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The article discusses the management of mild hematochezia in infants under 6 months, focusing on the potential causes and treatment options. It introduces a new approach called the Rapid Elimination Diet (RED) that involves eliminating seven suspect foods from the mother's diet simultaneously for one week. The article also highlights the debate surrounding the necessity of an elimination diet for infants with hematochezia and suggests alternative management options. Additionally, it emphasizes the need for further research to determine the prevalence of food allergies as a cause of rectal bleeding in infants. [Extracted from the article]

This article discusses the diagnosis of paediatric mild acute Food Protein-Induced Enterocolitis Syndrome (FPIES). The current diagnostic criteria for FPIES may not accurately diagnose milder cases of the disease. The article proposes new criteria for the diagnosis of paediatric mild acute FPIES. The study retrospectively reviewed cases of paediatric mild acute FPIES and found that the new diagnostic and suspicion criteria were able to identify all 15 cases. The article provides detailed information on the patients' demographics and symptoms. These new diagnostic and suspicion criteria aim to include all mild forms of pediatric acute FPIES and may be useful for community pediatricians, although they have not been prospectively validated and are based on expert opinion. [Extracted from the article]

Food protein-induced enterocolitis syndrome (FPIES) is a food allergy that results in repetitive vomiting, lethargy, and pallor within 1 to 4 hours of food ingestion. One of the issues in its management is the introduction of new foods. Over the past 25 years, suggestions have been made mainly based on the likelihood that a given food family could induce an episode of acute FPIES. Thus, foods have been categorized into low, moderate, and high risk. The suggestion was always to postpone the introduction of moderate- or high-risk foods, leaving the decision whether to introduce them at home or in hospital to the doctor. These suggestions were designed for all children with acute FPIES, regardless of their geographical area. However, it is true that these suggestions are the result of expert opinion. In recent years, studies have been published that have shown that the risk category of foods varies according to geographical area and so does the prevalence of single FPIES versus multiple FPIES. For this reason, we believe that the introduction of new foods in the child with acute FPIES can and should be tailored according to the geographical area., (Copyright © 2023 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.)