Allergic colitis history and symptoms: Difference between revisions
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*Onset of symptoms in the first two months of life. This is modifed by amount and duration of exposure to the offending protein | *Onset of symptoms in the first two months of life. This is modifed by amount and duration of exposure to the offending protein | ||
*Child is on exclusive breastfeeding | *Child is on exclusive breastfeeding | ||
*History of passage blood streaked stool, which is loose or of normal consistency | *History of passage blood streaked stool, which is loose or may be of normal consistency | ||
*Despite passage of loose stools, there is typically not history of frank diarrhea | |||
*History of occasional episode of vomiting | *History of occasional episode of vomiting | ||
*History of abdominal pain or discomfort when defecating may be present | *History of abdominal pain or discomfort when defecating may be present |
Revision as of 16:02, 19 September 2016
Allergic colitis Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Qasim Salau, M.B.B.S., FMCPaed [2]
Overview
The most common symptoms of allergic colitis is passage of blood streaked stool in an otherwise healthy young infant especially in FPIAP. History of failure to thrive may also be gotten in the infant with FPIES. There may be a family history of allergy.
History and Symptoms
Obtaining a detailed history is important in making diagnosis of allergic colitis. Complete history will help determine the cause and possible risk factors associated with the disease.
History
Specific history to ask include:
- When the symptoms started
- Type of food ingested
- Detailed description of the symptoms, such as stool pattern, number of times and presence or absence of blood in the stool; and vomiting
- Is the child thriving or ill looking
- Presence of abdominal pain
- Is there any family history of allergy
Type of Allergic colitis | History and Symptoms |
---|---|
Food protein-induced allergic proctocolitis[1][2][3][4] |
|
Food protein-induced enterocolitis syndrome[4] | Chronic
Typical presentation is that of chronic exposure with onset in the first few weeks of life to as long as 1 year
|
Acute
Symptoms occur with a background chronic exposure
|
References
- ↑ Hwang JB, Hong J (2013). "Food protein-induced proctocolitis: Is this allergic disorder a reality or a phantom in neonates?". Korean J Pediatr. 56 (12): 514–8. doi:10.3345/kjp.2013.56.12.514. PMC 3885785. PMID 24416045.
- ↑ Pumberger W, Pomberger G, Geissler W (2001). "Proctocolitis in breast fed infants: a contribution to differential diagnosis of haematochezia in early childhood". Postgrad Med J. 77 (906): 252–4. PMC 1741985. PMID 11264489.
- ↑ Lucarelli S, Di Nardo G, Lastrucci G, D'Alfonso Y, Marcheggiano A, Federici T; et al. (2011). "Allergic proctocolitis refractory to maternal hypoallergenic diet in exclusively breast-fed infants: a clinical observation". BMC Gastroenterol. 11: 82. doi:10.1186/1471-230X-11-82. PMC 3224143. PMID 21762530.
- ↑ 4.0 4.1 Nowak-Węgrzyn A (2015). "Food protein-induced enterocolitis syndrome and allergic proctocolitis". Allergy Asthma Proc. 36 (3): 172–84. doi:10.2500/aap.2015.36.3811. PMC 4405595. PMID 25976434.