Does this sound like a milk allergy or intolerance?

[rallytog1]

10mo dd has been ff since birth. No obvious issues with that, although she has never slept for more than 2 hours in one go and always wakes up screaming/shouting (the HV has always maintained this is not digestion related because she has put on weight really well).

Since weaning I've noticed what looks like problems with dairy. If she eats something like porridge or cereal made with cows' milk, cheese, cheese sauce etc she'll projectile vomit it all up an hour or so later. Her nappies are also atrocious - she can poo up to 6 times a day, they're always loose and often a very pale colour. But I've noticed that a couple of times when she's had a day with no dairy food, she sleeps better and her poos look a bit firmer, so I've decided to try cutting it all out for a couple of weeks to see if it makes a difference.

What I'm confused about however, is how she can be OK with formula but have an issue with cows milk in other things? Or could I be missing a more obvious cause? Does it sound like something we need to get help with?

Forgot to say, Ive never thought she's come out in a rash but her face often looks a bit spotty.

I'm sorry to hear this about your baby. As a nutritionist, what would be recommended would be to take a food diary, and record what your baby is eating. You can also track the time-lag between meals and symptoms. This may help the dietitian decide what exactly is going on. At least then you can be sure of what is definitely exacerbating symptoms. A good app that is built for just this is www.alliapp.com and is recommended by the NHS. Hope it helps!

It can happen - being able to tolerate formula but not other forms of dairy. My DD was like this.

As milk is processed, heated and made into other things the protein structure changes, which can makevit easier to tolerate. My DD has a diagnosed milk allergy, with IgE scores up in the 60's. If she eats milk, cheese, other less processed forms of dairy she gets an immediate reaction. Swollen lips, hives rash etc. We treat it with Piriton. Yet she had one bottle of normal formula daily from 8 weeks until about 9 months with no issues at all.

Yes, putting on weight well was a real red herring for my dts. Both cmpi.

Intolerance is a bit of an outdated term. Instead people tend to have either ige or non-ige mediated allergies, so both are cmpa. The latter is a delayed response, typically manifesting in stomach and skin issues (e.g. Eczema). The former will show on a skin prick test the latter won't.