Eating with picky kids and gout-man

Before kids, Monkeyrotica and I did go to more exotic restaurants and consume with more abandon than we do now, but with young ones in tow, we started limiting our outings to eateries with childrens' menus. Dash is willing to try several more sophisticated meals that require multiple utensils and have spices added, but Rosie is still very flavor- and texture-averse when it comes to dining. Now that Monk is living with gout, even he has been forced to limit his palette. Since his first attack around the summer of 2011, we've learned quite a lot about what foods trigger his gout.

Gout is similar to arthritis and attacks joints, most often at the base of the big toe. It causes intense pain and swelling; when Monk's first attack happened, he thought he'd broken his foot.

What Causes Gout? From NIH.gov:

"Gout is caused by the buildup of too much uric acid in the body. Uric acid comes from the breakdown of substances called purines. Purines are found in all of your body’s tissues. They are also in many foods, such as liver, dried beans and peas, and anchovies. Normally, uric acid dissolves in the blood. It passes through the kidneys and out of the body in urine. But uric acid can build up in the blood when:

• The body increases the amount of uric acid it makes.
• The kidneys do not get rid of enough uric acid.
• A person eats too many foods high in purines."

 

For Monk, the gout-friendly foods he's learned to eat more of are:

• fresh, unrefined, and unprocessed foods. Include fruits, vegetables, whole grains, soy, beans, seeds, nuts, olive oil, and cold-water fish (salmon, tuna, and halibut)
• unsweetened cherries (canned, fresh, or frozen); cherries lower uric acid levels and can prevent gout attack
• blueberries, blackberries, and other deeply pigmented berries are also helpful as is pineapple
• lemon water, apple cider vinegar

Gout-aggravating, high-purine trigger foods that he needs to avoid:

• organ meats like kidneys, liver, and sweetbreads
• red meat
• oily fish like sardines, anchovies, and herring
• certain vegetables, including asparagus, artichokes, spinach, and cauliflower
• lentils
• mushrooms

Some foods have medium-to-low levels of purines in them, but because they are foods that we tend to eat in larger quantities, Monk needs to severely curb his intake when he eats shrimp (only 2-3 shrimp, then full stop) or chicken breast meat (only 1 small breast, no more). I'm sure there's more that I've forgotten, but that's quite a bit for us to handle! Good thing there are cherries and medication that he can take.

He's been managing his symptoms very well, despite a few occasions where he knew he wanted to eat trigger foods despite the consequences and he planned ahead by taking preventative measures for it. Life's no fun if you can't break the rules once in a while.

Balancing your child's school lunch

Anyone who knows me or who has read earlier articles on this blog knows that I struggle with feeding my picky children healthy foods. I've tried various ways, some even deemed ingenious, to get my kids involved in choosing healthier options and balancing their portions. My kids have seen a nutritionist on a few occasions and I've educated myself a great deal on the protein, fat, and carbohydrate ratios in many foods. The majority of the foods we buy are raw, unprocessed, and contain whole grains; vegetables and fruits are primarily served raw, and we make attempts to prepare meals to keep vitamin content intact, with minimal added salt or sugars. After Monkey was diagnosed with gout a few years ago, I needed to become even smarter about his trigger foods and learn what proteins to avoid in foods on his behalf.

I can't imagine how I would feel if my kids' school sent home a note like the one below, and attached a monetary fine for not including one arbitrary item, in this Canadian mom's case: grains. What if my kids had eaten more than their daily allotment of grains in their breakfast cereal that morning and I was compensating that overage by leaving it out of their lunch? I would be outraged if a school had force-fed them fatty and processed-grain heavy Ritz crackers!

From the Weighty Matters blog out of Canada:

From Yoni Freedhoff's blog entry:

"Apparently if a child's lunch is deemed 'unbalanced,' where 'balance' refers to ensuring that a lunch conforms to the proportions of food groups as laid out by Canada's awful Food Guide, then that child's lunch is 'supplemented,' and their parent is fined.

Blog reader Kristen Bartkiw received just such a fine.

She sent her children to daycare with with lunches containing leftover homemade roast beef and potatoes, carrots, an orange and some milk.

She did not send along any 'grains.'

As a consequence the school provided her children with, I kid you not, supplemental Ritz Crackers, and her with a $10 fine."

Outrageous and crazy! I know some of us aren't as informed as others regarding proper nutrition, but what if you didn't have the money (or didn't get/have access to the store that week) to provide all food groups, or if your child has serious allergies, or if you have valid, personal reasons for not providing certain foods that are none of the government's business? If I were fined for providing a non-compliant, but healthy lunch I would be rightfully livid.

Picky eaters and creeping outside comfort zones

In our household, Rosie continues to limit her food choices the most. The only two meats she'll eat are white-meat chicken (no skin) and bacon. While she eats several vegetables, for some reason lately she's been eliminating fruits (won't eat bananas and says the canteloupe doesn't taste right—could be an out-of-season thing)? If we let her make the decisions, she would be eating starches all day, every day; her favorites are cereal, pasta, rice, chips, and breads. Thankfully, she will eat several kinds of easy-to-pack nuts and beans. I'm still struggling to assemble lunches for her that she will finish.

I'm counting this as a small victory: the two foods she's added to her favorites list in the past month are sugar snap peas and yaki-nori. While the nori has been reserved as a dinner-only treat, the pea pods are very easy to pack into her lunches. A newly beloved toy purchase (courtesy Monkeyrotica) may have been an inspiration behind the fascination with peapods:

Dash, on the other hand, has developed a taste for daifuku mochi, and wants to eat the tasty Japanese treats with every meal. I'm *not* NOT encouraging this at all, but those darned things are pretty hard to locate in this area. There aren't any Japanese groceries nearby and the ethnically Asian (mostly Korean-run) markets that we do have appear to have biases against Japanese goods and don't carry them. Monkeyrotica and Grandma Ikiko have found the treats in the outskirts of Prince George's County somewhere, and bless them. 

Overall, we are still at parenting-fail mode in terms of cooking one main course at dinner that everyone will eat. It seems to work for some families, but it's not happening here. Dinner last night was delicious lamb-burgers for Monkeyrotica and me, breakfast sausages for Dash, and chicken breast for Rosie. Everyone ate the broccoli, carrots, and french fries, so that was a winner, right?

Tell me about the food struggles you have with your kids in the comments!