Table 1.

Common Feeding Difficulties Resulting From Symptoms Caused by Each Non–IgE-Mediated Food Allergic Gastrointestinal Disorder

NoneIgE-mediated food allergic gastrointestinal disorder	Symptoms associated with the development of feeding difficulties	Common presenting feeding difficulty
EoE	Vomiting, abdominal pain, dysphagia, early satiety, faltering growth	Fear of eating (ie, fear of swallowing or food stuck in the esophagus, possible pain with eating)
		Selective eating (ie, selective about textures) Limited appetite and food refusal (ie, consume small amounts)
EGIDs besides EoE	Vomiting, abdominal pain, diarrhea	Fear of eating (ie, fear of abdominal pain and discomfort) Selective eating (ie, selective about texture)
		Limited appetite (ie, attributable to dysmotility that affects appetite and satiety)
FPIES	Acute vomiting, shock	Fear of eating (ie, concern of further reactions)
		Selective eating (ie, limiting variety of food because of fear of new reactions)
FPIP	Blood in the stool	Parental fear of feeding
Food proteineinduced allergic dysmotility disordersa	Vomiting, diarrhea, constipation,b faltering growth	Fear of feeding
		Selective intake
		Limited appetite

Abbreviations: EGIDs, eosinophilic gastrointestinal disorders; EoE, eosinophilic esophagitis; FPIES, food protein–induced enterocolitis syndrome, FPIP, food protein–induced proctocolitis.

^aThis includes dysmotility conditions that can be food protein induced, including gastroesophageal reflux disease² and constipation.^3,4

^bShould only be considered in food allergy if associated with other atopic symptoms and if standard dietary and medical management is not effective.