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...GI tract. Allergic conditions that affect the GI system can be severe and might indicate the need for a hypoallergenic AAF like Neocate.9,12 While “severe” isn’t clearly defined, blood in the stool that doesn’t respond to management can signal a severe GI allergy.8,13 Specific conditions healthcare teams might look for when considering hypoallergenic formula options include food protein-induced enterocolitis syndrome (FPIES) and eosinophilic esophagitis (EoE). These can come with severe GI symptoms, like vomiting or...

...an allergy to soy, remove all soy from his/her diet immediately. A few symptoms of soy allergy are: Acne Asthma Diarrhea Eczema Fever Itching Lethargy Hives Vomiting Wheezing So, if you’re changing your child’s formula because he/she has a milk allergy, the recommended options are formulas whose protein comes from extensively hydrolyzed milk protein or from amino acids. Amino acid-based formulas have been clinically shown to relieve the symptoms of a milk allergy. As always,...

Patient History: A month after Christina and Tim brought their daughter Eva home from the hospital they noticed she had developed a horrible diaper rash. She showed continuous colic like symptoms such as uncontrollable crying and spitting up. Eva cried frantically and was miserable, she was spitting up and in pain that caused her to arch her back. “We couldn’t do anything and felt very helpless,” says Christina. Nutritional Management and Outcome: Eva’s...

...or vomiting. Teens and adults most often have difficulty swallowing or painful swallowing. Their esophagus may narrow and cause food to become stuck (impaction), causing a medical emergency. Currently, there is no FDA-approved therapy to treat EGIDs. Symptoms are controlled by dietary restrictions and/or swallowed steroids. Some patients have a severely restricted diet, or must avoid the vast majority of foods and instead receive all of their nutrition as an elemental diet (that is, amino...

...More on that below. Unlike most food allergies, FPIES reactions usually begin several hours after ingestion of the causative food. Often vomiting occurs 2 hours after eating a trigger food. For some people with FPIES diarrhea will follow around 5 hours after eating. Some children experience relatively mild symptoms, while others, about 20%, will have extreme reactions and may become seriously dehydrated and go into shock and need to go to the emergency department for...

...formula or bottle-fed breast milk by adding a small amount of rice cereal. This practice is somewhat controversial. Some physicians recommend it and others feel that it can actually worsen reflux for some infants. It also dilutes the nutrient content of formula or breast milk. Thickening bottle feedings is shown to reduce vomiting but there are mixed results in terms of its effect on reflux itself. Every baby is unique and for some babies, thickening...

...the skin, lungs, and gastrointestinal system to react. Signs/Symptoms: Tingling or itching in the mouth Hives, itching or eczema Swelling of the lips, face, tongue and throat, or other parts of the body Wheezing, nasal congestion or trouble breathing Abdominal pain, diarrhea, nausea or vomiting Dizziness, lightheadedness or fainting Management: While there is no cure for food allergies, strict avoidance and early recognition of food allergens are essential to preventing food reactions. If that is...

...appointment: What symptoms have you observed? Itching, swelling, skin rash (hives), vomiting, and difficulty breathing are the most common symptoms due to immediate onset (IgE mediated) food allergy. These can occur individually or collectively. What is the timing of onset? IgE mediated food allergies can occur within minutes of ingestion, almost always within a few hours. Delayed onset allergies (milk protein allergy in newborns) may not occur for 1-2 days. How long did the symptoms...