Clinical Reference Systems: Pediatric Advisor 10.0
Cow's Milk Allergy Diet
Avoid All Sources of Cow's Milk
In very young children, cow's milk is the leading cause of
allergic reactions. Once you know your child has a
cow's-milk allergy, all milk and milk products must be
completely removed from the diet. Not even small amounts
should be eaten.
Avoid buying "deli" meats because the slicers may be used to
cut both meat and cheese products. Also, some deli meats
contain milk.
Another problem that is increasing is the presence of cross
contaminants in processed foods. For example, recently
three children have experienced allergic reactions after
eating tofu ice cream. The ice cream had significant levels
of cow's milk protein in it. Tofu ice cream is not made
with milk, but much of it is made in dairy plants, and the
batch in question had been contaminated. To combat this
problem, sensitive tests to detect small amounts of food
proteins are being developed and will be useful in making
sure that safe foods are really safe.
Read Food Labels
Knowing how to read a food label will help you avoid
problems caused by cow's milk in foods.
Terms that mean the product does contain cow's milk protein:
----------------------------------------------------------------------
ammonium caseinate custard milk solids
artificial butter flavor delactosed whey potassium caseinate
butter demineralized whey rennet caseinate
butter fat dry milk solids sodium caseinate
butter solids ghee sour cream
buttermilk half & half sour cream solids
calcium caseinate lactalbumin sour milk solids
casein lactalbumin phosphate whey protein
cheese lactose concentrate
cream magnesium caseinate yogurt
curds milk protein
cottage cheese milk derivative
----------------------------------------------------------------------
Terms that may mean the product contains cow's milk protein:
-----------------------------------------------------------------
high protein flour natural flavoring
caramel flavoring
-----------------------------------------------------------------
Use Soy Formula and Soy Milk
If your baby is allergic to cow's milk, your doctor may
recommend that you give a soy-based or casein-hydrolysate
formula that will provide the nutrients usually found in
milk and milk products. Some soy-based formulas are Isomil,
Prosobee, Nursoy, and I-Soyalac. Casein-hydrolysate formulas
contain milk protein that has been extensively broken down
so it isn't as likely to cause an allergic reaction as
regular milk. Some casein-hydrolysate formulas are
Alimentum, Nutramigen, and Pregestimil.
In most cases, don't use Good Start; it's a partial whey
hydrolysate, which means it contains some whole milk
protein.
Soy-based infant formulas are fortified with nutrients. If
your child is currently on a milk-free infant formula,
continue to use it as long as your child willingly drinks
it. There is no need to stop using soy milk as your child
gets older.
Provide Missing Nutrients
Milk is normally the main source of calcium and vitamin D in
a child's diet. These nutrients are needed to build strong
bones. If your child is on a diet without milk and is not
drinking a formula, ask your doctor about calcium and
vitamin D supplements. Calcium supplements include Biocal,
Caltrate, Neocalglucon, Oscal, Rolaids, Titralac, and Tums.
You can also use a calcium-fortified orange juice, which has
approximately the same calcium content as milk.
|