What to give a child with milk allergy
Around 1 in 10 young children has a reaction when they drink cow’s milk. This could be because they own a lactose intolerance or a milk allergy. Milk allergy is more common than lactose intolerance in children under 5.
Lactose intolerance is a problem with the digestive system – it means your kid doesn’t own the enzyme needed to digest lactose, which is the sugar in milk.
Milk allergy, however, is a problem with the immune system — the body reacts to the protein in milk. An allergy generally involves other parts of the body as well as the stomach, and may cause symptoms such as a skin rash or swelling of the face.
Your doctor can confirm whether your kid is lactose-intolerant or has a milk allergy by doing some medical tests. Don’t use unproven tests such as Vega, kinesiology, Alcat or allergy elimination tests for children. A milk intolerance is unlikely to be the cause of mucus or coughing.
Many young children grow out of their intolerance or allergy.
But don’t start giving them cow’s milk until your doctor tells you it’s safe to do so.
Cow’s milk allergy
Cow’s milk allergy is one of the most common food allergies in young children. It generally disappears by the time they reach school age. It occurs when your child’s immune system reacts to the protein in milk.
Symptoms and diagnosis
Reactions to milk can happen within minutes or not for several days.
Rapid reactions include:
- swelling of the lips, face or eyes
- a swollen or tight throat
- stomach pain
- a swollen tongue
- noisy breathing or wheezing
- a hoarse voice
- hives (urticaria)
- change in consciousness or floppiness in babies or young children
Delayed reactions include:
- an increase in eczema
- blood or mucus in stools
- vomiting and/or diarrhoea 2-24 hours after having milk
It is extremely significant to see a doctor if your kid has the symptoms of milk allergy.
The condition is diagnosed using the history of symptoms or can sometimes be confirmed with an allergy test.
If your kid is allergic to milk, you need to completely remove dairy products from their diet. Follow your doctor’s or allergy specialist’s advice and read food labels carefully. You may also need to avoid milk from other animals, such as goats, as well as coconut milk products. Watch out for other words used to describe milk on food labels, such as butter, buttermilk, cream, curd, ghee, milk, cheese, dairy, milk solids, whey, yoghurt, casein and caseinates.
If your baby is formula-fed, you can use soy protein formula (unless they are also allergic to soy), extensively hydrolysed formula (EHF) or amino acid-based formula (AAF). Do not use formula made from cow’s milk, goat’s milk, sheep milk, HA, A2 milk or lactose-free.
If your kid is over the age of one, they can be given soy milk, calcium-enriched rice, and oat or nut milks. It is significant to make certain they are getting enough calcium.
You may be advised to carry an Epipen adrenaline autoinjector if your kid is allergic to milk. Severe allergic reactions can sometimes lead to anaphylaxis, which is serious and can even be fatal.
An adrenaline autoinjector can be used to give first aid in the event of anaphylaxis.
Cows’ milk allergy in babies
Cows’ milk allergy (CMA), also called cows’ milk protein allergy, is one of the most common childhood food allergies. It is estimated to affect around 7% of babies under 1, though most children grow out of it by the age of 5.
CMA typically develops when cows’ milk is first introduced into your baby’s diet either in formula or when your baby starts eating solids.
More rarely, it can affect babies who are exclusively breastfed because of cows’ milk from the mother’s diet passing to the baby through breast milk.
There are 2 main types of CMA:
- immediate CMA – where symptoms typically start within minutes of having cows’ milk
- delayed CMA – where symptoms typically start several hours, or even days, after having cows’ milk
Where to seek more help
Don’t attempt to deal with milk intolerance yourself.
You can get assist from:
en españolAlergia a la leche en bebés
What Are the Signs & Symptoms of a Milk Allergy?
In children who show symptoms shortly after they own milk, an allergic reaction can cause:
- trouble breathing
- stomach upset
- throat tightness
- itchy, watery, or swollen eyes
- a drop in blood pressure causing lightheadedness or loss of consciousness
The severity of allergic reactions to milk can vary.
The same kid can react differently with each exposure. This means that even though one reaction was mild, the next could be more severe and even life-threatening.
Children also can have:
- an intolerance to milk in which symptoms — such as loose stools, blood in the stool, refusal to eat, or irritability or colic — appear hours to days later
- lactose intolerance, which is when the body has trouble digesting milk
If you’re not certain if your kid has an intolerance versus an allergy, talk to your doctor.
What Else Should I Know?
To prevent allergic reactions to milk, your kid must avoid any foods that contain milk, milk products, or milk proteins.
Read food labels to see if a food contains milk.
Milk may be found in unexpected places, such as processed meats, canned tuna, and baked goods, so it’s significant to read labels on every foods, even ones that are not dairy foods.
Makers of foods sold in the United States must state in understandable language whether foods contain any of the top eight most common allergens, including milk. The label should list "milk" in the ingredient list or tell "Contains milk" after the list. For detailed information about foods to avoid, visit Food Allergy Research & Education (FARE).
Some foods glance OK from the ingredient list, but while being made they can come in contact with a food your kid is allergic to.
This is called cross-contamination.
Glance for advisory statements such as "May contain milk," "Processed in a facility that also processes milk," or "Manufactured on equipment also used for milk." These are cross-contamination warnings, but manufacturers are not required to list them.
You can contact the company directly to see if a product contains milk. Check the company’s website for this information or email a company representative.
Food makers sometimes change ingredients, so always read the food labels.
If Your Kid Has an Allergic Reaction
If your kid has symptoms of an allergic reaction, follow the food allergy action plan your doctor gave you.
If your kid has symptoms of a serious reaction (like swelling of the mouth or throat or difficulty breathing, or symptoms involving two diverse parts of the body, love hives with vomiting):
- Give the epinephrine auto-injector correct away.
Every second counts in an allergic reaction.
- Then,call 911 or take your kid to the emergency room. Your kid needs to be under medical supervision because, even if the worst seems to own passed, a second wave of serious symptoms can happen.
How Is an Allergic Reaction to Milk Treated?
If your kid has been diagnosed with a milk allergy (or any helpful of serious food allergy), hold two epinephrine auto-injectors available in case of an emergency.
An epinephrine auto-injector is a prescription medicine that comes in a little, easy-to-carry container. It’s simple to use.
Your doctor will show you how. Kids who are ancient enough can be taught how to give themselves the injection. If they carry the epinephrine, it should be nearby, not left in a locker or in the nurse’s office.
Every second counts in an allergic reaction. If your kid starts having serious allergic symptoms, love swelling of the mouth or throat or trouble breathing, give the epinephrine auto-injector correct away. Also give the epinephrine auto-injector correct away if your child’s symptoms involve two diverse parts of the body, love hives with vomiting. Then call 911 or take your kid to the emergency room.
Your kid needs to be under medical supervision because even if the worst seems to own passed, a second wave of serious symptoms can happen.
It’s also a excellent thought to carry an over-the-counter (OTC) antihistamine for your kid, as this can assist treat mild allergy symptoms. Use after — not as a replacement for — the epinephrine shot during life-threatening reactions.
What Happens in a Milk Allergy?
When someone is allergic to milk, the body’s immune system, which normally fights infections, overreacts to proteins in the milk.
Every time the person drinks or eats milk or other dairy products, the body thinks these proteins are harmful invaders and releases chemicals love . This can cause symptoms such as:
- trouble breathing
- throat tightness
- itchy, watery, or swollen eyes
- a drop in blood pressure, causing lightheadedness or loss of consciousness
Allergic reactions to milk can differ. Sometimes the same person can react differently at diverse times. Milk allergy can cause a severe reaction called anaphylaxis, even if a previous reaction was mild.
Anaphylaxis might start with some of the same symptoms as a less severe reaction, but can quickly get worse. The person may own trouble breathing or pass out. More than one part of the body might be involved. If it isn’t treated, anaphylaxis can be life-threatening.
Avoiding a Milk Allergy Reaction
If You’re Breastfeeding
If your breastfed baby has a milk allergy, talk to the allergist before changing your diet.
If You’re Formula Feeding
If you’re formula feeding, your doctor may advise you to switch to an extensively hydrolyzed formulaor an amino acid-based formula in which the proteins are broken below into particles so that the formula is less likely to trigger an allergic reaction.
You also might see "partially hydrolyzed" formulas, but these aren’t truly hypoallergenic and can lead to a significant allergic reaction.
If you’re concerned about a milk allergy, it’s always best to talk with your child’s doctor and work together to select a formula that’s safe for your baby.
Do not attempt to make your own formula.
Commercial formulas are approved by the U.S. Food and Drug istration (FDA) and created through a extremely specialized process that cannot be duplicated at home. Other types of milk that might be safe for an older kid with a milk allergyare not safe for infants.
If you own any questions or concerns, talk with your child’s doctor.
What Is Milk Allergy?
Milk allergy is the most common food allergy in young kids, affecting about 2%–3% of those younger than 3 years ancient. Numerous kids outgrow it, but some are allergic for a lifetime.
A milk allergy can cause a range of symptoms, from mild to severe.
Allergy to milk is sometimes confused with lactose intolerance.
Both can cause problems after drinking milk, but they are extremely diverse and unrelated. Lactose intolerance is annoying and can cause discomfort, but it is not life-threatening. Milk allergy, though, can make someone suddenly and severely ill, and can be life-threatening. That’s why milk and other dairy products must be completely avoided if your kid has a milk allergy.
If you’re not certain if your kid has an intolerance or an allergy, speak with your doctor.
How Is a Milk Allergy Diagnosed?
If you ponder your baby is allergic to milk, call your baby’s doctor. He or she will enquire you questions and talk to you about what’s going on.
After the doctor examines your baby, some stool tests and blood tests might be ordered. The doctor may refer you to an allergist (a doctor who specializes in treating allergies).
The allergist might do skin testing. In skin testing, the doctor or nurse will put a tiny bit of milk protein on the skin, then make a little scratch on the skin.
If your kid reacts to the allergen, the skin will swell a little in that area love an insect bite.
If the allergist finds that your baby is at risk for a serious allergic reaction, epinephrine auto-injectors will be prescribed.
Milk from other animals (such as sheep, goats, and buffalo) are not excellent alternatives for those with a cow’s milk allergy because the proteins are similar.
But numerous other milk-free alternatives are available, including ones that are fortified with calcium and vitamin D. The allergist can tell you which milk substitute is best for your child.
What Is a Milk Allergy?
When a baby is allergic to milk, it means that his or herimmune system, which normally fights infections, overreacts to proteins in cow’s milk.
Every time the kid has milk, the body thinks these proteins are harmful invaders and works hard to fight them. This causes an allergic reaction in which the body releases chemicals love .
Cow’s milk is in most baby formulas.
Babies with a milk allergy often show their first symptoms days to weeks after they first get cow milk-based formula. Breastfed infants own a lower risk of having a milk allergy than formula-fed babies.
People of any age can own a milk allergy, but it’s more common in young children. Numerous kids outgrow it, but some don’t.
If your baby has a milk allergy, hold two epinephrine auto-injectors on hand in case of a severe reaction (called anaphylaxis). An epinephrine auto-injector is an easy-to-use prescription medicine that comes in a container about the size of a large pen.
Your doctor will show you how to use it.
Eating Away From Home
Cross-contamination can happen in restaurants when milk or milk products get into a food product. The staff might use the same surfaces and utensils (like knives, cutting boards, or pans) to prepare both dairy products and other foods. This is particularly common in fast-food restaurants, so some people discover it safer to avoid these restaurants altogether.
Buffet-style restaurants also pose a cross-contamination risk, with cheeses and salad dressings dripping over non-dairy food platters. When eating at restaurants, it may be best to avoid fried foods or foods with batter on them.
Even if the batter doesn’t contain milk products, the oil used to fry the foods might own been used to fry something else that contains milk.
When your kid eats in a restaurant or at a friend’s home, discover out how foods are cooked and exactly what’s in them. It can be hard to enquire a lot of questions about cooking methods, and to believe the information you get. If you can’t be certain that a food is milk-free, it’s best to bring safe food from home.
Also talk to the staff at school about cross-contamination risks for foods in the cafeteria. It may be best to pack lunches at home so you can control what’s in them.
If your kid will be eating at a restaurant, take these precautions:
- Tell the restaurant wait staff that your kid has a milk allergy.
- Carry a personalized "chef card" for your kid, which can be given to the kitchen staff.
The card details your child’s allergies for food preparers. Food allergy websites provide printable chef card forms in numerous diverse languages.
- Don’t eat at a restaurant if the manager or owner seems uncomfortable about your requests for a safe meal.
If you ponder your baby is having a reaction to cows’ milk, see your GP to discuss your concerns.
They will be capable to assess if your baby’s symptoms may be caused by a cows’ milk allergy or something else.
Make certain you get medical advice before taking cows’ milk out of your child’s diet as it contains significant nutrients.
Breastfeeding a baby who can’t tolerate milk
If your baby is lactose-intolerant, you don’t need to change your diet. It doesn’t matter how much dairy you consume, the quantity of lactose in your milk will be the same.
However, if your baby is diagnosed with milk allergy, you will need to remove every dairy from your own diet too.
You will need calcium and vitamin D supplements every day. Your doctor or allergy specialist will advise you.
Lactose is the sugar found in the milk produced by every mammals, including humans. Sometimes people don’t produce enough of the enzyme lactase in their gut to break below the lactose.
Very few babies own true lactose intolerance, a rare genetic condition where they’re born without any lactase enzymes at every. (This is called primary lactose intolerance).
However, numerous people develop lactose intolerance later in life, after the age of 5. It is more common in Aboriginal Australians and people from Asia, Africa, the Middle East and some Mediterranean countries.
Babies and young children can become intolerant to milk if the lining of their gut is damaged by an illness such as gastroenteritis, or an allergy or intolerance to another food. This is called secondary lactose intolerance and will go away once the gut heals.
Symptoms and diagnosis
The symptoms of lactose intolerance in babies and children are:
All of these symptoms are common in babies and don’t necessarily mean they own lactose intolerance.
But if your kid has diarrhoea and isn’t putting on weight, see your doctor. Don’t stop breastfeeding unless your doctor tells you to.
Tests include a breath test to measure the hydrogen in your child’s breath, or cutting out dairy to see if their symptoms improve. This is known as an elimination diet.
If the lactose intolerance is caused by a tummy upset, hold on breastfeeding. If your baby is formula fed, talk to your doctor or kid and family health nurse before switching to low-lactose or lactose-free formula.
Older children will need to cut below on, but not eliminate, dairy foods from their diet. They can still own some cheeses, yogurt, calcium-fortified soy products, lactose-free milk, butter and cream. Your doctor or a dietitian will advise you on the best diet for your kid.