{"id":1753,"date":"2017-08-24T06:35:59","date_gmt":"2017-08-24T06:35:59","guid":{"rendered":"http:\/\/papergp.com\/index.php\/paediatrics\/cows-milk-protein-allergy\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"cows-milk-protein-allergy","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/paediatrics\/cows-milk-protein-allergy\/","title":{"rendered":"Cows Milk Protein Allergy"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Non IgE-mediated CMPA (delayed) symptoms<\/h4>\n<p>Occurs within 2-72 hours of ingestion<\/p>\n<ul>\n<li>Red flags &#8211; blood\/mucus in stools, vomiting, faltering growth, severe eczema<\/li>\n<li>GI &#8211; colic, vomiting, reflux, constipation, loose stools, food refusal, blood\/mucus in stools, faltering growth<\/li>\n<li>Skin &#8211; itching, redness, eczema<\/li>\n<li>Respiratory &#8211; rhinitis<\/li>\n<\/ul>\n<h4>IgE-mediated CMPA (acute) symptoms<\/h4>\n<ul>\n<li>Red flags &#8211; anaphylaxis<\/li>\n<li>GI &#8211; diarrhoea\/vomiting, abdominal pain<\/li>\n<li>Skin &#8211; acute itching, erythema, urticaria, angioedma<\/li>\n<li>Respiratory &#8211; rhinitis<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Avoid initial IgE blood tests<\/li>\n<\/ul>\n<\/li>\n<li>Treatment\n<ul>\n<li>If breast fed\n<ul>\n<li>Mum to exclude all cow&#8217;s milk and soya from her diet and to take daily calcium (1000mg) + vitamin D (10mcg\/400 IU) supplements<\/li>\n<li>Most symptoms should settle within 2-4 weeks<\/li>\n<\/ul>\n<\/li>\n<li>If formula fed\n<ul>\n<li>First line: Extensively hydrolysed formula e.g. Nutramigen\n<ul>\n<li>Nutramigen 2 when child is &gt;6 months old<\/li>\n<\/ul>\n<\/li>\n<li>Second line: Amino Acid Formula e.g. Neocate LCP<\/li>\n<\/ul>\n<\/li>\n<li>Refer to paediatrics\n<ul>\n<li>Confirmation of diagnosis<\/li>\n<li>Dietician<\/li>\n<li>Planned and supervised reintroduction<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>Follow-up \/ Safety-net\n<ul>\n<li>Will need to continue with cow&#8217;s milk free diet until 9-12 months and then a planned reintroduction using the milk ladder will need to be done<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Non IgE-mediated CMPA (delayed) symptoms Occurs within 2-72 hours of ingestion Red flags &#8211; blood\/mucus in stools, vomiting, faltering growth, severe eczema GI &#8211; colic, vomiting, reflux, constipation, loose stools, food refusal, blood\/mucus in stools, faltering growth Skin &#8211; itching, redness, eczema Respiratory &#8211; rhinitis IgE-mediated CMPA (acute) symptoms Red flags &#8211; anaphylaxis GI &#8211; &hellip; <a href=\"https:\/\/papergp.com\/index.php\/paediatrics\/cows-milk-protein-allergy\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Cows Milk Protein Allergy<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":96,"menu_order":83,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1753","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1753","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=1753"}],"version-history":[{"count":5,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1753\/revisions"}],"predecessor-version":[{"id":1952,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1753\/revisions\/1952"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/96"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=1753"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}