Halloween is one of the most exciting nights of the year for kids. There are costumes, friends, and of course… the dreaded candy haul. Americans will spend a staggering $6.9 billion on Halloween this year, with $2 billion going toward candy alone.
And here’s the spooky part: the average American eats 3.5 pounds of candy over Halloween. That’s about 53 fun-size candy bars, loaded with sugar, dyes, and additives your child’s gut and immune system will be battling for weeks.
Listen, I’m not here to ruin the fun (I promise, I love a good costume and pumpkin carving as much as anyone). But as a pediatrician and mom, I can’t ignore how this much sugar and artificial junk impacts kids; especially those with eczema, asthma, allergies, and sensitive skin.
With some planning, you can let your kids enjoy the holiday without the sugar hangover or itchy skin flare-ups the next day. In this blog I will walk you through how to prepare for this years’ Halloween sugar rush, break-down the ingredients hiding in Halloween candy and offer practical advice of what to choose instead.

Set the Rules Before the Haul
Before diving into the “do’s and don’ts” of Halloween candy, here are a few practical ways to protect your child’s body from sugar overload:
- Feed them a real dinner first. No, pizza doesn’t count. Think colorful veggies, protein (meat, beans, or lentils), and a complex carb like quinoa, brown rice, or sweet potato. A full stomach helps buffer blood sugar spikes.
- Hydrate before and during trick-or-treating. Skip the juice boxes. Water keeps them energized and helps their body process the extra sugar.
- Lay out the candy rules early. Kids whine less when they know the limits up front. Decide how many they can eat on Halloween night, how long candy will be in the house (3 days max works wonders), and when they’ll get it (not before school or bedtime).
- Plan swaps. Whether it’s trading for cleaner candy, non-food treats, or small prizes, your kids will get on board if it’s presented as part of the fun. Find my ideas below!
Fun fact: Sugar suppresses the immune system for up to 5 hours. No wonder so many kids get sick within 24–48 hours after Halloween. Add food dyes, preservatives, and trans fats to the mix and your child’s immune system is fighting ghosts it didn’t ask for.

Learn more about the sugar and eczema connection here.
The Scariest Ingredients in Halloween Candy
1. Food Coloring is Frightening
Dyes like Red 40, Yellow 5, Yellow 6, Blue 1, and Blue 2 aren’t just about bright colors, they’ve been linked to ADHD symptoms, allergies, hyperactivity, and even cancer-causing compounds.
And if your child has eczema? Food dyes can make itching, rashes, and inflammation worse by disrupting the gut microbiome. We know too much now to ignore it.

2. TBHQ is Terrifying
TBHQ (tertiary butylhydroquinone) is a preservative used to make candy last longer on the shelf. But it’s not food, it’s a chemical.
The National Library of Medicine reports that TBHQ is linked to vision disturbances, liver enlargement, and even neurological effects in animal studies. Do we really want that in our kids’ growing bodies?

3. Trans Fats Still Haunt Candy
Yes, the FDA banned trans fats in 2018, but here’s the trick: some candies still sneak them in under the label “partially hydrogenated oils.” Trans fats increase inflammation, which is bad news for eczema-prone skin and for long-term heart and metabolic health.

4. PGPR, Artificial Flavors & Emulsifiers
That chocolate bar your kid loves? Often it’s not even real chocolate. Instead, it’s PGPR (polyglycerol polyricinoleate), emulsifiers, and artificial flavors, which are all cheap substitutes for cocoa butter.
Large studies show emulsifiers disrupt gut bacteria, leading to more inflammation, digestive problems, and immune stress. Since 70% of immunity lives in the gut, this isn’t a small detail.
A Note on Food Allergies this Halloween
One in 13 children has a food allergy, that’s roughly two kids in every classroom. For families managing food allergies, Halloween can feel more stressful than fun. Between peanut butter cups, chocolate bars with dairy, and candies containing soy or gluten, most of the candy bowl is off-limits.
That’s where the Teal Pumpkin Project comes in. This national movement, started by Food Allergy Research & Education (FARE), helps make Halloween safer and more inclusive for all kids. The idea is simple:
- Place a teal-colored pumpkin on your porch or doorstep. It signals to families that you’re offering non-food treats or allergy-friendly options so every child can participate without fear.
- Non-food treat ideas include glow sticks, stickers, small toys, fidget spinners, pencils, bouncy balls, or temporary tattoos for fun, affordable items that still feel like treasures to kids.

If you still want to offer edible treats, look for brands clearly labeled as allergy-friendly, such as YumEarth, Enjoy Life, or Unreal. These candies are free from the top eight allergens (nuts, dairy, soy, wheat, eggs, shellfish, fish, and sesame) and avoid artificial dyes and preservatives that can worsen eczema, hyperactivity, and gut issues.

Participating in the Teal Pumpkin Project doesn’t just protect allergic kids, it teaches all children compassion and awareness. When your little one gets excited to hand out glow sticks to their friends, they’re learning that Halloween is about inclusion, kindness, and community, not just candy.
So this year, grab a can of teal paint (or a teal pumpkin from Amazon) and make your doorstep a safe zone for every trick-or-treater. Your small gesture could make a big difference for a family navigating life with allergies.
Healthier Halloween Candy Swaps
Halloween doesn’t have to be about “all or nothing.” You can offer safer options that are fun and still festive:
- Allergy-friendly candy brands like YumEarth, Unreal, and Enjoy Life are just a few examples. See my favorite TBHQ, Trans Fat, PGPR, Artificial Flavor, Food Coloring and Emulsifier free candy swap list here. Shop my Amazon candy alternatives here.
- Non-candy treats like glow sticks, fidget toys, stickers, temporary tattoos, or small toys (trust me, kids love these!) And they can be the start to a new tradition with your family. See my list of recommended items for your candy free BOO BASKETS here.
- Homemade treats like popcorn balls made with coconut oil, or dark chocolate bark with nuts and seeds are another great swap option for Halloween candy.
And remember: you don’t need 3 pounds of candy to celebrate Halloween. A few mindful choices can make the holiday special without turning your child’s gut into a haunted house.
The Bottom Line: Small Swaps = Big Wins
Halloween candy is loaded with sugar, dyes, preservatives, and fillers that disrupt gut health, inflame sensitive skin, and weaken the immune system. But with some planning, clear rules, and better swaps, you can keep the fun without the toxic overload.
This year, let’s rethink the treat bag. Your kids may not thank you in the moment (they’ll still want the neon gummy worms), but their gut, skin, and immune system will thank you later.
Because at the end of the day, Halloween should be about fun memories, not flare-ups.
Happy Halloween,
Dr. Ana-Maria


