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FoodAllergy
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> 2011 NICE guidelines differentiate between IgE mediated and non-IgE mediated allergies food intolerance is not the same - not caused by by immune system dysfunction. ''IgE-mediated'' Skin - pruritus, erythema, urticaria, angioedema GI - nausea, colicky abdominal pain, vomiting, diarrhoea RS - URT - nasal itching,sneezing, rhinorrhoea or congestion (with or without conjunctivitis), LRT - chest tightness, wheezing or shortness of breath anaphylaxis ''Non-IgE-mediated'' Skin - pruritus, erythema, atopic eczema GI - ... gastro-oesophageal reflux disease loose or frequent stools blood and/or mucus in stools abdominal pain infantile colic food refusal or aversion constipation perianal redness pallor and tiredness faltering growth plus one or more gastrointestinal symptoms above (with or without significant atopic eczema) If Hx suggests IgE-mediated allergy - offer skin prick test or blood tests for specific IgE antibodies to the suspected foods and likely co-allergens If Hx suggests non-IgE-mediated allergy - eliminate suspected allergen for 2-6 weeks, then reintroduce. (via dietician)
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