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Questionable13

Dairy ladder advice please!

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Questionable13

My little one has a suspected dairy allergy and so we've been dairy free since she was tiny.

I've been given very little medical support, basically told to do a dairy challenge once she turns 1 then keep trying every few months. Is this typical advice?!

 

We tried a dairy challenge recently (step 1 of the dairy ladder). LO seemed happy in herself but after 4 days, we had a rough night where she cried in her sleep for half the night, needed coloxyl the next day and then did 2 massive poos. No mucous and otherwise she was fine. Do we treat this as a fail? 

Or try again and see if her reaction is the same/it was coincidence?

How long do we wait to try the challenge again?

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22Fruitmincepies

I got good support from a paediatric dietician (egg allergy). The allergy specialist was no help at all really. 

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Not Escapin Xmas

I'd try again. I don't think dairy hangs around in your system for long (unlike some other chemicals which can still be giving me symptoms 3 weeks later...)

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Riotproof
Posted (edited)

Cows milk protein is mostly gone by 2 weeks but can remain up to a month. 
 

I would not treat it as a fail but make sure she is drinking sufficient water and fruit/veg. 
 

how old is she? Would she feel any tingling in her mouth and be able to verbalise it? 

Edited by Riotproof
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Questionable13

Thank you all!

 

Riotproof, she is 13 months old now, so not able to verbalise any symptoms yet unfortunately! I might try the step 1 again and see if she reacts again. Will definitely up the water as well

 She is still breastfeeding quite a lot and some days barely eats any solids ( I try, but she just isn't overly interested 🤦)

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Riotproof

That makes it harder. 
 

I would work on finger foods so she can feed herself and make it easier. Steamed broccoli or Roasted sweet Potato etc and get her drinking from cups in the bath. 
 
If she’s not eating much or drinking fluid, then constipation doesn’t seem too out of the norm. 
 

 

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jb_85

Hi

I would probably treat that as a fail, we see an allergist but only because we are allergic to egg as well as intolerant to dairy.

She told us to start the dairy ladder at 9 months which I ignored as I thought it was way to early (I was right we tried at 12 months and failed)

For us reactions took about 72 hours to come through and it usually involved alot of screaming and unable to calm bubs down who obviously had a sore tummy and followed by and explosive nappy.

We have tried the ladder 3 times since October last year, the first two attempts to was tricky to figure out if he was having reactions or it was something else eg teething, leaps, sleep regressions etc and because they cant tell you it felt like a guessing game.

My DS is now 20 months and we have just started again at Step 1

Best of luck

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Monkeysee-monkeydo

What dairy ladder are you following, the 12 or 6 step ladder?

Is your little one IgE or none IgE allergic as that will make a difference in her reaction?

We have been given the advise based on our 21 month old having a  None IgE mediated allergy to dairy & soy, is give the food for 3 days then wait 3 days to see if baby has a reaction & then try for 3 more days & wait 3 more days before moving up the steps. 

So far we have not started the ladder as we have just hit baseline after a reaction to her formula with

 the reflux, gassy, crankiness, funny poo & not sleeping all come back, hopping we can try it soon.

 

I would not count it as a fail just jet, give her a bit more time & see how she is doing. 

 

There is a lovely Facebook group for dairy allergic that can give you tips & tricks, they are from all over the world, I have found them very helpful.

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Questionable13
37 minutes ago, jb_85 said:

Hi

I would probably treat that as a fail, we see an allergist but only because we are allergic to egg as well as intolerant to dairy.

She told us to start the dairy ladder at 9 months which I ignored as I thought it was way to early (I was right we tried at 12 months and failed)

For us reactions took about 72 hours to come through and it usually involved alot of screaming and unable to calm bubs down who obviously had a sore tummy and followed by and explosive nappy.

We have tried the ladder 3 times since October last year, the first two attempts to was tricky to figure out if he was having reactions or it was something else eg teething, leaps, sleep regressions etc and because they cant tell you it felt like a guessing game.

My DS is now 20 months and we have just started again at Step 1

Best of luck

Thank you! Yes it is tricky to know whether it's teething, sleep regression etc related.

 

Sleep was one of the most obvious issues when she was tiny (screaming in pain, gas, really restless etc). Whenever Ive had an accidental slip-up and consumed dairy, she's usually reacted 1-3 days later.

She normally has a bowel motion once a day, so this reaction after step one is not her normal. But the fact she was happy enough otherwise has me confused as to whether it's the dairy or something else that's the issue!

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jb_85

If you try it again and have the same response then I would class it as a fail, any change from what you normally deal with is usually a reaction unfortunately :(

It would be sooo much easier if they could just tell us lol.

Another thing to note is that them reacting can come through differently to when they were little, we had ezcema as a baby but he doesnt seem to get that now with reactions 

 

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Questionable13
Posted (edited)
49 minutes ago, jb_85 said:

 

Sorry, still getting used to this site! 

I decided to try the 6 step ladder, and was advised the same as you monkeysee-monkeydo with trying the step for 3 days, then waiting 3 days for a reaction.

Day 1: 1 X arrowroot biscuit

Day2: nothing (offered her a biscuit  3 times but was not interested)

Day 3: 1 X arrowroot biscuit

Day 4: 1 X arrowroot biscuit

Evening - woke on and off crying from 9pm-12.30am, continually breastfeeding and jolting awake in pain. Attempted Panadol but she cried and wouldn't have it.

Day 5: seemed happy enough. Strained to poop 2-3 times. Gave coloxyl at approx 2pm which helped. Very very stinky !! 

Stopped dairy

It has been 5 days now.

 

 

Edited by Questionable13

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Monkeysee-monkeydo

Poor bubs, it is so hard, we had a reaction to the Alfamino junior, we & the GP thought it was just a cold with a reflux flare & teething, took a second attempt to transition for us to figure it out. 

The crying could well be from the poo working its way down, I would probably try again & see if she does get constipated again & unhappy, if so count it as a fail.

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Wonderstruck

We saw a paed dietitian for advice with the dairy ladder. We also see a paed gastro as she has reflux too. 

We started at 18 months (she wasn't diagnosed till 8 months).

We were advised not to do any new steps if she was unwell/teething etc as it's too hard to tell a fail. 

We passed arrowroots and baked dairy fine at 18 months. She wouldn't have a bar of cheese until 2 so we didn't try it till then. At 3 she has cheese but had failed yoghurt so doesn't have that or cows milk.

Also if eating is limited a dietitian and feeding speechie really helped us. 

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