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Baby gets hives if given dairy other than milk based formula, cooked dairy. Suggestions?

I put my daughter on formula at 5 1/2 months and she broke out from hives from Similac Advanced- so I put her back on frozen breast milk (all I had left) then 5 days later put her on Similac Sensitive for Lactose sensitivity and she as been great on that formula. Because of her reaction to the initail formula I was advised to stay away from dairy (even though she is on a milk based formula) so until she was 11 months old she had no additial dairy in her diet . After 11 months old I let her eat Mac N Cheese, alfrado, food with cream of mushroom soup and cheese cooked into the meal, cheese it s, gold fish crackers with no problems. When she turned 1 in September I was advised the her dr to go ahead and try some non-cooked dairy. I fed her yogert on a Saturday with no problem, fed it to her again the following tuesday and she woke up Wednesday morning covered from head to toe in hives that stayed for 5 days- Other mom s keep saying it is a milk protein allergy- but if that is the case, why is she just fine on her milk based formula and can eat cooked dairy? I have not tried regular milk yet becuase I am scared to make her have another reaction- What is my next step to get her off her formula? I do not believe in soy products!
Asked On : Sat, 27 Oct 2012
Answers:  1 Views:  45
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Pediatrician, Neonatology 's  Response
It seems that your child has milk protein allergy.
Lactose intolerence, Milk allergy and Milk protein allergy are three closely related but different situations that people may get confused.

Lactose Intolerance - due to lack of enzyme Lactase, that break down the milk protein to simpler forms to be absorbable for body. May be primary due to genetical inability to produce lactse, or secondary due to Antibiotics treatment. Symptoms - dirrhoea, blood in stool, itchy rashes etc.

Milk allergy - Allergy to variety of proteins present in milk (commonly -Alpha S1-Casein) that leads to hypersensitive reactions . Smptoms - urticaria, rashes - an emergency.

Milk protein allergy - allergy to variety of milk protein like milk allergy (but the antibody is of different nature). Symptoms are like milk allergy but varies in severity.

As cooking (heating ) causes structural changes in protein, cooked milk product in food may not cause severe symptoms / allergy as the allergen (protein) may not present there. Child may be more tolerant to conventionally prepared yogurt because of lactase produced by bacteria during preparation or boiling the milk before preparation denatures the milk proteins . However, yogurt with more milk solids (sometimes present in commercial yogurts) may cause intolerance.

So, it is better not to be aggressive with introducing non-cooked dairy products to your child. Most of the cases, milk allergy subsides once the child reach above three year age.

Try to wean off with rice / wheat / dal / pulses etc, by making well cooked semisolid food. Then gradually to regular diet. Avoid raw dairy products now. Cooked milk products, as in your case, is OK.
Answered: Mon, 29 Oct 2012
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