Allergic colitis physical examination

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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

Patients with allergic colitis may appear well in the case of FPIAP or may appear lethargic when they have FPIES. Physical examination of patients with FPIES is usually remarkable for signs of dehydration, pallor and poor weight.

Physical Examination

Type of Allergic colitis	Physical Examination
Food protein-induced allergic proctocolitis	Child is usually well-appearing The weight and height of the child is appropriate for age Mild pallor may be noticed Child may be restless when having abdominal pain Stool contain streak of blood with or without mucus
Food protein-induced enterocolitis syndrome	Acute The child is dehydrated within a few hours after exposure to the offending protein The child is lethargic when severe May be in shock Pallor is observed, especially with frank bloody diarrhea The child may appear dusky Abdominal distention may be seen May develop edema
	Chronic Symptoms occur with a background chronic exposure The child's weight and height are low for the age May develop edema May have abdominal distension Signs of dehydration will also be observed following acute exposure