What to give 14 month old that can't tolerate cows milk

[Mumofboys16]

DS has an explosive nappy within an hour of drinking cows milk. He's ok with it in small quantities but not as a drink.

What do I give instead? Keep the formula, or use the milk alternatives like oat or almond.

And if I give the alternatives do they have enough fats and calcium or do I need to boost with other things?

I'm trying to read up online but getting confused! He's been referred to dietician but looking for where to start before we get the appointment. Thank you ..

Have you tried him on lactose free?

Hey

I used coconut milk (unsweetened) with my little fella who had CMPA. He didn’t enjoy the Alpro Growing up milk which seems to be popular .

Can he tolerate milk otherwise? I.e yoghurts cheese etc x .

I’d stick with formula for another year as the milk alternatives aren’t great. I had two cmpa babies and just ended up bf for much much longer.
Also the formula can be mixed as required which is less wasteful

These are the best alternatives (I order from best - less good) - as advised by all the various dieticians and consultants we've been under (DD diagnosed CMPA)
This is due to fat content and added minerals & vitamins.

• alpro soya growing up soya
• alpro soya growing up oat
• oatly barrista
• koko super

Can also recommend for you to join the CMPA support GB group as it's very helpful. There's also a weaning specific one.

Goat? Worked well for my DD.

I would keep him on formula until you've had advice from the dietician. Apart from the alpro growing up soya, most plant milks have very little in the way of calories and nutrition.

Alpro does a soya milk for age 1+
What sort of formula are they on?

Unsweetened coconut milk does not provide the nutrition needed. Toddlers under 3 need the equivalent of full fat cows milk.

Goat is worth a try but lots of CMPA children also react to it as the proteins are very similar.

Think oatly barista has more nutrients than other plant milks too

Oat saved us x

Goat for pfb
Oat for second who didn't do goat 🐐

Oh brill, thankyou for such quick replies.

My worry like some of you have said is some of the alternatives don't have much nutritional value.

I'm experimenting a bit at the moment, but he can tolerate cheese, milk in small quantities like on cereal. I'm not sure about yoghurt.. that's tomorrow's experiment.

His usual milk is kendamil which he drinks fine, and I bf to 10 months with no problems. It's like when he has too much cows milk in one go that irritates his tummy, but he's not upset with it.

If its cows milk protein issues then it's probable that you should avoid goats milk too

Does he tolerate soya?

Nutritionally, these would be best to worst:

Breastmilk or hypoallergenic formula
Wysoy formula
Alpro Growing Up Milk (soya or oat)
Koko Super
Oatly Barista

There might be others i don't know of, but I have been in a CMPA FB group for a long time and have done my own research due to having two allergic children.

This is helpful dilanandme.com/alternative-milks-cmpa/

We got the go ahead to use it from our dietician but told to avoid goats milk .

Please look up the milk ladder before you give him any more dairy. You need to work your way up step by step. Cow's milk is the last thing you should be giving him after you've confirmed he is ok with other things (yoghurt being one).

Kendamil is cows milk based so its odd that straight cows milk is an issue. At that age they only need around 300/350 mls worth of dairy so they don't need much to drink if they are getting it from other sources e.g. cheese, yoghurt, milk in cereal, etc

My little one is the same.

We switched to Alpro soya growing up milk (has a giraffe on it) and he's been fine ever since!

Thankyou - good idea, I'll take a look

We saw a private paediatrician for this and she recommended oatly. Apparently better than other branded non-dairy milk.