{"id":1809,"date":"2022-08-03T14:02:51","date_gmt":"2022-08-03T14:02:51","guid":{"rendered":"https:\/\/cdhf.staging.not4prod.com\/?p=1809"},"modified":"2022-12-05T16:42:06","modified_gmt":"2022-12-05T16:42:06","slug":"managing-cows-milk-allergy-in-breast-fed-and-formula-fed-babies","status":"publish","type":"post","link":"https:\/\/cdhf.ca\/en\/managing-cows-milk-allergy-in-breast-fed-and-formula-fed-babies\/","title":{"rendered":"Managing Cow’s Milk Allergy (CMA) in Breast-Fed and Formula-Fed Babies: Food protein-induced allergic proctocolitis: FPIAP"},"content":{"rendered":"\n

Cow\u2019s milk allergy (CMA) is an allergic reaction to one or more proteins found in cow\u2019s milk and milk products. Often confused with lactose intolerance, CMA is one of the most common food allergies in infancy and early childhood. To break it down, CMA is a reaction to the PROTEIN(S) in milk involving the immune system while lactose intolerance is an intolerance to a SUGAR (lactose) in milk and does not involve the immune system (2). There are typically three types of CMA<\/a> \u2013 This article will focus on a type of non-IgE mediated CMA \u2013 Food protein-induced allergic proctocolitis (FPIAP).<\/p>\n\n\n\n

If your baby experienced <\/a>symptoms of CMA<\/a> and has since been diagnosed with it, there are ways to manage it! These will vary depending on whether your baby is being breast-fed and\/or formula-fed and we outlined the strategies below.<\/p>\n\n\n\n

Babies who are exclusively Breast-Fed<\/h2>\n\n\n\n

If your baby has been diagnosed with CMA, the good news is that mom can continue to breastfeed. However, it is recommended that mom strictly removes milk from her diet for a minimum of two weeks (3). 10-15% of babies will also have a reaction to soy protein, so it is often recommended to remove soy at the same time (5). After elimination, the reflux and regurgitation symptoms in the baby should improve within three to five days, while the bloody and looser stool can take up to two weeks to resolve. It is important to note that symptoms may not completely resolve in two weeks, but there should be improvements.<\/p>\n\n\n\n

If after two weeks there is no change in symptoms, then the family should visit their doctor to discuss any hidden sources of milk and\/or soy in the mother\u2019s and\/or baby\u2019s diet as well as evaluate for other potential allergens. The input of a registered dietitian can be especially helpful to ensure mom maintains optimal nutrition with an elimination diet.<\/p>\n\n\n

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