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

The PedsDocTalk Podcast: Child Health, Development & Parenting—From a Pediatrician Mom

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/

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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

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