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Cows' Milk Allergy

Videos

The Cows’ Milk Allergy Symptom Scoring Tool - CoMiSS

Experts, supported by Nestlé Health Science, have introduced a simple to use scoring tool – the Cows’ Milk Related Symptom Score (CoMiSSTM) – enabling primary healthcare professionals to more efficiently interpret symptoms and consider earlier intervention. CoMiSSTM will significantly aid in raising awareness of CMA to help support in the diagnosis of this common infant allergy.

Should I recommend delaying weaning in cows’ milk allergy infants?

Kristian discusses that the introduction of solids shouldn’t change due to cows’ milk allergy. He gives recommended timelines for this introduction and other weaning advice.

How do you reintroduce cows’ milk protein into an infants diet?

Kate discusses  how the introduction differs between IgE and non-IgE mediated allergy. She discusses how, with suitable patients, the milk ladder and how it works. 

Can you swap from an amino acid formula (AAF) to an extensively hydrolysed formula (EHF)?

Kate discusses how important it is for the child to be on the right formula. She discusses how there is evidence that an EHF could be seen as the first step of the milk ladder, introducing a child back onto dairy products to see if they have outgrown their allergy. She also highlights cases where this shouldn't be tried - these cases a child should be under the care of a paediatric allergy dietitan.

How would you go about introducing an extensively hydrolysed formula or an amino acid formula?

Kristian discusses how taste buds of infants mean they don’t notice taste differences in milks. He mentions how some formula taste better than others, specifically lactose containing formulas. He also mentions a method of titrating from one milk to another.

Could I recommend a carer adding anything to the formula to make it taste better?

Kate discusses how adding flavours isn’t recommended - she further discusses how formulas containing lactose can taste better and therefore may be tolerated better.

How much formula should I prescribe?

Helen discusses the amount of formula and how it varies by infant condition and weight. She also gives a rough guide based on age.

Are there any vitamins or minerals I should be prescribing?

Helen discusses the vitamins and minerals needed with both breastfed infants and formula fed infants both with or with cows’ milk allergy.

Can you concentrate an extensively hydrolysed formula or amino acid formula?

Kristian discusses how it isn’t advised to concentrate up a feed as a norm but further discusses special areas under the advice of a dietitian where it might occur.

Can you use a soya formula for the dietary management of cows’ milk allergy?

Kristian discusses that guidance says that soya formula shouldn’t be used for Infants under 6 months of age and the reasons behind this.

Are Amino Acid Formulas Suitable For A Halal Diet.

Helen discusses that all amino acid formulas are suitable for a halal diet. She tells us that only SMA Althera is currently suitable for a halal diet in the extensively hydrolysed formulas.

How many patients should tolerate an extensively hydrolysed formula (EHF)?

Kate discusses that approximately 90% of patients should tolerate an EHF. She further discusses how an EHF should be first line choice in dietary management of cows’ milk allergy. She also highlights the areas where an amino acid formula should be used.

Can I order samples of formulas?

Helen discusses how and why you would order samples of formula for patients.

What’s the difference between an extensively hydrolysed formula (EHF) and an amino acid formula (AAF)?

Helen discusses the difference between an EHF and an AAF. The differences between certain EHFs and when to use an AAF. 

What is the difference between lactose intolerance and cows’ milk allergy?

Kate discusses the much misunderstood differences between lactose intolerance and cows’ milk allergy. She also discusses the different types of lactose intolerance.

How do you diagnose IgE mediated cows’ milk allergy?

Helen discusses the importance of history taking to help diagnose IgE mediated allergy and also the tell tale signs that occur with this type of allergy. She also discusses the different tests that can be taken to diagnose the allergy.

How do you diagnose non-IgE mediated Cow’ Milk Allergy?

Helen discusses the difficulties in identifying non-IgE mediated allergy. She discuses methods to help inform the likelihood of allergy and then how to perform an elimination diet and reintroduction to diagnose the allergy.

What’s the difference between IgE and non-IgE mediated allergy?

Helen discusses the differences between IgE and non IgE allergy and the different body reactions between the two types of allergy. She also mentions ways of identifying between the two.

Can a mother still breastfeed an infant with cows’ milk allergy?

Kate discusses the importance of breastfeeding and steps that can be taken to maintain this in a child with cows’  milk allergy. She discusses the need for close dietary management to make sure vital nutrients deficiencies don’t occur with a dairy exclusion diet.

What are the symptoms of cows’ milk allergy?

Helen discusses the differences in the symptoms associated with both IgE and Non-IgE mediated cows’ milk allergy. She discusses where symptoms which appear in different parts of the body. Helping you to not only identify cow’s milk allergy but what type it may be.

Allergy tests to diagnose cows’ milk protein allergy

Professor Antonella Muraro, Paediatric Allergist, discusses the tests available to help support diagnosing CMA in infants. Filmed 2017.

Cows’ milk Protein allergy - Confirming the diagnosis

The diagnosis of CMA can be difficult and a diagnosis must be confirmed. Clinical symptoms, elimination and challenge must all be considered. Filmed 2017.

The challenges of Gastro allergy (FPIES) and EoE

Dr Carina Venter discusses the diagnosis and management of food protein-induced enterocolitis (FPIES) and eosinophilic esophagitis (EOE) in infants and young children. Filmed in Oct 2016.

Cows’ milk allergy: A gastro perspective on diagnosis and management

Professor Mike Thomson, Paediatric Gastroenterologist, discusses cows’ milk allergy and the impact of delayed diagnosis, the typical symptoms and how it can be dietary managed. Filmed in Sept 2016

Weaning with cows’ milk allergy: what does this mean in practice?

Rachel DeBoer, specialist paediatric allergy dietitian, discusses the challenges faced when weaning (complementary feeding) infants with CMA. Filmed in May 2017.

Practical tips for managing feeding aversions in the allergic child

Food allergies can have an impact on eating habits and food intake. This includes CMA where feeding difficulties has been described as a possible feature. Dr Polly James, paediatric clinical psychologist, discusses practical tips for managing feeding aversions in the allergic child. Filmed in May 2017

The Benefits of Human Milk Oligosaccharides (HMO) on Immunity

Human milk contains bioactive components that confer protection on the newborn. These include complex carbohydrates called Human Milk Oligosaccharides (HMO). Research is revealing the full extent of the beneficial properties of HMOs.

Lactose Intolerance: Common Misunderstandings

Lactose intolerance is one of the more common forms of food intolerance and is often confused with cows' milk allergy. This video explains the differences in both symptoms, diagnosis and treatment. It also explains the different types of lactose intolerance.

Human Milk Oligosaccharides (HMO)

HMOs, the third solid component of human milk, are complex structures with a high potential for specific functions. HMOs and prebiotic oligosaccharides have completely different structures, which impact on their functions. Additionally to prebiotic effects, HMOs reduces adhesion of pathogens and have immune modulator effect.

The first steps to diagnosing cows’ milk protein allergy

The process of diagnosing a child with a cows’ milk allergy (CMA) can be difficult as the symptoms of CMA are non-specific, making the allergy often difficult to detect. Our video goes through the first steps to diagnosing the condition (date: 01/06/2017)

Advancing the Management of Cow’s Milk Protein Allergy: Human Milk Oligosaccharides and Immune Development Webinar

The first 1,000 days of life are a window of opportunity to set solid foundations for infants’ future health. This period is a time of rapid physiological change and plasticity with significant potential for lasting effects.1 It is also a period of heightened vulnerability.2

Remotely diagnosing and managing cows’ milk allergy with the aid of CoMiSS™ - The Cow’s Milk-related Symptom Score Tool Webinar

With ever increasing pressures on healthcare systems and the need to move to online consultations this webinar looks at introducing clinicians to the Cow’s Milk-related Symptom Score Tool - CoMiSS®. Exploring the latest evidence for this simple, fast and easy-to-use awareness tool for non-IgE mediated cows’ milk-related symptoms, this webinar will include practical examples of how the CoMiSS® tool can be used in practice and how it can aid digital consultations as part of a cow’s milk protein allergy digital pathway.

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Other content you might be interested in
Cow’s Milk Allergy in Primary Care

This webinar, hosted by Dr. Helen Evans-Howells, focuses on recognising and managing cow’s milk protein allergy (CMPA) in primary care. It offers an overview of how to effectively work with patients who have CMPA in a community setting. Key learning points include the differences between allergies and intolerances, when to test for allergies and how to interpret results, and insights into the future of food allergies. The session concludes with an informative Q&A session.

SMA Althera and SMA Alfamino - Clinical Evidence Book

WHAT MAKES AN EFFECTIVE SPECIALIST CMA FORMULA? Very few eHFs and AAFs have been shown effective, both in terms of allergy and growth.6,7 At Nestlé Health Science, we set the highest standards for our CMA formulas, SMA® Althéra® and SMA® Alfamino®, ensuring both manufacturing excellence and robust clinical evidence to demonstrate: Proven hypoallergenicity  According to guidelines, the gold standard is for hypoallergenic formulas to be tolerated by at least 90% of infants with proven CMA (with 95% confidence interval) in a clinical trial.1,3,6  Growth and development  According to guidelines, the gold standard is for hypoallergenic formulas to demonstrate normal growth in a clinical trial, because whilst eHF and AAF nutritional profiles are governed by strict regulations,7,8 there are still significant compositional differences between brands.5 REFERENCES: 1. Luyt D et al. Clin Exp Allergy 2014; 44: 642–672. 2. Grimshaw K et al. Clin Transl Allergy 2016; 6: 1. 3. Koletzko S et al. JPGN 2012; 55(2): 221–229. 4. Muraro A et al. Allergy 2014; 69(5): 590–601. 5. Meyer R et al. EMJ Allergy and Immunol. 2017; 2(1): 46–51. 6. Chauveau, A. et al. Pediatr Allergy Immunol. 2016; 27(5): 541–543.   7. Commission Delegated regulation (EU) 2016/128. 8. Commission directive 1999/21/EC

Diagnosing and Managing Cows' Milk Allergy

The aim of this webinar is to aid primary care individuals in the diagnosis and management of cows' milk protein allergy. Evidence suggests that it can take an average of 10 weeks and 4 visits to a healthcare professional to get a diagnosis of cows' milk allergy (CMA).1

Could I recommend a carer adding anything to the formula to make it taste better?

Kate discusses how adding flavours isn’t recommended - she further discusses how formulas containing lactose can taste better and therefore may be tolerated better.

Are there any vitamins or minerals I should be prescribing?

Helen discusses the vitamins and minerals needed with both breastfed infants and formula fed infants both with or with cows’ milk allergy.

The dietary management of Cows' Milk Allergy in Primary Care

A webinar explaining the dietary management of Cows’ Milk Allergy in primary care. 

Cows’ Milk Allergy Weaning Guide

The weaning guide contains recipes developed with leading dietitians from across the UK to help your patients' carers prepare milk-free recipes. The weaning guide can help give them confidence, that as their child grows, family meals can be adapted to make them suitable for CMA.

Allergy tests to diagnose cows’ milk protein allergy

Professor Antonella Muraro, Paediatric Allergist, discusses the tests available to help support diagnosing CMA in infants. Filmed 2017.

Weaning with cows’ milk allergy: what does this mean in practice?

Rachel DeBoer, specialist paediatric allergy dietitian, discusses the challenges faced when weaning (complementary feeding) infants with CMA. Filmed in May 2017.

Practical tips for managing feeding aversions in the allergic child

Food allergies can have an impact on eating habits and food intake. This includes CMA where feeding difficulties has been described as a possible feature. Dr Polly James, paediatric clinical psychologist, discusses practical tips for managing feeding aversions in the allergic child. Filmed in May 2017

The Benefits of Human Milk Oligosaccharides (HMO) on Immunity

Human milk contains bioactive components that confer protection on the newborn. These include complex carbohydrates called Human Milk Oligosaccharides (HMO). Research is revealing the full extent of the beneficial properties of HMOs.

Lactose Intolerance: Common Misunderstandings

Lactose intolerance is one of the more common forms of food intolerance and is often confused with cows' milk allergy. This video explains the differences in both symptoms, diagnosis and treatment. It also explains the different types of lactose intolerance.