Allergic colitis history and symptoms

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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]

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

References

Type of Allergic colitis	History and Symptoms
Food protein-induced allergic proctocolitis	Onset of symptoms in the first two months of life Child is on exclusive breastfeeding History of passage blood streaked stool, which is loose or of normal consistency History of occasional episode of vomiting and abdominal pain when defecating may be present
Food protein-induced enterocolitis syndrome	Onset of symptoms in the first two months of life Child is usually on infant formula alone or with breastfeeding History of recurrent episodes of vomiting few hours after taking the offending feed Passage of diarrhea stool that may or may not contain streaks of blood and mucus Occasionally diarrhea may completely become bloody