The Royal Prince Alfred Hospital (RPAH) Exclusion Diet (1)
I underwent the RPAH exclusion diet protocol in 1985. On the exclusion diet I felt ‘withdrawal’ effects of flu-like symptoms, aching joints, sore throat, cough, tinnitus (ringing in ears), teeth-grinding and headaches. I became edgy, uptight and lethargic. As symptoms settled, I became clear-headed, alert and energetic with natural colour in my cheeks, a change from my previous pale complexion with black rings under my eyes. Food cravings (for fruit) vanished. I became extremely calm, relaxed and organised. My blood pressure was 110/70. I was ready to perform the food challenges.
After my father had a heart attack, our family diet changed to avoidance of fatty red meat, full-fat milk and butter to one including more fish, chicken and vegetable oils. Those messages and promotion of fibre and fruit, and less refined cereals and sugar stuck with me. Thus, when I started out on motherhood I had high ideals of a healthy diet being wholegrain cereals, vegetables, fruit; and avoidance of excess fat, salt, sugar and refined cereals.
My ideals came crashing down when my second son was a failure to thrive, suffering chronic ill-health from the introduction of solid food. After a three year battle, I sought advice from a specialist at the Royal Prince Alfred Hospital (RPAH) in Sydney. An exclusion diet and series of food challenges (1), proved he was sensitive to salicylates, amines and some food additives (colours, preservatives and MSG). Salicylates are flavour components of many fruits, juices and vegetables. Amines occur in cheese, chocolate, bananas and yeast extracts. On a diet removing those foods he became well and gained weight.