Could it be cow's milk allergy?

1

Is your baby’s skin red/itchy?* This field is required.Reference: Venter C et al. Clin Trans Allergy 2017;7:26.

Never

Sometimes

Often

2

Does your baby’s skin have a rash or red swellings (known as hives)?* This field is required.Reference: Venter C et al. Clin Trans Allergy 2017;7:26.

Never

Sometimes

Often

3

Is your baby’s skin (e.g. cheeks) or body parts (such as limbs/tummy) swollen and red?* This field is required.Reference: Venter C et al. Clin Trans Allergy 2017;7:26.

Never

Sometimes

Often

4

Is your baby uneasy with skin that seems to irritate them or that they try to scratch?* This field is required.Reference: Venter C et al. Clin Trans Allergy 2017;7:26.

Never

Sometimes

Often

5

Does your baby often have diarrhea?* This field is required.Reference: Venter C et al. Clin Trans Allergy 2017;7:26.

Never

Sometimes

Often

6

Does your baby often have constipation?* This field is required.Reference: Venter C et al. Clin Trans Allergy 2017;7:26.

Never

Sometimes

Often

7

Is feeding followed by significant spitting up/reflux?* This field is required.Reference: Venter C et al. Clin Trans Allergy 2017;7:26.

Never

Sometimes

Often

8

Does your baby experience colic (crying longer than 3 hours a day, more than 3 times a week for at least 3 weeks)?* This field is required.Reference: Vandenplas Y et al. Arch Dis Child 2007;92:902-908.

Never

Sometimes

Often

9

Does your baby experience bloating and excessive gas (e.g. do they pull up their legs or suddenly straighten them out)?* This field is required.Reference: Venter C et al. Clin Trans Allergy 2017;7:26.

Never

Sometimes

Often

10

Does your baby have blood or mucus in their poop?* This field is required.Reference: Venter C et al. Clin Trans Allergy 2017;7:26.

Never

Sometimes

Often

11

During feeding, does your baby hiccup, struggle to swallow their milk or vomit?* This field is required.References: Venter C et al. Clin Trans Allergy 2017;7:26. 2. Koletzko S et al. JPGN 2012;55:221-229.

Never

Sometimes

Often

12

Does your baby have a chronic cough or do they wheeze?* This field is required.Reference: Koletzko S et al. JPGN 2012;55:221-229.

Never

Sometimes

Often

13

Does your baby have a clear, watery discharge from the nose?* This field is required.References: 1. Venter C et al. Clin Trans Allergy 2017;7:26. 2. Koletzko S et al. JPGN 2012;55:221-229.

Never

Sometimes

Often

14

After having milk, is your baby's mouth or face puffy or swollen?* This field is required.References: 1. Venter C et al. Clin Trans Allergy 2017;7:26. 2. Koletzko S et al. JPGN 2012;55:221-229.

Never

Sometimes

Often

15

Is your baby irritated during feeding or directly afterwards, or do they seem to be reluctant to feed?* This field is required.References: 1. Venter C et al. Clin Trans Allergy 2017;7:26. 2. Koletzko S et al. JPGN 2012;55:221-229.

Never

Sometimes

Often

16

Does your baby have problems with weight gain?* This field is required.References: 1. Venter C et al. Clin Trans Allergy 2017;7:26. 2. Koletzko S et al. JPGN 2012;55:221-229.

Never

Sometimes

Often

17

Email AddressWe will send you a copy of your answers to share with your doctor.

example@example.com

18

Total Score