Possible cows' milk protein intolerance in one-year-old
How do I go about getting a diagnosis?
, Apr 25 2012 08:01 PM
5 replies to this topic
Posted 25 April 2012 - 08:01 PM
Hi everyone. First time posting here. I've read through some threads and done a lot of Google research, but was hoping to get some advice from EB as well.
The short story is that I suspect my one-year-old might have cows' milk protein intolerance, with only (relatively) mild GI symptoms.
He has been BFed from birth and never had formula or cows' milk as a drink until last week. Introduction of cows' milk coincided with what appeared to be abdominal pain (back arching, fussiness) and frequent night wakings and difficulty settling -- compared to two night wakings usually, with him settling back to sleep after a quick BF.
After three nights of that, we stopped the cows' milk completely, and he went back to two night wakings and settling really easily. Yesterday I gave him 80 ml EBM with 20 ml cows' milk, and it was another horrific night.
I've always used dairy in our family cooking, always have had lots of dairy myself, and my son has had small amounts of yoghurt and cheese in his diet since he started on solids.
So am I right in thinking that he might have a dose-dependent cows' milk protein intolerance that only becomes really manifest when he has milk as a drink? He has always been a "bad" sleeper, and was on Losec for reflux until a few months ago -- could it be that the smaller amounts of dairy has been affecting him for months and he was just deemed a difficult baby?
I think I will be bringing him to a GP next week, but from what I've gathered here, many GPs aren't too savvy and don't really know about lactose intolerance vs cows' milk protein allergy vs cows' milk protein intolerance. What do I need to know?
If it IS cows' milk protein intolerance, given that it is not IgE-mediated, what are our chances of getting a diagnosis, with regard to testing and actual positives?
If I continue feeding him dairy but just avoid cows' milk as a drink, do I risk sensitising him further to CMP and worsening whatever condition he might have?
Sorry for the barrage of questions. Thank you all in advance for sharing your experiences and advice.
Posted 25 April 2012 - 08:10 PM
It sounds like he does, you will need to do a challenge as intolerance can't be tested like allergies via a skin prick. You basically need to take him off it completely (including all cooked goods using it) for 2 -3 weeks, keep a diary of behaviors, skin rashes etc, put him on it including drinking it for the same amount of time & do the same. You may find he can tolerate cheese & cooked goods as the protein is broken down in the processing.
Posted 25 April 2012 - 08:12 PM
We a now 17 month old who we (and gp) suspect has a cows milk protein intolerance.
We discovered it when removal of dairy from his diet requested by GP for a different reason led to dramatically improved sleeping. thinking it might be a coincidence we reintroduced dairy but sleep got worse so we removed it again and had good results within a week.
Went back to GP who agreed it was likely to be an intolerance.
We haven't done any further testing. I'm not sure what that would be, or what benefit it would bring? We are still bf, I'm dairy free and quite enjoying it, and he seems to enjoy soy formula when he is in the care of others.
Would be interested to hear what others have to say about the testing process.
I allow DS to eat bread but we use Nuttlex instead of butter/marg, and there is no milk or cheese allowed. I can't think of any other products he has apart from bread that contains dairy. This seems to be working for us so we will stick with it for now.
Posted 25 April 2012 - 08:27 PM
Yes. I would remove ALL dairy from his diet. If he has had reflux, etc from early on, these may have been symptoms.
You need to do this for at least 2 (preferably 3) weeks. Then 'challenge' by giving him dairy. You will see pretty quick. It is hard work, but on a positive note it is easier when they are still babies.
I personally wouldn't replace dairy with SOY. There are cross-overs in intolerances for cows milk and soy.
Challenge them all individually.
My son had problems with cows milk, but tolerated Goats milk.
BTW: there is no dairy in bread.
Posted 25 April 2012 - 08:31 PM
I should add that my son is now 5yrs and from about 3yrs he was able to tolerate more and more cows milk products. We started with natural yoghurt.
He still mainly drinks goats or rice milk - but eats cows yoghurt, cheese, etc... and is Ok with the occasional drink of cows milk.
Posted 25 April 2012 - 08:43 PM
Hi, I'm not sure anyone would test him at 1yr old but there would be a long wait for an appointment so they might test by the time you see someone.
We didn't get DD2 tested officially until she was nearly 4yrs old. We did have advice though from our Dr. I was told that most babies will grow out of it by around 12mths and of the remaining children most will grow out of it by around 4yrs.
When my twins were babies I was told they both had colic and reflux (they threw up big fountains of milk) and I was pretty much told oh well, thats life they are fine. Both weren't the best sleepers but DD2 was the worst. Neither had GI symtoms except possibly a bit constipated at times. Both also had excema and weird spots/rashes. It wasn't until in desperation I took them both to my old GP that I used to go years before they were born. (I moved) They were about 3-4 months old by then. He told me he felt they both had cow milk protein intolerance.
So, we did an elimination diet removing all dairy. I was told I had to remove everything. This included all food even margarine and biscuits. We saw signs of them being much better after only 24hours. Then by a few days later we were sure. A few months later he wanted us to do a trial which we did and they both had the same reactions as before.
DD3 grew out of it at 13mths but DD2 didn't. As she grew older we realised she would get a very sore tummy and throw up plus the spots/rashes if she had anything with dairy. Eventually she was able to handle things with milk cooked in them. Not creamy pasta dishes etc though but things like biscuits and cake with small amounts cooked in them.
DD2 was almost 4yrs when we had her tested and the allergist did a patch test thing on her back (after confirming via a skin prick test that it wasn't an allergy). It had to stay on for a certain amount of time and then we had to go back after it had been off for a certain amount of time. The control one was mean't to come up in a bump/hive like spot and the other one wouldn't have done anything if she wasn't cow milk protein intolerant. The other one was huge.
It's very unlikely that DD2 will grow out of it now at 8.5yrs old. We were told to trial things over time starting with things that have less protein in them and see how we go. Apparently it builds up in their system and in some cases it's a matter of finding out through trial and error how much their limit is. DD2 for example can have anything with milk cooked in it like cake or biscuits and will have no obvious physical reaction to a margarine in her sandwiches but after a few days she will break out on spots/rashes so we went back to nuttlex. She can't have yoghurt without feeling sick and throwing up. But could have a small amount of cheese one day as long as she doesn't have anymore for at least 2 or 3 days.
1 user(s) are reading this topic
0 members, 1 guests, 0 anonymous users
The Essential Baby & Toddler Show is back this April! Save $8 off the door price for a limited time only!
Sometimes the greatest baby name ideas come from the most unexpected places, as these EB members show.
While we often think of pregnancy as a 40 week affair, experts agree that 37 weeks is actually “full term". So is there an argument for inducing all births at 37 weeks?
Controlled-crying techniques may help some babies sleep through the night, but for many exhausted new parents, it's just a recipe for more tears all round.
As people become more aware of these benefits, I hope more parents will practice this method, so we can cut down on nappies and improve baby bonding.
Aussie actress Emily Symons has announced she is pregnant with her first baby.
A little girl will grow up without her father after the fit and healthy 34-year-old passed away while doing something he had practised his whole life.
You could be doing yourself a disservice by encouraging your toddler to have an afternoon nap, according to new research.
We've compiled a guide to some of the most popular presents for newborns and new mums, and for christenings and naming days.
Actress Jaime King is pregnant with her second child, giving 16-month-old James a sibling.
The Abbott government should extend funding to nannies, and direct childcare payments to low and middle income families, a landmark study on childcare has found.
As many as one in two newborn babies suffer from skin irritations in their first few weeks. So what are the most common rashes and irritations to look out for?
Wall decals are the answer to creating a beautiful nursery or children's space without lifting a paint brush, a spirit level or even a hammer.
Three-year-old Cain Trainor headed off home after his first day at a new preschool without telling anyone.
In spite of being in an almost constant state of motion while looking after the kids and trying to keep things together at home, it can seem as though parents have managed to get nothing on the to-do list done by the end of the day.
The middle name is no longer an afterthought, and parents' inspiration comes from many places.
A new IVF scheme offers couples the chance to fall pregnant and give birth - or get their money back. But there's more to it than you might think.
A baby born still inside the amniotic sac gave US doctors a rare glimpse at life inside the womb.
Three years ago Jason Hughes viciously attacked his ex-partner. Now she has to write to him three times a year.
A West Australian woman will fight allegations that she scammed expectant mums by selling them fake ultrasound pictures of babies.
Got bored kids? Quickly find the best activities for kids wherever you are in Australia with the Essential Kids app.
A Sydney mother who suffered brain damage when she was hit by a car while pushing her newborn baby in a pram has reached a confidential out-of-court settlement with the driver's insurance company.
A culturally sensitive midwifery service has gained the trust and respect of Aboriginal women.
Most mums-to-be plan to take things easy and perhaps have a little break from work as the birth of their baby draws near. Not Kate McCartney.
Announcing that you're expecting can be a time to express your creativity, sense of humour and imagination. Check out how other parents and parents-to-be have broken the news to friends and family.
Last week an un-retouched photo of model Cindy Crawford surfaced, showing the 48-year-old mother-of -two posing in underwear.
Thought your toddler could not love pancakes any more than they already do? How about if the breakfast treat came in the shape of every two-year-old's favourite cartoon character?
I thought I was never going to be able to have a successful pregnancy. I decided that I wasn't going to form an emotional attachment with this baby.
February 18 marks the start of one of the most prolific annual baby competitions in Australia: the Bonds Baby Search. And this year is going to be more special than ever.
This is not something that people like to talk about, but Facebook has announced that it will grant users more control over what happens to their pages after they die.
Mother of four Marie Holmes was financially struggling after quitting her jobs at Walmart and McDonald's in order to care for her children.
A first-time mother whose daughter died hours after her frightening birth insists she was never told of the risks of being obese and pregnant.
She has labelled parents who do not vaccinate their children "misinformed imbeciles" - and for that, she makes no apologies.
Are you one of those that know the whole IKEA catalogue by heart? Love their stuff but want to personalise it? Here's some inspiration to help you realise the potential of IKEA furniture and fittings.
I never thought I’d say this, but for a brief moment last week, Kim Kardashian and I had something in common: both our kids had public tantrums.
Polycystic ovary syndrome (PCOS) is the most common female hormonal condition, affecting roughly one in 12 Australian women.
If doing it on your back is out, what's the best position for labour and birth?
With Valentine's Day coming up, Nat Gilbert could be forgiven for thinking her husband might be planning a surprise for her.
We usually only hear the success stories: tales of the two-year-old who’s talking, running and completely toilet trained. But other stories need to be told too.
Sarah Kiss has a word of advice for proud mums and dads who are keen to enter their babies in this year's Bonds Baby Search Competition - just have fun.
If your family needs to go to sleep school, go with them. You are part of that family and you are part of the solution.
A French court may have ruled out Nutella as a baby name, but that doesn't have to stop you from taking inspiration from the supermarket (or bottle shop). See what parents in the US have chosen for their delicious little ones.
Check out this range of products designed to help make your breastfeeding journey more enjoyable, manageable and convenient.
Win a KitchenAid Mixer
To celebrate, and to thank our amazing fans, we?re giving away a KitchenAid Artisan Tilt-Head Stand Mixer.