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Food Allergies in Kids: Early Introduction, Labels, and Emergency Plans
Why early peanut introduction is now recommended, how to read labels, and what belongs in your child's allergy action plan.
By Samuel Divaker, MDJuly 16, 2026Medically reviewed July 16, 2026
Food allergy guidance has changed substantially in the last decade. Early introduction of allergenic foods is now encouraged for most infants rather than avoided.
Early introduction
- For most infants, introduce peanut and egg containing foods around 4 to 6 months, once solids have started.
- Introduce one new food at a time and watch for reactions.
- Infants with severe eczema or existing egg allergy should be evaluated before peanut introduction.
- Never give whole nuts or spoonfuls of nut butter; use thinned purees.
Recognizing a reaction
- Mild: hives, itchy mouth, a few vomits, mild swelling.
- Severe: trouble breathing, throat tightness, repetitive vomiting, pale or floppy behavior.
- Severe symptoms require epinephrine first, then call 911.
Reading labels
US labels must clearly identify the nine major allergens: milk, egg, peanut, tree nuts, wheat, soy, fish, shellfish, and sesame. "May contain" statements are voluntary, so when your child's allergy is severe, treat them cautiously.
Your action plan
- A written emergency plan for school, daycare, and caregivers.
- Two epinephrine auto-injectors kept accessible and unexpired.
- A clear list of safe and unsafe foods for the classroom.
- Annual review with our office as your child grows and doses change.
When to call Divaker Pediatrics
Our Mount Dora office is here for questions big and small. Call 352-383-8386 to schedule a visit, or use the healow patient portal to send a message to our team. If your child has a medical emergency, call 911.