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Allergies and intolerances

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Sensitivity to cow's milk? (Very long, sorry!)

7 replies

UpSinceCrapOClock · 20/05/2009 13:57

Originally posted this on the breastfeeding board, but, as someone there suggested, it probably fits better here! I'd be grateful for any thoughts or experience about this:

Ds (14 months) was exclusively bf til 6 months, weaning went well (no obvious reactions) and at just after a year old, he started having a bottle of cow's milk before bed (for various reasons) and has otherwise been bf on demand. There are quite a few allergies in both my and dh's family (mainly asthma type allergies in mine, plus some food sensitivities and a few food sensitivities in dh's family) and there is also a lot of excema and dry skin problems in my family.

Ds started developing dry patches on his legs (circles) a couple of months ago and I have been moisturising him in a rich cream every morning and night (have to do this for dd, age 3, as well). Recently, they have started to get much worse and last week (Mon), he developed an excema type of rash all over his body (torso, arms, legs and under the chin especially) almost looking like severe sunburn. This literally happened from one day to the next and I took him to the Dr on Tuesday morning. She said it wasn't at all an illness, and looked more like excema and referred me to a skin specialist who we are seeing next week. Friday night, ds had his bottle of milk, went to bed, then (very out of character) woke up a few hours later, wasn't interested in bf (normally if he wakes at night I bf him), fussed for a few minutes and then vomited all over himself, the bed and me. I moved him off the bed and then he vomited all over the floor. No other symptoms (no fever etc) and after everything was cleaned and I'd cautiously given him some water, and then cautiously bf him, nothing happened and he went happily back to sleep. Was fine the next day, but the next evening (Sat), exactly the same thing happened.

After speaking to a GP relative on Sunday, they mentioned the possibility of a cow's milk allergy (sensitivity?) and said I should speak with my GP, but that a common way to test for this is an exclusion diet for 2 weeks, slowly reintroduce cow's milk and see what happens in terms of symptoms disappearing, reappearing etc. He also said that sensitivities to cow's milk is actually not that uncommon (not least because it's designed for calves who have different stomachs to humans ). Rang my GP the next day who, over the phone, said that allergy to cow's milk is incredibly rare and that I should wait and see what the skin specialist says next week.

In the meantime, ds hasn't had cow's milk since Saturday, I have just bf him on demand, he hasn't vomited and to me and dh (and another friend of ours who knows ds well and sees him regularly) it seems like the excema is actually starting to clear up. Even the dry patches on his legs (which no cream has cleared up in the past couple of months).

So now I feel a little confused. Of course all of this could be coincidence, but now I don't quite know what to do. My GP made me feel a bit like an hysterical mum (which I don't feel? But then it's difficult to judge oneself of course ) and thinks the allergy / sensitivity idea is nonsense. Maybe it is, but surely doing the exclusion diet properly won't hurt and might even give us some answers one way or another? Ds has only had milk from me (for drinking) and a tiny amount of cow's milk in cooking (in porridge for breakfast twice) since Sat night. I guess he is getting enough milk-wise from me in the meantime? Or should I try another type of milk (soya or something?) I'm not even sure if I should just ignore the Dr and try the exclusion diet off my own back (and if so, then maybe run the risk of shortchanging him somewhere nutrition-wise - or am I overestimating the 'wonders' of cow's milk?), or if I should try and go back to our normal routine and bring the cow's milk back?

To be honest, I feel like I've confused myself all the more by googling the subject, confused myself by speaking to 2 different healthcare professionals with conflicting points of view and in the meantime, of course, it's important to try and get to the bottom of this for ds' sake. Hence mumsnet!

OP posts:
frustratedmom · 20/05/2009 17:04

Ok, not convinced that milk allergy is that rare but is rarer then lactose intollerance.

Does ds get a dippy tummy when sick or just sick? My ds is milk allergic and I am milk intollerant. We react differently - he blows up in a rash, has problems breathing and a very dippy tum. Me, I just feel very sick and get dippy tum.

You will get conflicting advice. One pead told me to take anaphalatic son home and give him a glass of milk to see if he reacted. A second opinion pead did tests and we are waiting for the year to end to repeat tests to see if we can re-introduce.

If you think that the milk might be the problem go with the exclusion approach. Do it for 2 weeks and try a teaspoons worth. It sshould be enough to see if he reacts. I would mix it in rice milk as young kids are not recommended to have soya and rice milk is calcium re-inforced. I would repeat this for a few days before increasing milk level slowly - not exact re-introduction method advised by pead for my ds but we have to go through 1 drop, 2 drops, 4 drops nonsense and his reaction was very severe.

I wish you luck - if you do exclusion makes sure you note down amount milk given (in what volume total), time, any reaction and how soon after. It is all evidence. If your doc don't want to listen and you still feel there is an issue get a second opinion!.

frustratedmom · 20/05/2009 17:05

Oh and I know a lot of kids who are on milk exclusion diets for exma reasons. It is not surprising that the patches cleared up if there is a milk issue.

misdee · 22/05/2009 08:57

dd3 did something similar. when i tried to introduce cows milk at a year old, she went from no eczema to covered within days. although she had been eating yoghurts, milk in cooking etc etc, she just couldnt tolerate cows milk as a drink. i went back to breastfeeding, ditched the cows milk and reintoduced it at around 18months. for her its more of an intolerence than an allergy. she still loves yoghurts, cheese etc but not a big milk drinker.

dd4 (about to start my own thread about her) actually has a cows milk allergy, which is a different kettle of fish. we are waiting on an allergy clinic appointment and we are treading carefully and avoiding all dairy atm, as am worried i might end up killing her accidently. or making her extremely ill at the very least.

kalo12 · 22/05/2009 09:09

cows milk sensitivity is common in babies. my ds has it, exactly as you describe, and my doctor said it wasn't its just some babies get exczema and vomit anyway!

those gps don't rea\lly know much, and if you google this you will get alot more answers.

i don't give my ds dairy at all now.

books i recommend 'digestive wellness in children' elizabeth lipski
and 'what can i feed my baby' suzannah olivier - she says no babies should have dairy

mumny · 23/05/2009 18:45

My son was allergic to dairy, seafood, wheat and citrus, is will be four soon and can now have citrus and wheat. He will be violently sick if he consumes Dairy or Seafood and the dairy will also cause his excema to flare up. Ever since we cut out dairy the excema has cleared up.

UpSinceCrapOClock · 26/05/2009 20:47

Sorry - I went AWOL there (keep thinking I have a minute to get on mumsnet and then someone comes along and interrupts!)

Thanks for all your replies. Misdee - ds does sound similar to your dd3. Thinking about it, he has had, for example, plenty of sauces which are milk, butter, cheese based since quite young (about 8 months or so?)

I must admit, I do get confused about the differences between intolerances and allergies. On the surface, I'd say that an intolerance can make a person feel a bit poorly and make them ill if lots of exposure (continues?) whereas an allergy is pretty serious and the person gets an instant reaction? Would that be about right? Is there a difference between sensitivity and intolerance or are they just 2 different words for pretty much the same thing? If I have understood that correctly (am not medical, or even scientific, in the slightest!) then ds doesn't have an allergy. He has vomited after drinking a (large) bottle of milk, but he hasn't vomited after eating sandwiches (made with butter) or cheese etc, so far anyway.

To date though, he hasn't had cow's milk to drink since the last time he threw up after some (week and a half ago) and his excema has almost entirely cleared up. I haven't changed anything else (not using any fancy new creams or anything). He has had a tiny bit of milk product in other foods (eg, it was dd's birthday at the weekend and he had a piece of birthday cake which had butter in it) but otherwise nothing. I'm still continuing to bf him so far, and I think we'll just play it by ear at the moment.

OP posts:
movingintothefuture · 29/05/2009 00:48

Actually technically an allergy is a reaction caused by an inappropriate response by the immune system and an intollerance it the inability of the body to process/tollerate the substance. Ezma reactions tend to intollerances rather then allergies

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