Symptom Checklist - Tools - What can I do?

Allergic reactions can affect different areas of the body but are most likely to appear on the skin, in the tummy area and the respiratory tract.

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If you're worried that your baby may have CMA, the symptom checklist below may give you more information. You should always speak to your doctor if you have any concerns about your baby. The questions below will help to summarise your baby's symptoms into a report that you can take to your doctor.

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Question 1 of 18

How old is your baby?

<6 months 6-12 months >12 months Skip

Does your baby vomit more than usual or outside of meal times?

Babies often spit up bits of food, but vomiting beyond the typical mealtime regurgitation should be examined by a doctor. Reflux symptoms, often accompanied by signs of distress (such as back-arching and restlessness), can be a symptom of cow's milk allergy.

Yes Sometimes Rarely No Skip

Vomiting
Vomiting is the forceful expulsion of the contents of one's stomach through the mouth and sometimes the nose.

Does your baby suffer with reflux?

Yes Sometimes Rarely No Skip

Reflux
Reflux is a chronic symptom caused by stomach acid coming up from the stomach into the oesophagus.

Does your baby suffer from wind or bloating?

Most babies experience wind, but when it occurs along with several other symptoms, it can signal an allergy to cow’s milk and should be examined by a doctor.

Yes Sometimes Rarely No Skip

Wind or bloating
Wind can be described as a general swelling, or increase in diameter of the abdominal area.

Does your baby have diarrhoea?

Diarrhoea is common in babies, but if it is persistent and/or if there is blood in the stool, it could signal cow's milk allergy and should be examined by a doctor.

Yes Sometimes Rarely No Skip

Diarrhoea
Diarrhoea is frequent loose, watery stools.

Does your child have constipation?

Yes Sometimes Rarely No Skip

Constipation
Constipation refers to bowel movements that are infrequent and/or hard to pass

Does your baby suffer from red, raised lumps skin (hives)?

Yes Sometimes Rarely No Skip

Does your baby suffer from dry, scaly, itchy skin (eczema)?

Yes Sometimes Rarely No Skip

Eczema
Eczema is a form of dermatitis, or inflammation of the outer layer of the skin

Does your baby suffer from repeated sneezing, coughing or wheezing?

Yes Sometimes Rarely No Skip

Have you noticed any eye, lip or facial swelling after feeding your baby?

Yes Sometimes Rarely No Skip

Eye, lip and facial swelling
A swelling is an accumulation of fluid beneath the skin.

When did you first notice the symptoms that you selected yes to above?

<1 week 1-3 weeks >4 weeks Skip

Is your child restless whilst sleeping or inconsolable when awake and crying?

Yes Sometimes Rarely No Skip

Restless sleeping
Restless sleeping is characterised by persistent difficulty falling asleep and/or staying asleep or sleep of poor quality.

Does your baby arch their back as a sign of discomfort?

Yes Sometimes Rarely No Skip

Back arching
Back arching, during or after feeding, can occur in babies with significant reflux

Does your baby refuse to be fed or struggle with weight gain?

Yes Sometimes Rarely No Skip

How is your baby being fed?

Breast milk Breast milk and formula milk Formula milk only

If you started using formula milk did you notice the symptoms around the same time as this was introduced?

Yes No Skip

Have you started weaning your baby onto solid foods

Yes No

If you have started weaning your baby, did you notice symptoms particularly around the same time you started introducing solids?

Yes No Skip

Does the baby’s direct and/or non-direct family have any allergies or eczema/ asthma? (direct = mum, dad, brothers and sisters; indirect = grandparents, aunts, uncles, cousins).

Direct Indirect Both No

your answers

1 . How old is your baby?

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2 . Does your baby vomit more than usual or outside of meal times?

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3 . Does your baby suffer with reflux?

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4 . Does your baby suffer from wind or bloating?

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5 . Does your baby have diarrhoea?

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6 . Does your child have constipation?

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7 . Does your baby suffer from red, raised lumps skin (hives)?

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8 . Does your baby suffer from dry, scaly, itchy skin (eczema)?

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9 . Does your baby suffer from repeated sneezing, coughing or wheezing?

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10 . Have you noticed any eye, lip or facial swelling after feeding your baby?

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11 . When did you first notice the symptoms that you selected yes to above?

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12 . Is your child restless whilst sleeping or inconsolable when awake and crying?

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13 . Does your baby arch their back as a sign of discomfort?

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14 . Does your baby refuse to be fed or struggle with weight gain?

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15 . How is your baby being fed?

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16 . If you started using formula milk did you notice the symptoms around the same time as this was introduced?

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17 . Have you started weaning your baby onto solid foods

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18 . If you have started weaning your baby, did you notice symptoms particularly around the same time you started introducing solids?

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19 . Does the baby’s direct and/or non-direct family have any allergies or eczema/ asthma? (direct = mum, dad, brothers and sisters; indirect = grandparents, aunts, uncles, cousins).

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Your answers can help you prepare for the appointment with your doctor. You can print this page and take the print out with you on your next appointment.

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Common CMA symptoms

What can I do?

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