If mild to moderate allergic proctocolitis is suspected

based on the following:

Blood-positive stool or small amounts of visible blood

in stool).

Weight gain and growth are normal.

Abdominal exam is benign; no abdominal distention

or recurrent vomiting.

Stable hemoglobin and albumin levels (if measured).

i. The infant should continue breastfeeding. The mother should be started on an elimination diet,

continue her daily vitamins as suggested for all breastfeeding mothers, and add calcium supplementation (1,000 mg/day divided into several doses).12 (II-2)47

ii. The elimination diet trial for any given food or food group should be continued for a minimum of 2 weeks and up to 4 weeks. Most cases will improve within 72–96 hours.6

(II-2)47