Cow’s milk protein allergy: “How do I know if my baby is milk intolerant and what can I do to help?”

Stacey Zimmels from FeedEatSpeak is a feeding & swallowing specialist and Speech and Language Therapist

The most common form of milk intolerance is Cow’s milk protein allergy/intolerance (CMPA/CMPI). It is thought to affect 2-3% of formula fed babies and 0.5% of exclusively breastfed babies.

Symptoms vary depending on the type of intolerance they may have but will include more than one of the following symptoms. Excessive crying throughout the day, mucus or blood in the stools, constipation or diarrhoea, eczema, poor weight gain, reflux, vomiting, nasal congestion, respiratory difficulties and hives.

If you suspect that your child has CMPA please see your GP. If CMPA is suspected/diagnosed the following should help

Here are my top tips on managing cow’s milk protein allergy

Dietary changes. Change to specialised formula if formula fed or maternal dairy exclusion for 6 weeks if breastfed.

Some infants may also need treatment/management of reflux. This may be medication but can also include keeping in an upright position after feeding, slightly inclining the cot head (by raising the legs of the cot NOT placing anything under the mattress) and baby wearing.

Sometimes changing the feeding position can also help. For bottle feeding try the elevated left sidelying (for more info please see Stacey’s blog post here). For breastfed babies the laid-back nursing position can help.

Some babies like to suck on the bottle and breast for comfort but this can exacerbate symptoms. In this instance a dummy may help. For breastfed babies use dummy cautiously as it may impact on milk supply. Seek advice if concerned.

Head over to FeedEatSpeak for more feeding and fussy eating tips.

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