{"id":2473,"date":"2019-12-02T06:25:00","date_gmt":"2019-12-02T06:25:00","guid":{"rendered":"http:\/\/papergp.com\/index.php\/others\/food-allergy\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"food-allergy","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/others\/misc\/food-allergy\/","title":{"rendered":"Food allergy"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Data gathering<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Speed of onset of symptoms <\/li><li>Which food(s) ingested?<\/li><li>IgE (usually minutes post exposure)<ul><li>Skin: urticaria, angioedema<\/li><li>ENT: rhinitis, conjunctivitis<\/li><li>Respiratory: wheeze, stridor<\/li><li>GI: vomiting<\/li><\/ul><\/li><li>Non-IgE (can be delayed)<ul><li>Skin: atopic eczema <\/li><li>GI: GORD, abdominal discomfort, loose stools, vomiting<\/li><\/ul><\/li><li>Reproducible reaction<\/li><li>Feeding history &#8211; breast fed, formula fed, timing of feeds changed<\/li><li>Allergic co-morbidities &#8211; atopy<\/li><li>FH &#8211; allergies, atopy<\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<h4 class=\"wp-block-heading\">Clinical Management<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Non-IgE<ul><li>Elimination of allergen for 2-4 weeks<\/li><li>If symptoms do not improve, allergy unlikely, treat reflux \/ constipation \/ allergy specifically<\/li><li>Consider paediatric dietitian referral<\/li><li>Consider paediatric allergy clinic if child has faltering growth or multiple foods responsible<\/li><\/ul><\/li><li>IgE<ul><li>Refer to allergy clinic<\/li><\/ul><\/li><\/ul>\n\n\n\n<pre class=\"wp-block-preformatted\"><a href=\"http:\/\/rms.kernowccg.nhs.uk\/rms\/primary_care_clinical_referral_criteria\/paediatrics\/allergy\/food_allergy\">http:\/\/rms.kernowccg.nhs.uk\/rms\/primary_care_clinical_referral_criteria\/paediatrics\/allergy\/food_allergy<\/a><\/pre>\n\n\n\n<pre class=\"wp-block-preformatted\"><a href=\"https:\/\/www.wandsworthccg.nhs.uk\/aboutus\/Referral%20Guidelines%20v20\/GP%20Allergy%20Notes.pdf\">https:\/\/www.wandsworthccg.nhs.uk\/aboutus\/Referral%20Guidelines%20v20\/GP%20Allergy%20Notes.pdf<\/a><\/pre>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Speed of onset of symptoms Which food(s) ingested? IgE (usually minutes post exposure) Skin: urticaria, angioedema ENT: rhinitis, conjunctivitis Respiratory: wheeze, stridor GI: vomiting Non-IgE (can be delayed) Skin: atopic eczema GI: GORD, abdominal discomfort, loose stools, vomiting Reproducible reaction Feeding history &#8211; breast fed, formula fed, timing of feeds changed Allergic co-morbidities &hellip; <a href=\"https:\/\/papergp.com\/index.php\/others\/misc\/food-allergy\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Food allergy<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2487,"menu_order":203,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2473","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2473","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=2473"}],"version-history":[{"count":3,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2473\/revisions"}],"predecessor-version":[{"id":2477,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2473\/revisions\/2477"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2487"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=2473"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}