Allergic colitis medical therapy
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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 mainstay of treatment of allergic colitis is dietary management.
Medical Therapy
Dietary management of allergic colitis involves elimination of the allergen from the diet of the patient, treatment of accidental ingestion, guidance when introducing new food, and periodic reintroduction of the offending food after a period of avoidance to check for tolerance. Avoidance The principles of avoidance are similar to IgE-medi- ated food allergy. Extensively hydrolyzed casein for- mula is recommended for infants that cannot breast- feed, because concomitant CM and soy FPIES occur in up to 40% of cases.6,9 In the majority of infants with CM and/or soy FPIES, symptoms resolve within 3–10 days of starting extensively hydrolyzed casein for- mula. Rarely, patients need amino acid-based formula or bowel rest and temporary i.v. fluids.9 Infants with multiple food FPIES, especially those breastfed are at risk to develop food refusal and may benefit from feeding therapy.37,38