What to feed a one year old with 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
- stomach pain
- swelling of the lips, face or eyes
- noisy breathing or wheezing
- a hoarse voice
- a swollen tongue
- 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 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.
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.
Symptoms of cows’ milk allergy
Cows’ milk allergy can cause a wide range of symptoms, including:
- hay fever-like symptoms – such as a runny or blocked nose
- skin reactions – such as a red itchy rash or swelling of the lips, face and around the eyes
- digestive problems – such as stomach ache, vomiting, colic, diarrhoea or constipation
- eczema that does not improve with treatment
Occasionally CMA can cause severe allergic symptoms that come on suddenly, such as swelling in the mouth or throat, wheezing, cough, shortness of breath, and difficult, noisy breathing.
A severe allergic reaction, or anaphylaxis, is a medical emergency – call or go immediately to your local hospital A&E department.
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.
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.
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:
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.