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Referral criteria from primary care - food allergy

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

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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