Assessing infants with suspected cow’s milk allergy

Symptoms of mild-to-moderate CMA are very common in otherwise well infants (e.g. vomiting and colic), so clinical judgement is required.¹

There should be increased suspicion of CMA if multiple, persistent, severe or treatment-resistant symptoms are present.¹

Due to the common nature of some symptoms, this has been referred to as the ‘cornerstone of diagnosis’ by the iMAP guideline, including:^1,3

• - Family history of atopic disease
• - Sources of cow’s milk protein
• - Presenting symptoms
• - Details of feeding difficulties and/or poor growth