What is a Milk Protein Allergy?

Milk protein allergy is best described as irritation or inflammation that occurs in a baby's intestinal tract in reaction to protein exposure.

Milk (and most foods) is made up of there major components – protein, fat and sugar. It's the protein part of the milk that gives allergic babies a problem. These proteins are made up of large chains of amino acids which are the building blocks of protein Sometimes the body reacts to certain sequences that these amino acids form and the result is milk protein allergy.

Whether or not your baby will react to milk protein depends whether or not his or her immune system perceives the protein as a problem. If it does it will recruit white blood cells to the lining of the intestinal tract. These white blood cells release chemicals making the GI tract red, swollen and ulcerated. This, of course, can cause your baby great pain!

The two proteins most often responsible for reactions in babies are those found in cow's milk – casein and whey. The protein whey used in standard infant formulas comes to cow's milk. It isn't intact or whole protein but it is cow's milk protein nonetheless.

Even if you are breastfeeding your baby you are not safe from passing on a cow's milk allergy to your baby. Infants can react to proteins found in our milk.

Between two and eight weeks of age the typical baby with milk allergies shows some combination of the following symptoms –

· Bloody stools – Infants with milk protein allergy often have blood-streaked stools. Not all blood in baby's stools is visible and you may have to have the stools analyzed to detect it.

· Mucus production – The colon, like the vagina, sinuses and lungs is a mucus-producing organ. When there is a milk protein allergy your baby may excrete thick, stringy mucus that mixes in with stools.

· Cramping and fussing – Babies with ulcerated intestines tend to be very crabby. That is because they are experiencing painful spasms in their intestines that may be dismissed as just colic.

· Diarrhea – When the bowel is not happy it produces diarrhea. Diarrhea is caused by the inflammation of the intestinal walls.

· Excema – This is dry scaly patches of skin that are found on the extremities. Dry weather and excessive bathing of the baby can make matters worse. If your baby's eczema is milk induced you will notice a marked improvement within two to four weeks after changing to a hypoallergenic formula. Infants with eczema due to milk allergy do have a more intense case of allergic inflammation.

· Wheezing and congestion – Like eczema, wheezing and chronic nasal congestion are often described as symptoms of milk allergy but in most babies they aren't a problem. For most babies the reaction to milk protein occurs at the lining of the intestinal organs.

If you suspect your child has a milk protein allergy consult him or her right away so your formula can be adjusted.

Treatments for Baby Acid Reflux

Desperation is a feeling that is often experienced by parents of babies with acid reflux. Often a parent feels conflicted about treatment of the child with medication because newborns are so little. However if a child is full of acid and gas there may be no other way to treat it but with chemicals that are known to work when it comes to dissolving gas breaking up gas.

If the colic is due to acid reflux then there are medications that can help your child recover.

The goals of treatment of acid reflux are to

· Relieve symptoms
· Promote normal weight gain
· Heal inflammation
· Prevent complications

The medical approach is very straightforward. It involves addressing the issue of stomach acid, which creates the pain of the reflux and stomach emptying which are the key initiators of reflux. If you can get these two problems in line you will have a happier baby.

Gas Drops are the first line of over the counter treatment for gas. Before prescribing you any medicine your doctor may suggest that you try gas drops. Gas drops are over the counter preparations that help break up gas. Most formulations contain simethicone.

Simethicone is a compound that does a great job of breaking up big gas bubbles in the intestine and breaking them down into smaller ones.

However if the baby is taking in a lot of air due to constantly screaming then these gas drops may simply not be enough to handle the problem. Unfortunately the baby's natural inclination is to gulp more air.

If stomach acid is the trigger that is making your baby scream then your doctor will prescribe an acid suppressant.

There are two classes of mediation that are used to suppress acid in babies. These include histamine receptor antagonists and proton pump inhibiters.

The histamine receptor antagonists are known to most of us as Zantac, Axid and Pepcid. They have been in use since 1981. For the baby with mild symptoms of reflux esopoghagitis these medications are a reasonable treatment option. However the drawback of using them is that they are a symptomatic treatment that loses its effectiveness with time.

Proton pump inhibiters actually stop the stomach from producing acid. This can help give the esophagus time to heal. The drug that is mainly used to treat children with reflux is called Prilosec. Children over the age of 11 can also take a similar drug called Nexium.

Prokinetic mediations are designed to improve your child's intestinal motility. They do this by —

· Helping the esophagus squeeze close and stay closed
· Increase the LES pressure so the child does not regurgitate as often
· Accelerate the emptying of the stomach contents

The two most popular of the prokinetic medications that are prescribed are called Reglan and Bethanechol. Both medications are given to a child four times a day.

Reglan has quite a few side effects including sleeplessness, jittery behavior, tongue thrusting, arching and head turning. This means the side effects of giving your kid this drug is just as bad as the colic itself.