Food Allergy Management Flashcards
1
Q
What dietary advice should be given when a child is diagnosed with food allergy?
A
- Exclusions - what to avoid
- Inclusions - what not to avoid
- Label reading - ingredient labeling, patient advisory labels
- Food reintroductions
2
Q
What medical advice should be given if a child has a food allergy?
A
Emergency management of allergic/ anaphylactic reaction
3
Q
What replacement infant formulas are available if a child has a milk allergy?
A
- Extensive Hydrolysed formula - chemically heated breakdown of proteins (~5% protein remains - some may still be symptomatic → move onto amino acid formula)
- Amino acid formula - derived from plants, no milk origin. More expensive
- Soya from >6 months on
4
Q
What is lactose intolerance?
A
Lack of lactase persistance allele
- Symptoms: bloating, flatulence, explosive diarrhoea
- Often subtle and preogressive over years
- Mostly diagnosed as adolescent/ adult
- Not always symptomatic with milk
5
Q
What is the role of lactase?
A
Hydrolysis of lactose → glucose and galactose
Lactase present at the jejunal brush border apex
6
Q
How can milk be reintroduced in milk allergy?
A
The milk ladder
7
Q
What steps can be taken to identify a food thats causing allergy?
A
Medical history → Physical examination → screening tests → Oral food challenge
8
Q
Describe how epipens are used in anaphylaxis
A
blue to sky - orange to thigh
