M.S. asks from Virginia Beach, VA on November 16, 2007
Qyestion About Soy Formula
I posted a question before about a milk allergy. My 1 month old son has switched to Similac Isomil advance due to being lactose intolerant I guess. Real quick, what's the difference between being lactose intolerant and having a milk allergy? I thought they were the same thing. But then today I saw a formula that was lactose free but milk based...? I don't quite get that. Anyway, so my baby is on the Similac Isomil Advance but he fights me so badly when I give him the bottle. He doesn't appear as gassy as he was with the Enfamil but it seems like he hates it. Is that normal? He cries in the middle of eating (with the nipple in his mouth) and kicks and flails. I feel horrible. Is it making him sick and I just don't realize it or does he just not like the taste? Does anyone have any recommendations or ideas as to why he's acting this way?
So What Happened?™
Thanks for all the advice. Unfortunately he now has a pretty bad rash where the formula has been running down his chin and on his chest from the soy. Still no clue what to do but hopefully we'll figure it out soon.
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K.M. answers from Washington DC on November 19, 2007
Hi. I went through the same thing with my daughter. Well actually she has a milk allergy. A milk allergy is when they can't process/digest the protein in the milk. Lactose intolerance is a sensitvity to the sugar that is in cow's milk. I wound up having to put her on really expensive formula ( Nutramagin, i think I spelled it right lol) and she still had problems. Maybe try good start by Carnation. I've heard a lot of good things about it and it's cheaper than the stuff by Infamil and Similac.
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F.B. answers from Charlottesville on November 17, 2007
Lactose intolerance is where the body can't break down lactose, a sugar in milk. A milk allergy is where the baby is allergic to the proteins in milk (commonly whey). If your child is still having problems you may want to try a non-soy based formula, such as Alimentum or Nutramigen which are made with pre-digested proteins to prevent allergies and digestive issues. I found that my son was allergic to milk, so we tried a soy formula and had the same response you got. Not know what to do, I tried to keep giving it to him, then one day he finally ate an entire bottle. Then about an hour later he started to throw up and a few hours later he was no responsive and in the hospital, losing over a pound in less than 12 hrs. These things can be very scary. It was well worth the extra expense for the Alimentum.
T.B. answers from Washington DC on November 17, 2007
Hi--Try Similac Alimentum. (Sorry, but very expensive). My infant was on regular Similac and had feeding difficulties due to extreme gas, pain, and Gerd. We switched to Alimentum which is milk based but is hypo allergenic for milk protein allergies/ or intolerences which my daughter has. She hated the first 5 or so bottles but adjusted fine. We also had to start solids early with her and we still put rice cereal in her bottles to keep her from vomiting(Gerd). Good luck.
R.F. answers from Washington DC on November 18, 2007
Have you checked into acid reflux?My daughter had that and I didn't know for the longest time because her ped.kept telling me she was fine.I thought it was the formula after I was no longer able to pump breast milk that was making her tummy upset.We used Neutramigen which is crazy expencive but helped big time along with reflux medication.We kept the head of her bed elavated and did not lay her flat right after a feeding.It's all trial and error to see what works best for your baby.I hope you find something soon I know how hard it can be.
R. F.
S.L. answers from Washington DC on November 18, 2007
In addition to what most have explained about the difference between lactose intolerance and milk allergy, I'd like to add that what you have described is not simple lactose intolerance. This in no way causes bloody stools so I would not recommend putting your son on any milk-based formula. You can always re-lactate which is easier to tolerate than any formula (and much less expensive), but you will have to remove dairy products from your diet in order to do this. While it is possible that your son has GERD, I'd wonder first if the soy is cross-reacting with the milk-protein allergy that led to bloody stools (this happens 25-50% of the time). I would recommend switching to Nutramigen or Alimentum (covered by WIC if you're eligible and get a prescription from his pediatrician) if you're unwilling to try to begin breastfeeding again.
E.G. answers from Norfolk on November 17, 2007
I think the difference is that a milk allergy is actually an allergy and your child has sometime of physical reaction (hives, swelling, etc.). Babies that are lactose intolerant have difficulty digesting the lactose in the milk. Can cause bad dirhea. I thought my son had a milk allergy and used the soy formula with him. When I gave him the regular formula he screamed and his face broke out in what looked liked hives, whereever the formula touched his skin. I took him for allergy testing after his first birthday and it wasn't an allergy. Exzema which he had can make skin get irritated with milk products. Anyhow, he didn't particularly care for the taste of the soy formula when it was cold or room temperature. It tastes much better when it is warmed.
My infant now switched to soy b/c of dirhea and was having trouble digesting the lactose (per the doctor). She also would only drink the soy formula if it is the right temperature.
Good Luck!
M.W. answers from Washington DC on November 17, 2007
The difference between lactose intolerance and food allergy is this: Lactose is the sugar that is in milk, it is different from the sugar we use on the table. Your body has a specific enzyme that breaks it down to allow the lactose to be absorbed into the blood. That enzyme has to be different than the one used to break down table suger. Some people don't have that enzyme and so they can't process lactose properly. For lactose intolerant people, usually they eat foods that don't have lactose. Food allergies are very different. In any allergy, the body thinks that something that is harmless is really bad stuff, and will mount an immune response to it. That protein that the body responds to is called an allergen. But, it's not just any response, it is specifically one that produces a "rogue" antibody (called IgE), which has no protective function. That rogue antibody attaches to special cells that release some chemicals when they see the allergen. Those chemicals, called mediators, cause those horrible allergy symptoms, ranging from a stuffy nose to life threatening asthma. You can have a milk based product that has no lactose because the manufacturer has removed it, but it still has the milk allergens that are unsafe to give to someone with milk allergies.
Clear as mud, lol?
K.M. answers from Washington DC on November 19, 2007
Hi. I went through the same thing with my daughter. Well actually she has a milk allergy. A milk allergy is when they can't process/digest the protein in the milk. Lactose intolerance is a sensitvity to the sugar that is in cow's milk. I wound up having to put her on really expensive formula ( Nutramagin, i think I spelled it right lol) and she still had problems. Maybe try good start by Carnation. I've heard a lot of good things about it and it's cheaper than the stuff by Infamil and Similac.
B.Z. answers from Richmond on November 18, 2007
If I were you I would ask the pediatrician about acid reflux and consider taking your son to an allergist. My daughter is allergic to milk, eggs and peanuts, so I know that there are many different reactions to allergins. An allergist may be able to pinpoint something specific... maybe a milk allergy, maybe a soy allergy?? Good luck!
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