In this section
The following pre-referral guideline covers recommended pre-referral management and investigations for children of all ages with a suspected food allergy.
The most common foods causing allergies in children are egg, cow's milk, peanuts, tree nuts (e.g.cashews), wheat, soy, fish, shellfish and sesame. Reactions to many other foods do occur, but are less common
Food allergy (caused by an immune mechanism) is different to food intolerance (not caused by an immune mechanism). Examples of intolerance include lactose intolerance due to absence of lactase enzyme in GI tract, monosodium glutamate, skin reactions from strawberries, citrus or tomatoes.
Most food allergies are not life-threatening.
History of allergic reaction -
The GP at first consultation is in the best position to get the most comprehensive information from parents on the details of an allergic reaction. Please collect and include in your referral as much detail as possible. It is increasingly difficult to collect this information later.
Clinical advice Page the 'on-call' Consultant or Allergy and Immunology Fellow.
(03) 9345 5522
RCH Emergency Department:
(03) 9345 6477
Copyright 2009, Royal Children's Hospital (RCH) Victoria, Australia. The RCH is not responsible in any way for application of the procedures or guidelines to patient care at your facility. They are guidelines only and your professional judgment must always prevail. Guidelines may not be reproduced without permission. RCH Kids Connect - Primary Care Liaison.
. These guidelines were developed by specialists at the Royal Children's Hospital and reviewed by general practitioners in Victoria. Last reviewed October 2013.