Signs your baby is allergic to formula
Milk Allergy in Infants (for Parents)
What Is a Milk Allergy?
When a baby is allergic to milk, it means that his or her immune system, which normally fights infections, overreacts to proteins in cow's milk. Every time the child has milk, the body thinks these proteins are harmful invaders and works hard to fight them. This causes an allergic reaction in which the body releases chemicals like
histamine.
Cow's milk is in most baby formulas. Babies with a milk allergy often show their first symptoms days to weeks after they first get cow milk-based formula. Breastfed infants have a lower risk of having a milk allergy than formula-fed babies.
People of any age can have a milk allergy, but it's more common in young children. Many kids outgrow it, but some don't.
If your baby has a milk allergy, keep two epinephrine auto-injectors on hand in case of a severe reaction (called anaphylaxis). An epinephrine auto-injector is an easy-to-use prescription medicine that comes in a container about the size of a large pen. Your doctor will show you how to use it.
What Are the Signs & Symptoms of a Milk Allergy?
In children who show symptoms shortly after they have milk, an allergic reaction can cause:
- wheezing
- trouble breathing
- coughing
- hoarseness
- throat tightness
- stomach upset
- vomiting
- diarrhea
- itchy, watery, or swollen eyes
- hives
- swelling
- a drop in blood pressure causing lightheadedness or loss of consciousness
The severity of allergic reactions to milk can vary. The same child can react differently with each exposure. This means that even though one reaction was mild, the next could be more severe and even life-threatening.
Children also can have:
- an intolerance to milk in which symptoms — such as loose stools, blood in the stool, refusal to eat, or irritability or colic — appear hours to days later
- lactose intolerance, which is when the body has trouble digesting milk
If you're not sure if your child has an intolerance versus an allergy, talk to your doctor.
If Your Child Has an Allergic Reaction
If your child has symptoms of an allergic reaction, follow the food allergy action plan your doctor gave you.
If your child has symptoms of a serious reaction (like swelling of the mouth or throat or difficulty breathing, or symptoms involving two different parts of the body, like hives with vomiting):
- Give the epinephrine auto-injector right away. Every second counts in an allergic reaction.
- Then, call 911 or take your child to the emergency room. Your child needs to be under medical supervision because, even if the worst seems to have passed, a second wave of serious symptoms can happen.
How Is a Milk Allergy Diagnosed?
If you think your infant is allergic to milk, call your baby's doctor. He or she will ask you questions and talk to you about what's going on. After the doctor examines your baby, some stool tests and blood tests might be ordered. The doctor may refer you to an allergist (a doctor who specializes in treating allergies).
The allergist might do skin testing. In skin testing, the doctor or nurse will place a tiny bit of milk protein on the skin, then make a small scratch on the skin. If your child reacts to the allergen, the skin will swell a little in that area like an insect bite.
If the allergist finds that your baby is at risk for a serious allergic reaction, epinephrine auto-injectors will be prescribed.
Avoiding a Milk Allergy Reaction
If You're Breastfeeding
If your breastfed infant has a milk allergy, talk to the allergist before changing your diet.
If You're Formula Feeding
If you're formula feeding, your doctor may advise you to switch to an extensively hydrolyzed formula or an amino acid-based formula in which the proteins are broken down into particles so that the formula is less likely to trigger an allergic reaction.
You also might see "partially hydrolyzed" formulas, but these aren't truly hypoallergenic and can lead to a significant allergic reaction.
If you're concerned about a milk allergy, it's always best to talk with your child's doctor and work together to choose a formula that's safe for your baby.
Do not try to make your own formula. Commercial formulas are approved by the U.S. Food and Drug Administration (FDA) and created through a very specialized process that cannot be duplicated at home. Other types of milk that might be safe for an older child with a milk allergy are not safe for infants.
If you have any questions or concerns, talk with your child's doctor.
Signs of a baby formula allergy
If your baby frequently vomits or has diarrhea after drinking formula, they may be allergic to the cow's milk protein found in most formulas.
Formula allergies are typically caused by a milk allergy. A milk allergy is an atypical immune response in which the body reacts to the protein in milk as though it's a foreign invader that needs to be fought off.
Milk allergy is the most common food allergy in children. In fact, 2 to 3 percent of kids under age 3 show symptoms of an allergy. Just because your baby has signs of a milk allergy, though, doesn't necessarily mean they're allergic to milk – it could be an intolerance or sensitivity, which often causes the same gastrointestinal issues.
If you think your baby might be allergic to the formula you're giving them, bring it up with your pediatrician. They can help pinpoint what's causing your baby's discomfort.
A milk allergy or intolerance can be hard to manage, but the good news is most babies outgrow it by about 18 months to 2 years old.
It's not surprising that some of the most common signs of an allergic reaction to formula are gastrointestinal, including:
- Vomiting
- Diarrhea
- Blood or mucus in the stool
- Unusually hard or excessively loose, watery, and foul-smelling poop
- Abdominal pain
Frequent spit up and excessive gassiness may also be signs of a milk allergy.
Not all signs of a formula allergy are gastrointestinal, though. Other signs of an allergy include:
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- Itchy, watery, or swollen eyes
- Chronic nasal stuffiness
- Runny nose
- Cough
Your child may also develop itchy raised bumps on the skin known as hives. This is a type of skin rash that often occurs as a result of an allergic reaction. Hives can appear anywhere on the body and may look like tiny spots, blotches or large bumps.
Another common rash that may appear with a formula allergy is known as eczema (atopic dermatitis) and can cause red, itchy or dry skin. Eczema tends to show up on the cheeks and scalp in babies but can appear anywhere on the body.
If you notice that your baby is continually fussy or crying and has obvious signs of discomfort shortly after you've started feeding, talk to your baby's doctor. Babies with milk allergies can show symptoms anywhere from days to weeks after first drinking cow's milk-based formula.
In some cases, a severe food allergy may cause a life-threatening reaction called anaphylaxis. If your baby has any of the following symptoms, call 911 or go to an emergency room immediately:
- Turning blue
- Wheezing
- Trouble breathing
- Facial swelling (including the lips or tongue)
It can be difficult to tell the difference between a milk allergy and lactose intolerance, since both conditions can cause uncomfortable gastrointestinal symptoms. If you have any concerns at all, talk to your baby's pediatrician. They can help figure out whether your baby has a milk allergy, lactose intolerance, or some other issue.
Lactose intolerance is primarily a digestive issue in which the body doesn't produce enough of the enzyme lactase to properly digest the lactose in milk. Lactose intolerance can cause diarrhea, bloating, and gas in infants, but it's usually not dangerous. It's more common in adults than in children: If your child does have this condition, they likely won't start showing signs until they're at least 3 years old.
What to do if your baby has a formula allergy
First, check with your child's doctor to make sure that something else isn't causing the reaction. Once they rule out other possibilities, they may recommend a hypoallergenic (hydrolyzed) formula or an amino acid-based formula that's processed to avoid allergic reactions.
Your doctor most likely won't recommend a soy formula – soy is also a highly allergenic food, so if your baby is allergic to milk, they may also be allergic to soy. In fact, about 8 to 14 percent of babies with a cow's milk allergy will also have a reaction to soy. Ask your baby's doctor before switching to a soy formula.
Your baby's doctor may also recommend keeping epinephrine auto-injectors on hand for your baby in case they accidentally have a milk product and have a severe reaction to it.
how it manifests itself, what it looks like, what to do, how long it takes for a newborn to be allergic to formula
We deal with the signs of intolerance to baby food and answer the question of what to do if the baby has an allergy to infant formula.
Nutrition for babies in the first year of life if breastfeeding is not possible should be prescribed by a pediatrician. He will definitely ask about the presence of allergies in parents and close relatives, ask about how the pregnancy went, did the mother take antibiotics, does the mother have bad habits. These are all risk factors for food allergies in babies.
How infants are allergic to formula
The reaction to an allergen manifests itself through different body systems. Here are the symptoms of a food allergy:
- On the skin : redness that starts on the face and spreads throughout the body, small blisters, peeling
- From the digestive system : regurgitation fountain, loose stools, especially green, constipation, bloating, colic
- From the side of the respiratory system : shortness of breath, cough, wheezing
How long does it take to become allergic to the mixture
How quickly the disease will make itself felt depends on the characteristics of the child's health. In some babies, the first signs of allergies occur immediately after feeding. In others, the allergen will manifest itself only after a few days, when it accumulates in the body. In any case, you should immediately contact a specialist who will diagnose and prescribe adequate treatment.
Allergy to hypoallergenic formula
Hydrolyzed mixtures are called hypoallergenic - those where the milk protein is split into amino acids and peptides, which are easily absorbed by the body and in most cases do not cause an undesirable reaction. They are prescribed in cases of severe allergies. They are bitter, and babies are reluctant to eat them.
However, an undesirable reaction can also occur on a hypoallergenic mixture. That is why only a pediatrician should recommend the mixture and select treatment in case of an allergy.
Why are babies allergic to formula?
The reasons are different. A doctor and tests will help to deal with them.
The most common of the reasons:
- temporary or congenital lactase deficiency. The tests prescribed by the pediatrician will help to establish this reason. And treatment can be a temporary or permanent transition to a lactose-free mixture, such as soy. How to recognize lactase deficiency, read the article of our pediatrician.
- allergy to animal protein - casein. After passing the analysis, the doctor will recommend replacing the mixture with soy or hydrolyzed. Read more about lactase deficiency and cow protein allergy in our article.
- incorrect transition to artificial feeding or a new mixture. Learn how to change the mixture so as not to harm the baby's body.
- rotavirus infection. This is a temporary, but rather acute condition, during which the child needs special nutrition. Learn more about nutrition during rotavirus.
- excess food. This is the most common cause of allergic dermatitis in artificial babies who cannot regulate the amount of formula they eat. Why this happens, find out from our material.
- formula is not suitable for your baby. Children prone to allergies may react to the composition of improved mixtures enriched with vitamins and trace elements. How to understand what exactly caused the allergy? It is necessary to pass tests and follow the advice of a pediatrician to switch to a suitable mixture.
What to do
Regardless of whether treatment is required, a reduction in the volume of the mixture eaten or a transition to a new diet, the appointment should be made by a doctor.
Therefore, the first thing to do is to contact a pediatrician who will establish the cause, possibly offer to take tests and prescribe treatment.
Soy mixtures for allergies
Soy infant formula is prescribed for allergies to animal protein - casein. And in the absence of allergies to soy. Therefore, if the doctor has prescribed an analysis for an allergy to animal protein, ask if it is worth immediately taking an analysis for a reaction to soy protein.
Soy nutrition is an absolutely complete replacement for dairy nutrition until the transition to adult food.
Pay attention to soy mixtures Materna, made in Israel. They do not contain GMOs, salt and sugar and are suitable for newborns.
Fermented milk mixtures for allergies
Fermented milk mixtures belong to the category of medicinal. They are enriched with live bacteria that help digest food and absorb nutrients.
Only a pediatrician can recommend the use of a fermented milk mixture. As a rule, the baby is not completely transferred to such a diet, but several feedings a day are replaced by them. Do this for a limited period of time while bowel function is restored.
How long does an allergy last
With adequately selected treatment, you will notice an improvement in 5-7 days. Symptoms may persist for up to a month. The prognosis for your particular case can only be given by a pediatrician who knows the history of the baby.
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Allergy to the mixture: how quickly it manifests itself, which mixture is better
09/23/2019 Reading time: 5 min 176451
Article content
- Immune system error
- Why allergies are more common in young children
- How a True Allergic Reaction Begins
- About the characteristics of allergy to mixture
- What can cause an allergic reaction to mixture
- How does allergy to mixture manifest
- What to do if you are allergic to formula
- Instead of conclusion
The Chief Pediatrician of the Central Federal District of the Russian Federation, Honored Doctor of the Russian Federation and Doctor of Medical Sciences Irina Nikolaevna Zakharova, in an interview with Yulia Cherednichenko, published in the journal Medical Council, shared interesting information. Food allergy is not a new discovery, it was encountered earlier, back in the 18th-19th centuries. But the term itself appeared later, at 1906 year. Then the Australian pediatrician K. Pirke called the inadequate response of the body to food "another action" (allos - "other", ergon - "action"). Some experts call such a strong sensitivity a non-infectious epidemic of the 21st century. Indeed, more and more often you hear stories about allergies from neighbors and acquaintances. About 8% of children are prone to allergies, among them about 30% of children are babies under one year old. In Russia, every 4th child has a predisposition to the development of allergies.
Immune system error
A food allergy is a reaction of the human immune system to a food (usually proteins). Some food components are not "recognized" by the body, and it produces antibodies to them, protecting itself. Let's see how an allergic reaction starts. But first, let's discuss who has an allergy more often: in children or in adults.
Why allergies are more common in young children
This is due to the fact that the baby's digestive tract has not yet had time to establish its work in order to fully cope with and assimilate new food components. And in general, the immune system and the body have not yet matured. Honored Doctor of the Russian Federation I. N. Zakharova noted that the physiological immaturity of the gastrointestinal tract is expressed in a low content of pepsin, insufficient activity of pancreatic enzymes and low production of glycoproteins.
How a true allergic reaction begins
Have you heard the word "sensitization"? Difficult at first glance, the term just means the process when the immune system "marks" the product as an allergen. And the next time a person eats the same or similar product, an allergic reaction will occur. It is different and can be expressed both in an itchy rash and in difficulty breathing. It is important to note that the reaction will start even with the minimum amount of product received.
About the features of allergy to mixture
Often, the problem of food allergies in a child is encountered by parents of babies who are on mixed or exclusively artificial feeding. Moreover, the brand of the manufacturer of the product does not always matter. The manifestation of intolerance to non-therapeutic milk formulas is explained by the fact that most of them are produced on the basis of cow's milk. Cow's milk proteins are the most common allergen for children in their first year of life.
What can cause an allergic reaction to the mixture
As we have already said, the increased susceptibility of the baby's body to the content of proteins (protein components) causes the launch of immune reactions. These processes cause the appearance of allergic symptoms. The onset of allergy to the mixture in infants is facilitated by:
• hereditary predisposition - if parents, siblings have allergies - the baby is at risk
• early transfer to artificial feeding,
• incorrect mixture selection,
• frequent unreasonable transitions from one brand of mixture to another,
Despite the fact that the mechanisms of development of true allergies and pseudo-allergies are different, they have the same symptoms. However, the prognosis of the disease and approaches to treatment can vary significantly. Therefore, if a child has signs of an allergy to the mixture, it is necessary to undergo an examination with the performance of special tests.
How does allergy to mixture manifest?
What does an allergy to infant formula look like? Its symptoms are quite diverse, and it is often extremely difficult for a non-specialist to understand them. In newborns, an allergy to the mixture can be quite difficult. Here are some allergy options.
- Skin eruption . Areas of redness with dryness and scaling, a bright pink macular or maculopapular (acne-like) rash, the elements of which may coalesce and are usually itchy, causing distress to the infant. In severe cases, the rash can spread to large areas of the body, weeping and crusting appear, the child becomes restless, naughty, sleeps poorly and loses weight.
- Violation of the gastrointestinal tract. This includes a variety of manifestations, from bloating and colic to diarrhea, or vice versa, constipation, frequent regurgitation and vomiting.
What to do if you are allergic to formula
If a child has symptoms of an allergy, it is imperative to contact a pediatrician, since an examination and clarification of the diagnosis are necessary. Specific measures should also be prescribed by a doctor. Usually the fight against allergies goes in the following areas.
- Supply correction. When a cow's milk protein allergy is diagnosed, the child is switched to nutrition with therapeutic mixtures based on a deep protein hydrolyzate, for example, Nutrilak Premium Peptidi MCT.
- Proper care. For baby's skin care, use special medical and cosmetic products from the hypoallergenic series.
- Medical treatment . It is carried out strictly according to the doctor's prescription.