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? |