Why might seemingly "healthy" or "gut-friendly" foods negatively impact children with a history of food allergies?
Answer
Many nutrient-dense foods are naturally high in histamine or trigger its release, contributing to a "histamine cup" that can exacerbate feeding aversions and physical discomfort. This list includes common fruits like avocados and strawberries, vegetables such as spinach and eggplant, and even fermented foods like yogurt and sauerkraut, which are typically praised for gut health. Furthermore, histamine levels increase in leftover foods over time unless they are frozen, which can lead to significant taste differences and aversions for sensitive children. Understanding these complexities allows therapists to help families develop a list of "safe" foods that avoid high-histamine triggers and better support a child’s oral-motor and psychosocial feeding goals.
Continued and its subsidiaries provide professional education authored by qualified Subject Matter Experts for continuing education purposes. These materials are intended for educational purposes and do not constitute medical advice or a substitute for individual clinical judgment. Continued is not a clinical healthcare provider; the licensed professional is solely responsible for ensuring that the application of any techniques or information presented is within their legal scope of practice and jurisdictional requirements.
Related Courses
1https://www.occupationaltherapy.com/ot-ceus/course/foundations-feeding-therapy-for-ots-5382Foundations of Feeding Therapy for OTs: Anatomy, Physiology, Terms, and ToolsThis course provides a foundational overview of the anatomy and physiology of the orofacial complex related to feeding therapy. The course also teaches commonly used terminology in this field of practice and provides an overview of therapeutic tools and their uses specifically for pediatric feeding therapy.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comFoundations of Feeding Therapy for OTs: Anatomy, Physiology, Terms, and ToolsThis course provides a foundational overview of the anatomy and physiology of the orofacial complex related to feeding therapy. The course also teaches commonly used terminology in this field of practice and provides an overview of therapeutic tools and their uses specifically for pediatric feeding therapy.5382OnlinePT60M
'Great and informative for intro level CEU'Read Reviews
AOTA/0.1 Introductory, OT Service Delivery, Foundational Knowledge, 03414; CE Broker/1.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-873375; IACET/0.1; IL EITP/1.0; NBCOT PDUs/1.25 Beginner, Pediatrics
This course provides a foundational overview of the anatomy and physiology of the orofacial complex related to feeding therapy. The course also teaches commonly used terminology in this field of practice and provides an overview of therapeutic tools and their uses specifically for pediatric feeding therapy.
2https://www.occupationaltherapy.com/ot-ceus/course/using-adult-learning-theory-to-6918Using Adult Learning Theory To Enhance Coaching In Pediatric Feeding And Swallowing InterventionThis course describes the application of adult learning theory to coaching within pediatric feeding and swallowing interventions. Grounded in adult learning principles, participants will gain tools to effectively collaborate with caregivers to share knowledge, utilize evidence-based strategies, and foster confidence to encourage positive feeding and swallowing outcomes.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comUsing Adult Learning Theory To Enhance Coaching In Pediatric Feeding And Swallowing InterventionThis course describes the application of adult learning theory to coaching within pediatric feeding and swallowing interventions. Grounded in adult learning principles, participants will gain tools to effectively collaborate with caregivers to share knowledge, utilize evidence-based strategies, and foster confidence to encourage positive feeding and swallowing outcomes.6918OnlinePT60M
'The course provided a clear, evidence-based approach bridging adult learning theory with practical caregiver coaching in pediatric feeding'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, Foundational Knowledge, 14198; CE Broker/1.0 CE Broker #20-1342958; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Pediatrics
This course describes the application of adult learning theory to coaching within pediatric feeding and swallowing interventions. Grounded in adult learning principles, participants will gain tools to effectively collaborate with caregivers to share knowledge, utilize evidence-based strategies, and foster confidence to encourage positive feeding and swallowing outcomes.
3https://www.occupationaltherapy.com/ot-ceus/course/feeding-interventions-with-allergy-considerations-6935Feeding Interventions With Allergy ConsiderationsThis course provides a unique look at the treatment area of feeding disorders, with a particular focus on consideration of allergies and their impact on children who may be labeled "picky eaters" or as having "sensory defensiveness."auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comFeeding Interventions With Allergy ConsiderationsThis course provides a unique look at the treatment area of feeding disorders, with a particular focus on consideration of allergies and their impact on children who may be labeled "picky eaters" or as having "sensory defensiveness."6935OnlinePT60M
'This course would be helpful for any therapist who works with students in the area of feeding'Read Reviews
AOTA/0.1 Introductory, OT Service Delivery, Foundational Knowledge, 14451; CE Broker/1.0 CE Broker #20-1352358; IACET/0.1; NBCOT PDUs/1.25 Beginner, Pediatrics
This course provides a unique look at the treatment area of feeding disorders, with a particular focus on consideration of allergies and their impact on children who may be labeled "picky eaters" or as having "sensory defensiveness."
4https://www.occupationaltherapy.com/ot-ceus/course/introduction-to-breastfeeding-and-role-6515Introduction To Breastfeeding And The Role Of The Occupational Therapy PractitionerThe anatomy and physiology of breastfeeding mothers and infants, the essentials of proper positioning, and what to do when there are challenges will be introduced in this course. In addition, this course will explain and highlight the occupational therapy practitioner's role and breastfeeding as an occupation.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comIntroduction To Breastfeeding And The Role Of The Occupational Therapy PractitionerThe anatomy and physiology of breastfeeding mothers and infants, the essentials of proper positioning, and what to do when there are challenges will be introduced in this course. In addition, this course will explain and highlight the occupational therapy practitioner's role and breastfeeding as an occupation.6515OnlinePT60M
AOTA/0.1 Introductory, OT Service Delivery, Foundational Knowledge, 10205; CE Broker/1.0 CE Broker #20-1251398; IACET/0.1; IL EITP/1.0; NBCOT PDUs/1.25 Beginner, Pediatrics
The anatomy and physiology of breastfeeding mothers and infants, the essentials of proper positioning, and what to do when there are challenges will be introduced in this course. In addition, this course will explain and highlight the occupational therapy practitioner's role and breastfeeding as an occupation.
5https://www.occupationaltherapy.com/ot-ceus/course/cultural-contexts-in-pediatric-feeding-7098Cultural Contexts In Pediatric FeedingCultural Contexts in Pediatric Feeding is a continuing education course designed to help healthcare professionals apply culturally responsive clinical reasoning when supporting children and families with feeding concerns. The course explores how culture, family routines, food traditions, caregiver beliefs, access, sensory preferences, and participation demands shape pediatric feeding routines and intervention planning. Participants will learn to identify relevant contextual factors, distinguish culturally based feeding practices from clinical concerns, and develop family-centered recommendations that support safe, functional, respectful, and meaningful mealtime participation. The course also emphasizes the value of interprofessional collaboration in delivering culturally responsive, family-centered feeding services.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comCultural Contexts In Pediatric FeedingCultural Contexts in Pediatric Feeding is a continuing education course designed to help healthcare professionals apply culturally responsive clinical reasoning when supporting children and families with feeding concerns. The course explores how culture, family routines, food traditions, caregiver beliefs, access, sensory preferences, and participation demands shape pediatric feeding routines and intervention planning. Participants will learn to identify relevant contextual factors, distinguish culturally based feeding practices from clinical concerns, and develop family-centered recommendations that support safe, functional, respectful, and meaningful mealtime participation. The course also emphasizes the value of interprofessional collaboration in delivering culturally responsive, family-centered feeding services.7098OnlinePT60M
Cultural Contexts in Pediatric Feeding is a continuing education course designed to help healthcare professionals apply culturally responsive clinical reasoning when supporting children and families with feeding concerns. The course explores how culture, family routines, food traditions, caregiver beliefs, access, sensory preferences, and participation demands shape pediatric feeding routines and intervention planning. Participants will learn to identify relevant contextual factors, distinguish culturally based feeding practices from clinical concerns, and develop family-centered recommendations that support safe, functional, respectful, and meaningful mealtime participation. The course also emphasizes the value of interprofessional collaboration in delivering culturally responsive, family-centered feeding services.