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Home , Rice flour, Surimi, Wheat (color), Wheat allergy

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Wheat

What is a allergy? If you think your child’s body is reacting poorly to A wheat allergy is an immune reaction to in wheat and you suspect a problem with , it is wheat. Children with wheat may also be best not to self-diagnose. Check with the doctor and sensitive to other cereal products. Most of us eat make certain your child does not have a wheat wheat in some form every day, which can make diet allergy, celiac disease, or some other condition. Do changes challenging. However, there are many other this before starting a modified diet for your child. grains that can be used in place of wheat. Many What do I do for my child with children outgrow wheat allergies. wheat allergy? A wheat allergy reaction does not give the same To treat a wheat allergy, avoid eating wheat or any symptoms in every person. Some common symptoms that has wheat in it. You and your child will include: need to read labels on food for wheat products. Skin reactions: What do I look for when I read the •• itchy rash. food labels? •• , eczema, flushing, swelling of face. 1 Labels on food that are regulated by the FDA Digestive system reactions: have to say if the food contains the 8 most common food : milk, egg, soy, wheat, •• belly pain peanuts, tree nuts, , or fish. Always read •• blood or mucous in stools, severe , the ingredient list to be sure and check all food , or severe or cramping, itching or labels carefully. Manufacturers may change swelling of the lips, mouth, tongue or throat. ingredients without warning. (lungs) reactions: 2 Advisory Statement - “May contain •• runny nose, sneezing, wheezing, , throat [allergen]” or “Produced in a facility that also tightening, or difficulty breathing. produces products containing [allergen].” Cardiovascular system (heart) reactions: 3 Avoid any food product that contains an •• rapid heartbeat, low blood pressure, passing out. Advisory Statement for your child’s food allergies. Are celiac disease and wheat allergy Below is an example of a food label: the same thing? Ingredients Celiac disease is not the same as wheat allergy. Wheat Whole , Syrup, Rice Crisps (Milled Rice, , , Malt), Diced Apples, Evaporated Cane Juice Syrup, allergy is an immediate immune system reaction to Raisins, Roasted Soy Beans, Almond Butter, Honey, Pear and wheat protein. Celiac disease is an autoimmune Grape Juice Concentrate, , Isolate, digestive disease. People with celiac disease cannot eat Glycerin, Natural Flavors, Cinnamon, Nonfat Milk gluten, one of the found in wheat, barley and Contains milk, nut and soy ingredients. Made on equipment that also processed peanuts and wheat. . When someone with celiac disease eats gluten, it damages their small intestine. The damage then interferes with absorption of nutrients from food. 1 What are some names for wheat on Nutrient’s Lost When Suggested Alternate food labels? Avoiding Wheat Sources (if not allergic)

The tables below have names for wheat and other Protein : , fish, foods that may contain wheat. poultry, legumes, eggs, dairy (if safe for your child); fruit, B Vitamins, Iron, Folic Acid, vegetables, leafy , Protein Different types of wheat on a label fortified alternate grain products (rice, corn, oats, All purpose flour Kamut barley, )

Modified food Filler What type of foods can my child eat? crumbs Flour flour The first table lists some general foods that are okay to eat. The next table lists wheat-containing foods Germ that should be avoided. Always read the food Cake flour Gluten ingredient list for wheat on all products you buy.

Cereal binding Gluten flour Wheat-free foods Wheat-containing Cereal extract Graham flour Vegetable gums (Okay to eat) foods (Don’t eat)

Couscous Gum base Vegetable starch Beverages and Formula Hydrolyzed plant Cracked wheat Wheat protein •• •• Beer, gin, and some •• Fruit Jiuce whiskeys Hydrolyzed flour •• Milk vegetable protein •• Postum •• Most carbonated drinks Hydrolyzed Edible starch Wheat germ •• Tea wheat protein

Einkorn Icing mixture Whole wheat , Cereals, and Pasta •• Bread and rolls made with •• All cold cereals made from Other foods that may contain wheat rice, potato, corn, or other wheat grains non-wheat flour •• All hot wheat cereals Artificial flavoring Maltodextrin Shoyu •• Cold cereals made from rice or corn; make sure wheat •• All wheat crackers Modified food Caramel color Surimi starch is not in the •• All wheat pasta and starch ingredient list noodles Dextrin Modified starch Tamari •• Crackers such as corn cakes, corn tortillas, rice cakes, and •• Commercial breads and Monosodium crackers rolls made with wheat Food starch* glutamate, MSG •• Hot cereals such as flour Textured vegetable cornmeal, oatmeal, or rice Gelatinized starch Natural flavoring •• Flour tortillas protein cereal •• Pasta made with corn, rice, •• Teriyaki rice cakes Glucose syrup Oats** Vegetable gum , or other non-wheat flour (HVP) Hydrolyzed Vegetable starch •• Popcorn vegetable protein •• If the product is an FDA regulated food, the word “Wheat” must appear on the label. Condiments *Unless otherwise stated on the food label, the single word “starch” in an ingredient list means corn starch. from other sources should •• Ketchup •• Soy sauce be designated by some non-misleading term that indicates the source of such starch, for example, “wheat starch.” **Wheat-free and gluten-free •• oats can be found from special suppliers. •• Pickles •• Sauce Will my child get enough nutrients by Dairy Products avoiding wheat? •• Cheese •• All dairy products Wheat is a good source of B-vitamins and protein. •• Cottage cheese thickened with wheat flour •• or wheat starch Much of our wheat is also fortified with iron and •• Custards folic acid, thus by avoiding wheat, your child may not •• Milk eat enough of those nutrients. Substitutions for other •• Pudding •• Yogurt fortified and whole grains, meats, dark leafy greens, 2 and legumes can provide those nutrients. Wheat-free foods Wheat-containing Wheat-free foods Wheat-containing (Okay to eat) foods (Don’t eat) (Okay to eat) foods (Don’t eat)

Desserts Vegetables •• Custards and pudding •• All candy or other desserts •• All fresh, canned or frozen •• All vegetables canned or without wheat flour or with wheat or wheat vegetables without wheat frozen, with breading or starches starches flour or starch thickened with wheat flour •• Frozen yogurts, sherbets, •• Commercial cakes, cookies, or wheat starch and ice cream without donuts, pies and pie filling, wheat starches or wheat or mixes with wheat flours Miscellaneous flours •• Custard’s and pudding with •• Fruit and flavored ices wheat flour or starch •• Coconut •• Momosodium glutimate (MSG) •• gelatin •• Licorice (modified food •• Jams and jellies •• Pure •• Hard candy, , starch [MFS]) •• Pure and herbs gummy candy, cinnamon •• Most packaged frostings •• Vanilla powder bears, tootsie rolls, snickers, (MFS) rolls, and gum without •• Peanut M&Ms® wheat thickeners •• Wheat-free cakes and Note: In the US most How do I substitute wheat in cooking cookies modified food starch is and recipes? •• Homemade treats without made from corn; however, wheat thickeners check with the manufacturer When baking with wheat-free flours, a combination •• Jice bars and Popsicle® to verify it does not contain wheat. of flours usually works best. Experiment with Eggs, , Fish, and Poultry different blends to find one that will give you the texture you are trying to achieve. One of the down •• All plain eggs, , chicken, •• All breaded meats and fish, , lamb, , wheat flour or wheat sides of wheat-free baking is that the recipes don’t rise turkey, or veal without starches breading •• All meats with wheat flour as much. Wheat-free flours often work best if the •• Luncheon meats or cold cuts or wheat starch thickeners recipe is cooked for a longer period of time at a lower that are 100% meat without fillers temperature than usual. Reduce your oven temperature by about 25 degrees, and you will find the finished product will be a little less flat. If you are •• Bacon •• Packaged gravies, dips, and •• Butter, coconut butter, or with wheat thickeners not avoiding eggs, adding an extra egg to a gluten- nut butters withoutwheat •• Salad dressings thickened free recipe will help the product rise a little more. If thickeners with wheat flour or starches •• (check label— you are looking for a protein boost for your recipe, some brands contain wheat) use equal portions of brown rice flour and chickpea •• Nuts •• Oils and shortening flour to make a complete protein. Refrigerating •• Pure chocolate dough for half an hour before baking may help •• Salad dressings that are wheat-free improve the texture and flavor. Since many wheat- •• Whipped topping free foods will crumble, you may want to experiment Fruits with making foods with smaller surface areas, such as cupcakes instead of cakes. •• All baby food fruits without •• All fruits, canned or frozen, wheat flour or starch with breading or thickened There are many new commercial flour blends •• All fresh fruits and juices with wheat flour or wheat •• Canned and frozen fruits starch available. Check the label for allergen information. without wheat flour or Here is an example of one to make at home: starch Rice Flour Blend Soups •• Clear soups and consommés •• 3 cups brown rice flour without wheat flour or starch •• 1 ¼ cups potato starch or cornstarch •• Commercial or homemade soup with vegetables and •• ¾ cup flour rice without wheat flour or starch

3 For 1 cup of wheat flour substitute: Here are some tips to remember when eating out: Amount Flour •• Inquire about all menu items and food preparation 3/4 cup Garbanzo (chickpea) flour before ordering. 1 cup flour •• Be aware of cross-contamination. For example: 1 cup Montina (Indian rice grass) French fries cooked in the same oil used to fry 1/2 cup Nuts (finely-ground) onion rings, chicken nuggets, or other breaded 3/4 cup Potato starch items will contain wheat proteins. 1 cup Quinoa flour 7/8 cup Rice flour (brown/white) •• Ask if meat is cooked on a grill that is also used for 1 cup flour breaded items, 1/2 cup + 1/2 cup Soy flour –– If it is, ask if it can be cooked on a piece of potato starch aluminum foil or in a clean pan. 7/8 cup Sweet rice flour 1 cup Tapioca flour •• Choose menu items that do not contain breading 7/8 cup Teff flour or sauces. What about foods outside of •• Print a Chef’s card to bring into the restaurant or call ahead. the home? School/Daycare—Do the following: Learn more •• Ask your child’s school/daycare about their allergy You can find more information about Wheat Allergy action plan on the internet—but make sure you visit reliable •• Tell the school/daycare about your child’s allergies websites. Not all information on the internet is trustworthy. Some good websites include: •• Give the school written allergy information •• Research and Education •• Provide the school with emergency contact www.foodallergy.org information •• Kids with Food Allergies •• Give them a photo of your child www.kidswithfoodallergies.org Everywhere—Teach your child the following: •• Utah Food Allergy Network •• Which foods are safe and unsafe www.utahfoodallergy.org •• Not to trade food with others •• American Academy of Allergy, Asthma, and •• Not to eat any food with unknown ingredients www.aaaai.org •• What their allergic symptoms are •• Academy of Nutrition and Dietetics •• How and when to tell an adult about an allergy- www.eatright.org related problems •• Eating out information from Safe Fare •• How to read food labels www.safefare.org For additional information and questions please Eating out can be a challenge with a wheat allergy. contact the Outpatient Dietitians at Primary Many foods have wheat products added as fillers or Children’s Hospital at 801.662.1601. thickeners, or as a main ingredient.

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