Baby-Led Weaning with Katie Ferraro Is My Baby Dairy Intolerant? Food Protein Induced Allergic Proctocolitis (FPIAP) with Marion Groetch, MS, RDN
Dec 1, 2022
Marion Groetch, a leading expert in pediatric food allergies and infant nutrition, discusses food protein-induced allergic proctocolitis (FPIAP) and its impact on infants. She addresses how symptoms like blood and mucus in stools can lead to dietary changes and the management strategies for FPIAP. Marion emphasizes the importance of early allergen introduction and how most infants outgrow this condition. The conversation also explores parental concerns and the role of healthcare professionals in navigating food allergies in infants.
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FPIAP is a Non-IgE Allergy
- Food Protein Induced Allergic Proctocolitis (FPIAP) causes blood and mucus in stool in early infancy but infants appear well otherwise.
- FPIAP is a non-IgE mediated food allergy, different from rapid-onset food allergies, diagnosed by symptom resolution and food elimination.
Eliminate Cow's Milk Protein First
- For breastfeeding infants with blood in stool due to FPIAP, eliminate cow's milk protein first and observe symptom resolution.
- Avoid multiple food eliminations as mucus resolution may take longer and might resolve over time without broad diet changes.
Reintroduce Trigger Foods Early
- Reintroduce eliminated allergenic foods, like milk or soy, about four weeks after symptom resolution in FPIAP cases.
- For formula-fed infants, attempt gradual transition back to standard formula after symptoms resolve.