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THE ELIMINATION DIET
This is a diet that Martha recommends in her lactation-counseling practice whenever she suspects a
baby's colic could be caused by sensitivities to food in a breastfeeding mother's diet. This diet was
developed by William G. Crook, M.D. (Detecting Your Hidden Allergies, Jackson, Tenn:
Professional Books, 1987), and it has several variations, depending on how bothersome the
symptoms are. The elimination diet we use is based on eating the least allergenic food in each of
the food groups. You may need to do this for two weeks since it can take this long for the
offending foods to get out of your system and baby's system. Here is the variation we find helps
mothers get the quickest, surest relief for their hurting babies:
Eat only range-fed turkey and lamb, baked or boiled potatoes and sweet potatoes (with salt
and pepper only), rice and millet as your only grain, cooked green and yellow squash for
your vegetable, and for fruit, pears and diluted pear juice. Drink a rice-based beverage
drink in place of milk on cereal or in cooking. Do not yet use soy beverage. Take a
calcium supplement. (Rice products, such as rice beverage, rice-based frozen dessert, rice
pasta, rice flour, and millet are available in nutrition stores.)
At the end of two weeks, or sooner if the colic subsides, gradually add other foods to your
diet, one every four days, starting with those less commonly allergenic (such as sunflower
seeds, carrots, beets, salmon, oats, grapes, avocado, peaches). Wait a while before you add
wheat, beef, eggs, nuts, and corn. Avoid for the longest time dairy products, soy products,
peanuts, shellfish, coffee, tea, colas and other beverages containing caffeine, chocolate,
gas-producing vegetables (broccoli, cauliflower, cabbage, onions, green peppers), tomatoes,
and citrus fruits. Vegetables and fruits are often tolerated in cooked form sooner than in
raw form.
Keep a record of the foods you eat and the problem behaviors; try to correlate baby's fussy
spells with what you've eaten in the past day or so. This gives you a clearer perspective and
helps you stay objective, which is hard to do when you are sleep-deprived. This is
especially important when baby has stayed fussy past four months of age.
Do not starve yourself. It may feel, the first day or two, as though there is not enough for you to
eat; but you can still eat a nutritious diet. You just have to eat more of the "safe" types of food until
you determine what your baby can tolerate.
Colicky babies usually respond to mother's diet changes dramatically and quickly, often within one
or two days. With the older baby who is nightwaking, you may have to wait longer to see results.
Typically, mothers will find that when they change their diet baby may sleep better for a few nights
only to start waking again a lot for a few days or a week or so, at which time the sleep again
improves. It's important to know this so that you will not be tempted to give up when you think "it's
not working."
Older babies are often less sensitive to fruits and vegetables in mom's diet (and their own), so at
this stage we recommend mainly protein elimination, namely dairy, beef, eggs, chicken, shellfish,
soy, corn, wheat, and peanuts (plus any other foods you have learned bother baby). Research has
shown that some foreign proteins get into some mothers' milk more than others', and of course
some babies are more sensitive to these proteins than other babies.
AskDrSears.com is intended to help parents become better informed consumers
of health care. The information presented in this site gives general advice
on parenting and health care. Always consult your doctor for your individual
needs.