Soy vs Lactose Free Formula?

Updated on June 15, 2007
C. asks from Saint Paul, MN
8 answers

My 2 month old daughter has had severe rash problems on her bottom since she was born as a result her stool. (It essentially burns her skin...) She has had a yeast infection, blisters, fissures that bleed, raised red hives, etc. Since we were breastfeeding, I thought such reactions weren't possible, since breast milk is the ideal baby food, so I completely eliminated the usual suspects of allergens from my diet, and we breastfed for 2 months despite the ongoing butt problems. (Dairy seemed to be the main culprit, but the improvement to her skin was minimal.) At her two month checkup, her bottom was still a major problem, and our ped. recommended a change for her comfort and my sanity, and told us to try either a lactose free formula (Enfamil Lacto-Free Lipil) or a soy formula (Goodstart Soy or Enfamil ProSobee Lipil). I have read that milk based proteins are technically closest to breast milk, and that soy should only be used when parents require a vegan choice or when a baby has been diagnosed with an actual milk protein allergy (i.e. vomiting, reflux, diarrhea...) rather than a lactose sensitivity. Has anyone had a similar issue? Does anyone have a healthy, happy, robust baby who has been raised on soy or lactose free formula? My son never had any of these issues--he happily breastfed and then took regular formula, and I am struggling to do what is best for my daughter--any input would be greatly appreciated!

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So What Happened?

I just wanted to say thank you to everyone who responded with words of support, positive ideas and their own personal advice. We have had a very long week, but have made some important discoveries thanks to the advice of our doctors and the great moms at mamasource. We started initially with breast feeding and adding supplemental formula feeds, first with the lactose free formula and then with the soy. The breast feeding with the lactose free formula was a nightmare--according to our doctor, the lactose in my milk plus the cow's milk based formula were a recipe for disaster. Despite the numerous topical medications we were using, my daugher's bottom got worse, plus she got even fussier. The soy formula plus breast feeding seemed slightly better in terms of her bottom, but still skin irritation persisted, and the fussiness was horrible. Finally, I eliminated breast feeding, began feeding her only the soy formula, and she improved tremendously, although she began waking up at night every couple of hours screaming. Long story short, she was also experiencing acid refulx, and the treatment for acid refulx coupled with the soy formula have brought forth immense changes--she is like a new baby! After the trial and error we went through, we discovered that our daughter probably does indeed have a milk protein allergy, which explains her reaction to both my milk and the dairy based formula, so we are going with soy and relieved. She is actually quietly napping right now--the first time since she was three weeks old--so thanks again mamas!

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A.C.

answers from Minneapolis on

C.,

My oldest daughter had SEVERE feeding problems. When she was 3 days old she had a BM the size of a golf ball, it was very hard. I've never been through anything worse. She cried for 30 minutes straight and she pushed so hard she would be drenched in sweat. She would fall asleep right after the BM. It drained her energy completly. All I could do was hold her and cry with her. We tried EVERY single formula (she refused my breast). When she was not having a hard time with her BM she would throw up and I mean I could hold her up and she would hit the wall. To make a long story short she ended up on Soy formula. She is now a healthy 4 (5 next month). She has never had an ear infection and she is smart as a whip. We now have a 9 month old, when she was born I put her on Similac Isomil Advance w/Iron and she has never had a problem. She too is very healthy and robust.

Oh yeah, the only way you are going to find the milk that is best for her is to test them out. That is the hard part, but we made it and you can too.

I hope this helps.

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C.K.

answers from Madison on

Just wanted to say that Theresa D. is incorrect. There is lactose in breast milk. It is not specific to cows. Women produce it, too. It's a sugar. As far as your other concerns, although I breast fed exclusively, my nieces were raised on soy formula and are healthy and happy and in their teens. Nobody that I know looks back and remembers whether they drank soy, cow, or human milk. Don't let anyone make you feel like you HAVE to nurse your child. Your doctor is trying to help you both. If you need another opinion, I suppose it couldn't hurt to ask another doctor.

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A.L.

answers from Minneapolis on

Long story short...both my girls ended up on Isomil due to very similar problems you are experiencing. Our family doctor wasn't as convinced that this was the best thing, but he wasn't the one dealing with the obscene amounts of projectile vomiting and pooping problems. Both my girls are fine at 3 and 6 and very intelligent. And I did start with breastfeeding both of them....

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M.B.

answers from Minneapolis on

There is another option that we used for my daughter. Our pediatrician prescribed a diaper rash cream that would basically soak up the bad stuff in her diaper and pull it away from her body--essentially eliminating the irritant from her skin. It was a yellowish color gel-like substance (it reminded me of a salt-scrub) anyhow, it worked great! I unfortunately don't know the name but if you need more info I can find it for you. Feel free to email me at ____@____.com.

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C.E.

answers from Minneapolis on

I raised by daughter since she was 2 weeks old on Isomil Lactose Free Forumla and she is a very healthy baby. For all her check up she has been within her target weight and above the height charts.

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T.D.

answers from Minneapolis on

There is no lactose in YOUR milk, so I am not sure why changing her over to a lactose free FORMULA would be better. What about amedicine or topical something for her, not changing the diet. Breast milk IS BEST. I cannot believe your doctor would suggest otherswise. Especially with a problem. I cannot believe formula would be better. Stools will only be thicker and MORE painful.

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A.P.

answers from Minneapolis on

Hey C.,

I am not sure where you live but I recently recived a sample of the simalac soy formula (unopened). It's yours if you want it...I live in Crystal. I will be available until Thursday morning and then we are out of town until next week.

____@____.com Let me know if you want to come get it!

If you have to try a few different kinds, might as well get some for free!

Good luck to you, I know it must be hard!
~A.

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C.S.

answers from Minneapolis on

Oh Boy! I had the same rash problems with both my girls. That was the first indication that they couldn't tolerate a new food. My girls would have open ulcers on their bottoms. I would try to wipe as carefully as possible, but you could see the layers of skin peel off. Very painful!

When my first daughter was born, they told me to put her on a soy formula, because I have sensitivies to milk. I did pump for the first 4 months(She couldn't latch on without gagging herself) After my milk slowed down she was on soy formula. She switched over to milk at a year, but only for a few months. She became allergic to milk at that point. She couldn't tolerate any milk proteins until she was about five years old. She wasn't allergic to lactose though. She could eat foods with lactose in the ingredients.

When I had my second daughter, I was told that they no longer recommend keeping a baby on soy as a preventitive, because they have a harder time with milk once they turn a year old and get switched over to milk. My second daughter was a horribly crabby baby. I also pumped with her, but discovered she wasn't tolerating my breast milk. I too had tried to modify my diet, to cut out the culprit. It wasn't until I had an infection and had to throw my milk out, and supplement formula inbetween milk from the freezer, that I discovered it was my milk she was allergic to. I started her strictly on milk formula at that time. She was a much happier baby. She too also developed an allergy to milk proteins as well after a year old. She couldn't digest milk products of any kind until she was about four years old. She too could have lactose.

What I did with my girls, was keep a notebook of all feedings and what time the symptoms showed up and how severe. This will come in handy if you need to discuss this with a doctor. I had gotten in to see a different doctor when our regular doctor was on vacation, and he told me that milk wouldn't be causing any of the symptoms in my daughter. (She was over a year old) He told me to go ahead and switch her to soy milk if it would make ME feel better. I did meet with our regular doctor when he got in town and I remembered to bring my notebook of symptoms along, and he said without a doubt, milk was the cause. And it was!

Try one kind of formula and see how your baby reacts. If the symptoms don't clear up, try the other.

Good luck!

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