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Thursday, April 11, 2013

Cow's Milk Protein Allergy

I was at a health talk recently, and to be educated about Cow's Milk Protein Allergy (CMPA) in our children.  Before I continue, I must say I'm strongly suggesting mummies to breastfeed your child, however under certain circumstances, perhaps if you are considering giving cow's milk, then be aware of these symptoms.  

A recent revision of allergy terms, endorsed by the World Allergy Organization, defines any adverse reactions to milk as milk hypersensitivity and it can be divided into CMPA and lactose intolerance.  These 2 conditions are different - LACTOSE intolerance is simply the inability to digest lactose caused by a deficiency in the enzyme lactase, whereas CMPA is defined as a hypersensitive allergic reaction towards cow's milk protein" explained Dr Amir Hamzah, President of MSAI.

Our host that night was Shazmin, and Dr Chai Pei Fan.  Here is the description of Dr Chai for reference.  In addition, we were given some info with regards to CMPA, and also tasted the different kind of formula that use to prevent and cure CMPA.

Here are the 3 types of formula provided for testing that day.  As I'm allergic to the 'colour' of MILK, therefore, I only had a small sip.  The taste of the milk are different, and tasted bitter.  Dr Chai explained that a newborn / babies will not be able to differentiate 'bitterness' and they will get used to the milk easily.  However, should a child only started the formula in later stage (that's if the baby is breastfeed during the early months), then they might not like it, therefore can substitute with Soy.

We were also briefed on managing CMPA, a guidelines in 2012 for our knowledge.  The most important factor in the management of CMPA is eliminating cow's milk protein from the child's diet.  A substitute formula may not be necessary for infants who are breastfed and children above the age of 2 years.  Instead continuation of breastfeeding with maternal elimination of cow's milk protein is recommended.

I posted a question to Dr Chai, and asked how do we know if a child is CMPA and not others, as the symptoms of CMPA is 'common' and the advise is that to bring the child to the specialist!!!  I guess it's not easy to identify if a child is CMPA by just a common look.  

Now if you asked what are the common symptoms of CMPA, i.e. Skin (dry skin, rash, skin itch, swelling of lips and eyes AND / OR Intestine (diarrhea, vomiting, colic, bloody stools).  

Now, some children with CMPA may also react to soy, goats or even sheep milk as we are talking about milk protein here.  In addition, as mentioned by Dr Chai, CMPA child will also not able to take food made from milk, i.e yogurt, cheese and etc.

We were treated to a buffet line of great food that night, and below, for my closing, I share with you the happy smile of the night while enjoying her food, and also how she was kept occupied!  We won a lucky draw, and she found the bubble wrap!


  1. Oh my...I always thought that CMPA and lactose intolerance is the same. I'm glad that my wife give birth to Kenji boy in a hospital that fully support breastfeeding. Breast milk offers the best nutrition for newborn.

  2. This is a very good info. I agree what you have written here many ppl thought it's lactose intolerance.


  3. Haven't written my version.. hahahaha~

  4. This is informative...tx for sharing. The bubble wrap came in handy eh? Works its charm on my gal too! Hehe.


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