Ask the Horizons Team: Do you treat children with feeding problems?

Question:

Child who is a picky eaterMy child is a picky eater. He eats only a handful of things, mainly carbs. This seems to be his only issue. He does well in school and has friends. My question is whether you treat only kids with autism or if you also treat kids who just have a feeding problem?

Kathy in Michigan

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Ask the Horizons Team: Using Generic vs. Brand Name Medications

Question:

My daughter has been doing well on the same antidepressant medication for the past 3 years. However, two months ago she began acting differently and the depressive symptoms seem to be returning. There have been no changes in her life or our family life, so this change doesn’t make sense. The pharmacy order service we use switched her to the generic form of her medication, as they said the generic just became available recently and we have to take that now instead of the name brand. I don’t know if this is making a difference or not. Do you have any thoughts on why she would suddenly be doing worse?

-Barb in Kalamazoo, MI

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Ask the Horizons Team: Vitamins and Supplements for Kids

Question:

I have a question about vitamins and supplements that I hope you can help with.  My kids have tons of food sensitivities and full-blown allergies, and I’m trying to find some supplements that they can take that do not have lots of additives or ingredients that trigger problems for them.  So far most of what I can find out there on the store shelves have one or more ingredients that cause problems for them.  Do you have a recommendation of a brand or store that carries supplements for people with lots of allergies?

Thanks,
Kerry in Chicago, Il

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The Gut and Nutrition

We see many children and young adults in our practice, and find that many of them benefit from a special diet, elimination of certain foods, or use of supplements.  There are many conflicting studies out there that make it difficult to know for sure if there is a connection between nutrition/gut issues and autism; but I can say that in our experience it seems to be true for many.  Like the population as a whole, one rule doesn’t apply to all.  I see some children who do not seem to be affected at all by the things they eat – no gut problems, bowel issues, or behavior that would indicate feeling ill, or high levels of yeast – while others seem to be very affected by all of these things.   It can take a lot of time and effort to sort this all out, but the differences can be remarkable when a child is feeling well and getting proper nutrition.

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Gut Health and The Importance of Good Nutrition

Question:

Last week your featured article was about gut health and the importance of good nutrition.  I found it very informative, and have been meaning to look at probiotic options for our family.  Do you have any favorite probiotics that you recommend to families?

-Andy in Denver, CO

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Ask the Horizons Team: How a Child’s Diet Impacts Health

Question:

I’m trying to understand more about how my child’s diet and general health may be impacting her symptoms, specifically her sleep and irritability.  She has a diagnosis of autism.  Do you have any books or resources you recommend?

-Brian in Michigan

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The Gut and Nutrition

We see many children and young adults in our practice, and we are finding that most of them (70-80%) benefit from a special diet, elimination of certain foods, or use of supplements.  There are many conflicting studies out there that make it difficult to know for sure if there is a connection between nutrition/gut issues and autism; but I can say that in our experience it seems to be true for many.  Like the population as a whole, one rule doesn’t apply to all.  I see some children who do not seem to be affected at all by the things they eat – no gut problems, bowel issues, or behavior that would indicate feeling ill, or high levels of yeast – while others seem to be very affected by all of these things.   It can take a lot of time and effort to sort this all out, but the differences can be remarkable when a child is feeling well and getting proper nutrition.

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Coconut Shrimp

(Recipe from “Cooking Free” by Carol Fenster, PhD page 145)

If eggs are inappropriate for your diet, dip the shrimp in the flour mixture only.

1 pound jumbo shrimp
1/2 cup cornstarch
1/2 cup shredded coconut
1/2 tsp garlic powder
1/2 tsp onion powder
1/2 tsp baking powder
1/2 tsp salt
1/4 tsp cayenne pepper
2 large egg whites, beaten to foam
Oil, for frying
Orange marmalade, for dipping

  1. Peel and clean shrimp, removing intestinal vein. To butterfly shrimp, use paring knife to open shrimp down the back without cutting all the way through. Press each shrimp flat and set aside.
  2. In bowl, whisk together cornstarch, coconut, garlic, onion powders, baking powder, salt, and cayenne pepper.
  3. In large bowl, whisk egg whites until they reach foamy texture. Heat enough cooking oil to cover shrimp in deep fryer or deep, heavy pot. Dip each shrimp in eggs, then in coconut-flour mixture. Fry shrimp in small batches, turning twice to assure even browning. Drain on paper towels. Continue with remaining shrimp. Serve with purchased orange marmalade as dip.

Pork Fried Rice

(Recipe from “Cooking Free” by Carol Fenster, PhD pages 138-139)

This is a great way to use leftover rice. It’s quick and easy and the perfect answer when someone says, “Let’s have Chinese tonight.”

Ingredients:
1/2 lb boneless pork, cut into 1/4-inch thick cubes
1 tbsp canola oil
1 small onion finely chopped
2 small garlic cloves, minced
1 large carrot, diagonally cut into 1/4 inch pieces
1/2 cup chopped mushrooms
4 cups cooked white rice
2 tbsp wheat-free tamari soy sauce
3 green onions, cut into 1/4-inch pieces
1/2 cup snow peas
2 cups bean sprouts
1 tsp sesame oil
1/2 tsp salt
1/2 tsp black pepper

Directions:

  1. In wok or high-edged skillet, sauté pork cubes in oil until lightly browned and cooked through. Remove from pan.
  2. Add onions and stir-fry until onion is translucent. Add garlic, carrot, and mushrooms; cook for two minutes. Add this mixture to cooked pork. Remove all ingredients from wok and set aside.
  3. In wok, stir-fry egg (if using) and cook until set. Break up pieces using spatula. Add rice and all cooked ingredients to wok. Add soy sauce, green onions, snow peas, bean sprouts, oil, salt, and pepper. Stir to combine and bring to serving temperature. Serve immediately.

Turkey Rice Salad

(Recipe and picture from Allergy Proof Recipes for Kids by Leslie Hammond and Lynne Marie Rominger pages 50-51)

Want to go vegetarian? Just omit the turkey! Steamed wild rice gives this dish filling fiber.

2 cups (330 g) steamed wild rice blend
1 cup (140 g) diced cooked turkey or chicken
1/4 cup (25 g) chopped scallions
1/2 small red onion, diced
1/2 cup (90 g) chopped dried apricots or cranberries
1/4 cup (30 g) chopped red bell pepper (optional)
1/4 cup (30 g) finely chopped celery, including the leaves
¼ cup (60 ml) frozen orange juice concentrate, thawed
¼ cup (60 ml) rice vinegar
3 teaspoons (13 g) sugar (optional)
2 teaspoons (6 g) minced garlic
1/4 cup (15 g) chopped fresh parsley
1/4 cup (60 ml) canola oil
1 teaspoon (3 g) dried mustard
Salt and pepper to taste

  1. In a large bowl, combine cooled rice, turkey, onions, apricots, bell pepper, and celery.
  2. In a small bowl, mix remaining ingredients. Pour into large bowl and mix together. Refrigerate until ready to serve.

Yield: 6 cups (1.5 kg)