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
to WIN 1 of 2 $500 Coles/Myer gift cards
Your schedule is not important to your two-year-old, and you cannot convince her otherwise. So what can you do?
A child whose remains were dumped in a suitcase in the South Australian bush is believed to have been a girl aged between two-and-a-half to four.
An Argentinian mum and politician has caused a stir on social media after being filmed breastfeeding her baby.
It was 1am on a cold winter's night when I woke suddenly to the screams of my 12-month-old son. Our lives were about to change forever.
Inflatable and portable children's pools may be required to be sold with compulsory fencing to prevent backyard drownings, with some experts even floating the idea of a ban.
At 11.07am on April 2 this year, Sarah Marriott welcomed baby Sebastian into the world.
These kids' beds definitely fit the brief of providing personality and personal space for little people who are moving up in the world.
Since becoming noticeably pregnant, my son has taken more of an interest in the sibling he'll soon have.
In this age of political correctness, it seems the one subject still subject to discrimination is that of the Only Child.
A neighbour heard a child screaming before a baby was found dead, believed to have been stabbed, in a house in Newcastle.
So far, 206 Samsung washing machines have caught fire and some have exploded. But many remain in people's homes.
We all know that having a baby can turn your life upside down - and it can also bring a raft of new anxieties and worries.
Couples using IVF may be able to choose the gender of their babies and women could be financially compensated for donating their eggs.
Not too young, and not too old. That's reportedly the best age to get married. Not everyone agrees.
After giving birth, the last thing you want to think about is contraception. But you can get pregnant before your period comes back.
Parents of toddlers everywhere know the feeling. After working up the courage to take your child out for lunch or dinner in public you are rewarded with a mid-meal meltdown.
Two children were killed when pieces from their Malm furniture line tipped over.
If you're looking to introduce an organic element into your baby's nursery but want to step away from natural timber, we have the perfect alternative.
I am in no way qualified to advise women on how to cope with hyperemesis, but I've learnt some lessons that might be worth sharing with other partners.
Best friends share everything - and for these two life-long friends, that includes family.
Samuel Forrest didn't want his wife as a trustee of their baby Leo's half million dollar trust for her own "protection", it has emerged.
Men who become fathers experience weight gain and an increase in body mass index, a measurement of body fat based on height and weight, according to a new, large-scale study
She said the photo of a boy with Down syndrome in a washing machine was taken just for fun, but no one else was laughing.
An opulent high tea at a luxury Melbourne hotel has left 44 people with salmonella poisoning - including a pregnant woman, who went into early labour.
Would you know what to do in a fire emergency? How safe is your home and family?
Prince George's second birthday has been marked by the release of an official picture showing the toddler smiling as he is held by his proud beaming father.
Is it safe to use fake tan, hair dye and nail varnish during pregnancy?
The truth is, I can no longer deny that my walking, babbling, somewhat-independent little miss is no longer a bona fide 'baby'.
I'm not usually one who believes in love at first sight but that's exactly what happened when I first saw the Cybex PRIAM.
Get your free ticket to the Sydney Essential Baby & Toddler Show for September 25-27 - register online now.
to WIN 1 of 2 $500 Coles/Myer gift cards
I believe that you get out of families what you put into them, and I will give mine my all.
I have had two postnatal psychotic episodes. The first when my eldest child was six weeks old, and another after my second child was born.
French names are always in fashion, but a few have risen in popularity in recent years.
A British woman who gave birth in Spain has told of her ordeal after spending weeks trying to convince medics the baby girl was hers.
Some friends of ours say that it's dangerous to have a dog around a newborn and that we should start looking for a new home for him. Is it?
First Apple and Facebook announced they would pay $20,000 towards the cost of their female employees freezing their eggs, now IBM in the US has come up with an innovative new policy aimed at retaining female employees.
The Duke of Cambridge opened up about family life and his plans for the future in an interview to mark his first day as an air ambulance pilot.
A simple photo taken in front of an evening fire gave new mother Sarah Bowers the power to save her baby's life.
Of all the advice people told me before having a baby, no one warned me about the amount of decisions involved.
Parents of toddlers all know the moment when realise your child is being suspiciously quiet. It can only mean one thing - trouble!
If you have trouble recalling the ages of Jeremy Ryan's seven children on The Voice, you're not alone. So does he.
Getting glasses can be a formative moment in a person's life.
When a mum of six was caught shoplifting nappies, clothes and shoes for her kids, the last thing she expected was for a stranger to pay for her haul.
The risk of having uncontrolled depression is far greater than the small increased risk of birth defects that may be associated with specific antidepressants.
Police have raided properties and arrested a number of people over a brawl at a child's birthday party at a play centre in Sydney's west.
Looking for a creative way to share some big news? Look to the skies, like this family did.
Little Owen DiCandilo's name means "young warrior", and it's a description that perfectly fits the inspiring 18-month-old
The exhaustion that comes with caring for young children often means romance between parents becomes a thing of the past.
I've been fat for pretty much most of life, besides a few crazy moments of being less-fat, but for the most part I've existed on this earth with a little more meat on my bones than desirable.
Since the dawn of civilisation, generation after generation of new parents have had to rely on instinct, trial and error - and sometimes get it wrong.
Get your free ticket to The Essential Baby & Toddler Show and save $20 - register online now!