Regarding school: At this age, you will need to inform school personnel about his behaviors and discuss approaches to prevent him from grabbing unsafe foods. These would include extra supervision at mealtimes, consideration of his seating with relation to others, and having defined supervised meal or snack times (so that food is not eaten in multiple locations unsupervised), among other measures that are outlined in various state guidelines. The good news: if your child still has allergies as he gets older, the likelihood of defiant eating should subside – at least until adolescence, but that’s another story.
Dr. Scott Sicherer is Chief of the Division of Allergy and Immunology of the Jaffe Food Allergy Institute at the Mount Sinai School of Medicine in New York. Together with Dr. Hemant Sharma, Associate Chief of the Division of Allergy and Immunology at Children’s National Medical Center in Washington, he writes “The Food Allergy Experts” column in the American Edition of Allergic Living magazine. Questions submitted below will be considered for answer in the magazine.