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Milk allergyMMilk allergyMilk allergyEnglishAllergyChild (0-12 years);Teen (13-18 years)BodyImmune systemConditions and diseasesCaregivers Adult (19+)NA2014-12-18T05:00:00ZVy Kim, MD, FRCPC;Anna Kasprzak, RN​8.0000000000000066.0000000000000956.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Find out how to help your child manage a milk allergy.</p><h2>What is a milk allergy?</h2><p>A milk allergy occurs when the body reacts to one or more of the proteins in cow’s milk.</p><h2>Will my child always have a milk allergy?</h2><p>A milk allergy is one of the most common food allergies in infants, but most children outgrow it by school age.</p><p>An allergist (a doctor who specializes in diagnosing and treating allergies) can help you find out when to test your child and see whether they have outgrown their allergy. Consult them regularly to check if there have been any changes to your child's food allergy.</p><h2>What type of milk can my infant have if they are allergic to cow’s milk?</h2><p>Breastfeeding is the best way to feed an infant. If your infant is already breastfed, this can continue even if they have been diagnosed with a milk allergy. However, the rest of your infants diet should not include cow’s milk or milk ingredients.</p><p>If your infant is not breastfed, they can take a soy-based infant formula. If they have an allergy to soy and to cow’s milk, a doctor or dietitian will recommend a hydrolyzed (completely broken down) formula to meet your infant’s needs.</p><p>Always speak with your doctor or dietitian about your infant’s food allergies and what option is best for you and your infant.</p><h2>Key points</h2><ul><li>Most children with a milk allergy outgrow it by school age. Consult an allergist regularly to see if there is any change in your child's allergy.</li><li>Infants with a milk allergy can continue breastfeeding or can take a soy-based infant formula. Speak to your doctor or a dietitian if you have any concerns.</li><li>Milk has a number of names, including casein, whey, lactoferrin and lactoglobulin. Many different products contain milk, including cereals, meats, high-protein flour, soups, dressings, spreads and baked items.</li><li>Milk contains calcium and vitamin D, both of which help strengthen bones. Alternative sources of calcium include almonds, broccoli and sardines. Sources of vitamin D include egg yolks, fish, liver and soy.</li><li>If your child's diet is limited because of a milk allergy, a registered dietitian can advise how your child can have a balanced diet.</li></ul><h2>Possible sources of milk</h2><p>Milk is used in a range of packaged foods and drinks. Below is a list of some of the many food products that contain milk.</p><table class="akh-table"><tbody><tr><td>Artificial butter, butter fat, margarine</td><td>Baked goods and baking mixes (including bread, cookies, cake mixes, donuts or pancakes)​</td></tr><tr><td>​Buttermilk, cream, dips, dressings, sour cream, spreads</td><td>Canned tuna</td></tr><tr><td>Caramel colouring/flavouring</td><td>Cereals, crackers</td></tr><tr><td>Cheese, cottage/soy cheese</td><td>Dessert (custard, pudding, sherbet)</td></tr><tr><td>Egg/fat substitutes</td><td>Flavoured coffee, coffee whitener</td></tr><tr><td>High-protein flour</td><td>Glazes, nougat</td></tr><tr><td>Gravy, sauces</td><td>Meats (deli meats, hot dogs)</td></tr><tr><td>​Non-dairy products (kosher food)</td><td>Prepared potatoes (instant/mashed, scalloped)​</td></tr><tr><td>French fries, potato chips </td><td>​Seasonings</td></tr><tr><td>​Snack foods (candy, chocolate, fruit bars, granola bars)</td><td>Soups, soup mixes</td></tr><tr><td>​Soy products (soy cheese, tofu)</td><td></td></tr></tbody></table><h2>Reducing the risk of cross-contamination</h2><p>Cross-contamination occurs when a harmless substance comes in contact with a harmful substance such as harmful bacteria or a potential allergen. If the substances mix together, the harmful substance taints the other substance, making it unsafe to eat.</p><p>Food allergens can contaminate other foods when, for example, the same containers, utensils or frying pans hold a range of foods.</p><p>Bulk food containers pose a high risk of cross-contamination because they are often used for different products.</p><p>Be sure to avoid using utensils or containers that may have come in contact with allergy-causing foods and ask about possible cross-contamination when eating out.</p><h2>How can my child get the right mix of nutrients if they must avoid milk?</h2><p>Milk and milk products are rich in calcium, a mineral that helps bones stay strong and healthy. Children who are allergic to milk can have non-dairy calcium-rich foods instead of milk and milk products. This table lists some examples.</p><h3>Non-dairy sources of calcium</h3> <table class="akh-table"><thead><tr><th>Foo​​d​ or drink</th><th>Serving size</th><th>Approximate calcium content</th></tr></thead><tbody><tr><td>Almonds</td><td>1/4 cup</td><td>90 mg</td></tr><tr><td>Bok choy, boiled<br></td><td>1 cup</td><td>160 mg</td></tr><tr><td>Broccoli, boiled</td><td>1 cup</td><td>55 mg</td></tr><tr><td>Orange juice, calcium fortified</td><td>1 cup</td><td>300 mg</td></tr><tr><td>​Salmon, canned, with bones</td><td>4 oz</td><td>175 mg</td></tr><tr><td>Sardines, canned, with bones</td><td>4 medium</td><td>180 mg</td></tr><tr><td>Soy beverage, fortified</td><td>1 cup</td><td>300 mg</td></tr><tr><td>Tahini (100% crushed sesame seeds)</td><td>3 tbsp</td><td>190 mg</td></tr><tr><td>White beans, boiled</td><td>1 cup</td><td>170 mg</td></tr></tbody></table> <p>It is important that children also eat foods rich in vitamin D. This vitamin helps the body absorb calcium. Vitamin D-rich foods include egg yolks, fish, liver, fortified margarines and soy drinks.</p><h2>When to see a dietitian for a milk allergy</h2> <p>If you have removed many foods from your child’s diet because of a milk allergy, it may be a good idea to speak to a registered dietitian. The dietitian can review the foods your child eats to decide if they are getting enough calcium and vitamin D. They can also let you know if your child needs a milk-free calcium and vitamin D supplement.</p><h2>​Further information</h2><p>​Health Canada. <a target="_blank" href="https://www.canada.ca/en/health-canada/services/food-nutrition/reports-publications/food-safety/milk-priority-food-allergen.html">Milk – A priority food allergen</a></p>

 

 

Milk allergy808.000000000000Milk allergyMilk allergyMEnglishAllergyChild (0-12 years);Teen (13-18 years)BodyImmune systemConditions and diseasesCaregivers Adult (19+)NA2014-12-18T05:00:00ZVy Kim, MD, FRCPC;Anna Kasprzak, RN​8.0000000000000066.0000000000000956.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Find out how to help your child manage a milk allergy.</p><h2>What is a milk allergy?</h2><p>A milk allergy occurs when the body reacts to one or more of the proteins in cow’s milk.</p><h2>Will my child always have a milk allergy?</h2><p>A milk allergy is one of the most common food allergies in infants, but most children outgrow it by school age.</p><p>An allergist (a doctor who specializes in diagnosing and treating allergies) can help you find out when to test your child and see whether they have outgrown their allergy. Consult them regularly to check if there have been any changes to your child's food allergy.</p><h2>What type of milk can my infant have if they are allergic to cow’s milk?</h2><p>Breastfeeding is the best way to feed an infant. If your infant is already breastfed, this can continue even if they have been diagnosed with a milk allergy. However, the rest of your infants diet should not include cow’s milk or milk ingredients.</p><p>If your infant is not breastfed, they can take a soy-based infant formula. If they have an allergy to soy and to cow’s milk, a doctor or dietitian will recommend a hydrolyzed (completely broken down) formula to meet your infant’s needs.</p><p>Always speak with your doctor or dietitian about your infant’s food allergies and what option is best for you and your infant.</p><h2>Other names for milk</h2> <p>Milk can have many names in ingredient lists. Learning these names can help you catch any hidden sources of milk in food.</p> <p>When buying packaged foods, always check the list of ingredients in the store and again when you bring the product home. It is also a good idea to check the ingredients every time you buy the food in case the recipe has changed. You can also call the manufacturer to ask about any recipe changes.</p> <p>The following table provides a list of some names for milk. Use it when you are grocery shopping or calling food manufacturers.</p> <table class="akh-table"> <tbody> <tr> <td>Casein or caseinate (also, ammonium/calcium/magnesium/potassium/sodium caseinate)</td> <td>Dried milk</td> </tr> <tr> <td>Hydrolyzed casein, hydrolyzed milk protein</td> <td>Lactate/lactose</td> </tr> <tr> <td>Lactoferrin/lactoglobulin/lactalbumin</td> <td>​Milk protein/solids</td> </tr> <tr> <td>Modified milk ingredients</td> <td>​Rennet</td> </tr> <tr> <td>Whey (delactosed, demineralized)</td> <td>Whey protein concentrate</td> </tr> </tbody> </table><h2>Key points</h2><ul><li>Most children with a milk allergy outgrow it by school age. Consult an allergist regularly to see if there is any change in your child's allergy.</li><li>Infants with a milk allergy can continue breastfeeding or can take a soy-based infant formula. Speak to your doctor or a dietitian if you have any concerns.</li><li>Milk has a number of names, including casein, whey, lactoferrin and lactoglobulin. Many different products contain milk, including cereals, meats, high-protein flour, soups, dressings, spreads and baked items.</li><li>Milk contains calcium and vitamin D, both of which help strengthen bones. Alternative sources of calcium include almonds, broccoli and sardines. Sources of vitamin D include egg yolks, fish, liver and soy.</li><li>If your child's diet is limited because of a milk allergy, a registered dietitian can advise how your child can have a balanced diet.</li></ul><h2>Possible sources of milk</h2><p>Milk is used in a range of packaged foods and drinks. Below is a list of some of the many food products that contain milk.</p><table class="akh-table"><tbody><tr><td>Artificial butter, butter fat, margarine</td><td>Baked goods and baking mixes (including bread, cookies, cake mixes, donuts or pancakes)​</td></tr><tr><td>​Buttermilk, cream, dips, dressings, sour cream, spreads</td><td>Canned tuna</td></tr><tr><td>Caramel colouring/flavouring</td><td>Cereals, crackers</td></tr><tr><td>Cheese, cottage/soy cheese</td><td>Dessert (custard, pudding, sherbet)</td></tr><tr><td>Egg/fat substitutes</td><td>Flavoured coffee, coffee whitener</td></tr><tr><td>High-protein flour</td><td>Glazes, nougat</td></tr><tr><td>Gravy, sauces</td><td>Meats (deli meats, hot dogs)</td></tr><tr><td>​Non-dairy products (kosher food)</td><td>Prepared potatoes (instant/mashed, scalloped)​</td></tr><tr><td>French fries, potato chips </td><td>​Seasonings</td></tr><tr><td>​Snack foods (candy, chocolate, fruit bars, granola bars)</td><td>Soups, soup mixes</td></tr><tr><td>​Soy products (soy cheese, tofu)</td><td></td></tr></tbody></table><h2>Reducing the risk of cross-contamination</h2><p>Cross-contamination occurs when a harmless substance comes in contact with a harmful substance such as harmful bacteria or a potential allergen. If the substances mix together, the harmful substance taints the other substance, making it unsafe to eat.</p><p>Food allergens can contaminate other foods when, for example, the same containers, utensils or frying pans hold a range of foods.</p><p>Bulk food containers pose a high risk of cross-contamination because they are often used for different products.</p><p>Be sure to avoid using utensils or containers that may have come in contact with allergy-causing foods and ask about possible cross-contamination when eating out.</p><h2>How can my child get the right mix of nutrients if they must avoid milk?</h2><p>Milk and milk products are rich in calcium, a mineral that helps bones stay strong and healthy. Children who are allergic to milk can have non-dairy calcium-rich foods instead of milk and milk products. This table lists some examples.</p><h3>Non-dairy sources of calcium</h3> <table class="akh-table"><thead><tr><th>Foo​​d​ or drink</th><th>Serving size</th><th>Approximate calcium content</th></tr></thead><tbody><tr><td>Almonds</td><td>1/4 cup</td><td>90 mg</td></tr><tr><td>Bok choy, boiled<br></td><td>1 cup</td><td>160 mg</td></tr><tr><td>Broccoli, boiled</td><td>1 cup</td><td>55 mg</td></tr><tr><td>Orange juice, calcium fortified</td><td>1 cup</td><td>300 mg</td></tr><tr><td>​Salmon, canned, with bones</td><td>4 oz</td><td>175 mg</td></tr><tr><td>Sardines, canned, with bones</td><td>4 medium</td><td>180 mg</td></tr><tr><td>Soy beverage, fortified</td><td>1 cup</td><td>300 mg</td></tr><tr><td>Tahini (100% crushed sesame seeds)</td><td>3 tbsp</td><td>190 mg</td></tr><tr><td>White beans, boiled</td><td>1 cup</td><td>170 mg</td></tr></tbody></table> <p>It is important that children also eat foods rich in vitamin D. This vitamin helps the body absorb calcium. Vitamin D-rich foods include egg yolks, fish, liver, fortified margarines and soy drinks.</p><h2>When to see a dietitian for a milk allergy</h2> <p>If you have removed many foods from your child’s diet because of a milk allergy, it may be a good idea to speak to a registered dietitian. The dietitian can review the foods your child eats to decide if they are getting enough calcium and vitamin D. They can also let you know if your child needs a milk-free calcium and vitamin D supplement.</p><h2>​Further information</h2><p>​Health Canada. <a target="_blank" href="https://www.canada.ca/en/health-canada/services/food-nutrition/reports-publications/food-safety/milk-priority-food-allergen.html">Milk – A priority food allergen</a></p><img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/milk_allergy.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/milk_allergy.jpgcowsmilkallergyMilk allergyFalse

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