Info from colony club April 12th

·      Symptoms of cow’s milk protein (CMP) allergy include: vomiting, diarrhea, constipation, failure to thrive, recurrent bronchospasms, colic, and sleep disorders. 

·      The problem is that ALL of these same symptoms can also describe Gastroesophageal Reflux (GER) and in some studies, they can occur together as much as up to 42%. 

·      In an article I read, it reviewed 19 infants that involved cutting out the cow’s milk which led to improvement for all infants in about 2 weeks later.  When they were then reintroduced to it 12 infants had symptoms return and 7 did not. This study looked at formula therefore it could not truly relate to breast fed babies mostly because the study indicated it is much more difficulty to maintain a completely CMP free diet (and probably much harder for those doing the study to control forJ) Further information in this article suggested allowing an adequate time of at least two weeks to look for improvement. 

·      Other things to be on the lookout for: retching, spit ups, and feeding refusal- that may be a little bit more like actual GER or a mix of an allergy and GER.  Some strategies for this include positioning the baby on their belly or left side for the first 40 minutes post a feed and try feeding smaller volumes.  The reason for this is that the juncture where the esophagus and stomach meet are angled at a better position and they are less likely to be submerged in fluid. 

Sarah Laryea