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Non-IgE milk allergy
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Non-IgE milk allergy
Summary
Information to support parents of children with non-IgE (delayed) milk allergy.
This resource has been produced by dietitians at Sheffield Children’s NHS Foundation Trust. It designed to be used alongside advice from your doctor or dietitian.
Who is this information for?
The information is only for use with children with suspected or confirmed non-IgE (delayed) milk allergy. Symptoms of non-IgE milk allergy include:
- runny or liquid poo (diarrhoea)
- constipation
- reflux
- feeling sick (nausea)
- being sick (vomiting)
- tummy pain, bloating or swelling
- mucus or blood in poo
- painful farting or burping (wind) or excess wind
- eczema
It is not intended for use with those with IgE (immediate) milk allergy. Symptoms of IgE milk allergy appear generally within 2 hours of eating and can include:
- hives
- swelling of the face, eyes or lips
- runny nose
- itchy eyes
- being sick (vomiting)
- swallowing or breathing difficulties
Finding out more
The following links take you some resources developed by the GP infant feeding network website.
General information from the GP Infant Feeding Network to help people understand milk allergies:
Initial fact sheet for parents
Guidance for breast fed babies:
Initial fact sheet for infants with symptoms of a possible mild to moderate non-IgE mediated allergy whilst being exclusively or partly breastfed
Plan to aid diagnosis of non-IgE cows milk protein allergy in infants. This is designed to be used for babies who have followed a period of a milk free diet which has resulted in an improvement in symptoms. This is to check that the improvement is due to the exclusion and not due to other coincidental factors:
The Early Home Reintroduction to Confirm the Diagnosis of Cow’s Milk Allergy
If you are weaning your baby onto complementary foods (after 6 months of age) please continue milk-free weaning and try the milk ladder below when appropriate.
The iMAP milk ladder
The International Milk Allergy in Primary Care (iMAP) 6 step milk ladder is designed to be used once your child is fully weaned onto diet, normally around the age of 1.
Many children will initially tolerate well cooked (baked) milk products first. The ladder then introduces other milk-containing foods in the order they are most likely to be tolerated.
If you have any concerns about reintroducing milk into your child’s diet please contact your doctor or dietitian.
Information:
The portion sizes specified on the milk ladder may be more than your child can manage. Please aim for an appropriate portion for your child.
You can find more information on the foods to be used at stages 1, 2 and 3 on the following links:
Allergy UK website
The Allergy UK website has some useful webpages and a podcast for supporting parents of children with non-IgE cow’s milk protein allergy.
Is something missing from this resource that you think should be included? Please let us know
Disclaimer
Please note: this is a generic information sheet relating to care at Sheffield Children’s NHS FT. These details may not reflect treatment at other hospitals. This information is not intended as a substitute for professional medical care. Always follow your healthcare professionals’ instructions. If this resource relates to medicines, please read it alongside the medicine manufacturer’s patient information leaflet. If this information has been translated into another language from English, efforts have been made to maintain accuracy, but there may still be some translation errors. If you are unsure about any of the guidance in this resource or have specific questions about how it relates to your child, always ask your healthcare professional for further advice.
Resource number: GAS21
Resource Type: Article
Summary
Information to support parents of children with non-IgE (delayed) milk allergy.
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