Expert Insights and Real Stories for Parents Navigating This Rare Food Allergy

The PedsDocTalk Podcast

Dr. Mona Amin

Medicine, Health & Fitness, Kids & Family, Parenting

5 • 1.4K Ratings

🗓️ 7 May 2025

⏱️ 52 minutes

🔗️ Recording | iTunes | RSS

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Summary

If you’ve ever felt alone navigating an FPIES diagnosis—or if you’re wondering what FPIES even is—this episode is for you. I’m joined by Dr. Taylor Arnold, pediatric dietitian and mom of two children who had FPIES, and Dr. Manisha Relan, board-certified allergist and immunologist. Together, we break down what FPIES actually is, why it’s so often misdiagnosed, how it differs from typical food allergies, and what families can do to manage it confidently. Whether you're a parent seeking answers or a clinician wanting to deepen your understanding, I hope this conversation leaves you feeling more empowered, prepared, and less alone. We discuss: What FPIES is, how it differs from typical food allergies, and why diagnosis is often delayed. Navigating food introductions, managing reactions, and reducing anxiety around FPIES. Practical tips for daycare, social situations, and long-term support for children with FPIES. To connect with Dr. Taylor Arnold follow her on Instagram @growing.intuitive.eaters, check out all her resources at https://msha.ke/growingintuitiveeaters To connect with Dr. Manisha Relan follow her on Instagram @pedsallergymd, and check out all her resources at https://www.101beforeone.com/ and her new book: https://www.amazon.com/Baby-Leads-Way-Evidence-Based-Introducing/dp/1610027620 Additional Resources: https://fpiesfoundation.org/ https://www.fpies.org/ https://kidswithfoodallergies.org/living-with-food-allergies/what-is-a-food-allergy/food-protein-induced-enterocolitis-syndrome-fpies/ We’d like to know who is listening! Please fill out our Listener Survey to help us improve the show and learn about you! 00:00 – Intro & Why This Matters 02:00 – Meet the Experts 03:05 – What FPIES Is and Isn’t 08:20 – Hallmark Symptoms & Why It’s Missed 10:10 – Personal Story: Misdiagnosis & Learning Curve 15:00 – Diagnosing FPIES 18:30 – What Causes FPIES? 20:00 – What Parents & Pediatricians Should Know 23:30 – Figuring Out Food Triggers 25:00 – Managing Feeding Anxiety After Diagnosis 29:00 – Preventing Nutritional Deficiencies 32:00 – Practical Tips for School, Daycare & Social Events 35:00 – Emotional Support for Parents 38:00 – Outgrowing FPIES & What Comes Next 42:00 – Final Takeaways & Encouragement Our podcasts are also now on YouTube. If you prefer a video podcast with closed captioning, check us out there and ⁠subscribe to PedsDocTalk⁠. Get trusted pediatric advice, relatable parenting insights, and evidence-based tips delivered straight to your inbox—join thousands of parents who rely on the PDT newsletter to stay informed, supported, and confident. ⁠⁠⁠Join the newsletter⁠⁠⁠! And don’t forget to follow ⁠⁠⁠@pedsdoctalkpodcast⁠⁠⁠ on Instagram—our new space just for parents looking for real talk and real support. We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on the ⁠PedsDocTalk Podcast Sponsorships⁠ page of the website. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Transcript

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0:00.0	Food induced, so it's caused by eating something.
0:03.5	Enterocolitis means your gut lining,
0:06.8	and syndrome means that there's a huge spectrum of what you can see.
0:10.7	For some people, it can be mild, and for some people it can be severe,
0:15.0	and it's a little bit unpredictable, and we can delve more into that,
0:19.0	but that's like the big gist. So it's basically a
0:22.5	digestive reaction to a food. The tricky part about it, unlike peanut allergies that you
0:28.5	were alluding to, is that it's not immediate. Welcome back to the show. It's me, Dr. Mona,
0:33.9	your trusted pediatrician, confidant, and mom friend, here to support you through every
0:37.8	twist turn and, wait, is this a stomach bug or something else parenting moment? You're listening to
0:42.9	the Peds Doc Talk podcast where we keep things real, science-based, and totally judgment-free.
0:47.5	Whether this is your first episode or your 100th, you're in for one that might just change how you
0:52.1	look at food allergies forever. Today's conversation
0:55.0	is about F-Py's. That's short for food, protein-induced enterocolitis syndrome, and if you've
1:00.0	never heard of it, you're not alone. This condition is often misunderstood, underdiagnosed, and
1:04.9	dismissed as picky eating or repeated stomach bugs. But F-Pies is real. And the more we know about it,
1:10.4	the more we can help families get
1:11.5	the right answers and the right support faster. Whether your child has it, you suspect they might,
1:16.7	or you've never heard of it before. This is an episode for every parent, every pediatrician,
1:21.1	every nurse, and every daycare provider, because recognizing the science could change a family's
1:25.3	life. I'm joined by two incredible guests to walk us
1:28.1	through it all, Dr. Taylor Arnold, a registered dietitian and the creator of growing intuitive eaters
	...

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