance was the cause of her baby's problems...) His symptoms changed as he got older, but now we know his main triggers, he is well most of the time. Looking back, we could have been saved all of this if someone had been able to tell us that red ears are a common sign of food intolerance. So are colic, night restlessness, anxiety, panic attacks, mouth discomfort and the desire to suck vigorously and many more symptoms he displayed. – Jan, from http://www.lalecheleague.org.nz/template/articles__information/food_intolerances.pdf
baby rice cereal - use pure rice cereal e.g. Rafferty's Garden Organic baby rice but NOT Bellamys organic baby rice cereal with rosemary extract, see our shopping list for more options http://fedup.com.au/information/information/short-failsafe-shopping-list)
cook plain white rice with water, formula or breastmilk and puree it in a blender
baby millet cereal e.g. Four Leaf Baby Millet cereal (ingredients: finely ground millet)
baby oat porridge - from 6 months, some failsafe mothers recommend Freedom Food wheat free oat porridge or baby oat porridge (e.g. Holle, Bellamys, not recommended for a gluten free diet)
Probios Rice Grissini (rice stick, ingredients: whole rice flour) www.allergytrain.com.au
Pureed fruit and vegetables
We suggest this order, see salicylate content in brackets:
LOW SAL FOODS (permitted on the RPAH elimination diet)
- pear, Packham (0.00, should be ripe, soft and well-peeled; if pears cause diarrhoea, sorbitol intolerance may be a problem)
- swede (0.00)
- choko (0.01, you can add a little sugar if needed)
- celery (0.00)
- green beans (0.11, but are better tolerated than expected)
- cabbage (0.00)
- Brussels sprouts (0.07)
- potato (0.00, should be large, white-fleshed and brown-skinned, old and well-peeled)
Thanks to members of the failsafebaby group
Introduction to food intolerance factsheet
Fed Up by Sue Dengate, available in bookstores, libraries and through our website - there's currently special offer for a set of both books and the DVD. Fed Up is the best book to start with.
The Failsafe Booklet http://fedup.com.au/images/stories/Failsafebooklet2011.pdf
We strongly recommend that mothers of breastfed babies with possible food intolerance seek help from an experienced and supportive dietitian. You can see our list at
Here's the PASSWORD: failsafe
Lactation consultant and dietitian Joy Anderson is the ABA specialist on food intolerance in breastfed babies and was happy to chat with attendees at two of the talks in the 2012 Fed Up Roadshow. As well as personal consultations, Joy does consultations by email, phone and Skype
See Joy's article about lactose intolerance in babies at https://www.breastfeeding.asn.au/bfinfo/lactose.html
The RPAH Elimination Diet Handbook with food and shopping guide is available from dietitians, libraries and www.allergytrain.com.au
Collected here are several articles and stories about breastfeeding and the Failsafe diet.
by Sue Dengate
Reprinted with permission from the Summer 2001 newsletter of Nursing Mothers Association (now the Australian Breastfeeding Association).
During the first three weeks of her life, baby Emily Ridden slept most of the time. She rarely cried, sometimes having to be woken for feeds and her weight gain was good. Then Emily started to have wakeful times during the night. Feeling tired, her mother Cindy relied on up to five cans of carbonated lemon drinks a day to give her energy. Emily's wakeful periods increased until soon she was sleeping only about eight hours total in a day. 'I kept trying to feed her to sleep but even if I could get her to sleep she would wake as soon as I tried to move her,' recalls her mother.
Cindy's lemon drinks contained an artificial yellow colour called tartrazine (code 102). Six years ago, medical researchers discovered that tartrazine can cause irritability, restlessness, inattention, difficulty settling to sleep and frequent night waking (Rowe KS and Rowe KL 1994). The more you have, the more likely you are to be affected. Young children, and especially babies, are the most vulnerable to the effects of food additives because, dose for weight, they take in greater amounts than adults. Food additives can be transmitted through breastmilk (Clarke L et al 1996). Unknown to Cindy, the soft drinks were making her baby restless and wakeful.
Cindy also noticed that Emily's bowel motions had become dark and frothy, 'like cappuccino'. This can also be an effect of food chemicals. Altogether, 50 additives (see box) and some natural chemicals have been associated with problems including stomach-aches, bloating, diarrhoea, reflux, itchy skin rashes, migraines, headaches, asthma, depression, anxiety, unexplained tiredness, forgetfulness, hyperactivity and recurrent mouth ulcers. No child reacts to food colouring alone, and it was to take Cindy the next 15 months to find out exactly which foods affected her daughter.
In the meantime, Cindy's doctor suggested that sugar might be contributing to Emily's 'cappuccino poos', so Cindy cut out the soft drinks. Emily improved, although she still woke frequently at night and never slept for more than 30 minutes at a time during the day.
Introduction of solids at nearly five months started a new round of problems. For the first time, Cindy heard her baby really scream. Episodes, which lasted for hours, were accompanied by back-arching. Cindy tried the usual foods, introduced one at a time - rice cereal, potato, pumpkin, apple, pear, chicken, lamb and vanilla yoghurt. During this time Emily was restless and woke often with occasional bouts of screaming. The night after her first mouthful of broccoli, Emily slept only ten minutes at a time, tossing and turning, screaming and arching her back all night.
Child health nurses, doctors and paediatricians all agreed that Emily was a healthy baby. Settling techniques learnt at a sleep management course helped but were not enough. If Emily was feeding well she would sleep well. Sometimes she would arch back off the breast and constantly wriggle and fidget while feeding. At these times she would sleep badly. There was no problem with supply or let down. Medication for reflux made Emily worse. Cindy wondered if her baby's behaviour might be caused by stomach aches associated with certain foods.
During the next six desperate months, Cindy gradually identified a number of seemingly unrelated foods eaten either by herself or Emily that could cause problems. But it didn't made sense. As well as medications containing artificial colours or flavours, Emily seemed to be affected by a number of healthy foods eaten either by her or her mother. Tomatoes and broccoli were the worst. Eventually Cindy found a doctor who could interpret these reactions. Broccoli and tomatoes are very high in a number of food chemicals including salicylates. Cindy Ridden's daughter is one of an estimated ten per cent of the population who react to these natural chemicals.
Salicylates (sal-i-sill-ates) are one of many chemicals that all plants have developed to protect themselves. Most people are able to detoxify many of these poisonous chemicals. However, some common foods contain enough of these chemicals to cause reactions in sensitive people. Intolerance to aspirin, which is a form of salicylate, is well recognised. Yet most people are unaware that significant amounts of salicylates occur naturally in foods such as fruits, fruit juices, vegetables, herbs, spices, nuts, wines, tea and coffee. According to researchers at Sydney's Royal Prince Alfred Hospital, an average Australian diet may contain up to 100 mg of natural salicylate per day (Swain AR et al 1985). This quantity can easily trigger food intolerance symptoms in sensitive people. Salicylate intolerance is usually difficult to identify since salicylates are eaten so frequently.
Reactions to food chemicals are not true allergic reactions, so they cannot be confirmed by allergy testing. The only way to be certain of which food chemicals affect you is to try a strict elimination diet for three weeks, followed by careful reintroduction, or challenges, of certain food chemicals. This is to make sure that healthy foods are not avoided unnecessarily. Cindy was referred to a dietitian who started them both on the Simplified Elimination Diet from Royal Prince Alfred Hospital. When she and Emily began the elimination diet, Emily improved almost immediately.
Three days later, Emily worsened again. By now, Cindy had read my book Fed Up and, discouraged, she phoned me from Perth. We had a lot to talk about. Seventeen years ago, I lived through the same experiences with my daughter. The elimination diet was not available then. Food intolerance symptoms can change with age and for years we lived with Rebecca's reactions, starting with colic, restlessness and wakefulness and progressing to oppositional defiance, learning difficulties and eventually a diagnosis of attention deficit disorder. Her younger brother suffered from headaches, stomach aches and skin rashes. When Rebecca was 11, we all tried the elimination diet, and everyone in the family improved in different ways. Rebecca sticks to her diet strictly and is now in her final year of school, happy and successful.
I have talked to thousands of parents who have struggled with the effects of food on their children's health or behaviour. I have experienced myself, and seen in others, that mothers who are using the elimination diet need support. They need information and child-friendly recipes, and need to be able check on little details because even one small mistake a day can ruin the effects of the diet. To help with this, I wrote Fed Up as a guide and support manual for parents, and established the Food Intolerance Network of Australia. We now have members from 12 countries. We publish regular newsletters, available free by email. These are displayed on the website with reader feedback and new information. Readers are welcome to ask questions by email and there is an email discussion group. Several food intolerance support groups have been established around Australia. Information about the elimination diet for management of food intolerance in children and adults was only published in the Australian Journal of Nutrition and Dietetics in 1996, so it is quite new.
If you suspect food intolerance in your breastfeeding baby, you might like to first try avoiding additives (see list of additives to avoid). Some people find that cutting down is enough. If you still have problems, especially if there are any relatives with food intolerance symptoms like migraine, then you might want to try the elimination diet. It is essential to be supervised by a dietitian. Your dietitian will give you two booklets from the Royal Prince Alfred Hospital. If your dietitian is supportive but inexperienced, she can refer your questions to the RPAH Allergy Unit, a group that acts as a resource for dietitians all over Australia.
Everyone is different and although some children improve within hours of starting the elimination diet, others can take longer. If there is no improvement at all within a week it is worth checking for mistakes with your dietitian. Sometime in the first two weeks, often on days four and five, symptoms worsen. These are withdrawal symptoms. These withdrawal symptoms are a good sign that the diet will work.
Eight weeks later, Cindy reports that Emily is waking only once a night. Emily can tolerate a wide range of additive-free foods including permitted fruit, vegetables, wheat, egg and sugar, but not dairy foods or salicylates. She's more settled and content than ever despite teething and as Cindy says, 'When she's happy, I'm happy'. Cindy's only regret is that she didn't know right at the beginning about food chemicals that could affect her baby.
Rowe KS and KL. Synthetic food colouring and behaviour: a dose-controlled, repeated measures study. J Pediatr 1994;125:691-8.
Swain AR, Dutton SP and Truswell AS. Salicylates in foods. J Am Diet Assoc 1985; 85:950-60.
Clarke L, McQueen J, Samild A and Swain A, The dietary management of food allergy and food intolerance in chidlren and adults. Aust J Nutr Diet 1996; 53(3):89-94.
Response from an Early Childhood Nurse to this article
see  "I am an early childhood nurse ..." (November 2001)
Tartrazine and breastfeeding
Thank you so much for the "Restless Babies" article. I recommended it to a distraught mum via a breastfeeding support bulletin board. She was shocked to discover that tartrazine was hiding in many 'healthy' foods. Within just 2 days of changing her diet, her baby had a normal sleeping pattern. Not only that, but her 2 year old 'spirited kid' is much calmer, and has stopped throwing incessant tantrums.
Other board members have benefited from the article, including one mum who recognised the frothy 'cappuccino' poops mentioned. She had asked her pediatrician about it, but he had no idea what caused it. Changing her diet to exclude tartrazine cured both the frothy poops and the night waking.
Here are the foods that the mother in the USA was surprised to find tartrazine in: potato bread, yoghurt, canned soup, margarine and cough syrup. She was also eating, and feeding her 2 year old, cakes, cake mixes, donuts, muffins, snack cakes, ice-cream, cookies and crackers, drink mixes, lemonade, pudding mix, boxed meals, rice and pasta dishes, cheesecake, butterscotch candy, jelly and chips all containing tartrazine.
 The first 19 months - Dani's diary (April 2002)
Birth - Chris is born nearly 2 months early. We stay in hospital until Chris is a month old. Staff regularly comment on the huge amount of crying he does and his restlessness. They put this down to a consequence of being prem and assure me he will be more normal and settled by the time he was due to be born.
2 mths - Chris doesn't settle - he gets worse, screaming and crying all the time all day and night. Regularly passes out from lack of oxygen. We try every colic remedy available - nothing helps. I even try giving him a range of formulas on the doctor's advice - none of these make any difference so after a few day on each I go back to breastfeeding.
2 1/2 mths - we notice Chris has a serious hernia and needs an emergency operation - his stomach is split right across and the muscles are trapping the arteries going to the testes - we hope no permanent damage is done - staff and doctors tell me it was probably caused as a result of the bad colic he has and him pushing in pain all the time. They assure me he will be a lot better when his stomach heals and should settle down - a bit of a contradiction but I go home and hope.
3 1/2 mths - I am totally exhausted and can not cope at all anymore - sick of the lack of support and everybody telling me that babies cry and I should just get over it. They all think I am a hypochondriac. I start colouring behaviour charts showing his screaming/crying/grizzling and sleep. I now know I am not exaggerating or pulling things out of proportion - the charts show he is worse than I thought. He is crying and screaming for about 18 hours out of 24. When he does sleep out of exhaustion it will be for one or two hours only - generally throughout the night. He rarely sleeps during daylight hours.
I ring my doctor in desperation. I am afraid I might hurt Chris if I don't get some sleep soon and get him sorted out. My doctor admits us to hospital. The staff take over Chris and I get to sleep. Staff are amazed at the amount Chris screams - at first they think it is just because he is away from me and home but I assure them he is the same at home. His crying continues non stop even after being in hospital over a week and in my arms a lot of the time. The doctor suggests we try the elimination diet. We see our local dietitian. I start the diet. The dietitian suggests we don't give Chris any solids for a while. I read somewhere that he shouldn't get them until he is about 7 to 8 months old.
4 1/2 mths Chris is getting a lot better. He isn't screaming near as much though is still crying a fair bit. We really notice it when I eat anything on the no go list - we have to cope with his screaming within 24 hours.
Chris's diarrhea is nowhere near as constant. He is now sleeping for 4 to 5 hour blocks at night and settling quickly after a feed and change. His body language now shows more tiredness rather than pain symptoms when he is upset. His reflux has disappeared.
5 1/2 mths My behaviour charts show that Chris is improving a lot. He is now crying more than screaming. He is slowly getting over all withdrawal symptoms of the many chemicals in the foods that I was eating that were affecting him. I still can't get him to sleep during the day. (The diet is not as effective as it should be because I am making salicylate mistakes like drinking way too much lemonade and eating lots of carrots and pumpkin - but I don't find that out for another 10 months.)
7 1/2 mths We start using management strategies to try to get Chris to sleep during the day. Our doctor thinks he can't sleep as he doesn't know how and is not in the habit. We succeed after a week and now Chris is sleeping for 2 hours in the morning and afternoon. We also introduce some solid foods. Chris's crying and grizzling improves hugely. He is now actually appearing to be really happy sometimes.
12 mths Chris weans himself and has been on Neocate ever since - other formulas such as soy cause instant unpleasant reactions - back to no sleep and crying a lot.
14 mths Chris goes off all carrots and pumpkin - makes it really hard for me to find foods to get him to eat as he eats a huge amount of each of these. We notice a big change in Chris - he stops grizzling altogether and is suddenly really easy to manage. He is a lot more agreeable!! Have a look through my books and discover that pumpkin and carrot are moderate in salicylates - I thought they were low!! No wonder he wasn't 100%. He was obviously getting too many salicylates!
19 mths Chris is now fantastic. We are really enjoying him. He reacts to all the things avoided on the elimination diet still so it is not much fun when we try challenges. We really pay for it - he reacts differently with different chemicals. Salicylates, preservatives and amines make him scream in pain and he gets diarrhea. Preservative 282 in bread is by far the worst - within 3 hours Chris is screaming in agony and has chronic diarrhea. When I was breastfeeding and ate 282 he would react within 12 hours. Colours make him really hyperactive, uncontrollable and he ends up getting hurt. - Dani, WA
 "We were doomed from the start when you look back on it" - Rita's baby (April 2002)
We were doomed from the start when you look back on it.
I grew up on the Great Lakes in Canada. My father worked at Allied Chemical (located on the water) for 20 odd years. We ate fish that he caught in the Lakes two or three times a week. I remember tumours being common in these fish in the latter days. I do wonder what effect living in this environment and eating the fish has had on the situation I am presently in.
I used to be a hairstylist, but had to give it up due to reactions to colours, perms, allergy to latex gloves and sensitivity to customers' perfumes. I also have hayfever. My husband has asthma and seasonal allergies and his whole family has asthma.
From birth, our daughter never slept more than 40 minutes at a time, day or night, and by the second week she screamed most of the time. Nobody understood why she wouldn't "just fall alseep" in her pram or her crib or the car. She was seen by a quite a few doctors, midwives and early childcare nurses but no one did much except to label it reflux and say it would correct itself. Tresillian (mother and baby program) gave a different answer every time. A breastfeeding counsellor put me on a high salicylate diet (peppermint tea, wine, licorice - for relaxation) and told me to feed her around the clock. Needless to say she was totally out of sorts, crying all the time and inconsolable!
Then an early childcare nurse lent me a copy of Fed Up and sent me to a dietitian. I immediately started on the elimination diet. My baby calmed down in the beginning, but it wasn't a cure all. I was to the point of just eating rice, chicken and egg and trying to keep my milk supply up to breastfeed. When my baby started losing weight we went to RPAH and started on Neocate. It took a few weeks to wean her but once she was feeling better she accepted it.
Once she was settled we tried to slowly introduce foods from about 6 or 7 months. Except for a small amount of potato and chicken she reacted terribly to everything. She would wake all through the night screaming, refuse a nap and scream all day, refuse her formula and food in general. She was irritable, had loose bowels several times a day, and would be very aggressive.
I also try to stay away from all chemicals in the house for cleaning. She has had terrible reactions to paint fumes in the early days when I didn't realize how sensitive she was. We were trying to renovate our house, that's on hold for a long while.
I had never heard of this before. Allergies to nuts and things yes, but food intolerance and everything that goes along with it, no. - Rita, NSW
 Daniel's story: severe colic and reflux (June 1999)
From the minute Daniel was born, he was a very unsettled baby. We went home on day three and I expected he would improve when my milk came in. I work as a midwife, so I had some idea of sleepless nights etc, but nothing had prepared me for a baby who screamed constantly when awake and slept very little. My mum said I had been a very colicky baby and my mother-in-law said my husband David had been an extremely colicky baby - so we presumed Daniel was the same.
After three doses of mastitis, I put Daniel on the bottle at five weeks of age. He was just as unsettled on formula as on breast milk. He continued to have several loose green bowel actions a day. The next day we left for the U.K. - my husband David was transferred over there for what was meant to be five weeks but turned into three months. I think ignorance is bliss, when I look back and see myself taking a screaming six week old baby half way across the world to live in a shoe box hotel room. In the U.K. Daniel continued to be very irritable and unsettled. He posited after every feed and only very occasionally vomited. The only place he was happy was in the bath, so we bathed him four times a day some days to keep him quiet. When I look back on my diary of this time, he began interrupting his feeds at about 8 weeks of age. A normal night out for tea (we had no cooking facilities in our room) would be David that would walk out on the pavement with a screaming Daniel while I ate and then we would swap. I remember feeling physically sick myself some nights, he would scream so much.
We visited a doctor for Daniel's immunisations and I told her of his constant screaming - she told me it was colic and that it would improve by three months of age.
I started him on solids early in case he was hungry (rice cereal and tinned pumpkin) and changed to a formula for hungrier babies. He seemed better for a couple of days but then was just as bad.
When we arrived back in Australia I took Daniel to a local GP, the one I had seen as a child myself. Daniel was screaming and it was 11 am. This doctor gave me a lecture about colic (by this stage Daniel was four months old) and said, "how could there be anything wrong with a child that has such good weight gains?" I tried to explain that it was taking 1-2 hours to feed him a bottle, but he just gave me a lecture on midwives not making any better mothers. He threw a referral at me for a paediatrician on the way out the door (I think only to cover himself).
I tried making an appointment with the paediatrician, but. being Christmas, there were none available for another month. So we continued to battle on and tried Daniel on a soy formula which seemed to help for a while, but then he just went back to square one. He got worse with this feeds, arching his back. We would bang toys on his bottle to distract him. At this stage most nights he was sleeping though and I think that was the only way we survived. He continued to scream and whinge all day and I'm sure he was exhausted at night and that is why he slept. Despite all this he continued to gain weight and reach all his milestones. I lost weight rapidly and was lighter than before falling pregnant. We contemplated that he was just an attention-seeking baby because when we played on the floor, or took him somewhere different, with different toys, he was okay.
The feeding continued to get worse so two and a half months after seeing the GP, when Daniel was six months old I took him to a paediatrician He immediately diagnosed reflux and oesophagitis (inflammation and ulceration of the oesophagus) and started Daniel on Ranitidine (Zantac) which reduced the acid in the stomach, to stop the 'heartburn' type pain. I will never forget what a relief it was to get a diagnosis; little did I know that this was only the start.
Daniel's feeds immediately improved on the Zantac but he continued to be very irritable and whiny between feeds. Three weeks later we started him on Prepulsid (Cisapride) which increases the rate of the stomach emptying, but it didn't seem to make a great deal of difference. We tried him on Nutramigen, in case he was cow's milk intolerant. It seems to help for a couple of weeks, but then he just went back to the old irritable Daniel.
I had become suspicious of a few things in his diet. We went camping over Easter and I gave him a Heinz tomato based baby food - it came out the other end looking nearly same as it went in and Daniel was extremely unsettled all weekend. A booklet from a support group for reflux babies mentioned avoiding acidic foods for reflux babies so we presumed that was the reason it was upsetting him. Luckily, for this reason, we didn't give him Kiwi fruit, oranges or fruit juice.
At eight months of age he was still whingeing all day and throwing huge temper tantrums (head banging the dishwasher) so our paediatrician organised a barium swallow. He also started him on Mylanta four times a day. The first week on Mylanta he was wonderful and that week he had the barium swallow, which was normal, much to my disgust. The next week he was worse than ever. I stopped the Prepulsid at 12 months and started Daniel on cow's milk, which made no difference.
At this time I went back to work two days a weeks and left my mum to cope with Daniel - there was no way a child care centre would have taken him. I think going back to work was the best thing. I would come home after my two days and feel ready to cope with another week of life with Daniel. My mum says she even dreaded him coming for the two days sometimes.
Around this time I tried a naturopath, masseur and chiropractor, but nothing really helped.
By fifteen months of age he was no better. A normal day was leaving him scream to get him to have his afternoon sleep and to settle at night. I would put him in his room several times a day on a bad day and sit for ten minutes and try to calm myself down. Normal daily tasks such as cooking meals and washing were all done while he screamed.
I returned to his paediatrician and he referred us to a gastroenterologist at the Royal Children's Hospital in Melbourne. He told us that he doubted Daniel's behaviour was due to reflux (Daniel smiled at him and played with the toys in his room!) He advised I stop the Zantac and organised for him to have a pH study (monitors acid in the oesophagus over 24 hours) and gastroscopy (tube to look at the stomach and oesophagus). After stopping the Zantac, David actually seemed a little better and stopped his head banging.
The pH study showed 'mild' episodes of reflux. His gastroscopy showed moderate to severe inflammation and ulceration of his oesophagus and suggested that there may be an allergy involved. They suggested we see the allergy department at the Royal Children's Hospital. They put Daniel on the Neocate diet. He was only allowed Neocate formula, rice, zucchini, apple, pear and potato. The doctor at the allergy department also advised me that these children get into such bad behavioural problems that once they're fed and changed you just have to leave them scream! The diet was a disaster to say the least - to try to get an 18-month-old to drink this formula, that you gag on yourself it's so foul tasting, was impossible. Daniel screamed all week and was so bad by the end of the week I had to take time off work. He was constipated from only drinking small amounts of water.
In desperation we were referred to a surgeon about the possibility of surgical correction. He wasn't convinced - so he sent us for a gastric emptying study, which was very distressing for Daniel - they put a large dome over his fact and stomach. This showed he only refluxed once. The surgeon suggested trying Losec (Omeprazol) which stops acid production in the stomach and helps heal the oesophagus. We started Losec - after about a month we noticed a big difference in his behaviour - he was a much happier little boy and he actually sat and played with toys for short periods of time - something he had never done before.
I was suspicious of food colouring and artificial additives at this stage, as some evenings we described Daniel as 'bouncing off the walls' he was so hyperactive. For this reason we only let him drink plain milk and water and filled him full of 'healthy' fruits, vegetables and cheese!
Like everything else the effect of Losec was wearing off. Daniel was starting to complain of his 'tummy burning' and pointing to his oesophagus. He required constant amusement and was general a very unhappy little boy. I was finding him nearly impossible to live with and constantly comparing myself to the other mums in playgroup and wondering why they all got so much enjoyment out of their children.
When Daniel was around two and a half years old I happened to got to a seminar through work on food intolerance and allergy run the team at the Royal Prince Alfred Hospital in Sydney. I couldn't believe what I was hearing at the lecture - it was Daniel all over! I immediately sent away for the elimination diet books and got a copy of Friendly Food.
I started off by leaving him on dairy and wheat products. After 1-2 weeks we noticed a difference in his hyperactivity on the diet but he was still having many days of irritability and complaining of his tummy burning. His loose bowel actions were persisting. We stopped dairy products and put him on soy and we starting giving his Losec in pear jam instead of yoghurt. He had watery diarrhoea for two weeks after stopping dairy products as a withdrawal effect. Unfortunately what we didn't know was the Losec is not absorbed properly unless given in something acidic like yoghurt. After one month of giving the Losec in pear jam, Daniel's stomach pain was severe.
After being unwell for three days with a high temperature and complaining of shoulder tip pain, Daniel was finally diagnosed at the Royal Children's Hospital with pneumonia from aspirating on his vomit. (I had seen two other doctors who told me children don't know where their pain is and that he had a viral infection.) The pneumonia was in the back of his lung and was pressing on his diaphragm, which was giving him shoulder tip pain. I have never seen Daniel so sick - we thought he was going to die.
Again in desperation we returned to his gastroenterologist who advise another pH study and returning to the surgeon for fundoplication, which kinks the oesophagus to stop food refluxing back from the stomach. He felt he might have a physical problems as well as an intolerance, which caused hyperactivity. So when he was three, Daniel had fundoplication. We stopped the Losec the night before surgery. The surgery was major - four days in hospital and two days on a morphine infusion. As soon as the morphine stopped Daniel started complaining of his stomach burning but now he pointed to his stomach rather than his oesophagus - the surgery had only moved the pain. We recommenced his Losec on leaving hospital. Daniel's weight had dropped from above to below average, as we struggled to maintain his nutrition on vitamised elimination diet.
I hit rock bottom. I was waking at night in a sweat over what I had put him through. I rang the Royal Prince Alfred Hospital Allergy Clinic in Sydney, beside myself, and they suggested that we bring Daniel up to Sydney. I only wish we had done it prior to the surgery.
At the clinic, his behaviour chart revealed that Daniel was very high for hyperactivity and learning problems and we were told we were dealing with severe food intolerance and ADD. We were advised to try Daniel off pears as he is very salicylate sensitive.
Daniel is now nearly four and in the last month he has been consistently much better. He only tolerates rice, potato, cabbage, beans, chicken, lamb, Nuttelex and restricted amounts of sugar. He is still on Losec which we have increased in the last month to combat his stomach pain. We have found he is no longer reacting as badly to perfumes since stopping pears and maple syrup. Since stopping rice bubbles his aggressive behaviour have ceased. He will actually sit and play with toys now, although his concentration is poor at times. We have tried him on Ritalin but if he's having a bad day food wise, Ritalin only makes him worse.
The last four years all seem to blur into one big nightmare but I realise I was becoming very bitter about the whole thing. I have resolved to look ahead only. Daniel is really a beautiful little boy underneath all the problems he has had. I try to make the most of the good days and not dwell on the bad days. - Jenny
Factsheet: Introduction to food intolerance
© Sue Dengate update October 2012