Referral criteria from primary care - food allergy
Referral to secondary or specialist care
Based on the allergy-focused clinical history, consider referral to secondary or specialist care in any of the following circumstances
The child or young person has:
- faltering growth in combination with one or more of the gastrointestinal symptoms
- gastrointestinal
IgE-mediated | non-IgE-mediated |
angioedema of the lips, tongue and palate | gastro-oesophageal reflux disease |
oral pruritus | loose or frequent stools |
nausea | blood and/or mucus in stools |
colicky abdominal pain | abdominal pain |
vomiting | infantile colic |
diarrhoea | food refusal or aversion |
constipation | |
perianal redness | |
pallor and tiredness | |
faltering growth in conjunction with at least one or more gastrointestinal symptoms above (with or without significant atopic eczema) |
- or not responded to a single-allergen elimination diet, or
- had one or more acute systemic reactions, or
- had one or more severe delayed reactions, or
- has confirmed IgE-mediated food allergy and concurrent asthma , or
- has significant atopic eczema where multiple or cross-reactive food allergies are suspected by the parent or carer
Referral for specialist advice is also indicted if either there is:
- persisting parental suspicion of food allergy (especially in children or young people with difficult or perplexing symptoms) despite a lack of supporting history, or
- strong clinical suspicion of IgE-mediated food allergy but allergy test results are negative, or
- clinical suspicion of multiple food allergies
Reference:
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