Allergic colitis history and symptoms: Difference between revisions

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*Is the child thriving or ill looking
*Is the child thriving or ill looking
*Presence of abdominal pain
*Presence of abdominal pain
*Is there any family history of atopy
*Is there any family history of allergy


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*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
*History of atopy in the family
*History of allergy in the family
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| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Food protein-induced enterocolitis syndrome]]'''
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Food protein-induced enterocolitis syndrome]]'''

Revision as of 01:01, 19 September 2016

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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]
  • 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
  • History of abdominal pain or discomfort when defecating may be present
  • History of allergy in the family
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
  • History of passage of diarrhea stool that may or may not contain streaks of blood and mucus
  • Occasionally diarrhea stool may be completely bloody
  • History of child losing weight or not gaining weight
  • History of atopy in the family

References

  1. 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.
  2. 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.
  3. 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.

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