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RinTinTin View Drop Down
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    Posted: 28 June 2010 at 12:29pm
How do you ell the difference between an allergy and an intolerance?

Mac's Dad is lactose intolerant. He can still eat dairy but if he eats too much he gets a bit of a crook guts and farts lots

Mac however refluxes (and that can end up as power chucking too if I don't watch my own dairy intake), gets like a heartburn and the reaction is almost immediate.
So is that an allergy or just an intolerance?

Also, does anyone know what tests are involved with diagnosing an allergy? And is it worth doing it? I just know that if I get an actual diagnosis WINZ will help me out with buying any special food or anything he may need. But I don't want to put Mac through lots of tests to achieve a little bit of extra money.


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Mum_me View Drop Down
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Technically speaking the difference between the two is the speed of the reaction. Typically an allergy will cause a reaction within minutes (or at the most and hour) and intolerance can take up to 48 hours.

Scientifically speaking they are produce quite different reactions allergies being IgE reaction and intollerances being IgG or IgA. And allergies are generally to proteins and intolerances are more commonly to sugars (with some to proteins).

That probably doesn't help you a lot though as reactions through BM can take longer than if Mac were to drink milk himself - has he ever had formula?

Test wise for allergies there are Skin Prick tests (which despite the name are actually quite painless) and RAST tests (a blood test) neither are particularly accurate at this age. There are not many (medical) tests out there for intolerances - a stool test for lactose intolerance, not sure what else.

In terms of assistance with WINZ they have made it quite tough now to get the Child disability allowance - you are unlikely to get it now for a single food allergy and you can't get it for intolerances on their own. There maybe some other form of assistance out there though - we are over WINZ income levels so only get the CDA.

A very disjointed reply - trying to get as much done as possible before DD wakes!

ETA - don't forget that BM naturally contains lactose. So regardless of whether you eat dairy Mac will get some lactose.



Edited by Mum_me
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cuppatea View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote cuppatea Quote  Post ReplyReply Direct Link To This Post Posted: 28 June 2010 at 1:36pm
milk is bit different. Lactose intolerance is a lack of the enzyme needed to breakdown lactose, this is rare in children as breastmilk is actually higher in lactose than cows milk, normally lactose intolerance starts in early 20s. cow's milk protein allergy, is just that, an allergy to the protein in milk. With lactose intolerance people can eat lactose free things that are still dairy, like cheese, and be fine but those with the allergy to the protein can't as anything with dairy in it has the protein in it.

reflux and dairy allergy are stongly linked. The easiest way to test (as some dr won't do a skin prick test till over 12 months anyway) is to eliminate all dairy from you diet for two weeks, then reintroduce and note what happens, if it's an allergy it will be pretty obvious. The skin prick test however is pain free and takes about 10 mins. Our paed lets him run around the office playing with toys whilst the reaction comes up and my boy always laughs at the actual pricking, cos it really is not painful at all and he finds it ticklish.

Also they have pretty much stopped giving the CDA for allergic children unless they have a life threatening allergy to something, however if he needed to go on a specialist formula (which I doubt would be needed as you are Bfing) then that is subsidised through pharmac.
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MamaT View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MamaT Quote  Post ReplyReply Direct Link To This Post Posted: 28 June 2010 at 1:47pm

This is a good thread and fantastic answers ladies.

I have now been dairy free for almost a month after being recommended it to help with DS reflux. MIL made dinner for us one night which had packet gravy on it and 48 hours later DS had an awful rash on his bottom (blistery) and red raised marks on the back of his head, turned out that the gravy had milk in it.

I am now too scared to re-introduce dairy at all JIC, but will be seeing the paed in a couple of weeks time so will discuss it with them. Will let you know what they say too M2M if you like

 

ETA - after 5 days of being dairy free DS reflux was showing huge improvements. Now, though he is like a different baby. Even family and friends can't get over the change in him and we have been able to get rid of the losec



Edited by MamaT
 
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T_Rex View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote T_Rex Quote  Post ReplyReply Direct Link To This Post Posted: 28 June 2010 at 7:17pm
Originally posted by MamaT MamaT wrote:


I am now too scared to re-introduce dairy at all JIC, but will be seeing the paed in a couple of weeks time so will discuss it with them. Will let you know what they say too M2M if you like




Ohh yes please do let us know what they say. How did you get a paed appt? What grounds did they refer you on, or have you gone private?

For reintroducing dairy, I find if I accidently eat dairy for lunch, DD starts puking the next morning and keeps it up till bedtime. We can ride out trace amounts, but when we did the reintro where I had a glass of milk, it was too much for her and she refused to feed. I got her through it by feeding her EBM that I'd collected while DF. If you want to go this way, then you could have a day or so worth of feeds in the freezer and switch to EBM as soon as you know he's reacting.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Mum_me Quote  Post ReplyReply Direct Link To This Post Posted: 28 June 2010 at 8:07pm
We have two food allergic kids and have found that most paeds are not very knowledgable in this area - which I think is a bit of a worry considering how common they now are.

I was even told by one that my exclusively BFd DD could not have allergies as allergyns do not go through BM

If you can afford it and are happy to make the trip to Auckland then I would recommend going to see an allergy specialist there. The one we see does ph consults after the first appointment.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote AandCsmum Quote  Post ReplyReply Direct Link To This Post Posted: 28 June 2010 at 11:21pm
Just to throw some murk in the allergy reactions there are three groups of reactors. Group one is immediate, Group 2 & 3 are more delayed.

With an allergy any amount of the milk product or by product will cause a reaction, with an intolerance there will more than likely be a threshold of tolerance, although that itself can be small.

Also with an allergy, there will usually be skin reactions like ezcema.

T-rex, my local GP referred me to the hospital Paeds....in my experience if you have your childs issues under control you get a little fobbed off.
Kel


A = 01.02.04   &   C = 16.01.09   &   G = 30.03.12
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Post Options Post Options   Thanks (0) Thanks(0)   Quote RinTinTin Quote  Post ReplyReply Direct Link To This Post Posted: 29 June 2010 at 12:59pm
Ok, so if I eat dairy myself, within a few hours usually, Mac is refluxing. (I'm still REALLY bad at remembering NOT to eat dairy)
On the few occassions where he has eaten the Baby Muesli which I discovered too late has Skim Milk Powder in it, the reaction was immediate. And then appears to be ongoing for a few days (we stopped feeding the meusli a few days ago after I clicked but we are still getting horrible explosive poos which I can only put down to the meusli (Not a tummy bug cause he's happy all day))

Also if I eat dairy his eczema and nappy rash flare up hideously.

Will this allergy more than likely go away or is this something he'll have all of his life?

If it's a dairy allergy (which from your answers is an allergy to the PROTEIN in dairy) when does that mean he's allergic to ALL protein or just dairy protein?

Thank you so much ladies. Your answers have shed a lot of light on the situation and I will be more scrupulous (sp?) in my investigations into foods Mac and I are eating.

Mum_me I've never given Mac formula and am hoping to never have to. Personal goal type thing

ETA: For anyone on here who has an older child with a dairy allergy, how do they react?

Edited by Mum2Mac


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AandCsmum View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote AandCsmum Quote  Post ReplyReply Direct Link To This Post Posted: 29 June 2010 at 1:09pm
We basically have the same reactions you do. I have never purposely given Cooper milk containing foods, I did give him some milo made with rice milk at Queens birthday weekend & he vomited straight away, which caused the oh sh*t moment has it got dairy, um duh yes!

He's been skin pricked & no reaction <sigh> but I got done at the same time & I did have reactions. So it's two fold I don't eat dairy.

He might be just allergic to dairy protein or he might be allergic to the other allergen proteins as well, soy, wheat, fish, shrimp, egg & nuts.

It takes about 8 weeks for dairy to exit the system. It totally does suck having to think about what you are eating & reading packets! If you want some quick hints on what you can buy just ask away.

"Will this allergy more than likely go away or is this something he'll have all of his life?"

The million dollar question, some grow out of it by 2yo...I'm so hoping that is my boy!
Kel


A = 01.02.04   &   C = 16.01.09   &   G = 30.03.12
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Most do out grow it and some unfortunately have it for life. Those that do have it for life the severity of the reaction normally reduces. My boy is 3 and can now eat cheese, yoghurt etc and is perfectly fine and he was on neocate until he was just over 2.

No it's not all protein it's just the protein in cows milk, but what you do need to be aware of is that goats milk protein, sheeps milk protein and soy protein are all similar in their make up so people who are allergic to one if exposed to the others can end up reacting to those to, so they recommened avoiding all until 12 months. The other thing for you to watch will be eggs as their is a strong link between egg allergy and milk allergy so best not to introduce egg till after 12 months and then just do a tiny bit in baking to test first and slowly build up from there. Be cautious of nuts too. My boy was allergic to dairy, eggs and peanuts and peanuts is the one he has not out grown.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote cuppatea Quote  Post ReplyReply Direct Link To This Post Posted: 29 June 2010 at 1:22pm
Just thinking it would probably be good for you to keep a food diary and make sure that you follow the 4 day rule when introducing new foods to him. We had some reactions you wouldn't think of, like parsnips and some more common ones like strawberries. The strawberry one was obvious cos it came up nearly straight away but the parsnip one was less obvious cos it took about a week of eating them before his exzema flared up and then I wasn't convince so we eliminated then tried him on parsnips again adn the same thing happened again, but if we had been introducing heaps of foods all at once we wouldn't have had a clue which one he was reacting to.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote RinTinTin Quote  Post ReplyReply Direct Link To This Post Posted: 29 June 2010 at 1:33pm
Ok so whats the 4 day rule?

I'm such a dunce! I feel so stupid on this topic which is really unlike me but I'm really struggling to grasp it.

Ask me about BFing or Vaccinating or child rearing and I got a million and one answers. But this, this I'm having trouble with.
Has anyone got some recommended reading for me?
 
two_boys - now that you mention parsnip, thats a new food we had introduced when he started going a bit "pear shaped"

And I drink soy milk instead of cows milk but now that you guys mention it, sounds like he could also be having an issue with the soy protein.
Feel like I'm going to have to starve myself to figure this out.


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Post Options Post Options   Thanks (0) Thanks(0)   Quote cuppatea Quote  Post ReplyReply Direct Link To This Post Posted: 29 June 2010 at 1:46pm
You could try rice milk instead, or oat milk.

The 4 day rule is how plunket suggest introducing foods and it is basically that you only introduce one new food every 4 days. So say he is happily having baby rice and you decide to try him on pear as well, for the next 4 days he can have baby rice, which you already now is ok and pear the new food that he is trying. After the 4 days if you are happy he is ok with pear then you can add in another food, say kumara, so for the next 4 days he can eat rice, pear and kumara and so on and so forth. They also recommend a little bit of the new food on the first day and then build the amounts up as well. The 4 days is to allow for slow onset reactions and to make it easier to quickly identify and eliminate the offending food.
Any food you think he is reacting to keep him off for 3-6 months then try again cos some reactions they grow out of really quickly.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote T_Rex Quote  Post ReplyReply Direct Link To This Post Posted: 29 June 2010 at 1:49pm
Try rice milk - it's nicer than soy anyway

4 day rule is to wait 4 days between new foods so if you get a reaction there is one obvious candidate. It's a bit tricky with BF cos what I eat can complicate things, so I haven't followed it. Instead I make sure everything she gets I try a few days in advance so she gets the chane to react to a dilute version first.

I now read labels on everything. Makes for a slow supermarket trip, but its worth it. If I don't have any dairy in the house, I can't eat it.

I bought parsnips yesterday... now I'm nervous

Hehe, M2M best reading is the ingredients list on whatever you are buying

but also try cryingoverspiltmilk.co.nz and have a browse on the nappy network. I'll have a think about what else I've got. Are you into reading scientific papers, or would you prefer something a little more user friendly?
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Post Options Post Options   Thanks (0) Thanks(0)   Quote cuppatea Quote  Post ReplyReply Direct Link To This Post Posted: 29 June 2010 at 2:03pm
reacting to parsnips is quite rare, normally root vegetables are the least reactive but the dr did tell me you can be allergic to absolutely anything which was reassuring...lol
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Post Options Post Options   Thanks (0) Thanks(0)   Quote RinTinTin Quote  Post ReplyReply Direct Link To This Post Posted: 29 June 2010 at 2:22pm
T_Rex, I'll read anything. I can research anything in a research paper that I'm not 100% on. I've never done anything "highly intellectual" in regards to Uni or research but I think I'm pretty good and figuring them out.

I tried Rice Milk  Not my thing. I found it really watery. Kind of reminded me of the Green Top (Two Stroke) cows milk.

Ok, so I'll go back to square one with his food and introduce everything again from scratch. I was going 3 days in between new foods but to be honest, I probably didn't take as much notice as I should have in regards to any reactions.

Will have to take my glasses shopping with me now, which incase anyone is unaware, it's really hard to wear glasses when you got a baby strapped to your front in a Moby wrap...he keeps trying to steal my glasses!

Doesn't help that family and friends are always asking when he's going to go onto new foods and two meals a day, etc. GRRRR at people who forget about what baby can do and just want them to be at the next stage...even if they're not ready.


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Post Options Post Options   Thanks (0) Thanks(0)   Quote MamaT Quote  Post ReplyReply Direct Link To This Post Posted: 29 June 2010 at 4:37pm
Originally posted by T_Rex T_Rex wrote:

Originally posted by MamaT MamaT wrote:


I am now too scared to re-introduce dairy at all JIC, but will be seeing the paed in a couple of weeks time so will discuss it with them. Will let you know what they say too M2M if you like




Ohh yes please do let us know what they say. How did you get a paed appt? What grounds did they refer you on, or have you gone private?

 

After DS not having any improvements with his reflux after trying both gaviscon and then ranitidine my doc referred us to the paed just as a precaution. We were referred back in May though and aren't being seen till mid-July

 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MamaT Quote  Post ReplyReply Direct Link To This Post Posted: 29 June 2010 at 4:42pm

Originally posted by Mum2Mac Mum2Mac wrote:



I tried Rice Milk  Not my thing. I found it really watery. Kind of reminded me of the Green Top (Two Stroke) cows milk.


Doesn't help that family and friends are always asking when he's going to go onto new foods and two meals a day, etc. GRRRR at people who forget about what baby can do and just want them to be at the next stage...even if they're not ready.

 

I didn't like Rice milk either   so am now just using soy milk for cooking really, have got on to having black tea or herbal teas and don't have milk in anything else.

I totally get your pain on the pressure from other people. We haven't introduced solids yet and everyone is on at me to do it, IL's, Plunket, strangers even. Its ridiculous really.

I haven't found eliminating all dairy too bad actually. Most things have in bold if they contain Dairy (or soy, or gluten or nuts) which makes it much easier when reading packets and a lot of it is just common sense

 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote T_Rex Quote  Post ReplyReply Direct Link To This Post Posted: 29 June 2010 at 4:53pm
Originally posted by Mum2Mac Mum2Mac wrote:


Will have to take my glasses shopping with me now, which incase anyone is unaware, it's really hard to wear glasses when you got a baby strapped to your front in a Moby wrap...he keeps trying to steal my glasses!


Hehe, I can imagine! Can you forwards face him?

I'll see what I can find in the way of articles for you. Can you pm me your email addy please?

Boo to those hassling you about things. Your baby, your decisions!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote T_Rex Quote  Post ReplyReply Direct Link To This Post Posted: 29 June 2010 at 4:58pm
Originally posted by AandCsmum AandCsmum wrote:

T-rex, my local GP referred me to the hospital Paeds....in my experience if you have your childs issues under control you get a little fobbed off.


Yeah, thats pretty much what my doc said. She'll refer me if I want, but doubts they will do much. She has had a couple of phone consults with them though.
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