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Table 2 Parent interview questionnaire

From: Manifestations of food protein induced gastrointestinal allergies presenting to a single tertiary paediatric gastroenterology unit

Does your child have one or more of the following?

Yes

No

Does anyone in your immediate family (parents and siblings) have any allergic rhinitis/asthma/eczema/ food allergies/ intolerances?

What foods did you have to eliminated from your child’s diet as part of their treatment?

Milk

Soya

Egg

Wheat

Other

What food(s) is your child still required to avoid?

Milk

Soya

Egg

Wheat

Other

Was your child ever on a hypoallergenic milk formula during the treatment of their allergic condition? If so, which one?

Amino acid formula (Neocate LCPâ„¢, Nutramigen AAâ„¢)

Extensively hydrolysed formula ( Nutramigen Lipil 1/2â„¢, Pepti Juniorâ„¢, Pepti 1 or 2â„¢)

Soy formula (Infasoyâ„¢, Wysoyâ„¢)

Other

Does your child currently experience any of these?

Diarrhoea?

Loose watery stools (Bristol stool chart) > 3 per day or more than usual.

Constipation?

Excessive straining, low frequency, hard stools as per Bristol stool chart.

Vomiting?

Constant unexplained vomiting often associated with abdominal pain.

Abdominal pain?

Chronic abdominal pain that affected daily functioning such as school and sleep.

Faltering growth/significant weight loss/poor weight gain?

Weight loss and/or suboptimal height for age or faltering growth before/during the

allergy treatment

Food aversive behaviour?

Child persistently pushing food away, gagging on food, holding food in mouth, spitting or throwing food, and crying before and during meals.

Flatus/bloating/abdominal distension?

Gassy bloating of the stomach which extends stomach and feels hard to press on. Also excessive belching and flatus.

Screaming/ Back arching after feeding/ related to food?

Continuous screaming as infant associated with back arching and kicked their legs out straight.

Frequent respiratory and viral infections requiring GP attention?

Frequent respiratory and viral infections requiring general practitioner /paediatrician’s attention (> 1 infection per month and lasting longer compared to siblings)

Have any of these symptoms improved or are not experienced by your child since the treatment for food allergies?

Do you think that your child has outgrown their food allergy?