Sweets and chocolate are all part of the fun at Christmas. But what if your child is allergic to these treats? Our nutrition expert, David Swain, advises.

Raisingkids member's problem
My five yr-old is on a restricted diet because of allergies. We avoid wheat products, citrus fruits, cow's milk, and most refined or processed foods. She manages pretty well most of the year, but please can you suggest anything that she can have as a treat over Christmas? Friends and relations are usually very good about not giving her sweets and crisps but we hate to see her missing out.

David's advice
The diet you describe for your daughter is particularly restricted and thus I am struggling to think of many treats that she would like. Furthermore, because manufacturers frequently change the ingredients of their recipes I am hesitant to recommend any particular food product for Christmas. I really feel that this question needs individual professional advice and if you haven't already I would strongly recommend that you see a Paediatrician and a State Registered Dietitian to guide you.

It may be that some of the reactions to these foods are intolerances rather than true allergies which could be overlooked for one day of the year. Only about 1.5% of the population suffer from true food allergies, which can be potentially fatal. The symptoms often occur within minutes to 2 hours of exposure to the foodstuff and include swelling of lips or throat, sudden and violent skin rashes, vomiting or sudden asthmatic breathing or anaphylaxis. Anaphylaxis (or anaphylactic shock) is a sudden, severe, systemic allergic reaction that can involve areas of the body such as the skin, respiratory tract, gastrointestinal tract, and cardiovascular system. Life-threatening reactions can be treated with epinephrine (also known as adrenaline) and many sufferers carry a dose of epinephrine with them in syringe form, in case of emergency.

Food intolerances are less severe, and more difficult to diagnose. Possible symptoms include bloating, hives, sickness or diarrhoea, hyperactivity or migraines but the severity and type of symptoms varies according to the individual affected. However, it would be irresponsible of me to suggest overlooking your daughter's diet restrictions without knowing her medical condition fully.

Finally, have you considered asking friends and relations to offer non-edible treats on Christmas Day? Inexpensive toys, like stickers, small games or a pack of crayons and a colouring-book, make good alternatives. Treats don't have to be sweets! Have a merry (and safe) Christmas.

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