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

Physical Examination

Type of Allergic colitis Physical Examination
Food protein-induced allergic proctocolitis[1][2][3]
  • 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
  • The child is dehydrated
  • The child may be lethargic when dehydrated
  • When chronic, the child's weight and height are low for the age
  • Pallor may be observed, especially when passing frank bloody diarrhea
  • The child may appear dusky
  • Abdominal distention may be seen

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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