Can babies with hives eat Malabar spinach?

Jun 10, 2025 Source: Cainiu Health

Dr. Liu Wenmin

Introduction

If the cause of the infant's urticaria is clearly identified as non-food factors such as house dust mites or pollen, and there is no previous history of allergy to green leafy vegetables, Malabar spinach (Basella alba) may be thoroughly cooked until soft and mashed into a smooth puree during the symptom relief phase. A small amount (about 5 grams) may then be introduced, followed by a 48-hour observation period for any adverse reactions. If no abnormalities occur, the quantity may be gradually increased. Malabar spinach contains vitamins, minerals, and other nutrients, and moderate consumption can help supplement the body's energy.

Whether a baby can consume Malabar spinach during urticaria (hives) depends on the allergen triggers and the baby's physical reactions. If the urticaria is unrelated to leafy green vegetables and gastrointestinal function is stable, it may be cautiously tried. However, if the trigger is unknown or the baby has allergies to similar vegetables, consumption is not recommended. If in doubt, consult a healthcare professional beforehand. Detailed analysis is as follows:

If the baby's urticaria has a clear non-food-related trigger such as dust mites or pollen, and there is no prior history of allergy to leafy green vegetables, Malabar spinach can be thoroughly cooked and mashed into a smooth puree during the symptom relief phase. Feed a small amount initially and observe for 48 hours for any adverse reactions before gradually increasing the quantity. Malabar spinach contains vitamins and minerals that can provide energy to the body. When properly cooked, its soft texture makes it easier to digest and absorb for babies with weakened gastrointestinal function during allergy episodes.

If the baby is experiencing an acute urticaria flare-up or the trigger remains unclear, especially if there has been a previous allergic reaction to leafy greens like spinach or amaranth, Malabar spinach should be avoided. Proteins and oxalic acid in such vegetables may increase skin vascular permeability, leading to more hives and intensified itching. These components may also irritate the sensitive gastrointestinal mucosa, causing nausea, diarrhea, and other discomforts, further disrupting recovery.

Extra caution should be exercised when introducing new foods to a baby during urticaria. It is recommended to consult a healthcare professional first to ensure food safety.

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At what age can children start eating Malabar spinach (Gynura crepioides)?

If a child's gastrointestinal development is relatively slow, their chewing ability is poor, or they are trying leafy green vegetables for the first time, the introduction of Malabar spinach may be delayed, possibly until around 1.5 years of age. Such children's digestive systems have weaker adaptability to fibrous foods, and the dietary fiber in Malabar spinach may increase the digestive burden. It is advisable to wait until further gastrointestinal maturation before attempting it.