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Cow's milk allergy in children

  1. Cow's milk allergy is an allergic reaction to the protein found in cow's milk. Many young children have to deal with this, but they can also quickly 'grow over' it again. The allergy is therefore less common in toddlers and older children. Cow's milk protein is contained in milk and in standard infant formula.

  2. Cow's milk allergy is an allergic reaction to the protein found in cow's milk. Many young children have to deal with this, but they can also quickly 'grow over' it again. The allergy is therefore less common in toddlers and older children. Cow's milk protein is in milk and standard infant formula.

  1. If your child has a cow's milk allergy, this could be the first sign of atopy. Atopy is referred to when children or adults have a predisposition and where there are characteristics of food allergy, eczema, asthma and hay fever.

  2. If your child has a cow's milk allergy, this could be the first sign of atopy. Atopy is used when children or adults have a predisposition and where there are characteristics of food allergy, eczema, asthma and hay fever.

Causes

  1. Cow's milk allergy is caused by an allergic predisposition to cow's milk protein. If your child drinks milk or standard infant formula, he may experience this. The standard infant formula is based on 'normal' milk. This milk has been made suitable for use as baby food by means of modifications and additions. Cow's milk contains milk proteins that can trigger an allergic reaction. Milk also contains a sugar, milk sugar or lactose. This sugar does not cause an allergic reaction. If your body cannot split the lactose sufficiently, lactose intolerance develops. Both in terms of cause and complaints this is very different from a cow's milk allergy.

  2. Cow's milk allergy is caused by an allergic predisposition to cow's milk protein. If your child drinks milk or standard infant formula, he may experience this. The standard infant formula is based on 'normal' milk. This milk has been made suitable for use as baby food by means of adjustments and additions. Cow's milk contains milk proteins that can trigger an allergic reaction. Milk also contains a sugar, milk sugar or lactose. This sugar does not cause an allergic reaction. If your body cannot split the lactose sufficiently, lactose intolerance develops. Both in terms of cause and complaints this is very different from a cow's milk allergy.

Symptoms

  1. With an allergic reaction, complaints arise in various organ systems. Often the gastrointestinal tract, skin and / or respiratory tract are involved in the reaction. Sometimes â € general symptomsâ € ™ occur. Gastrointestinal symptoms: vomiting, refusal of food, insufficient weight gain, frequent bowel movements, constipation, blood in the stool. Skin symptoms: redness, itching, hives or hives, atopic eczema. Respiratory symptoms: stuffy nose, runny nose, wheezing and / or sawing breathing. General symptoms: cramps, excessive crying, swelling of lips, tongue and / or airways, collapse.

  2. With an allergic reaction, complaints arise in various organ systems. Often the gastrointestinal tract, skin and / or respiratory tract are involved in the reaction. Sometimes â € general symptomsâ € ™ occur. Gastrointestinal symptoms: vomiting, refusal of food, insufficient weight gain, frequent defecation, constipation, blood in the stool. Skin symptoms: redness, itching, hives or hives, atopic eczema. Respiratory symptoms: stuffy nose, runny nose, wheezing and / or sawing breathing. General symptoms: cramps, excessive crying, swelling of lips, tongue and / or airways, collapse.

Symptoms that indicate cow's milk allergy

  1. Your child has persistent complaints involving two or more organ systems. Your child has a clear allergic reaction. Extensive eczema, hay fever and / or asthma. Especially in young children who also react to other foods, the possibility of a cow's milk allergy should be considered. Your child has a moderately to severely itchy rash, hives, hives, eczema or red skin. The symptoms arise immediately after the use of cow's milk. The symptoms recur after the use of cow's milk. The allergic reaction arose during the transition from breastfeeding to formula.

  2. Your child has persistent complaints involving two or more organ systems. Your child has a clear allergic reaction. Extensive eczema, hay fever and / or asthma. Especially in young children who also react to other foods, the possibility of a cow's milk allergy should be considered. Your child has a moderately to severely itchy rash, hives, hives, eczema or red skin. The symptoms arise immediately after the use of cow's milk. The symptoms occur repeatedly after the use of cow's milk. The allergic reaction arose during the transition from breastfeeding to formula.

Diagnosis

  1. The doctor takes four steps to make a diagnosis: Recognize the symptoms Omit the cow's milk and replace it with processed protein milk Add the cow's milk to the diet again to see if the complaints come back Start a follow-up investigation to assess the course of the complaints By omitting cow's milk from the diet for four weeks (elimination), the doctor can see whether the complaints are reduced. Nursing mothers should follow a cow's milk free diet during elimination. When the complaints diminish, she adds the cow's milk back to the diet. This is to see if the symptoms come back: it may just be that the complaints have spontaneously improved. The gold standard is a double-blind placebo-controlled food challenge test. This means that neither the doctor nor the parents know what food (with or without cow's milk) the baby is getting. Blood tests to diagnose cow's milk allergy are generally not useful.

  2. The doctor takes four steps to make a diagnosis: Recognize the symptoms Omit the cow's milk and replace it with milk with processed proteins Add the cow's milk to the diet again to see if the complaints come back Start a follow-up investigation to assess the course of the complaints By omitting cow's milk from the diet for four weeks (elimination), the doctor can see whether the complaints are reduced. Nursing mothers should follow a cow's milk free diet during elimination. When the symptoms diminish, she adds the cow's milk back to the diet. This is to see if the symptoms come back: it may just be that the complaints have spontaneously improved. The gold standard is a double-blind placebo-controlled food challenge test. This means that neither the doctor nor the parents know what food (with or without cow's milk) the baby is getting. Blood tests to diagnose cow's milk allergy are generally not useful.

Treatment Cow's milk allergy is sometimes too easily diagnosed in babies. This is because babies can show symptoms that occur with cow's milk allergy, but also when they are just healthy. If there is indeed an allergy, your child must adhere to the elimination diet: the cow's milk is omitted from the diet. After six months, supplementation is sometimes given. The doctor will check after 12 months (and then every year) whether your child can tolerate 'normal' milk again. Two types of food are used for cow's milk allergy. The first type contains protein chains that have been cut into smaller pieces, as it were (Friso allergy care, Nutramigen, Nutrilon pepti, Friso pepti). There are a number of children who also have an allergic reaction to this. Then we switch to the second kind. Only the building blocks of protein (free amino acids) occur here (Neocate). This article has been approved by Dr. J.M. de Bont, pediatrician-pediatric neurologist at UMC Utrecht. Last revised September 17, 2018 Also read Allergies in children A child with food allergies 5 symptoms you shouldn't ignore in your child Don't miss anything anymore?

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