Allergic to cow’s milk protein this is the most common type of food Allergy in infants and occurs in 2-7% of children. Distinguish allergic to cow’s milk protein and cow’s milk protein intolerance. In the first case, allergic reaction is the result of excessive immune reactions to foreign protein, as in the case of intolerance, the immune system usually does not participate, and the reason is the difficulty of digestion of milk in children.
In most cases, an Allergy to proteins in cow’s milk is not a serious life-threatening disease. However, this can be a serious problem for the baby and for his parents. In 50% of causes Milk allergy marked recovery towards the end of the first year of life, and in 3-5 years, almost 80-90% of children no longer suffer this disease. In rare cases, an Allergy to cow’s milk protein can persist for a lifetime.
Mostly allergic to cow’s milk protein affects babies who are bottle-feeding, which introduced formulas based on cow’s milk. Rarely this type of Allergy can develop in children who are breastfeeding (it is 0.5% of all cases), if the mother consumes cow’s milk.
Milk allergy – photos and pictures
Milk allergy – symptoms
Symptoms of Allergy to cow’s milk protein range from skin rashes to severe digestive disorders, and even systemic manifestations. There is no single symptom characteristic of Allergy to cow’s milk protein is usually the combination of several symptoms.
Half of the children developed skin manifestations (atopic dermatitis, swelling of the lips or eyelids, urticaria), the other half is dominated by the intestinal symptoms: frequent regurgitation, diarrhea, constipation, cramping, or vomiting. 20% of babies may experience such symptoms as a runny nose, chronic cough, wheezing.
Milk allergy symptoms usually occur within a few weeks after the introduction in the diet of a baby squirrel cow’s milk (formulas based on cow milk protein). Should be differentiated allergic to cow’s milk protein with other common disease — lactase deficiency. But perhaps a combination of these pathologies.
Diagnosis of allergies to milk
For diagnosis of Allergy to cow’s milk protein, a thorough examination at the pediatrician.
The diagnosis is based on anamnestic data (allergies in the baby, relatives, the presence of such diseases as bronchial asthma, atopic dermatitis, chronic diarrhea, anemia, poor weight gain in the baby).
The next step is the appointment of Allergology skin (prick test) and the detection in serum of the child specific proteins (immunoglobulins E to cow’s milk protein).
As for the diagnosis of Allergy to cow’s milk protein is assigned to diet (excluding the ill-fated protein), sometimes it is a provocative test (only as directed by a physician and is usually in the hospital under the close supervision of staff).
Treatment of allergies to milk
Most dairy infant formula for feeding are made on the basis of whole cow’s milk protein, so babies with ABKM they are not suitable. Nutrition for children on artificial feeding mixtures on the basis of deep hydrolysis (splitting) of the protein or mixture of amino acids.
Mixture on the basis of deep hydrolysis of protein: “Alfar”, “Pregestimil”, “Prosopa”, “Nutrilak peptide SCT”, “Nutrilon”, “Palikat”.
In case of necessity prevention of allergic diseases in children with a high risk of their development can be used a mixture of partial hydrolysis of protein: “NAN”, “NAN HA-2”, “Nutrilon HA-2”.
Also to prevent the development of allergic reactions and in case of intolerance to cow’s milk can be used for breastfeeding: “Nutrilak”, “HiPP”, “Humana HA-1”, “Humana HA-2”.
Diet of milk allergy
Nutritional therapy kids with ABCM can be used formulas based on soy protein. They are much cheaper than mixes based on the hydrolysis of protein. But in recent times the ratio of the soy mixes restrained, as they are potentially allergic. Children under 6 months soya mixture is contraindicated. If you are allergic to soy protein usually develop symptoms defeat gastrointestinal (abdominal pain, vomiting, constipation, diarrhea, etc.).
American Association of Pediatrics does not recommend to replace formulas based on cow milk protein on whole goat milk (or milk of other animals), as it contains a large amount of whole protein.
If allergic to cow’s milk protein occurred to a child who is breastfed, the mother should exclude cow’s diet of milk, eggs, fish, nuts. Improvement should occur within 2-4 weeks. If not, then the child should be transferred to mixtures on the basis of deep hydrolysis of protein. If there is no improvement and in this case, it shows the use of mixtures based on amino acids.
Children with allergies to cow’s milk protein (or intolerance) does not need to be dairy-free diet for life.
Typically, the therapeutic mixture are appointed for a period of 6-12 months, after which under the supervision of a pediatrician can be assigned to formulas based on cow milk protein. In case of recurrence of symptoms introduction of dairy products extended for another 6 months.
The introduction of complementary foods in children with Allergy to cow’s milk protein is made not earlier than 6 months. Allergic foods such as eggs, cheese, fish are introduced after 1 year.