For new parents, the most worried thing is that the baby will appear every three forks and five will appear a variety of small problems, recently a doctor received a fan consultation: his baby appeared eczema, stool with blood streaks when he was 2 months old, he began to buy ointment to treat the baby's eczema, used for a period of time Eczema symptoms alleviated, but there is also a stool with blood streaks, and then did not do a doctor milk protein allergy test: the baby is actually milk protein allergy ("How to judge whether the baby has milk allergy?). Mommy And Daddy Look Over").
Although Bao Mom insists on avoiding mouth during breastfeeding, but in order to rule out whether it is a breast milk problem, food allergen testing has also been done, and no problems have been found, plus the baby is just 2 months old, the main feeding method is breast milk + milk powder. It is inferred from this that the baby may be allergic to the milk powder he drinks, but in the face of a variety of milk powders on the market, new parents are confused, how to choose?
Today, the doctor answered the question of "how to feed formula milk to the baby with milk protein allergy" that you are concerned about!
First, how many types of formula milk are there for milk protein allergies on the market?
Partially hydrolyzed formula: whole protein + a small amount of peptides;
Deep hydrolyzed formula: peptides (+ a small amount of free amino acids);
Amino acid formula: free amino acids.
Babies with more severe allergies are recommended to choose a formula with a higher degree of hydrolysis.
2. How to choose formula milk after milk protein allergy?
Citing Liu Weihua et al. [1] Guidelines for the Use of Formula milk for Infants With Cow's Milk Protein Allergy: Interpretation of the Australian Expert Group Consensus:
1. According to the different allergy conditions, choose formula milk, preferably deep hydrolyzed formula or amino acid formula to treat cow's milk protein allergy!
2. Mothers who insist on breastfeeding need to adhere to the taboo in their daily diet and avoid foods containing milk protein.
3. Amino acid formula: for severe milk protein allergy, non-IgE-mediated gastrointestinal diseases, milk protein combined with a variety of food allergies, intolerable deep hydrolyzed protein formula, growth and development disorders are recommended to use amino acid formula milk powder. Feeding must be given continuously for 6 months up to 12 months of age, but for severe, acute-onset allergic reactions, avoidance should be appropriately extended, but the specific needs to be determined by doctor's guidance.
4, deep hydrolyzed formula milk: the use of hydrolysis, heating, ultrafiltration and other special processes to make milk protein form a dipeptide, tripeptide and a small amount of free amino acids of the final product, can significantly reduce the antigenicity, this method is suitable for most of the milk protein allergies to the baby. But 40% of premature babies and
The following is a reference to the original user guide, please refer to:
Third, milk allergy baby milk selection is the need to avoid lactose?
Lactose is an indispensable nutrient in the growth and development of babies, and plays an important role in the early development of the baby's brain, so it cannot be avoided casually.
Milk allergy itself is not lactose intolerance this problem, but some milk allergy babies will be combined with lactose intolerance, therefore, we need to choose lactose-free hydrolyzed milk powder; but most milk allergy babies do not have lactose intolerance problems, therefore, there is no need to avoid hydrolyzed milk powder containing lactose.
Fourth, Bao Mama may have asked again, what to do after 6 months?
After 6 months of insisting, you can try to change the formula with a slightly lower degree of hydrolysis, such as the baby who originally ate amino acid formula can try deep hydrolyzed formula, the baby who originally ate deep hydrolyzed formula can try the whole protein formula, if the baby's allergy is reduced or disappears, you can continue to feed the new milk powder, if there are still symptoms, then return to feed the original milk powder for more than 6 months.
Milk protein is the most common food allergen for young children, and the four common milk protein allergens in China are casein, α-whey protein, β-lactoglobulin, and bovine serum albumin[2]. A doctor suggests that as the allergic baby grows up, if there is no advance intervention, the baby may have other symptoms such as allergic rhinitis and asthma in the future. For the sake of the baby's future health, it is recommended to give the baby a home test for milk ingredient allergies to clarify which protein is allergic, so that it can more accurately guide the baby how to choose formula milk, and avoid allergens in advance in the baby's future food supplement.
Note: Some of the pictures come from the Internet
bibliography:
Liu Weihua, Feng Qi. Guidelines for the use of formula for infants with cow's milk protein allergy: the australian expert group consensus[J].Chinese Journal of Neonatology, 2009(3):3.
Li Haiqian. Interpretation of "Guiding Opinions on the Diagnosis and Related Theories of Cow's Milk Protein Allergy"[J]. Chin J Pediatrics, 2012, 50(7):3.