Perianal abscess related to food allergy?

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sandy1377
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Joined: Mon Feb 09, 2015 4:12 pm
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by sandy1377 on Mon Feb 09, 2015 4:45 pm

Perianal abscess related to food allergy?

My 4 year old had a perianal abscess when he was one, it developed into 2 fistulae. This was operated on and everything settled down. A few months back he got another abscess...so Drs carried out an Mri and scopes. They found mild inflammation through out all his gut. He has never had any GI symptoms. But Drs think it may be a cows milk protein allergy. He has had 6 weeks of antibiotics and a dairy/ soy free diet. The abscess went, but we still have no definite diagnosis.he was getting very bloated after wasting bread,, so I took the gluten out of his diet and he seems better now. But we still don't know what is happening. What can we do to get a more definitive diagnosis? Is this something anyone has dealt with?

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Dr Helen Brough
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Joined: Wed Feb 16, 2011 3:36 pm
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by Dr Helen Brough on Wed Feb 11, 2015 11:26 pm

Re: Perianal abscess related to food allergy?

A perianal abscess is a very unusual presentation of delayed cow's milk protein allergy.
It would be useful to know if there were any 'allergy cells' (eosinophils) in his gut and whether the inflammation was due to this. Unfortunately there are no good tests for delayed gastrointestinal food allergies apart from taking the food strictly out of the diet for 4-6 weeks and then reintroducing it.

Bloating secondary to gluten intake may be due to coeliac disease, however if your son had an endoscopy of his gut including the first part of the small bowel (duodenum/jejenun) whilst on gluten the gastroenterologist would have seen evidence of coeliac disease probably just by looking at the bowel but if not then most likely in the biopsies.

Kind regards,
Dr Helen Brough
Consultant in Paediatric Allergy
Guy's & St. Thomas' NHS Foundation Trust

http://www.talkhealthpartnership.com/on ... brough.php

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