My 18 Month Old Baby Won't Drink Milk

Milk protein allergy or lactose intolerance in toddlers and babies – what is the difference?

This is a common question to wonder about as parents to a babe or toddler. Let'south accept a look at these two situations equally well every bit other conditions that may mimic lactose intolerance or milk protein allergy.

Mom's Question:
Could you lot explicate the departure between milk protein allergy or lactose intolerance in a toddler?

My daughter is almost xv months erstwhile. She has been off of formula for a few months. I have switched her to 2% milk, and she seemed ok for a while but now she throws up curdled milk every forenoon (very mesomorphic); sorry for being and so graphic!

It smells awful, her stools also smell awful but are very difficult, sometimes like little tiny pellets but a lot of them.

Are these signs of milk protein allergy or lactose intolerance in toddlers?

Everything that I have read about milk allergies talks near diarrhea not constipation and lactose intolerant says hives and airsickness etc.

I have noticed her cheeks accept been very red lately and she does have thrush.

Should I give her some kind of lactose-free milk? Or stay away completely? If so, what should I requite her? She loves her bottle at bedtime and even sleeps with information technology next to her. She always has some milk, goes to bed and and then throws upwardly on the manner to daycare in the morning.

Just frustrated and any help would be appreciated!!!

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Signs Of Milk Protein Allergy or Lactose Intolerance In Toddlers and Babies

Later the first birthday, many parents begin to transition their toddler from either breastfeeding or taking babe formula. Per the recommendations of the American University of Pediatrics, most physicians advise giving toddlers whole cow's milk. The reason is that milk is a expert source of calcium, protein, and vitamins A and D.  Whole milk is recommended because the college fat content is beneficial for encephalon development.

There are situations, nevertheless, where cow'due south milk is not well tolerated.  It does sound to me too equally if your girl is not like-minded with the cow's milk. It is true that diarrhea is a more than mutual symptom of milk protein allergy than constipation, just hard stools are a symptom too.

Moo-cow's Milk Protein Allergy (CMPA) – Symptoms, Causes, Different Types

A child with this blazon of allergy experiences a reaction to the proteins in moo-cow's milk (whey, casein).  This condition is seen in 2 to three percent of children under the age of iii. Well-nigh allergic reactions occur due to a specific antibody chosen IgE.  CMPA, all the same, tin can result from both IgE and not-IgE related action.  These weather are diagnosed based on symptoms, and by ruling out other possible causes.  Blood and peel tests may provide additional information after 12 months of age, just a milk ingestion challenge is the gilt standard test.

CMPA can exist hereditary, especially when there is a family history of food allergies, eczema, or asthma.

Not-IgE Type

This form of CMPA normally begins in early on infancy.  The exposure occurs from cow'due south milk in either an infant formula or maternal breastmilk. A classic scenario is a three-week-old who persistently cries, is hard to panel, and who develops streaks of blood mixed in the stools.  This blood is due to the irritation that cow'due south milk protein causes in the intestines.

Despite frequent feedings, these infants fail to proceeds acceptable weight. Airsickness may ensue which leads to aridity.  Past three to four months sometime, the dry out, itchy skin patches of eczema develop from the continued milk protein exposure.

Another less common version is food protein-induced enterocolitis (FPIES). This can develop as young equally four weeks one-time, or later in life after years of moo-cow's milk exposure.  In these cases, severe inflammation of the esophagus develops, causing vomiting, diarrhea, and possible esophageal stricture.  Episodes can be associated with languor, and appear life-threatening.

IgE Type

This type of reaction to milk protein is rather immediate, within a few minutes of ingestion. Red, raised hives develop on diverse locations of the body. In that location may exist swelling of the lips, eyelids, or the whole face up, along with coughing or difficulty breathing.  Airsickness and diarrhea may too occur.  These symptoms can be potentially life-threatening, and immediate medical attending is necessary.

Lactose Intolerance – Symptoms and Causes

Unlike CMPA, lactose intolerance refers to the inability to digest the naturally occurring sugar in moo-cow'due south milk. Most infants are built-in with an intestinal enzyme, chosen lactase, that can interruption down lactose.

A multifariousness of situations result in low levels of this enzyme. Infants born prior to 34 weeks gestation have bereft lactase until their intestines mature. During episodes of infectious diarrhea, toddlers can get temporarily lactose intolerant. Full lactase function resumes 1 to two months after the diarrhea resolves. Children with celiac disease and other conditions associated with intestinal inflammation can experience more chronic lactose intolerance .

Aside from a rare genetic condition seen among infants in Finland and western Russian federation, normal full-term infants are fully capable of digesting lactose.  Truthful lactose intolerance does not develop until age five.  Once it does, it persists through adulthood.

Symptoms of lactose intolerance

Symptoms of lactose intolerance go evident xxx minutes to two hours later consuming moo-cow'due south milk.  Complaints of a stomach ache or feeling gassy are mutual. Loose stools or watery diarrhea may occur depending on how much moo-cow's milk is consumed.

Most cases are diagnosed by recording what nutrient was eaten prior to the onset of symptoms.  A few medical centers have the ability to exercise a test that is specific for lactose intolerance, called a breath hydrogen test. In severe cases, an endoscopy may exist necessary to ostend this diagnosis, and rule out other etiologies of the symptoms.

Is information technology Lactose Intolerance or Milk Allergy?

This is a good question since the symptoms are ofttimes very like. However, hither are some clues to narrow down what is going on:

• Symptoms of lactose intolerance rarely develop in people younger than 6 years of age. Earlier this age milk problems are more than frequent due to milk-protein allergy.
• Typically, babies younger than 6 months with milk-protein allergy develop diarrhea and eventually airsickness afterwards several weeks of being fed with formula. If you think back, did your baby have any of these problems earlier?
• The baby gets rashes after consuming milk. Information technology is difficult for me to say if your daughter's red cheeks are in whatsoever way related to her milk consumption, but they could be. Rashes after milk consumption are associated with milk protein allergy, non lactose intolerance.

Weather condition that Mimic CMPA and Lactose intolerance

In immature infants, the crying and discomfort of CMPA tin mimic infantile colic. The latter, however, is never associated with weight loss or blood in the stools. Colic likewise self-resolves by three months old.

Bacterial intestinal infections tin can cause bloody diarrhea in toddlers (i.e. salmonella, E. coli). In such cases, there is often a history of a community outbreak or improper food handling. The diarrhea is associated with fever and body aches, and merely lasts a few weeks. Intermittent bleeding and abdominal hurting tin can also be a sign of a bowel obstruction which warrants immediate medical intervention.

Constipation is the almost common cause of stomach aches in toddlers when no other symptoms are present. Inconsistent eating habits, and efforts to toilet train contribute to this problem. Hard stools, distention of the belly, and the passage of foul-smelling gas are mutual. Constipation differs from lactose intolerance and CMPA, however, considering the child otherwise appears and behaves commonly.

Treatment Options

Many infants with not-IgE CMPA outgrow it past their first birthday, but those with the IgE type may not.  For toddlers who remain symptomatic, the best way to prevent an allergic reaction to cow's milk protein is strict avoidance.

Further exposure simply prolongs the symptoms, and increases the risk of more severe reactions.

Instead of moo-cow's milk, the American Academy of Pediatrics recommends soy milk every bit a suitable alternative. This is because soy milk is college in fatty than other options.  Some kids with the IgE-type of CMPA, however, are allergic to soy protein as well. If so, other options should be discussed with a medico. Almost of the currently available toddler formulas are moo-cow'due south milk-based, and, therefore, inappropriate. New to the market vegan toddler formulas accept not been fully reviewed by U.Southward. health authorities.

For children who are lactose intolerant, lactose-free milk is available.  The lactase enzyme needed to assimilate this sugar has been added. Strict avoidance of cow'southward milk is unremarkably unnecessary, and few symptoms may be noticed when only small amounts are consumed.  Some yogurts and hard cheeses are low in lactose, and may be well tolerated.  A chewable lactase enzyme replacement may exist advisable for older toddlers to take when consuming such foods.

Pea Milk, Oat Milk, and Nut-based Milks

The grocery shop shelves of cow's milk now share space with a variety of milk alternatives.  The American Academy of Pediatrics has non embraced these options equally strongly equally the general public. Their position is that not-soy plant-based milks are nutritionally inferior to that of soy versions.

Taking a closer look at the products' ingredients, there is some validity to their opinion.  Yellow dissever peas are used in the processing of pea milks. Although loftier in dietary fiber, peas are not a consummate source of protein.&n They contain iron and calcium, but lack many essential minerals. Oats are also high in fiber, only its protein is too problematic. Oat milk poly peptide is more difficult to assimilate due to alterations that occur during the manufacturing process.

In their raw course, nuts are a nutrient-dense nutrient that can be a good source of protein, salubrious fats, and some vitamins. Unfortunately, nearly nut milks are processed in a style that the final product is quite depression in protein.  Although fortified with calcium, some versions lack vitamin D supplementation.

Exercise non give your baby rice milk (read about why here).

Communication for Parents

If your toddler seems to have difficulty tolerating cow'south milk, the first matter to do is appraise the reactions.  If there is immediate vomiting followed past a rash, swelling, and difficulty breathing, you should seek emergent medical care.  Whatever blood that is noticed in the stools also warrants prompt evaluation.

If the symptoms are less astringent but withal troubling, a discussion with a medico tin can help determine the cause, and program an advisable solution.

I hope this helps,

Paula

More On Babies and Toddlers With Milk Problems

• Xanthous Stools Due To Cow'southward Milk Allergy?
• You can read more than about milk allergy at MayoClinic. (Opens in new window)

Research References

• Lactose intolerance and gastrointestinal moo-cow'southward milk allergy in infants and children – mutual misconceptions revisited
• Milk Allergy
• Cow'southward Milk Allergy in Children
• Guidelines for the diagnosis and management of cow's milk protein allergy in infants
• Food protein induced enterocolitis syndrome (FPIES)
• Common Food Allergies
• Lactose Intolerance in Children
•  Lactose Intolerance
• Pediatric Gastrointestinal Haemorrhage Clinical Presentation
• Cross-Reactivity Between the Soybean Protein P34 and Bovine Caseins
• Moo-cow's Milk Alternatives: Parent FAQs
• 4 groups issue consensus report on salubrious beverages for 0- to five-year-olds
• The Entreatment of Pea Protein
• Oat milk and other alternatives
• Health Benefits of Nut Consumption

At present over to y'all! Share your experiences of milk protein allergy or lactose intolerance in toddlers or babies!

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Source: https://www.easybabylife.com/toddler-with-milk-problems.html

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