What all of us should know about cow's milk protein allergy. Dr Sridhar Kalyanasundaram
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- Опубліковано 3 лис 2020
- In this video, I give an overview of cow's milk protein intolerance and how it differs from lactose intolerance (discussed in the earlier video • What is lactose intole... ). The names of the special milks are mentioned as examples, there is no intention to promote any particular brand, and parents should not initiate these special formula without appropriate medical advice. I hope this is useful, do subscribe and turn notifications on, do share.
#milkallergy #cowsmilk #foodallergy
My exclusively breastfed son had cow’s milk protein allergy since birth which went undiagnosed . He would be very gassy ( which dr’s said was “normal”) then as time passed he started passing bloody stools with mucus which caused blisters in his rectal canal and bottom. One dr even put him on antibiotics even though he was exclusively breastfed ( thinking it was stomach flu).He was very sensitive even after I tried to cut of all dairy from my diet. We shifted to soy formula (isomil).Alhamdulillah he out grew his condition by his first birthday.
Yes, we need to be open to this diagnosis in such situations. Thank you for sharing your experience
Hey believer will you help me my baby in the same situation plz help..
Thankyou doctor for this great detailed video. I hope my baby will get better after following ur instructions.
Kesin protein is not digest by below 1yr baby.
Good evening sir! Very useful video thanx for sharing. I have a question regarding a child who diagnosed with galactosemia or lactose intolerance. Generally soy based formulas are recommended. But what can be given if child is preterm or less than 1.8kg as soy cant be given to them
Very good question. I don’t have any experience with such cases. Wonder if an amino acid formula can be used as they are lactose free too
Sir, What can we recommend in resource limited setting when parents can't afford formula milk?
In such cases, we really need breastmilk. They can consider early weaning by 5 months if that would help reduce expenses from formula, but fresh milk will not be suitable unfortunately. And I don’t think even that is cheap these days
Hello doctor, Can I use lactare tablet if my baby is having cows milk protein allergy?
No, it doesn’t help
Sir, my daughter got blood in stool with mucus wen she was 2 months old. Earlier it was not diagosed. As soon as it was diagosed , doctors asked me to stop dairy consumption. Now i m not taking any dairy product and my daughter is exclusively breast fed and semi solid food. Now, my daughter is 7 months old. Can u tel how will we come to know that the allergy has gone?
If no symptoms you can start taking in your diet, if still breastfeeding. If tolerated after 2 weeks, gradually introduce a small dose in baby’s diet and monitor
@@SridharKs Sir, can I get your contact number?
Hi @nehapuri3787 after how many days of stopping dairy products did you notice that blood is absent in the stool . My 3month old daughter also has the same issue. From last 8days I have stopped dairy consumption when should I expect the blood to stop in stool.
Hello,Dr., my 9 month old baby, got rahes (red patches) around the neck, I introduced cow milk a week ago.
I want to know when my baby will overcome this allergy?
Baby was mixed fed till 8 months and now exclusively formula fed,there is no family history of Milk allergy or any other allergy.
Baby is taking curd,daliya with cow milk and kheer but no rashes or anything else.
When and how I can re introduce cow milk?
Not sure if the rash was related to allergy, could be viral infection or something else as well. But we don’t advise fresh cows milk before 1 year in any case. Why should we not give fresh cow milk in the babies first year? #milk #freshmilk #milkintake
ua-cam.com/video/8f9GEmYjDQs/v-deo.html
Hello Dr.
My daughter, now 2 yrs old has cow milk protein allergy .. We found this out when we introduced cow milk as to her diet aftr she was six months old... But it was just vry little ans she developed red rashes around her lips wherever milk touched but she was fine other than that.... Later again in periodical intervals when we have her any milk related items she gets runny nose, dry cough in an instant , itchy nose and an horrible swollen eyes....
But many a time it has happened that if milk or milk products consumed without any contact to her eyes or face, there's been no reaction at all.....
I am so very much in need of an answer to her condition as I'm concerned about her when she starts school and she's still young to understand her own condition ...... Need your guidance Dr. 🙏
It’s probably sensitive at skin level (contact allergy) than ingested (food allergy).precautions to avoid contact with skin is important, you can educate her and inform teachers at that stage. Hope no severe reaction like anaphylaxis
Hi Dr. This is indeed really helpful and i have started to give my daughter extensive hydrolised milk i.e Neutramigen LGG by MeadJohnson. I tried the tase myself as she was reluctant and tbh it taste really bad. Is thr a way i can add sugar or vanilla essence (couple of drops) to taste it better ?
No, babies at this age will get used if you persist
@@SridharKs Thanks for the reply doctor! Yes still trying our luck and giving her some time to adapat whilst sometimes giving the old formula she used to like.
also strange thing noticed that she is sleeping more than usual or i would say she is too sleepy since we have started the new excessive hydrolysed formula for the second day. Never seen her this sleepy
@@udaymalhotra4462 It's possible her discomfort is reducing and she is sleeping better. If otherwise active when awake, nothing to worry
@@SridharKs Hi Dr. hope you are well ?
My daughter symptoms improved after switiching to Nutramigen almost 5 months ago and now she is turning 9 month tomorrow.
Just wanted to confirm that we have started her solids post 6 months and gradually started give her Paneer, desi ghee in her food to check for any symptoms ( with really lesser quanty)
Day before ytd we started give the regular formula as advised by our doctor ( couple of month before) to test at 9 months. Just wanted your guidance on the same.
We have introduced Nan opti pro 2 by adding 1 scoop and 3 scoops Nutramigen for the first day, and 2 scoops Nan pro and 2 scoops Nutramigen for the second day.
She is taking the mix well, so far ( fingers crossed) but anxious if the symptoms might come back, so wanted to confirm what are the chances and for how long should we monitor this ?
@@udaymalhotra4462 if symptoms don’t recur in 2-3 weeks, it should be ok. Instead of mixing part of a feed, you could keep one to two feeds a day of the new formula and keep that dose for 2-3 weeks as the flare up might take that long to manifest
Sir is it correct.?and also share cow's milk contained which protien?
@@shreyamohanty-pg5nw review my videos on formula milk where I explain this
Hi Sir…
My baby age is 4 months and doing 4 to 5 vomitings after every feed since his 2 nd months onwards is not having blood stools..when we consult gastroenterology he suggested to use nexpro junior and ranidum pd..after using this medicine also 2-3 vomits occurs after every feeding..still how long we need use this medicine..I'm totally under dairy free diet..can I give my milk or totally soya formula milk to my baby..Is there any test to confirm it is a cmpa if so till what time it will be continued..when my baby will become normal without vomits ..please help me out sir..
Review this, baby has reflux, not sure about allergy as it’s persistent despite diet changes. These medications are not for long use. sridharparenting.wordpress.com/2023/04/14/what-is-gastro-esophageal-reflux-in-babies-what-is-the-approach-to-its-management-reflux-gerd/
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Good day Doctor,
My daughter had cow milk 2 spoon first time day before yesterday and suddenly today , we saw red spot on her body … platelet count was checked it was low. Can milk allergy can cause such low platelet.
When she was 2-3 months, she got blood in stool when her mother had some dairy product and breast feed.
Sir, kindly suggest if it is because of Milk allergy ?
Not related. How old is your baby now? And platelets can be low due to sampling issues, you could repeat with a good sample
My daughter's has milk allergy from her birth and now she is 19 years old ...!
she eliminated dairy products from her diet...Is any treatment to cure milk allergy....
or she eliminate dairy products from whole life.....
When was the last time she tried a product? Did she get severe (anaphylactic) reaction at any time? Does she tolerate foods containing milk products
@@SridharKs last time 10 days before she taken by fault (dairy product), her lips swallon and itching starts on her fingure...
Can I call you ..?send your contact number.
Most of the cases of Milk Allergy settle after a few years. The child should be evaluated by a Pediatric Gastroenterologist and gradual introduction of milk products can be started in supervision..
helo sir, my daughter is now 2.5 years but still she is suffering from cow milk protein allergy .i want to ask how long it lasts .? coz its very difficult to manage her diet
Discuss with your doctor about introducing a small dose as a challenge-if persists at this age, it could last a few years.
Hi sir my son is 6 months old suffering from acid reflux has low weight gain can you suggest any formula since my breast milk supply is low
At this age, it is better to focus on solid foods as reflux will improve and intake will be better tolerated, so continue breastfeeding and progress with solids-have a realistic expectation of the weight gain as I have described in my videos on growth.
@@SridharKs ok sir thank you so much one more doubt his birth weight was 3.5 kg and now he is 5 kg 6 months completed is there anything to worry about his weight sir
@@sowmiyapaul6478 it depends on the overall growth pattern till now, family size (tall, short etc). Do review this An overview of growth in infancy. Dr Sridhar K
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Hello, sir now my baby boy age is 4.5 months old.from past 3 months he is doing vomits alot after every feed..but rather then vomitings he dont have any symptoms..please let me know he really have cmpa..becz after my dairy cut diet also my baby is not stopping vomits..very poor weight grow..please help me sir
Review this and make suitable changes to feed pattern. sridharparenting.wordpress.com/2023/04/14/what-is-gastro-esophageal-reflux-in-babies-what-is-the-approach-to-its-management-reflux-gerd/
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Thank you for your early reply sir..
My baby is not having bloody stools..when we consult gastroenterology he suggested to use nexpro junior and ranidum pd..still how long we need to use..after using this medicine also 2-3 vomits occurs after every feeding..I'm totally under dairy free diet..can I give my milk or totally soya formula milk to my baby..Is there any test to confirm it is a cmpa if so till what time it will be continued..when my baby will become normal without vomits ..please help me out sir..
@@bhavanam1949 more detailed discussion for members. Thank you
Hi sir,
My baby started to have blood in stools . And stool reducing substance test came positive. So doctor told to cut all dairy substance plus nuts from my diet and I was given Neosmile drops to be added in every feed . After couple of weeks blood stoped . And we stopped neo smile . Then I started to introduce milk products and nuts in my diet. Within 20 days he started with dicentry and followed with blood in stools. Doctor said it’s has re triggered . And he told to again stop lactose plus nuts in my diet. And he has referred me to a gastroenterologist to get a colonoscopy. My baby is 5 months old. Can you please suggest what can be done sir?
You should assume milk allergy and stay off dairy products for a few months. It relapsed as you reintroduced too early. Consult gastro if concerns persist (takes a few days to improve after elimination of dairy)
Sir thank you for your quick response. It’s been three weeks since I have stopped all dairy products and still could see tiny dots of blood in stool. How many days we need to wait before consulting gastroenterologist? Should I need to start Neosmile drops along with elimination of dairy products in my diet? And also can we start solids. He is 5.5 months (167 days) old
@@user-ws2fv3ml8e no need for the drops. You ensure it’s complete elimination of all milk products, it’s ok to wait if improving
@@user-ws2fv3ml8e review this as well Session with expert-Colic, reflux and milk protein allergy in infants. Dr Ajmal Kader, Dr Sridhar K
ua-cam.com/video/5TE67cKXKCE/v-deo.html
Thank you sir for your quick response.
Sir why cow or buffalo milk is not suitable under 1year?
Because they have too much protein, fat and other components. Can also cause anemia
@@SridharKs sir isnt it make sense that more proteins or fat can be beneficial to the growth of newborn baby especially of it is preterm. Parents will like it
@@AhmadRaza-ye9qg too much is not good, it will put pressure on kidney, digestive abilities etc
Hello sir, do we need to cut soya as well with dairy products in case of CMPA?
Not necessarily but 50% kids may react to soya so watch for reactions
@@SridharKsThank you for the quick response sir, highly appreciate it. One more question sir, my 3month old daughter also has the same issue. From last 8days I have stopped dairy consumption when should I expect the blood to stop in stool.
@@mamtamishra5183 another week or so
@@SridharKs Thank you sir
My baby is 5 months now. He is exclusively breastfed.
He was diagnosed with CMPA at 3 months.
Tried to reintroduce milk protein. Took some cream biscuits.
But he is now constipated.
What to do?
Constipation is one of the most important problems faced in children. In this article, we will have a quick overview… sridharparenting.wordpress.com/2023/09/29/a-practical-overview-of-approach-to-constipation-in-children-constipation-childhoodconstipation/
@@SridharKs
He had blood in his stools previously at 3 months when it was found out to be because of CMPA.
Now it’s constipation.
Lactulose is sourced from milk.
So what to do?
@@sruthiravi881 you can use. Lactulose is not lactose
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