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Rice cereal is how we found out that LO has a milk allergy (skim milk powder is the second ingredient) but she never vomited - she broke out into hives.

I would try just doing one item per meal just to see if you can narrow it down.

@umlo: I did EBF my LO but didn't have to cut anything out of my diet.

I was you about a year and a half ago! The same thing happened to LO and his pediatrician said to just skip the rice cereal, continue BFing, and we could just try other solids. After that we never had a problem with LO getting sick like that again and I didn't need to change my diet either.

@umlo: I thought you wrote that you also gave peas, sweet potatoes, etc?

@umlo: I just stayed away from the rice cereal all together and later slowing introduced breads and other grains slowly so I could watch for any reactions, but he thankfully never had any.

@umlo: Not to scare you, but I would look into Food Protein Induced Entercolitis Syndrome (FPIES). some good places to start are the International Association for Food Protein Entercolitis (IAFFPE) and the FPIES Foundation websites (I will list links). What you described is CLASSIC FPIES!!! Delayed vomiting post ingestion, usually around the 2 hour mark has FPIES written all over it and rice is one of the most common triggers along with dairy. I would avoid rice cereal at also oat at this point since there is a 50/50 chance your LO would also react to that. Reaction could get worse and the vomiting could lead to shock and lethargy due to dehydration. Has your LO had any blood in his stools or mucous?

I would also stop all solid for a little to allow your LO to have some gut rest before trying any other tin increase the likelyhood of finding a pass. Peas and sweet potatoes are also common trigger foods for FPIES kiddo's.

Just to warn you getting an FPIES diagnosis can be difficult because it is a rather new condition within the medical community and many doctors have not even heard of it before. Others don't regonize it as a proper diagnosis since it is based on symptoms and excluding other possibilities and there are currently no clinical tests for it. You have to fight for your LO on this one! When you talk to your pedi about it come armed with a list of your LO's symptoms, a timeline of what happened, foods he has reacted to, and tons of research papers from the sites mentioned above with the information that pertains to your LO highlighted. What are are you from? Myself or someone else in an FPIES group can help you locate a doctor with FPIES experience in your area.

We have been dealing with our official diagnosis since DS was 6 mo, but looking back we know now je started reacting to foods via my milk at birth. He is now 25 mo. It's been a long road, but we are getting there are we understand better and are under the care of some great allergists and GI specialists within the FPIES community. Feel free to ask me any questions!!!

Here are links to the websites I mentioned and I will also try to link some FPIES groups from FB and BBC for you to check out and ask the mama's on there their opinion about what you described. Collectively these women have years of experience with this disease:

http://iaffpe.org/

http://fpiesfoundation.org/

http://community.babycenter.com/groups/a4859345/fpies_food_protein_induced_enterocolitis_syndrome

https://m.facebook.com/home.php?ref=m_notif&notif_t=feed_comment_reply&__user=24301616#!/home.php?ref=m_notif&notif_t=feed_comment_reply&__user=24301616&soft=side-area

https://m.facebook.com/home.php?ref=m_notif&notif_t=feed_comment_reply&__user=24301616#!/home.php?ref=m_notif&notif_t=feed_comment_reply&__user=24301616&soft=side-area

There are also specific FPIES support groups depending on the area of the country you are in, but the two groups above are the most active.

To answer your first question FPIES is an allergy. It's a food allergy of the gastrointestinal tract that unlike traditional IgE allergies that can cause hives and anaphylaxis, it can cause profuse vomiting with delayed on set, diarrhea, bloody stools, lethargy, and shock among some other more mild symptoms likes sleep disturbances and reflux flares.

I hope your daughter feels better soon!

My son has chronic constipation and eczema flares with fails as well. Each kid is SO different though which makes diagnosis even harder.

You could try to eliminate foods from your diet and see if that helps with symptoms. I had to go on a total elimination diet (TED) and was down to 3 foods for awhile. It is so hard, especially to keep your own nutrition up, but for us it was our only option. Once DS self weaned I have been able to eat a normal diet again, but I am struggling with some vitamin deficiencies from how extreme my diet was and from being completely vegan without good protein replacements other than quinoa.

I met another mom who told me of similar symptoms after rice cereal and her baby was diagnosed with FPIES as well. I hope your LO feels better.

@umlo: there is no clinical test or bloodwork etc that can be done specifically for FPIES. Those thing may be done in order to rule out other possible diagnoses but an FPIES diagnosis is based symptomatically so getting a complete history on your LO was the doctors best and only tool available for diagnosis. If you still want a second opinion I would seek a doctor who specializes in FPIES and see what they had to say/offer.