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My youngest son (1.5 years old) who has been paleo since birth is consistently sick and when I mean consistently I am talking just about every other week. It first started with basic congestion and then he began to get ear infections. We had tubes put in his ears which helped with the infections, but he continued with the congestion, which has now caused him to get upper respiratory infections and most recently RSV. I've tried just about everything I can think of with diet and also added Vit D, C, and probiotics. What's the most frustrating is the amount of antibiotics and steriods (for respiratory issues) he's been on over the past 6-8 months. The only thing I can figure is he is not fully recovering before returning to daycare?? However, I didn't have the same issues with my oldest son and he wasn't Paleo at this age.

Are some people just genetically predisposed to get sick or infected with virus more than others and should I expect this to continue throughout his life?

PS....again it usually starts with congestion and turns into something worse, so I don't believe he's got some serious issue going on. He's blood work is normal.

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What does his "paleo" diet consist of? – cliff Dec 1 2011 at 17:40
I went through one strep throat after another with my son until they finally removed his adenoids. He immediately became healthy and was hardly ever sick except for a cold or flu each winter. – Nance Dec 1 2011 at 17:56
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Just a thought... I had tons of ear infections and chronic congestion growing up and it turned out that dairy had a LOT to do with it. – blueballoon Dec 1 2011 at 18:49
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I would try eliminating dairy and see if that helps. It can cause congestion, especially in kids. – Toni Dec 1 2011 at 19:37
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When I was little I had RELENTLESS ear nose and throat problems until my mom took dairy out of our diets completely. She said it was like magic; no more infections. – January Dec 1 2011 at 20:05
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17 Answers

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I think daycare is a big vector. However, anecdotally, it is said that day care kids are exposed to such a treasure trove of infections when they are young, that they don't get sick as much when they are older. Also, more cold symptoms is paradoxically often a sign of a strong immune system.

However, for some kids it's just not tolerable. Density is the mother of disease in humans and animals. For example, the two models of pasturing chickens, true-free-range and the "chicken tractor" model have different densities and different disease risks. The former your chickens die from accidents/predation, the latter they are more vulnerable to infections because while they are in pasture, they are clustered in pens.

Paleolithic humans did not live in the kind of densities represented by day care. They also breastfed for an average of three years or more. I think this highlights the fact that the health enjoyed by foragers is not just about nutrition.

You can tough it out or try to put him in a less-dense situation like with a family member, a smaller daycare, a nanny, etc.

BTW I was breastfed, never went to daycare, and had a stay-at-home mom and I still got sick all the time. In the paleolithic I guess babies like me would have died. So genetics/epigenetics (in my case my mother didn't have a very healthy pregnancy and my grandmother took questionable drugs when she was pregnant with my mother) may be at play as well.

I mean in my own life I'm quite curious if a baby would be super healthy with both paleo diet + lifestyle, but I'm not quite ready for that experiment yet.

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Since you made it and you now eat wisely, I bet you have a great immune system. I survived a sickly childhood without a good diet or medical rescue and I have a world-class immune system now. I don't recommend my method though. :-)) – Nance Dec 1 2011 at 18:02
My 3 year old, who we have raised paleo for a bit more than 2 years rarely gets sick (I can count the illnesses on one hand), and when she does it's mild. She was breast-fed and my wife is a stay-at-home mom. No day care, but even trips to Disneyland don't seem to get her sick. Maybe it's just luck, but friends with kids her age tell us how frequently their kids get sick. – Chris Dec 1 2011 at 18:24
Yeah, I second day care. It's a vicious cycle: one gets sick, passes it along, and eventually gets sick again when the virus or whatever has made its rounds. It's hard to get away from that kind of germ action. – blueballoon Dec 1 2011 at 18:50
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Not all immune systems are created equal, I'm afraid. Being constantly sick, though, isn't normal. Keep working at it, I'd get another doctor's opinion as well. Or maybe it's just the Petri dish, that is daycare, that's causing all the problems.

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Daycare is a huge disease vector in my household. – Casey Dec 1 2011 at 17:55
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I'm pretty sure I'll make my kids free-range, Daycare = CAFO! – Matt Dec 1 2011 at 18:51
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Have you had his Vitamin D level tested?

I haven't been sick in over 2 years supplementing with oil-based D3 to get my blood level to 50-80 ng/ml.

Also, was he separated from his mom after birth? Respiratory illnesses have been linked to an interruption in mother/baby bonding. http://asthma-busters.org/research1.pdf

EFT can help with this.

I have personal experience with this, if you have more questions.

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Have not had his Vit D levels checked but he does supplement with Vit D3. He was not separated from his mother after birth and she breastfed for 14 months. – hemanvt Dec 1 2011 at 17:59
Cool re: breastfeeding. Might be worth getting his D level checked then... – Dragonfly Dec 1 2011 at 18:08
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Virtually all 1.5yos get sick constantly. My daughter had her first tubes put in at 1.5 years and then another set a year later. Hopefully this will be the last since we're moving south. Here's some risk factors:

  • Using daycare (timeshifts illness)
  • Travel, for anyone in the family
  • Not breastfeeding
  • Living in a cold climate (dry air)
  • Anesthesia (my daughter developed pneumonia afterwards)

Doctors often prescribe antibiotics and steroids (especially) unnecessarily because patients expect them or because they think they do. With tubes in and after the few weeks after getting them put in, tell the doctor you don't want the meds unless they're absolutely sure they're necessary. My daughter also picked up mono from daycare btw and a few variants of HFMD. The frequency seemed to be about twice a month at her daycare, which is large, until she turned about 2 and it dropped to every few months.

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Our 19 month old has had zero flu/cold/infections of any sort. I can imagine that many 1.5yos removed from a more Paleo infancy/childhood and exposed to the SAD foods/activities and such you listed above would be sick more often. – Tim Rangitsch Dec 1 2011 at 18:29
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It's not a clear yes or no, but I do believe we all have our "weak link" and whatever attacks our system has a better chance of succeeding there.

In my case, it's my bronchial area. Every cold or flu winds up being bronchitis/walking pneumonia. My son inherited the tendency but my grandson did not.

For my brother, it's the stomach/colon but that may be because he abused them horribly when he was a jockey.

The old saying probably applies, "If it's not one thing, it's another" because very few of us are invulnerable.

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@Nance so true! I always am the first to get the stomach bug, usually have two full-blown influenza sickness per year, but my partner never gets them, he always get a cold (which I very rarely have the pleasure of experiencing, thank god). – Jenny Dec 2 2011 at 14:23
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My thoughts are:

1) It is a new human who has not built up its defenses yet

2) Day care is overexposing your child to too many viruses/germs at the same time

I really don't have any advice except to perhaps try to limit daycare or see if you can put him in a smaller daycare or pay a family member to care for him at home.

When I lived in Korea for a short while (teaching to little kids) I was sick a LOT (and I have a third world immune system!), but the plus side is that now I'm back in the states and have not been sick in years- so there is perhaps a silver lining to all this. Best of luck!

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Don't overlook things outside of diet (although the suggestions in this thread are quite valid). Mold issues in the home for example could explain the frequent congestion, which in turn could provide a breeding ground for virus or bacteria.

Odd things like breakdown of fiberboard HVAC ducting, or outgassing of formaldehyde from newcarpeting, and a host of other things could be having an effect. "The Healthy House" is an interesting read, don't know if they've updated it for things like the contaminated imported sheetrock (wallboard) for example.

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You honestly just described my childhood. I had 3 sets of tubes due to chronic ear infections for which I was on chronic antibiotics for. I was on antibiotics when I came out of the womb and for most of the first 3 years of my life. My eardrum eventually needed to be rebuilt because infections had literally ate away part of it and I don't think I'll ever hear as well out of that ear. Acne, GERD, depression, fatigue, arthritis, IBS followed over the last 23 or so years.

After I went grain, legume, crappy dairy, excess sugar, antibiotic, processed crap free, I realized that those things were probably responsible for just about every health issue I've ever had.

Get him off the damn antibiotics and remove gluten from his diet. Oh, wait, I can't tell you to do that soooo, if it was MY kid, that's what I'd do.

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For the "getting him off the damn antibiotics" totally true that we tend to overmedicate, especially with small children that we are worried about, absolutely be careful with this. If you end anti-biotics in the middle of treatment without killing off all the infection-causing bacteria, the infection can get much worse and enter into dangerous territory. – Jenny Dec 2 2011 at 14:21
+1 for get him off the damn antibiotics. The kids been through this many rounds already, obviously not the ticket. – JayJay Dec 3 2011 at 15:39
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At age 3 my son was diagnosed with vasomotor rhinitis - constantly congested but not due to an infection or allergy, but for some mystery reason. Basically any irritant sets off the histamine reaction in his sinuses. This led to many ear and sinus infections and lots of antibiotics. We eliminated everything we could (pet, perfume, scented anything) to lessen the issue, put a humidifier in his room (removed this eventually), cleaned his nose daily with saline spray and got him on lots of vit d & c and probiotics. While I'm sure that all these things aided him, the only thing that halted the infections was growth. Now that he's 7 infections are much less, although he still gets congested. (apparently as ear an nasal canals grow wider they don't clog so easily).

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I was also diagnosed with VR--I was a runny-nosed kid for sure. But guess what, when I started eating ancestrally the VR went away. I'm assuming you already have him off grains, which is what mine was from, but I'd keep trying to make sure he doesn't have an intolerance for something. – Nance Dec 1 2011 at 17:54
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Do you dose your kids every time they are sick? That could be part of the problem. My 2 and 4 year old have had colds and fevers (fever means my kids will be better in a couple days :)) and such, but have never had any meds. I think its important to let the immune system do its job properly without intervention whenever possible. You do have to educate yourself a bit to be comfortable with it though.

Also, I'd consider the possibility of birth trauma...specifically to the neck of any child delivered in a hospital. That can compromise a lot of structures associated with upper respiratory function and even drainage from the ears. If that is the case there are pediatric chiropractors.

And I agree that daycare could be a large factor also. My kids go to a house with 5-8 kids, but thats almost just a large family.

Edit: re-read your question and it seems you didn't "jump" to medication. So just skip the first paragraph all together.

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@JayJay, do you have any evidence (beyond anecdote) that birth trauma is a common cause of upper respiratory and ear problems, and further, that chiropractic manipulation is an effective treatment? – Ed Dec 2 2011 at 7:46
@Ed, gonna have to take this one piece at a time...there is plenty of evidence that birth trauma does occur to the cervical spine via forced extraction. The maneuvers used are rotation with traction. The incidence of which I'm sure anyone can google. That is phase one. Can such a thing lead to deficits that increase likelihood of infection or reduced capacity of the body to fight infection via normal immune response and/or lymph drainage? That is the next question, and I'll come back to the thread to give you more answers in a bit. – JayJay Dec 2 2011 at 22:30
According to allostatic load...yes it can. Injured spinal segments lead to increased nociceptive feedback while inhibiting proprioceptive feedback. Can chiropractic manipulation correct that neurological imbalance. Yes. Chiropractic studies do show that when an injured or dysfunctional motor unit is addressed by adjustment better movement and function can be achieved which increases proprioceptive feedback and reduces nociceptive. – JayJay Dec 2 2011 at 23:28
Is this only one reason that a child could be having increased frequency of infection or other symptoms? Of course. But its one that nobody else had brought up, and when you look at risk/reward its definitely one worth looking into IMO. – JayJay Dec 2 2011 at 23:32
There is more to consider here, but we would be entering the dangerous territory of thinking holistically and recognizing the very real limitations of treating a particular disease process vs. doing and giving the body the necessary building blocks of health. I consider joint function and neurological stability one of many aspects that contribute to being healthy. It does not treat any disease per say to eat paleo...its just healthy. Same here. – JayJay Dec 3 2011 at 3:04
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I would look into allergy testing if you haven't already had it- my parents thought that I was getting sick all the time (flu bugs, cold, sinus/ear infections etc) from my daycare, but after some allergy testing we figured it was actually the farm beside the daycare (I'm allergic to grasses). Once we treated the grass allergies, the frequency of my other sicknesses decreased. We also eventually were able to afford to remove the carpet from our home and put in hard-flooring, which helped further.

Ironically lived in a community surrounded by farms, was breast fed to 18 months, played outside constantly, and my brothers and I are all allergic to cottonwood, grasses, pollen, and dust. Also, we all went through the "getting sick all the time" stage, but for all of us, again, frequency decreased when allergies were treated. When we did get sick, the symptoms were also less unpleasant to deal with.

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I'm curious, do you know if chemicals were added to the grasses on the farm? I'm wondering if there's a link between pesticide/herbicide use and allergies. As in you experience an immune response to the chemicals and it becomes associated with the pollen and grasses, so then your immune system responds to the grasses and pollen without the chemicals. – Amanda Feb 20 2012 at 15:43
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I was sick with throat and ear infections all the time as a young child. Tubes and all didn't help. It was affecting my hearing, so they eventually took my adenoids and tonsils out and that resolved the issue for me.

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Yes, genetics (whether it's directly related to the immune system or anatomical differences) can definitely be a factor.

However, I'd personally suspect that the steroids contribute. They work by suppressing the immune system. Use them if necessary (they're certainly better than being unable to breathe), and don't stop them cold turkey (they need to be weaned), but maybe find a way to keep him a little more sheltered when he does need to be on them so that his immune system has a chance to recover and avoiding a cycle of illness. If he needs inhaled steroids, wiping out his mouth (rinsing is usually recommended, but rinsing without swallowing is going to be difficult at best for a toddler) and brushing his teeth immediately afterwards will help prevent systemic effects.

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Steroids do not have to be weaned if used for less then 3 weeks. I do not have a reference link, this is just what my professor told me in school. He said that there is no evidence supporting it and that it is basically just an old school misunderstanding that everyone keeps getting told and keep telling others. – coffeeandcream Dec 9 2011 at 10:41
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I think predisposition is part of the picture, but it differs for everyone. For instance if you had HIV or AIDS and you wanted to conceive there there would be a chance you would pass it on there is no question there.

Anything you eat the baby would of eaten. If the baby is not breast-fed that will contribute to a weaker immune system for the child because immune cells are passed on via the milk.

I think environmental factors are of great importance here. For instance the problem of heavy metals, halides (fluoride etc) in the environment, not to mention PCB's, BPA, organic phospahtes...blah blah the list goes on. These would have been passed on to your child if you came into contact (which is a problem for everyone). Unborn babies have found to have higher levels of mercury than the mothers!

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our species immunity is under genetic control. because there exist genetic diversity within our species one can only infer some are more immune than others. Actually this is fact and not conjecture.

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I think the diet and petri dish point are very good and are worth looking into. The immune system is sometimes slow to mature and will not be ready until between 2-5 years of age. I would try to limit exposure to bugs as much as I could. If eliminating dairy does not help I would think he just has an immature immune system.

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No. We are all exactly the same. This is in Declaration of Independence, an important scientific tract written by Thomas Jefferson, who, oddly enough, finished 3rd in the 200 meter final in the 1984 Olympic Games in Los Angeles in a time of 20.26; .46 seconds behind his exact equal Carl Lewis, who, like all men, is most definitely not gay, as this video confirms: http://youtu.be/jamJ4-C_TME

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