Step 1 -Commence CMP free diet
Step 1 -Commence CMP free diet
adapted from regional guideline
Presenting symptoms:
• Gut
• Skin
• Respiratory
Feeding history:
• Formula fed
• Exclusively breast fed
• Mixed feeding
• Weaned
Could this be CMA?
• Previous Dx and response to treatment
• Atopic eczema - moderate to severe
• Faltering growth?
• FH of atopy in a 1st degree relative
Emergency admission
Urgent referral
Early referral
Primary care management
Exclusively breast fed
Formula fed
Mixed feeding
•Start eHF for 2-4 wk
•Refer dietician
•Strict exclusion of CMP for 2-4 wk
•Refer dietician
•Start maternal calcium and Vit D3
•Strict exclusion of CMP for 2-4 wk
•Top up with eHF
•Refer dietician
•Start maternal calcium and Vit D3