What to give baby with milk allergy
If you or your kid has a milk allergy, dairy products can trigger your allergies by activating your immune system. Milk is present in a number of diverse foods, such as butter, cheese, ice cream, pudding, yogurt, custards, candies, sauces, granola bars, and protein powders.
Many foods may not list milk as an ingredient, but clearly state that they contain lactic yeast, ghee, whey, curd, or casein—all of which are made from milk.
Keep in mind that even flavored foods, such as butter-flavored popcorn or chocolate-flavored desserts, may contain some milk.
Similarly, dairy substitutes, such as artificial cheese or margarine, may contain milk as well.
Surprise sources of milk can include deli slicers, which are used to cut meats and cheese. And breaded foods love meat, vegetables (like tempura), and seafood may be dipped in milk.
There are several physiological mechanisms that facilitate an allergic reaction to milk.
Eosinophilic Gastrointestinal Disorders
Eosinophils are a type of white blood cell that is typically present in low numbers in the digestive tract.
With an eosinophilic gastrointestinal disorder (EGID), these cells multiply, and they may attack the body when exposed to an allergy trigger.
Eosinophilic gastrointestinal (GI) disorders include:
- Eosinophilic gastritis (eosinophils are primarily located in the stomach)
- Eosinophilic gastroenteritis (eosinophils are primarily located in the stomach and little intestine)
- Eosinophilic esophagitis, EoE, (eosinophils are primarily located in the esophagus)
- Eosinophilic colitis (eosinophils are primarily located in the colon)
Symptoms of eosinophilic GI disorders may include trouble eating, diarrhea, and failure to thrive.
Food Protein-Induced Enterocolitis Syndrome (FPIES)
FPIES is a severe, systemic reaction to food that generally develops in infants within the first months of life.
It is often described as food intolerance, rather than an allergy.
Infants can develop this reaction from breastmilk or from some types of formula. It may also include a reaction to other foods besides milk, such as fruit, vegetables, potatoes, and/or seafood. FPIES is also common to soy-based formulas, and 40% of children with milk-induced FPIES will also react to soy.
This type of reaction generally causes digestive issues, such as vomiting, diarrhea, and blood-streaked stools. It rarely causes systemic shock, which is characterized by extremely low blood pressure, heart failure, loss of consciousness, and is life-threatening.
Children generally grow out of FPIES by age three.
What Really Happens to Your Body When You Own a Food Intolerance?
Immunoglobulin E (IgE)- Mediated Milk Allergy
IgE is a type of antibody produced by your immune system.
These antibodies activate immune cells and cause them to release histamine and other chemicals that cause inflammation.
Symptoms of classic IgE mediated food allergies typically appear within minutes of eating, and can include skin reactions, respiratory problems, or digestive issues.
Rates of dairy allergy vary widely in diverse parts of the world.
For example, the prevalence of dairy allergies in diverse countries is:
- Israel: less than 1% of children
- United States: 1% to 2.5% of children under 6
- Australia: More than 10% of one-year-olds
It is not clear why there are such diverse regional rates of dairy allergies.
There may be a genetic component contributing to the development of dairy allergies, but there is no single gene that has been found to be responsible.
What is milk intolerance and 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:
- a swollen or tight throat
- a swollen tongue
- stomach pain
- a hoarse voice
- swelling of the lips, face or eyes
- noisy breathing or wheezing
- hives (urticaria)
- change in consciousness or floppiness in babies or young children
Delayed reactions include:
- blood or mucus in stools
- an increase in eczema
- 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.
Where to seek more help
Don’t attempt to deal with milk intolerance yourself. You can get assist from:
Milk allergies, also described as dairy allergies, are the most common food allergy in children and adults.
An allergy to cow's milk is generally evident within the first year of life.
Children who are allergic to milk can develop symptoms such as a rash, stomach upset, vomiting, and swelling.
People with a milk allergy develop these symptoms because the immune system reacts to substances in the milk. If your kid has a milk allergy, this is diverse from lactose intolerance, a extremely common problem which is caused by a deficiency in lactase (an enzyme that breaks below the lactose protein in milk).
Milk is wealthy in protein and calcium. If your kid can't own milk because of an allergy, there are numerous dairy-free sources of these nutrients, and your kid will probably love at least a few of the options.
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.
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.
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.
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.
An allergic reaction to dairy products may cause immediate effects or a delayed reaction after consuming milk.
There are a number of diverse symptoms that can develop.
Common effects of a milk allergy can include any of the following:
- Pain when swallowing
- Blood-streaked stools
- Digestive problems
- Abdominal pain and discomfort
- Nasal allergy symptoms, such as a runny nose and watery eyes
- Eczema itchy, red patches on the skin
- Asthma symptoms, such as wheezing
Milk Allergies in Infants
Babies don't own the ability to complain, so manifestations of a milk allergy can be hard to recognize.
A kid might be fussy, irritable, and weep. Because babies eat every few hours, it is always clear that the symptoms are related to eating.
Children may eventually experience weight loss due to digestive problems, vomiting, and diarrhea. Hold track of your baby's weight gain—stagnating weight or weight loss is typically described as failure to thrive, which is a serious problem that can affect a baby's development for the endless term.
Generally, milk allergies are not life-threatening. But some children experience own severe reactions to milk.
Signs of a milk allergy-induced medical emergency include:
- Swelling around the mouth or lips
- Wheezing or difficulty breathing