This review on Cow's milk allergy is excellent and timely as it comes with pathways which should be easy to follow in primary care.
Nevertheless the plethora of milks available, some marketed as being easier to digest and others which are prescription only; makes it even more confusing for "well informed" parents.
From personal experience, some babies are more unsettled than others and as suggested by the authors, following an elimination diet a home challenge using cow's milk should be an integral step of the diagnostic process.
A universal and clear care plan for parents would help them gain confidence in this decision making process which can be perplexing in non IGE mediated Allergy.
It is of course very important to remember that a variety of rare but potentially dangerous conditions ( metabolic / cardiac) can present similarly in young babies who seem fussy and slow to grow.
An early referral to the local Paediatric team should still be contemplated, should there be continuing concerns about the diagnosis.
Rapid Response:
Re: Managing cows’ milk allergy in children
This review on Cow's milk allergy is excellent and timely as it comes with pathways which should be easy to follow in primary care.
Nevertheless the plethora of milks available, some marketed as being easier to digest and others which are prescription only; makes it even more confusing for "well informed" parents.
From personal experience, some babies are more unsettled than others and as suggested by the authors, following an elimination diet a home challenge using cow's milk should be an integral step of the diagnostic process.
A universal and clear care plan for parents would help them gain confidence in this decision making process which can be perplexing in non IGE mediated Allergy.
It is of course very important to remember that a variety of rare but potentially dangerous conditions ( metabolic / cardiac) can present similarly in young babies who seem fussy and slow to grow.
An early referral to the local Paediatric team should still be contemplated, should there be continuing concerns about the diagnosis.
Competing interests: No competing interests