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Food Allergy
3003girl
member
Pedi views on dairy intolerance - wwyd?
3003girl
member
in Food Allergy
So my pedi does not believe that babies can be intolerant to dairy if they are ebf - in other words he does not believe that the cows milk proteins are transferred to the baby via breast milk.
I have been dairy free since lo was about 4 weeks. Every time I try dairy she becomes congested and has green mucous poop, along with extra gas and really sleeps poorly.
I just did another "challenge" - i tried baked mozerella - and failed. Do I bring this up to him again? Are there any larger health concerns?
it's not really an option to change pedi's - I live in the sticks and already drive 30 minutes to see him. The next closest is 45-50 minutes away.
and do any of you know of any supporting medical articles that talk about cows milk protien and breast milk? He is actually not a jerk so maybe if I could show him something... Besides kellymom or dr.sears...
wwyd?
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Re: Pedi views on dairy intolerance - wwyd?
In my opinion it would be very important for our pediatrician to listen to my concerns.
I know you say not kellymom, but I wanted to point out that they link to their sources on kellymom.
https://www.kellymom.com/babyconcerns/food-sensitivity.html
Shows these other places to look for info:
You'll find some stuff if you search through Google Scholar. Here's one:
https://onlinelibrary.wiley.com/doi/10.1111/j.1651-2227.1985.tb10981.x/abstract
ABSTRACT. Human milk from 38 mothers was analysed by radioimmunological method for content of bovine (5-Iactoglobulin. Detectable amounts (5-33 ?g/1) of immunoactive ?-lactoglobulin were found in 18 human milk samples. Milk from 3 mothers, whose infants suffered from infantile colic contained high amounts of fi-lactoglobulin (32, 18 and 14 ?g/1 respectively). With the mothers on a cow's milk free diet the contents fell to non-detectable amounts in two mothers and to 6 ?g/1 in the third. All three infants became free from colic,
And another:
https://www.jacionline.org/article/0091-6749(94)90259-3/abstract
Background: Cow's milk proteins secreted in human milk may cause cow's milk allergy (CMA) even during exclusive breast-feeding. We studied ?-lactoglobulin levels in human milk of mothers of infants with CMA. We also studied intestinal absorption of macromolecules in the same mothers to see whether it is related to the secretion of ?-lactoglobulin in human milk.
Here's the search result I picked them from:
https://scholar.google.com/scholar?q=is+cow's+milk+protein+present+in+breastmilk&hl=en&client=safari&rls=en&prmd=ivns&bav=on.2,or.r_gc.r_pw.&biw=1020&bih=692&um=1&ie=UTF-8&sa=N&tab=ws
Gosh, it is annoying if a healthcare provider is not receptive to working with valid ideas and observations you have. Personally, I would do my own thing if it's working and secretly eyeroll the ped. UNLESS... it's a significant enough disagreement where there's a lack of progress in addressing health issues you need help with. In that case, it may be worthwhile to change peds.
ETA: I'm not aware of any larger health concerns w/ going dairy free except be careful about substituting soy which is another common allergen. Coconut may be a better bet and no worries with the phytoestrogens there. You can get calcium from broccoli, leafy greens, canned fish (salmon, sardines) with the bones, etc.
I totally feel your pain. Maybe it's time for a new Pedi? My son was so colicky from 1 week old to about 6 months (he is 21 months and it still fussy lol) and every time I suggested maybe he was lactose intolerant, the nurses or Dr I saw always told me it was rare for an infant to be intolerant. We tried so many different formulas trying to find something that made him less fussy and gassy but nothing worked. Finally, at almost 2 years old we gave up and decided to do an allergy and sensitivity test. Sure enough, my LO is very sensitive to all dairy (whey and casein included) and I could just kick myself for not listening to myself from the beginning. I am also lactose intolerant and figured my LO was too. Trust your instinct.
P.S.
As soon as we got the results, I just happened to stumble upon an article stating that a lot more kids have dairy intolerance than what was thought. https://www.godairyfree.org/201106295123/News/Nutrition-Headlines/Prevalence-and-Severity-of-Childhood-Food-Allergies-is-Greater-than-Previously-Reported.html
love all the articles everyone posted and i think that's enough to show him!. my first thought was to change the doctor, but i totally get it when you don't live near a bunch of them.. But i would still keep searching for one. He sounds like he really needs to read up. You will be surely schooling him!
My son was allergic to milk, soy, eggs, peanuts, sesame when he was nursed (not much has changed) but his face and body looked like he rubbed it in poison ivy after he drank my milk. There is no argument, what you eat goes into the milk.
mr+mrs- those are perfect!
I have read most of the ones on Kellymom, and while they are good for me, I don't think he might poo-poo them. He's not a terrible Pedi, and doesn't push antibiotics for everything, so I think he's worth keeping around given the drive.
I didn't push the milk thing because I only talked to him about it at our 2 month appt, after I cut it out of my diet and LO improved significantly (congestion was gone! rash was gone!) He said "I hope you aren't denying yourself nutrition because the milk proteins don't transfer from your breastmilk to your baby's. But you can do whatever you feel is best."
I guess my only concern is talking to him about a milk alternative and nutrition, but I can also just do research on my own.
Thanks for all your input!
WWID? I would realize that my pedi doesn't know what they are talking about in this instance. Many pedi's are ill informed and not up on technical info in this area and don't realize how common reactions to dairy &/or soy protein are in LOs.
I think the links from PP are good. You could also ask your pedi to check for blood in LO's stool and maybe that would convince him if LO has reached that stage of discomfort (the protein that is unable to break down actually makes lacerations in the intestines, which eventually causes blood in the stool, sometimes you can see it but initially it is small in amount and hard to see). But personally, I probably wouldn't waste my time trying to convince your pedi of anything. Food intolerances are real, if your pedi doesn't know that by now, I would chalk it up to ignorance and get support for this issue in other ways. I would still ask for the stool sample test though, just for your own information, it is very simple, non-invasive and involves little effort.
With DS1, our pedi insisted he had "colic" for 3 months before, we finally went to a GI specialist dx the real issue in about 2 minutes (dairy/soy allergy) and were able to solve his problem. I feel terrible that I didn't follow my instincts sooner to get him the help he needed =( With this issue, you don't really need the doctor's help, you just eliminate all dairy (including hidden) from your diet. So if you really don't want to switch pedis, I wouldn't, but do stay alert and if you don't feel supported by your pedi in other areas (or find similar gaps of knowledge) I would have to switch. In our case, we ended up switching pedis and I have to say, when DS2 had the same issues, it was nice to have a pedi that was knowledgeable and able to give me support and insight. Both of my children outgrew their intolerances by 1.
As for the science, can you find one of the articles that shows BF babies are exposed to the allergens via bm before receiving it as solids (so the argument for starting/ delaying solids, rather than specifically about dairy issues in BF babies?) I would try and find some and clicky them, but my internet is being evil...