Cow's milk protein colitis (also called food protein-induced allergic proctocolitis or FPIAP) is a benign, self-limited non-IgE-mediated food allergy that typically presents in otherwise healthy infants with blood-streaked, mucoid stools. It is the most common cause of rectal bleeding in infancy and usually resolves within the first 1-2 years of life.

London Plane irritates in two distinct ways:

• Like birch or grass, the tree releases wind-borne pollen. This triggers a standard IgE-mediated allergic response.

• As the leaves and seed balls emerge in spring, they are covered in tiny, stiff, umbrella-shaped hairs. These hairs are physically "spiky" and act as a mechanical irritant to the mucous membranes of the eyes and throat.

Common questions in clinic include:

Can proteins in Breast Milk Cause Allergies? Is a restrictive maternal diet the answer? How do I identify if my baby’s symptoms are related to my diet? Can my diet impact my babies' long-term allergy risk?

• Pea, lentil, and chickpea are increasingly common food allergies. These allergies are outgrown in approximately 20-32% of children by age 15

• Peanut allergy does not always mean allergy to other legumes.

• We offer OIT for these allergens as part of our ACE service.

Whilst nursery attendance increases the frequency of illness in the short term, it offers long-term immunological benefits.

Walnut allergies are a leading cause of nut-induced allergic reactions, including anaphylaxis.

There is a high risk of "co-allergy" with pecans due to nearly identical protein structures.

Walnut and Pecan allergies are rarely outgrown and typically require lifelong vigilance and, in the absence of OIT, the constant presence of an epinephrine auto-injector or Neffy device.

We offer OIT for these allergens as part of our ACE service.

Sesame Oral Immunotherapy (OIT) has emerged as a Sesame Oral Immunotherapy (OIT) has become a medical therapy for children with severe sesame allergies. Unlike simple avoidance, OIT aims to retrain the immune system by allowing the regular, supervised consumption of small amounts of sesame protein.

Benefits of pollen immunotherapy include modifying the disease process, leading to long-term tolerance; preventing allergic rhinitis from progressing to asthma; reducing new sensitisations to allergens; maintaining clinical efficacy after treatment discontinuation; and improving control of allergic symptoms while decreasing medication use.

The decision to discontinue Palforzia globally is strictly a commercial and strategic move by the manufacturer. It is unrelated to the treatment's quality, safety, or effectiveness, which remain clinically proven.

• The classic features of lactose intolerance in infants may include: watery, acidic diarrhoea, abdominal distension, flatulence and, in severe cases, failure to thrive and dehydration (if lactose-containing feeds are continued).

The NICE guidelines for infantile colic emphasise reassurance, parental support, soothing techniques such as holding, white noise, motion, and winding, as well as ruling out serious issues, such as feeding problems or allergies. Fortunately, colic typically resolves by the ages of 3 to 6 months.

• The allergic march, aka the atopic march, is a concept describing the possible progression of allergies through childhood.

• The "march" is not universal or linear; trajectories vary and are influenced by genetic predispositions, environmental exposures (e.g., the microbiome, pollutants), and immunologic factors.

• We at London Allergy Consultants are delighted to announce that we have recommenced our specialised Surrey Allergy clinics.

• There are clinic days open in Jan 2026 and Feb so please feel free to contact outr office

Symptoms of silent reflux may include:

• Feeding refusal

• Irritability (especially during or after feeds)

• Back arching, hip flexion, rigid posture

• Choking, gagging, or coughing and may smell of sickness when this happens

• Unexplained or inconsolable crying

Is the use of a Hydrolysed Rice Milk Formula safe and effective for use in infants with Cow’s Milk Protein Allergy?

Is it safe to eat sesame oil if you're allergic to sesame? This is a common question in our allergy clinic and is worth exploring in more detail.

Is it normal for a baby to have mucus streaks in their poo? This can be a frightening sight for parents and is a common question raised in our Allergy clinic.

Soy-Based Formula is a safe, nutritious, and cost-effective option for healthy infants with IgE-mediated Cow's Milk Allergy, provided the child does not have a separate soy allergy.

Are the nasal and injectable flu vaccines in the UK safe for my egg-allergic child? This is one of the most common questions we are asked in clinic this time of year, the quick answer is YES, and the vaccines can be provided in the normal medical setting, but please have a read of this post for a more detailed answer.

• Our London Allergy Consultants is based in the brand-new Allergy Centre of Excellence (ACE) at 10 Duchess Street, London.

• ACE was designed with patient safety, child-friendly spaces, and multidisciplinary expertise in mind. We have an on-site Allergy Pharmacy, Phlebotomy, Lab, and PICU Specialist coverage.

• ACE is one of the largest providers of International Oral Immunotherapy (OIT) and offers Oral Challenge tests

• ACE Research offers enrolment in clinical trials.