Anamnesis and clinical picture

  • Family history
  • The clinical picture
  • The first and most valuable data to diagnose Allergy to cow's milk receive thanks to carefully collect the medical history. From here you can get some very important information about the allergic nature of the disease the patient and the first information about suspected allergens. The history should include information on the nature and diet, symptoms, terms of their appearance, as well as a detailed assessment of the reasons and circumstances of their occurrence. Allergy to cow's milk to children of younger age are more frequent than in older age groups. Big prevalence of allergies are also characteristic of children treated with artificial feeding from birth, unlike those who were breastfed at least a short period of time after birth. Often the reason for going to the doctor is a child of the symptoms of gastrointestinal, respiratory or skin diseases in the neonatal period shortly after the start feeding infant formula or gomogenizirovannykh cow's milk. Possible allergies to milk should be considered during the examination of children under the age of 2 years with iron-deficiency anemia of unknown etiology or children of any age with chronic recurrent diseases of the lungs. We should also remember about the possibility of allergies for thrombocytopenia, behavioral deviations or the presence of a variety unclear expressed complaints. Medical history and other information about allergies to any substances or food products besides milk, evidence in favor of immunological mechanisms underlying disease.
    Usually up to the first visit parents do not see the connection between developed the child's symptoms and receive cow's milk. It is much easier to follow this link from older children or adults who consume milk not so often. But even in these cases, particularly if symptoms develop immediately, the patient rarely connects their appearance with food, adopted 8-24 hours ago. In younger children, whose diet consists wholly or mainly of milk, cow's milk naturally is the most common food allergen.
    The amount of milk or dairy products should be strictly accounted for. In individuals with significant sensitivity to milk even insignificant doses it can cause serious consequences, while in other patients the symptoms appear only after ingestion of large quantities of milk. The failure of the child from a particular food can be a sign of allergies to this product [1, 2]; however, some children, on the contrary, happy to eat those foods that cause them to have allergic reactions. Randolph [3] calls it. the phenomenon of "food addiction", we prefer the term "excessive appetite" or "craving for food".
    The practice of keeping a diary feedings very useful for the diagnosis, especially if you have hypersensitivity to many food products or delayed allergic reactions. The greatest value diary is in cases when the causing allergies consumed every day in different quantities. Daily registration of symptoms and diet for several weeks can be an effective way to help identify specific allergens and to eliminate their influence on the organism. In the hands of an experienced researcher such data is extremely valuable. You should also record the time of onset of symptoms and the time of their strengthening, as well as food and its composition. Patients with intermittent symptoms can be recommended to keep a diary, which along with the regime's power would be registered in detail all the events that took place within 24-72 hours before symptoms appear.