Diagnosis

The Children’s e-Hospital cow’s milk protein allergy service allows you to book an online consultation with a consultant paediatrician to determine whether or not your baby might have cows milk protein allergy.

It is important to ensure that there are no red flagsto indicate serious illness:

•Fever
•Body spasms
•Breathing difficulty
•Blood or bile in vomit
•Rash that doesn’t disappear on pressing
•Forceful vomiting
•Large amount of blood in poo
•Sudden swelling or puffiness of the face
•Excessively sleepy
•Faltering growth

If your baby has any of these symptoms we recommend you seek medical attention immediately. Please call the NHS 111 service or your GP without delay.

The following symptoms are commonly found in cow’s milk protein allergy. Having two or more of these symptoms significantly increases the probability of your baby having cow’s milk protein allergy

  • Colic
  • Reflux/ Vomiting
  • Back arching
  • Feed refusal
  • Diarrhoeastools/ Loose Stools
  • Constipation
  • Abdominal discomfort
  • Painful flatus
  • Blood or mucus in stool in an otherwise well baby
  • Itchy skin/ Flushing /redness of skin/Eczema like rash
  • Please use the symptom checker to assess the likelihood of your baby having cow’s milk protein allergy.
Onset of these symptoms within 2 hours of exposure to cow’s milk protein suggests that this is an antibody mediated reaction that is best dealt with by referral to local paediatric allergy services.
If symptoms begin after 2 hours of exposure, then this is likely to be non-IgE mediated cow’s milk protein allergy that can potentially be managed using The Children’s e-Hospital Cow’s Milk Protein Allergy service.

Authored by: Dr Tim Ubhi

Published: 7th March 2019

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