

Treatment of
Food Intolerance
The dietitian is in a strong position to provide help, advice and encouragement with the
inevitable compromises (either nutritional or social) that result from the need to follow an
elimination diet, whether this needs to be followed because of a food allergy (the immediate
kind) or because of a food intolerance (the hidden kind) . In the case of food intolerance, the dietitian may also be heavily involved in making
the diagnosis by supervising the elimination and challenge tests. Until a standardised blood tests or other kinds of objective tests have been
established, this will remain a challenging area.
A difficult problem is the patient or
parent who presents with the pre-conception that food intolerance underlies a particular set
of symptoms, but without any supporting evidence from an appropriate dietary test.
These pre-conceptions may sometimes remain unconfirmed in spite of careful and
sympathetic attempts to reproduce the circumstances of their occurrence. In such
circumstances, care needs to be taken, especially where an infant or child is involved, to
ensure that important foods are not omitted from the diet inappropriately.
Long-Term Management
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