CONSULTANT | WHEN TO REFER |
---|---|
Dietitian | Counseling for lactating mothers at the time of diagnosis |
Counseling for introduction of solid foods | |
Allergist | Suspected anaphylactic allergy |
Allergy testing before reintroducing milk (if IgE-mediated allergy is suspected) | |
Suspected multiple food allergies (not just milk proteins) | |
Pediatrician or pediatric gastroenterologist | Significant weight loss (> 20% of birth weight or > 10% current weight if birth weight surpassed) |
Failure to thrive refractory to initial management | |
Symptoms refractory to amino acid–based formula | |
Feeding aversion |
Data from Høst.10