Cow's milk allergy is said to occur in 2 - 8% of infants. About 5 -15% of infants have a reaction to the cow's milk protein, but not all of these are allergic reactions. For example, lactose intolerance is not an allergy as such, but children do have a reaction to cow's milk. Read more about lactose intolerance. Allergic reactions to cow's milk may be: immediate - within minutes up to 1 hour after having cow's milk.
Symptoms include hives, eczema, facial swelling, wheeze, vomiting, diarrhea. Severe reactions include anaphylaxis - read more. These are IgE mediated reactions - read more delayed - these can occur several hours or even days after having the milk. Symptoms include eczema, vomiting, diarrhea or asthma. Babies may even fail to thrive. These are non IgE mediated reactions so are caused by other immune substances but not IgE.
Examples include: Cow's milk protein intolerance - sometimes you will see blood in the stool. Food Protein Induced Enterocolitis Syndrome (FPIES) - this is the most severe form of non-IgE mediated allergy and causes vomiting 1-3 hours after ingesting milk (or whatever other protein may be involved) and diarrhea about 5-8 hours after ingestion. This can lead to severe dehydration and shock. Babies look pale and lethargic This page answers the following questions: Ads How is Cow's Milk Allergy diagnosed? The first thing is a good story (history) of a reaction after having cow's milk.
If your infant has had an immediate reaction, then skin prick tests, or blood tests (such as CAP, EAST, RAST) will usually be helpful. These tests detect IgE mediated allergies. In other cases, milk and dairy products may need to be eliminated from the diet in a trial of treatment. If the symptoms resolve and then return when milk is reintroduced into the diet, this is diagnostic for allergy - called Elimination/Reintroduction.
If your child has had a severe reaction to milk products, then reintroduction should be done under medical supervision. Some centers offer patch testing, which may be useful in detecting non IgE mediated allergies. Back to list Advertisement What is the treatment of cow's milk allergy? Cow's milk will need to be excluded from your baby's diet. This can be difficult and you may need the help of a dietician.
As cow's milk is in all dairy products, cow's milk allergy is sometimes called dairy allergy. Some breast-fed babies will get symptoms if their mother has cow's milk (dairy) products in her diet. In these cases, the mother will need to exclude dairy products from her diet. Foods to be avoided in cow's milk allergy include: any food with cow's milk or goat's milk cheese butter ghee milk powder cream fraiche, sour cream, cottage cream whey casein margarine custard lactalbumin, lactulose, lactoglobulin any foods containing any of the above list Back to list What milk alternative should I feed my infant with cow's milk allergy? If you can continue breast feeding, that will be best for your baby.
If not, alternatives to cow's milk include: soy protein formula - about half children who are allergic to cow's milk will also be allergic to soy. Soy formula is not recommended for infants under 6 months but can be tried first as an alternative milk in infants over 6 months of age, but do not be surprised if your infant shows an allergic reaction extensively hydrolysed formula (EHF) - this is milk that has been treated to break down most of the enzymes that cause allergic symptoms.
These are the first choice alternative for infants under 6 months with cow's milk allergy. Examples of EHF include PeptiJunior and Alfare. Partially hydrolysed formula (PHF) are not suitable for cow's milk allergic infants amino acid based formula - AAF - this is milk that is completely broken down eliminating the protein that causes allergy. It will be necessary in about 10% of cow's milk allergic children.
Examples of an amino acid based formula include Neocate and Elecare.AAF should be used in children who do not tolerate EHF (after a 2-4 week trial) or as a first choice in infants with an anaphylactic reaction Back to list Advertisement Should I give my baby goat's milk for cow's milk allergy? No. Goat's milk and cow's milk share similar proteins so children who are allergic to one will be allergic to the other.
Goat's milk, sheep's milk, and rice milk are not suitable alternatives in cow's milk allergic children. Sometimes a baby will seem to prefer a goat's milk formula to a cow's milk formula. This is not due to a milk allergy. It's merely a preference. Back to list Can I give my child yoghurt, cheese or cookies? Some cow's milk allergic children will tolerate yoghurt or cheese and have no problem at all with cookies with milk as an ingredient.
This is because heating changes the shape of the protein and this can make it less likely to cause an allergic reaction. Once your child has been symptom free for at least six months, you could try a small piece of cookie (that has milk as an ingredient) - if your child tolerates it, then you can give cookies freely. You could then try yoghurt or cheese as the same may apply. Some children will show a reaction to cookies, yoghurt and cheese and you will just have to keep these out of the diet for a bit longer - you could try again in about 6 months.
Remember leave about 2 weeks between trying a new food. Back to list Advertisement Should I stop breast-feeding my cow's milk allergic baby? This is not necessary in most cases so keep breast feeding your baby as breast milk is best. Cow's milk allergy is less likely in breast fed infants. If your baby has symptoms of cow's milk protein allergy, then you should exclude dairy products and eggs from your diet - you need to continue this for at least 2 weeks, but probably for 4 weeks, to see if there is an improvement.
If there is improvement, one food per week can be introduced into your diet until you know what food is causing your baby's problems and then you can just avoid that food. If you need to continue to eliminate milk from your diet, you may need a calcium supplement. If and when you do wean your baby, you should use an extensively hydrolysed formula (or soy if your baby is over 6 months of age but as mentioned above about 50% of babies allergic to milk will be allergic to soy).
Back to list Will my child grow out of her allergy? Most children grow out of their cow's milk allergy by age 3 years. Once your child is over 12 months old and has been without dairy products in the diet for at least 6 months, you could try introducing some dairy products into the diet - you might want to start with yoghurt or cheese as these are sometimes tolerated better than actual milk. If your child had a severe reaction to the milk in the first place, like anaphylaxis, then you should have the milk challenge under medical supervision - do not try re-introducing milk at home.
Some children grow out of the dairy allergy but develop other allergic diseases, like asthma as they grow older. Back to list Does dairy allergy cause mucus? Symptoms that relate to the respiratory system, such as runny nose and mucus, usually are a result of what we breath not what we eat. Any symptoms of mucus after ingesting milk are not dangerous and in infants are more likely to be the result of a respiratory tract infection rather than an allergy.
Back to list Is eczema caused by milk allergy? In most cases of eczema, there will not be any allergy. However, in some infants, particularly young babies with severe eczema, allergy may be a factor. In these cases, skin prick tests may be positive and even if they are not, it may be worthwhile trying an elimination diet (no dairy, including cow's milk) for 4 weeks to see if there is improvement. If no improvement occurs, cow's milk is unlikely to be contributing to the eczema.
This type of elimination diet is best supervised by your doctor or a dietician. Back to list Should I delay introduction of milk and dairy to prevent eczema or asthma? No, there is no evidence that delaying the introduction of milk or other dairy products will make any difference to whether your child develops eczema or asthma or allergy. Unless your child has shown a clear allergic reaction to milk and dairy, there is no advantage in delaying introduction of it, so give it at the usual time.
This is even when there is a history of allergy, eczema or asthma in your family. There is also no evidence that giving a hydrolysed formula to your baby when there is a family history of allergy will prevent your baby getting allergy, therefore we do not advise this. Back to list What is lactose intolerance? Lactose intolerance occurs because the body lacks an enzyme, lactase, that is necessary to digest the milk sugar, lactose.
People with lactose intolerance will get diarrhea, vomiting and tummy pains - these symptoms are similar to cow's milk allergy, but do not involve the skin. Although the symptoms are a nuisance, lactose intolerance is not dangerous. If you have lactose intolerance, you can usually manage to eat small amounts of cow's milk. Other dairy products, such as yoghurt and cheese, are usually well tolerated because they have easier to digest milk sugars.
The diagnosis is made on a stool test which shows sugars (reducing substances) in the stool or a breath hydrogen test. Treatment is reducing or avoiding products containing lactose (milk sugar) - so reducing or avoiding dairy products. Infants require a lactose-free formula. Back to list References American Academy of Allergy, Asthma and Immunology. The Allergy Report Australasian Society of Clinical Immunology and Allergy Tromp II; Kiefte-de Jong JC; Lebon A; Renders CM; Jaddoe VW; Hofman A; de Jongste JC; Moll HA.
The introduction of allergenic foods and the development of reported wheezing and eczema in childhood: the Generation R study.Arch Pediatr Adolesc Med. 2011; 165(10):933-8 (ISSN: 1538-3628) Vanderplas et al. Guidelines for the diagnosis and management of cow's milk protein allergy in infants. Arch Dis Child. 2007; 92:902-908 Rance F. Food allergy in children suffering from atopic eczema. Pediatr Allergy Immunol 2008;19:279-284 Ads To go to the top of the milk allergy page, click here To go to the food allergy page, click here To go to the main allergy page, click here To return to the Home page, click here Last reviewed 18 March 2016See Also: Cow To Milk
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If you’re a regular Dr. Axe reader, you might have noticed that, even though it’s one of the most popular drinks out there, I’m not a big advocate of cow milk. For example, is milk helping or hurting your bones? Also, this dairy drink can be a challenge for our bodies to digest. For some people, it’s even more inflammatory than gluten. But I don’t stay away from milk altogether. In fact, goat milk is one of my favorites drinks.
Read on to learn why this drink is far superior than its cow counterpart. Goat Milk Nutrition Will Surprise You While it’s not very popular in the Western world, goat milk is actually one of the most widely consumed milk drinks in the rest of the world and with good reason — it tastes great and it’s chock-full of nutrients. Just check out all that one glass of goat milk has to offer. (1) Calories: 168 Saturated Fat: 6.
5 grams / 33 percent DV* Carbohydrates: 11 grams / 4 percent DV Protein: 10.9 grams / 4 percent DV Cholesterol: 27 milligrams / 9 percent DV Sugars: 11 grams Sodium: 12 milligrams / 5 percent DV Minerals Calcium: 327 milligrams / 33 percent DV Phosphorous: 271 milligrams / 27 percent DV Magnesium: 34.2 milligrams / 9 percent DV Potassium: 498 milligrams / 14 percent DV Copper: 0.1 milligrams / 6 percent DV Zinc: 0.
7 milligrams / 5 percent DV Vitamins *Recommended Daily Value Goat Milk Benefits 1. It’s easier to digest. While the fat content of cow and goat milk is similar, the fat globules in goat milk are smaller, making it easier for your body to digest. (2) Once it reaches your stomach, the protein in goat milk forms a softer curd than cow milk — only about 2 percent of goat milk is curd, compared to about 10 percent in cow milk — helping your body digest it with less irritation than cow milk.
Goat milk is also lower in lactose, or milk sugars, than cow milk. Because many people aren’t as lactose intolerant as they believe — or simply have trouble digesting cow milk and aren’t actually allergic to lactose — goat milk can be a viable option. (3) 2. It has fewer allergenic proteins and causes less inflammation. Most people who are intolerant of cow milk are actually sensitive to one of the proteins found in it, A1 casein, and lack the ability to digest A1.
Additionally, cow milk is the number one allergy among children and can persist throughout adulthood. That’s because it contains more than 20 different allergens (including A1 casein) that can cause allergic reactions — often confused for seasonal allergy symptoms — which can range from hives and runny noses to abdominal cramping and colic in babies. (4, 5) So what’s the big deal with A1 casein? This protein is highly inflammatory for some people, and inflammation is at the root of most diseases.
A1 casein can contribute to gastrointestinal issues like irritable bowel syndrome, Crohn’s, leaky gut and colitis — and some less obvious problems, like acne, autoimmune diseases and skin issues like eczema. (6, 7, 8) While there are some cows who don’t produce A1 casein, namely Jersey and Guernsey cows, the majority of bovines in the U.S., Western Europe and Australia are Holstein and Fresian, which are A1 casein producers.
On the contrary, milk that contains mostly or exclusively A2 casein produces none of these inflammatory effects. Goat milk contains only A2 casein, making it, protein-wise, the closest milk to human breast milk. (9) In fact, one study suggests that goat milk, when used as the first protein after breastfeeding, is less allergenic for babies than cow milk. (10) 3. It’s high in calcium and fatty acids but low in cholesterol.
While cow milk is often touted as one of the main calcium-rich foods, there’s no need to worry about not getting enough of calcium when switching to goat milk. It’s actually richer in the mineral, with about 33 percent of the daily recommended value versus 28 percent in cow milk. Goat milk also has high levels medium-chain fatty acids — 30–35 percent as opposed to 15–20 percent in cow milk.
These fatty acids provide an energy boost that isn’t stored as body fat, help lower cholesterol, and can even help treat conditions like coronary diseases and intestinal disorders. (11, 12, 13) But wait, there’s more! Goat milk helps increase “good” cholesterol levels while reducing the bad ones. In fact, it’s got healing properties similar to olive oil and is recommended for keeping high cholesterol in check.
(14) 4. It keeps skin looking good. The fatty acids and triglycerides found in goat milk not only keep your insides running smoothly, but they help you look great on the outside, too. Their moisturizing qualities help keep skin baby soft. Goat milk also has high levels of vitamin A, which can improve your complexion, fight acne and improve overall skin health. In fact, it should be considered one of the home remedies for acne.
The lactic acid found in goat milk helps rid your body of dead skin cells and brighten skin tone; no more pasty face! (15) Because goat milk has a pH level similar to humans, it’s absorbed by the skin with less irritation and helps keep bacteria at bay (goodbye, pimples!). 5. It absorbs nutrients and minerals better than cows’ milk. Moo-ve over, cows. While goat and cow milk might rank similarly for mineral content, goat milk might still be the winner.
That’s because early studies have found that nutrients like iron, calcium, magnesium and phosphorous were more easily digested and used by the body in goat milk than cow milk. Because of the bioavailability of these minerals, goat milk also looks promising for treatment of nutritional deficiencies like anemia and bone demineralization. (16) In addition, it can help address all-too-common iron deficiency and magnesium deficiency.
In fact, researchers suggest that goat milk should be consumed regularly by individuals with malabsorption issues, anemia, osteoporosis or prolonged treatments with iron supplements. Regularly consuming goat milk enhances the body’s ability to use iron and boosts regeneration of hemoglobin, making it a safe and natural way to treat osteoporosis and combat anemia. Its high levels of zinc and selenium also help prevent neurodegenerative diseases.
Goat Milk vs. Cow Milk So how does goat milk stack up against cow milk? Take a peek at our cheat sheet: Goat Milk Pros:When you look at how your digestive system works, you can see how a gut problem like leaky gut can so easily crop up. Fortunately, goat milk is easily digestible by the body, making it a great option for those with gastrointestinal problems. Goat milk is also better tolerated by those with lactose issues and doesn’t cause inflammation the way cow milk can.
It’s also a great option for children once they’ve moved past breastfeeding, as it contains fewer allergens than cow milk. Cons:Because it’s not as common, goat milk can be substantially more expensive than cow milk, causing sticker shock at the onset. Raw goat milk, the best for you, can be difficult to find outside of health food stores and farmers markets. The taste and smell might not also be pleasing to everyone, particularly those raised with cow milk.
Cow Milk Pros:Regular cow milk is cheap and can be found everywhere. If you manage to get your hands on A2 casein cows’ milk from Jersey and Guernsey cows, you can enjoy many of the benefits enjoyed by goat milk drinkers, an excellent option for those who just can’t get used to the taste of goat milk. For people who can’t give up their cow milk, I highly recommend raw milk over pasteurized milk.
The raw milk benefits include skin health, fewer allergies and weight loss. Cons:A2 cow milk is difficult to come by in many areas and usually has the price tag to prove it. And whether it’s A1 or A2, cow milk is still more difficult for the body to digest, taking hours versus about 30 minutes with goat milk. For those with cow milk allergies — and this is a big group — this type of milk just isn’t an option.
If you have any gastrointestinal issues, leaky gut or irritable bowel syndrome, you might want to keep away from cow milk anyway. If you want to find out if you have such a problem, take my leaky gut test to find out. But What About Sheep’s Milk? There is another animal contender on the milk block — sheep. This creamy milk is quite similar to goats’ milk; in fact, in many cases, it’s healthier.
One cup of sheep milk contains more calcium, carbohydrates and protein than its goat counterpart. Sheep milk is also higher in many vitamins and minerals like vitamin B12, vitamin C, folate and magnesium than both goat and cow milk. (17) Like goats’ milk, sheep’s milk is easily digestible by the body, thanks to small fat globules that make it easier on your digestive tract. It contains similar levels of short- and medium-chain fatty acids as goat milk, so it’s less irritating.
And those who can’t get used to the taste of goat milk might prefer sheep milk; it’s less tangy. (18, 19, 20) So why isn’t everyone gulping down sheep milk? Its high fat content is a turnoff for many. While the fats are mainly monounsaturated and polyunsaturated (i.e. good-for-you fats), one cup contains almost double the amount as cow and goat milk, a concern for those watching their fat intake.
Sheep milk is much harder to find as well. While goat milk is slowly making its way onto supermarket shelves, your best bet for buying sheep milk is still your local farmers’ market. If you are able to buy it, you can freeze sheep milk and unfreeze as needed; the flavor will remain the same. Can’t get your hands on sheep milk? Eat your cheese! Some of the most popular Mediterranean types, like feta, Rocquefort, Manchego, Pecorino Romano and ricotta are all made from the animal.
Sheep yogurt is also becoming more popular; keep your eyes peeled for that in stores. What’s the Right Type of Goat Milk for You? If you’re ready to add goat milk to your family’s diet, you have several options. For the optimal benefits, I recommend drinking raw goat milk. You can usually find this at your local farmers’ market or at health food stores. Similar to raw milk benefits from a cow, drinking raw goat milk ensures you get the most benefits of this nutritious drink.
If raw goat milk isn’t available in your area, there are other options available, mainly in fermented products. These increase good bacteria to keep you healthy and support nutrient absorption in the gut. One of my favorite fermented products is kefir and kefir benefits are pretty widespread, including helping leaky gut and boosting immunity. Indeed, this milk drink can boost your body’s immunity against disease, build bone density, protect against allergies and even improve lactose intolerance.
Be sure to purchase goat milk kefir to get goat’s great benefits, as cow and sheep versions are sold as well. Drink kefir solo or add it to your favorite dishes that call for yogurt. If liquid goat milk isn’t your thing, fermented goat milk yogurt might be a good substitute. The probiotics benefits present in goat milk yogurt help support healthy digestion, lower your risk of diabetes, support weight and fat loss, and reduce high blood pressure.
Try it with fruit or granola for a healthy breakfast or snack. Soft, raw goat cheeses are also packed with probiotics and available in all 50 states. Spread it on a cracker or nibble it solo to get all the health benefits in a tasty way. Cooking With Goat Milk Are you ready to take the goat milk plunge and incorporate it into your diet? If you’re nervous about the flavor for drinking it straight, start with chilled goat milk, which has a less pronounced “goaty” flavor.
When you’re ready to start using goat milk in your favorite recipes, there are few things to keep in mind. Goat milk can essentially be used as a replacement for cow milk in any recipe. However, when it’s heated or processed in any way, there is a distinct “goat” flavor. Those who are long-time fans of the milk might not mind, but it could be a turnoff for newbies. Goats’ milk is especially tasty in dessert recipes, as it gives your favorite sweets a creamy, melt-in-your-mouth texture.
It’s also great in smoothies: combine your favorite fruits and leafy greens, throw in a dash of goat milk and blend. Looking for some recipes that use goats’ milk? Here are some that I enjoy: While each individual’s health needs will vary, I believe that goat milk and its related products can help almost everyone who wants a drink that’s full of vitamins and nutrients and protects — instead of working against — gut health and digestion.
Give it a try soon! Read Next: 7 Kefir Benefits and Nutrition Facts From the sound of it, you might think leaky gut only affects the digestive system, but in reality it can affect more. Because Leaky Gut is so common, and such an enigma, I’m offering a free webinar on all things leaky gut. Click here to learn more about the webinar.