Gluten intolerance in babies

Smileat SL
Intolerancia al gluten en bebés

Gluten sensitivity or celiac disease can be diagnosed at any age. However, some people show symptoms within the first few months after birth. This usually happens when transitioning from breastfeeding to introducing other foods containing the cereals in question.

Identifying and managing gluten allergy in babies

To determine if your child's health has been affected by gluten intolerance or allergy, a doctor must provide an accurate diagnosis. Since an infant cannot express the discomfort they feel, parents need to be alert to any abnormal changes that occur.

Warning signs of gluten allergy in young children

Gluten sensitivity in babies can manifest in various ways, and its diagnosis may require a careful evaluation process. Here are some guidelines that can help in determining gluten sensitivity in babies:

        1. Clinical symptoms: Babies sensitive to gluten may experience a variety of symptoms, including chronic diarrhea, constipation, vomiting, abdominal bloating, abdominal pain, weight loss, irritability, lethargy, skin rashes (such as dermatitis herpetiformis), or growth delay. The presence of these symptoms can be a warning sign to investigate gluten sensitivity.

        2. Family history: Gluten sensitivity may have a genetic component, so it is important to check for any family history of celiac disease or gluten sensitivity.

        3. Medical tests: Medical tests can be useful to determine gluten sensitivity in babies. This may include blood tests for specific antibodies, such as anti-transglutaminase antibodies (anti-tTG) and anti-endomysium antibodies (EMA), as well as genetic tests to detect genetic markers associated with celiac disease. However, it is important to note that test results may not be conclusive in babies under 2 years old, as their immune system is still developing and may not produce enough antibodies.

        4. Dietary evaluation: If gluten sensitivity is suspected, a gluten elimination trial from the baby's diet may be considered under the supervision of a doctor or a dietitian specialized in infant nutrition. If symptoms improve during the elimination period and worsen again when gluten is reintroduced, this could indicate gluten sensitivity.

It is important to highlight that gluten sensitivity is an evolving area of research and that an accurate diagnosis requires evaluation by a qualified healthcare professional. If there are concerns about gluten sensitivity in a baby, it is recommended to seek proper guidance and medical care.

Adapting infant feeding: Tips and gluten-free alternatives

Here are some ideas for gluten-free foods that babies can eat at the start of complementary feeding to continue growing healthily:

        1. Breast milk or infant formula: Breast milk is the best option for feeding babies, as it provides all the nutrients they need to grow healthy. If breast milk is not available, gluten-free infant formulas are available on the market as an alternative.

        2. Fruits, vegetables, legumes, nuts, and seeds: These food groups are the most important to include in young children's diets, so adapting the texture you prefer at home, they are always an essential daily option.

        3. Gluten-free cereals: Babies can consume gluten-free cereals such as rice, corn, quinoa, millet, or sorghum. These cereals are safe and nutritious for babies and can be prepared as purees or porridges with water or breast milk.

        4. Eggs, meat, fish: Eggs are an excellent source of high-quality protein and other important nutrients like vitamin D and iron. Lean meats and fish are rich in protein, iron, and omega-3 fatty acids. You can offer small portions of cooked lean meat or soft, boneless fish from 6 months of age, cut into small pieces and well cooked.

        5. Yogurt and coconut milk or plant-based drinks: Make sure to choose varieties without added sugar.

Remember that it is important to consult a pediatrician or infant nutritionist before introducing new foods into your baby's diet, especially if there is a family history of food allergies or gluten sensitivity. Also, watch for any signs of adverse reactions after introducing new foods and follow specific recommendations for your baby's age and developmental stage.

Gluten-free recipe ideas

Here are some gluten-free dinner ideas for babies aged 6 to 24 months:

        1. Vegetable puree: Prepare a smooth puree of cooked vegetables such as pumpkin, carrot, sweet potato, and broccoli. You can mix the vegetables with a little extra virgin olive oil. We recommend our pumpkin and zucchini jar or vegetables with quinoa.

        2. Legume puree: Make a puree of cooked chickpeas, lentils, or beans. Legumes are an excellent source of protein and fiber, and you can add mild spices like cumin or cilantro for flavor. We recommend our bean stew jar, spectacular!

        3. Steamed chicken or fish: Steam small pieces of chicken or soft fish like sole or cod. And for those who cut the cod... Cod jar!

        4. Vegetable omelet: Prepare a soft omelet with beaten eggs and chopped vegetables like mushrooms or peppers. Cook the omelet over low heat until fully cooked and cut it into small pieces to make it easy to eat.

        5. Quinoa with vegetables: Cook quinoa in vegetable broth and mix it with cooked vegetables like peas, carrots, and corn. Quinoa is an excellent source of protein and complex carbohydrates.

Always supervise the baby while eating and ensure that foods are well cooked and cut into pieces appropriate for their development and the feeding method you are following at home (mashed, BLW, mixed…). Also, consult a pediatrician or infant nutrition specialist if you have any questions or concerns about your baby's diet.

References

Álvarez-Cuenllas B, Muñoz-González I, Sánchez-García S, Gutiérrez-Castrellón P, Calvo-Hernández M, López-Valero M. Infant's early gluten exposure is associated with their later gluten intake: Results from the KOALA Birth Cohort Study. J Pediatr Gastroenterol Nutr. 2021;72(2):245-252. doi:10.1097/MPG.0000000000003048

Igbinedion SO, Ansari J, Vasikaran A, et al. Non-celiac gluten sensitivity: All wheat attack is not celiac. World J Gastroenterol. 2017;23(40):7201-7210. doi:10.3748/wjg.v23.i40.7201

Lund-Blix NA, Mårild K, Tapia G, et al. Gluten intake in early childhood and risk of celiac disease in childhood: a nationwide cohort study. Am J Gastroenterol. 2019;114(8):1299-1306. doi:10.14309/ajg.0000000000000260

Mårild K, Dong F, Lund-Blix NA, et al. Gluten Intake and Risk of Celiac Disease: Long-Term Follow-up of an At-Risk Birth Cohort. Am J Gastroenterol. 2021;116(5):1005-1013. doi:10.14309/ajg.0000000000001257

Zilberstein B, Gamus D, Fogelman Y, Avivi E, Sapoznikov B, Lahat E. The feasibility and safety of introducing a new gluten-free, low-allergenic formula to infants in the developing world. Eur J Pediatr. 2017;176(11):1533-1537. doi:10.1007/s00431-017-3006-6

Back to blog

Leave a comment

Please note, comments need to be approved before they are published.