Cow's Milk Protein Allergy and Pediatric Dysphagia: A Case Study Children with food allergies are challenging, particularly as the impact of allergy on the aerodigestive tract can affect swallowing and willingness to feed. The purpose of this article is to highlight the role of the speech-language pathologist (SLP) working with medically involved children in early stages of food allergy diagnosis, ... Article
Article  |   March 31, 2016
Cow's Milk Protein Allergy and Pediatric Dysphagia: A Case Study
Author Affiliations & Notes
  • Angela Melkonian
    Department of Speech Pathology, Silvercrest Center for Nursing and Rehabilitation, Queens, NY
  • Michelle DiMattia
    Department of Speech Pathology, New York Presbyterian Columbia University Medical Center, New York, NY
  • Financial Disclosure: Angela Melkonian is a speech pathologist at Silvercrest Center for Nursing and Rehabilitation. Michelle DiMattia is a speech pathologist at New York Presbyterian Columbia University Medical Center.
    Financial Disclosure: Angela Melkonian is a speech pathologist at Silvercrest Center for Nursing and Rehabilitation. Michelle DiMattia is a speech pathologist at New York Presbyterian Columbia University Medical Center.×
  • Nonfinancial Disclosure: The authors have previously published in the subject area.
    Nonfinancial Disclosure: The authors have previously published in the subject area.×
Article Information
Swallowing, Dysphagia & Feeding Disorders / Part 1
Article   |   March 31, 2016
Cow's Milk Protein Allergy and Pediatric Dysphagia: A Case Study
Perspectives of the ASHA Special Interest Groups, March 2016, Vol. 1, 10-16. doi:10.1044/persp1.SIG13.10
History: Received July 20, 2015 , Revised September 18, 2015 , Accepted September 26, 2015
Perspectives of the ASHA Special Interest Groups, March 2016, Vol. 1, 10-16. doi:10.1044/persp1.SIG13.10
History: Received July 20, 2015; Revised September 18, 2015; Accepted September 26, 2015

Children with food allergies are challenging, particularly as the impact of allergy on the aerodigestive tract can affect swallowing and willingness to feed. The purpose of this article is to highlight the role of the speech-language pathologist (SLP) working with medically involved children in early stages of food allergy diagnosis, with comorbidities that complicate the process of diagnosing and managing dysphagia. Patients are often referred to the SLP at the onset of various feeding and swallowing problems. The SLP should be able to recognize the manifestations of allergy on the aerodigestive tract as it relates to dysphagia, assess for risk factors for allergy, understand the findings and limitations of allergy testing, and identify children who are appropriate for referral to other members of the pediatric interdisciplinary team, including allergists, gastroenterologists, pulmonologists, otolaryngologists, and nutritionists.

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