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Cow’s milk protein allergy! - part 2

Cow’s milk protein allergy – part 2

 Ingrid Roche – Accredited Pracitising Dietitian

Gastrointestinal (non IgE mediated) cow’s milk allergy – what is it and how to manage it

Cow’s milk allergy is one of the more difficult to manage food allergies in children. There are many different types of allergic conditions caused by cow’s milk protein.

The second part of this two-part presentation is on managing gastrointestinal cow’s milk protein allergy. This webinar is for parents of children with delayed or gastrointestinal symptoms of cow’s milk allergy focussing on conditions such as allergic proctocolitis and allergic enteropathy; this type of allergy is sometimes called ‘cow’s milk protein intolerance’. (Note: We will be doing separate webinars on FPIES and Eosinophilic Oesophagitis)  

View now to learn how to manage this allergy day to day and how to make sure your child’s nutritional needs are met.

Webinar recorded: 17 November 2020

The questions posed after the webinar are presented below the full version. 

Cow’s Milk Protein Allergy part 2 - full webinar

In regards to breastfeeding if I'm not eating dairy am I still producing calcium in my milk for bub?

When reintroducing dairy/soy into the diet is it better to reintroduce through my breastmilk or give it directly to my baby? He is 8.5 months old and I've been dairy/soy free for 6 months. My allergist hasn't mentioned anything yet (but our consultation was only via telehealth).

II have had to exclude soy bean oil and soy lecithin from my toddler, he reacts with immediate red flush cheeks that don’t disappear with anti-histamines, mucous and eczema skin. What is he reacting to, if it’s refined?

We have a 4-year-old, who is toilet trained so it is very hard to distinguish if there is mucous or blood in their stools. We notice though that the child (dose dependent) is off her food for about 1 or 2 weeks after trialling the milk ladder. It’s really challenging to distinguish exactly how much, or if it’s due to someone else that isn’t related (eg: hot days)? How would you manage this, and how often would you challenge the child again?

We were told to boil cow’s milk for a good 20 minutes to remove all source of protein where this is safe for the child to have. Is this an alternative way to help include milk into their diet?

What about butter? where does it fit in the allergenic list?

My son is 4yo and experiences vomiting and diarrhoea when eating dairy. What type of allergy is he likely to have?

What calcium supplement do you recommend given caltrate contains soy?

Can the CMPI persist throughout life? My kids have both allergies (nuts) and intolerances (dairy, preservatives etc).

About Ingrid Roche…

Ingrid Roche

Ingrid Roche is an Accredited Practising Dietitian with over 20 years’ experience; specialising for the past 10 years in the nutritional management of food allergy in infants and children.  She works at the Perth Children’s Hospital and has a private practice in Perth, Western Australia. Ingrid is passionate about supporting families living with food allergy, and training other dietitians in the area of food allergy management. Ingrid is a member of Allergy & Anaphylaxis Australia, ASCIA and Dietitians Australia.