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Cow's milk protein allergies take up second among the most common food allergies occurring in infants and young children. First place belongs to egg allergies.
If your child is diagnosed with a milk allergy, it should be ruled out for 12-15 months from the baby's whole milk diet and all its preparations. After this time, you need to know if the allergy still persists. The good news is that, as you get older, your milk allergy usually reclines.
Allergic to milk symptoms
Cow's milk allergy usually manifests itself in the digestive system. Typical for her are:
- stinking diarrhea
- blood in piles,
- gastroesophageal reflux disease,
- eczema (itchy areas on the hands, in the elbows, under the knees),
- trouble sleeping, waking up frequently at night,
- burns - difficult to treat,
- no weight gain
- slow growing.
Notorious constipation and milk allergy
Cow's milk allergy is often the cause of constipation. Parents rarely associate painful bowel movements and redness in the anus with allergies to dairy products. In the meantime, it is enough to eliminate milk, and often also gluten, for the situation to improve significantly and to adjust the bowel movements.
What is allergic in milk?
In cow's milk they most often sensitize:
- casein (in 100 ml of cow's milk there is about 2.8 g of casein. In cow's milk there is 7 times more casein than in breast milk, casein is resistant to high temperatures, therefore people allergic to casein cannot eat cheese, cottage cheese, e.t.c.)
- alpha-lactoglobulin (in 100 ml of cow's milk there is about 70 mg of alpha-lactoglobulin, this substance sensitizes about 50% of people with known milk allergy)
- beta-lactoglobulin (in 100 ml there is about 420 mg beta-lactoglobulin. This fraction is absent in breast milk. It sensitizes almost 80% of people diagnosed with cow's milk allergy, processed milk has much less of this component, which is why cheeses, cottage cheese make less allergic ).
- bovine serum albumin (in 100 ml of cow's milk there is about 20 mg of this substance. Statistics show that bovine serum albumin sensitizes about 50% of patients).
The last two proteins are found only in milk, which is why they are specific milk allergens.
Casein in the highest concentration is found in cow's milk, but in chemical terms it is similar to the type of substances present in the milk of other animals. Therefore, often children allergic to casein also reacts allergically to sheep's, goat's and mare's milk.
How to avoid milk? Note - they are also allergens
Milk and its products are described in various ways.
Allergens may be hidden in the following products.
- skim milk,
- cottage cheese,
- Soured milk,
- cream fondant,
- goat's milk,
- sheep's milk,
- clarified butter,
- condensed milk,
- milk powder,
- cow's milk protein,
- whey protein,
- skimmed milk powder,
- sweet bread,
- cream cakes,
- bag soup,
- Baked dishes.
Problem with replacements
Milk is present in many foods. That is why it is difficult to eliminate them from the menu.
It is also valuable because of the vitamin content D, B, calcium and fluorine. Although there is a lot of controversy about him and battles have been going on for years, whether it is good for man, still many people feel anxious when they have to deal with removing him from the menu. There is a view that eliminating milk and milk products from the menu is much more difficult than removing ubiquitous gluten.
Cow's milk substitutes
Recommended for babies high grade hydrolysates: Bebilon Pepti, Nutramigen, Neocate, Aptamil Pepti, Neocate. Unfortunately, these mixtures have a bitter taste that can be slightly neutralized by adding fruit mousse or cooling the milk.
They are also on sale partially hydrolyzed preparations (HA), which, however, are not recommended for children with allergies who may be allergic due to family predisposition.
After the first year of life can be given to the child soybean milk replacers for babies (Humana, Bebiko), which many specialists have not recommended before because of the high risk of allergy.
They are also recommended rice, oat and soy drinks with added calcium (available for sale in large stores). Can also be given to a child calcium enriched mineral water (not recommended for infants)