Food protein-induced enterocolitis syndrome digital illustration

Food protein-induced enterocolitis syndrome Save


ICD-10 code: K52.21

Disease category: K52.2: Allergic and dietetic gastroenteritis and colitis

Understanding Food Protein-Induced Enterocolitis Syndrome (FPIES)

Food Protein-Induced Enterocolitis Syndrome (FPIES) is a rare, non-IgE mediated gastrointestinal disorder that primarily affects infants and young children. It is characterized by severe vomiting, diarrhea, and sometimes even life-threatening symptoms. This condition is triggered by the ingestion of certain food proteins, commonly found in milk, soy, grains, and other solid foods.

FPIES is often misdiagnosed or unrecognized due to its uncommon nature and the similarity of its symptoms with other gastrointestinal disorders. It is crucial for both parents and healthcare professionals to be aware of this condition and its symptoms to ensure an accurate diagnosis and appropriate management.

While FPIES can be distressing for both the child and their family, it is important to remember that it is a manageable condition. By avoiding trigger foods and following a careful diet plan, the symptoms can be controlled, and the child can lead a normal and healthy life.

Here are some key points to understand about FPIES:

  1. Symptoms: FPIES typically presents with severe vomiting, diarrhea, and dehydration, usually occurring within two to six hours after ingesting the trigger food. In some cases, symptoms may even progress to lethargy and hypovolemic shock, requiring immediate medical attention.
  2. Diagnosis: A diagnosis of FPIES is primarily based on the patient's medical history and symptoms. In some cases, oral food challenges may be conducted under medical supervision to confirm the triggers.
  3. Trigger Foods: The most common trigger foods for FPIES include cow's milk, soy, grains (such as rice and oats), and certain vegetables. It is important to note that each individual may have different trigger foods, and these can vary from person to person.
  4. Management: The mainstay of FPIES management involves avoiding the trigger foods completely. In severe cases, emergency medications may be prescribed to manage acute symptoms. Working closely with a healthcare professional and a registered dietitian is crucial to ensure a well-balanced and nutritionally adequate diet for the child.

While FPIES can be challenging to deal with, proper understanding and management can significantly improve the quality of life for both the child and their family. If you suspect your child may have FPIES, it is important to consult with a healthcare professional for an accurate diagnosis and personalized treatment plan.

Treatment of Food protein-induced enterocolitis syndrome:

Treatment Options for Food Protein-Induced Enterocolitis Syndrome (FPIES)

Food Protein-Induced Enterocolitis Syndrome (FPIES) is a rare but serious gastrointestinal disorder that primarily affects infants and young children. It is characterized by severe vomiting, diarrhea, and dehydration, often occurring shortly after consuming certain foods. If your child has been diagnosed with...

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