What to feed child with milk allergy
Avoiding milk for a milk allergy means eliminating a whole food group from your diet. Whenever you own to do this, you must make an effort to replace the significant nutrients offered by the eliminated food group. This way, you can hold your diet nutritionally sound. For instance, in the case of milk allergy, you will need to discover replacements (food or supplements) for calcium and vitamin D.
For young children, be on the lookout for problems with weight acquire and growth. Researchers own found that kids with milk allergy and/or multiple food allergies may be more likely to experience growth problems due to their restricted diet.
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- Boyce JA et al. Guidelines for the Diagnosis and Management of Food Allergy in the United States: Report from the NIAID-sponsored Expert Panel. J Allergy Clin Immunology. 2010.
- Food Allergy Research and Education (FARE) http://www.foodallergy.org/allergens/milk-allergy
So numerous foods are made with milk and milk products these days that people with milk allergies own to pay attention to what’s in just about everything they eat.
And a milk allergy is not the same as lactose intolerance — some people with food allergies can become suddenly and severely ill if they eat or even come in contact with the food they’re allergic to.
Some foods that contain milk are obvious, love pizza. But others, love baked goods, might not be so obvious. Plus, teens need calcium and vitamin D, which milk has lots of, because their bones are still growing.
So what should a person who’s allergic to milk do? Read on to discover out.
How Is It Treated?
To treat a milk allergy, the person who is allergic needs to completely avoid any foods that contain milk or milk products.
Avoiding milk involves more than just leaving the cheese off your sandwich.
If you are allergic to milk, you need to read food labels carefully and not eat anything that you’re not certain about. It’s a excellent thought to work with a registered dietitian to develop an eating plan that provides every the nutrients you need while avoiding things you can’t eat.
If you own a severe milk allergy — or any helpful of serious allergy — your doctor may desire you to carry a shot of epinephrine (pronounced: eh-peh-NEH-frin) with you in case of an emergency. Epinephrine comes in an easy-to-carry container about the size of a large marker.
It’s simple to use — your doctor will show you how.
If you accidentally eat something with milk in it and start having serious allergic symptoms — love swelling inside your mouth, chest pain, or difficulty breathing — give yourself the shot correct away to counteract the reaction while you’re waiting for medical assist.
Always call for emergency assist (911) when using epinephrine. You should make certain your school and even excellent friends’ houses hold injectable epinephrine on hand, too.
Keeping epinephrine with youat every times should be just part of your action plan for living with a milk allergy. It’s also a excellent thought to carry an over-the-counter antihistamine, which can assist ease allergy symptoms in some people. But antihistamines should be used in addition to the epinephrine, not as a replacement for the shot.
If you’ve had to take an epinephrine shot because of an allergic reaction, go immediately to a medical facility or hospital emergency room so they can give you additional treatment if you need it.
Sometimes, anaphylactic reactions are followed bya second wave of symptoms a fewhours later. So you might need to be watched in a clinic or hospital for 4 to 8 hours following the reaction.
How Can Doctors Tell It’s a Milk Allergy?
If your doctor suspects you might own a milk allergy, he or she will probably refer you to an allergist or allergy specialist for more testing. The allergy specialist will enquire you questions — love how often you own the reaction, the time it takes between eating a specific food and the start of the symptoms, and whether any family members own allergies or conditions love eczema and asthma.
The allergy specialist may do a skin test on you.
This involves placing liquid extracts of milk protein on your forearm or back, pricking the skin a tiny bit, and waiting to see if a reddish, raised spot forms, indicating an allergic reaction.
You may need to stop taking anti-allergy medications (such as over-the-counter antihistamines) or prescription medicine 5 to 7 days before the skin test because they can affect the results. Most freezing medicines and some antidepressants also may affect skin testing.
Check with the allergist’s office if you are unsure about what medications need to be stopped and for how long.
The doctor also might take a blood sample and send it to a lab, where it will be mixed with some of the suspected allergen and checked for IgE antibodies.
These types of tests are used for diagnosing what doctors call a fast-onset type of milk allergy. But for people whose allergic reactions to milk develop more slowly, skin and blood tests are not as helpful.
In these cases, doctors attempt to diagnose the person using a food challenge.
The person is told not to eat or drink anything made with milk for a period of time — generally a few weeks. Then, during the challenge, the person eats foods containing milk under a doctor’s shut supervision. If symptoms come back after eating milk products, it’s a beautiful certain bet the person has a milk allergy.
What Happens With a Milk Allergy?
Food allergies involve the body’s immune system, which normally fights infection. When someone is allergic to a specific food, the immune system overreacts to proteins in that food.
People who are allergic to cow’s milk react to one or more of the proteins in it.
Curd, the substance that forms chunks in sour milk, contains 80% of milk’s proteins, including several called caseins (pronounced: KAY-seenz). Whey (pronounced: WAY), the watery part of milk, holds the other 20%. A person may be allergic to proteins in either or both parts of milk.
Every time the person eats these proteins, the body thinks they are harmful invaders. The immune system responds by kicking into high gear to fend off the «invader.» This causes an allergic reaction, in which chemicals love histamine are released in the body.
The release of these chemicals can cause someone to own the following problems:
- itchy, watery, or swollen eyes
- red spots
- trouble breathing
- throat tightness
- a drop in blood pressure
Milk allergy is love most food allergy reactions: It generally happens within minutes to hours after eating foods that contain milk proteins.
Although it’s not common, milk allergies can cause a severe reaction called anaphylaxis.
Anaphylaxis may start with some of the same symptoms as a less severe reaction, but then quickly worsen. A person might own trouble breathing, feel lightheaded, or pass out. If it’s not treated, anaphylaxis can be life-threatening.
Milk allergy is often confused with lactose intolerance because people can own the same kinds of things happening to them (like stomach pains or bloating, for example) with both conditions.
But they’re not related:
- Milk allergy is a problem involving the immune system.
- Lactose intolerance involves the digestive system (which doesn’t produce enough of the enzyme needed to break below the sugar in milk).
Living With a Milk Allergy
It can be challenging to eliminate milk from your diet, but it’s not impossible. Because most people don’t get enough calcium in their diets even if they do drink milk, numerous other foods are now enriched with calcium, such as juices, cereals, and rice and soy beverages. But before you eat or drink anything calcium-enriched, make certain it’s also dairy-free.
Milk and milk products can lurk in strange places, such as processed lunchmeats, margarine, baked goods, artificial butter flavor, and non-dairy products.
Chocolate is another product that may contain dairy — so be certain to check the label before you eat it.
Manufacturers of foods sold in the United States must list on their labels whether a food contains any of the most common allergens.
This means that you should be capable to discover the expression «milk» stated plainly in the ingredients list, in parentheses in the ingredients list, or somewhere on the label with a statement like: «Contains milk.»
It is optional, however, for food manufacturers to use «may contain» statements. The U.S. Food and Drug istration does not control whether companies can tell things love «Processed in a facility that also processes milk products» or «May contain milk.» So call the manufacturer to be certain if you see statements love this on a food label.
New labeling requirements make it a little easier than reading the ingredients list — instead of needing to know that the ingredient «hydrolyzed casein» comes from milk protein, you should be capable to tell at a glance which foods to avoid.
But it’s still a excellent thought to get to know the «code words» for milk products when you see them in the ingredients of a food.
Some ingredients and foods that contain milk are:
- lactalbumin, lactoalbumin phosphate, lactaglobulin, lactose, lactoferrin, lactulose
- non-dairy creamers
- casein, calcium casein, casein hydrolysate, magenesium casein, potassium casein, rennet casein, sodium casein
- dairy products love cheese, yogurt, milk, pudding, sour cream, and cottage cheese
- butter, butter flavoring (such as diacetyl), butter fat, butter oil, ghee
- whey, whey hydrolysate
Vegan foods are made without animal products, such as eggs or milk.
You can purchase vegan products at health food stores. Be careful to read the labels of soy cheeses, though. They may tell «milk-free» but could contain milk protein.
For your sweet tooth, soy- or rice-based frozen desserts, sorbets, and puddings are excellent substitutes for ice cream (as endless as you’re not allergic to soy), as are ice pops. For baking, milk substitutes work as well as milk and some come out better. Dairy-free margarine works as well as butter for recipes and spreading on your bagel.
Try 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 may own been used to fry something that contains milk.
People are generally understanding when it comes to food allergies — nobody wants to risk your health.
When dining out, tell the waitstaff about anything you’re allergic to. Order the simplest foods and enquire the waitstaff detailed questions about menu items. At a friend’s home, explain your situation and don’t be embarrassed to enquire questions if you’re staying for a meal.
Having a milk allergy doesn’t mean you can’t still enjoy eating. In fact, some people ponder that some of the milk substitutes — love vanilla soy milk — taste better than regular cow’s milk. As with any specialized diet, you’ll probably discover that avoiding milk gives you the chance to explore and discover some grand foods that you’d never own found otherwise!
Call triple zero (000) for an ambulance if your kid has the following symptoms.
They could be having a severe allergic reaction and will need urgent medical attention.
- a swollen tongue
- wheezing or difficulty breathing
- they are pale and floppy or unconscious
Treatment for Cow's Milk Allergy
Avoidance of milk and products made with milk is the gold standard for treatment of a milk allergy.
While scientists are looking for a cure, none exists at this time. Immunotherapy for milk allergy is one area of research in this endeavor.
How to Avoid Cow's Milk
As mentioned, every cow’s milk (skim milk, 1 percent milk, 2 percent milk, and whole milk) must be eliminated from the diet to avoid an allergic reaction. Equally significant is to avoid every foods made with milk, love cheese, and other products that use milk in processing, such as crackers, cereals, baked goods, and more. Hidden milk can be a surprise, so avoid accidentally consuming milk by reading the ingredient label on food products.
The food allergy labeling law (FALCPA) insists manufacturers list milk as a potential allergen ingredient for the consumer. Not only will you discover this information in the ingredient list, but it will also be on the package.
Some products won’t call out dairy based ingredients on the label. There are two things you can do in this situation: call the manufacturer and inquire about the specific ingredients contained in the product, and/or skip eating the product.
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 Cow's Milk Allergy
Symptoms associated with a cow’s milk allergy happen fairly quickly, with most individuals reacting within minutes to two hours after drinking milk or eating foods made with milk.
- Airway symptoms including wheezing, coughing, or a runny nose.
- Swelling, also known as angioedema, of the lips, tongue, or face.
- Skin reactions such as rash, hives, or eczema.
- Gastrointestinal symptoms love nausea, stomach pain, vomiting, or diarrhea.
- Severe reactions, called anaphylaxis, may happen, causing multiple organ systems to be involved.
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.
What It’s Not
Cow’s milk allergy is not a condition called lactose intolerance, where the milk sugar (lactose) found in milk is not digested well or tolerated, resulting in gas, bloating, gastrointestinal cramping, and diarrhea. Symptoms of lactose intolerance may happen immediately after drinking milk or eating food containing milk, love ice cream or cheese, or it may own a delayed onset, of up to 12 hours after ingestion.
If you own lactose intolerance, you may tolerate cow’s milk with the lactose removed, such as Lactaid milk, or by using Lactaid pills to assist digest the lactose.
Some individuals with lactose intolerance may tolerate yogurt containing live, athletic cultures, or even little amounts of milk baked in products. Individual tolerance to lactose is highly variable. On the contrary, a person with cow’s milk allergy would not be capable to tolerate any lactose-free milk because the allergy is to the cow’s milk protein component, not the carbohydrate source (lactose).