How to Choose Allergy Formula Special Milk

Soya milk - by google

Often occurs every allergic signs and symptom appear in infants and children immediately convicted of cow milk allergy. Whereas the use of cow's milk has occurred within 1-6 months, but previously no symptoms occur. The suspected diagnosis of Milk Allergy Cows are too fast and hasty it was not necessarily true. These errors often arise because of many factors that play a role in the emergence of allergies and the difficulty of detecting allergens. So it is reasonable that every doctor often disagrees in dealing with the same patient. Many cases have been convicted of cow milk allergy but after the elimination of provocation of cow milk did not occur allergy to cow's milk. Precisely the most frequent cause of signs and symptoms of allergies turned out to be a viral infection that had been considered normal. Another common mistake is when a cow's milk allergy verdict is directly fed a partial milk hydrolyzate such as NAN HA, Enfa HA or Nutrilon HA whereas the milk is not for cow milk allergy sufferers but for the prevention of allergies or for allergic high-risk patients.

Dairy is a separate problem in cow's milk allergy sufferers. To determine the sufferers of cow's milk allergy the main choice is the extensive milk hydrolyzate. But some sufferers can also tolerate soya milk. Often errors occur that every child has signs and allergy symptoms are advised by partial allergic hydrolyzate milk such as NAN HA, Nutrilon HA or Enfa Ha. Milk dairy is only for prevention or allergy prevention is not for allergy sufferers of cow's milk. But indeed some babies with mild allergy symptoms may consume partial milk hydrolysate. Although this milk is actually for the prevention of allergy is not for treatment. Making sure milk allergy is not easy because under certain circumstances allergy tests such as skin tests or blood tests cannot be sure. Ensure cow milk allergy should be with Challenge test or elimination provocation. This is what often makes overdiagnosis or difference of opinion among the doctors in determining the condition of cow milk allergy in children or infants.

Clinically and laboratory it is often difficult to make sure the child has cow's milk allergy. Because under certain circumstances the special allergy test skin test and blood tests still cannot confirm the existence of cow milk allergy or not. It is not easy to determine the best milk selection for the child. It is often difficult to ascertain whether a person is allergic to cow's milk or intolerance or reacts to certain content of the content present in the formula. In the face of such cases, the Children Allergy Center clinic eliminates simple open provocation. In the beginning, the patient was given an extensive milk hydrolyzate. When allergy symptoms improve, further provocation of the consecutive formula is riskier such as soya, partial hydrolyzate, and infant formula with minimal AA, DHA, palm oil and so on. The most appropriate formula is that which does not cause interference. If symptoms occur in any of these formulas we should choose a formula one level safer on it. When the partial milk of hydrolysis and soya interruption occurs provocation of lactose milk and weak single chain (Monochain Triglyceride / MCT).

Many doubts about the nutritional quality of cow's milk substitute milk. The doubt is like "soya not fattening", "hypoallergenic milk does not make smart children because it does not contain DHA" and so on. In general, all formula milk is officially circulating the same nutritional content. Because it follows the RDA (Recommendation Dietary Allowance) standard in the number of calories, vitamins and minerals must match the needs of the baby in achieving optimal growth. The doubt that certain formula milk is not fattening is unwarranted because of the calorie content, vitamins and minerals are no different. The use of any brand of formula milk that is appropriate to the condition and age of the child as long as it does not cause disruption of body function is the best milk for the child. If the incompatibility of cow's milk continues to be imposed, it will disrupt the body's function, especially the gastrointestinal tract, thus making the growth disorders and child development.

The British Nutrition Foundation, the European Society for Pediatric Gastroenterology and Nutrition, the World Health Organization (WHO) and the FAO (Food Agriculture Organization) recommend the addition of DHA and AA only for premature infant formulas. Theoretically and clinical evidence of the addition is only beneficial for premature infants because they have not been able to synthesize AA and DHA well. The addition of AA and DHA directly does not really matter because the baby's body is already enough months to mensitesa or produce their own AA and DHA from other essential fatty acids.

Some alternative options for cow's milk substitute vary widely depending on the condition of each child. The substitute milk includes breast milk, soy milk, goat milk, extensive hydrolysis milk, partial milk hydrolyzate, amino acid synthesis and so on.

Read also : Overcoming Allergy Eggs In Children

WHY FORMULA MILK IS NOT SUITABLE

The effect of mismatch on infant formula can be caused by adverse food reactions may be due to allergic reactions or nonallergic reactions. Cow's milk allergy is a collection of symptoms that affect many organs and body systems caused by allergies to cow's milk. Hypersensitivity reactions to cow's milk protein with immune system involvement. The baby's immune system will fight the proteins contained in cow's milk so that symptoms of an allergic reaction will appear. Non-allergic reactions or adverse food reactions that do not involve the mechanism of the immune system are known as intolerance. This intolerance can occur inappropriateness to lactose, gluten or certain types of fats.

Milk - by google

The food intersection reaction occurs due to the incompatibility of some of the content in formula milk. Can occur due to the incompatibility of the protein content of cow's milk (casein), lactose, gluten, dye, flavor (vanilla, chocolate, strawberry, honey, etc.), fat composition, DHA content, corn oil, palm oil and so on.

SYMPTOMS OF ALLERGY MILK CAFE REACTION OR MUTUAL REACTION FORMULA

Disorders due to incompatibility of infant formula may arise because of rapid reaction or the onset of symptoms of less than 8 hours. In slow reactions usually, new symptoms arise after more than 8 hours, or sometimes after drinking milk 5 or 7 days new complaints arise. Signs and symptoms of mismatched formula or milk allergy are almost the same as food allergies. The disorder can disrupt all the organs of the body, especially digestion, skin, airways and other organs.

Clinical manifestations are often aggravated and linked due to allergic reactions or reaction of formula milk intersections

• Gastrointestinal tract: In infants: frequent vomiting, bloating, "hiccups", frequent exhaustion, often fussy, restless or colic especially at night) and often ask for a drink. Frequent bowel movements (> 3 times per day), not CHAPTER every day. Dirt smells sharp, green or dysentery. Scrotal and inguinal. In older children: mouth smelly, difficult bowel movements, CHAPTER not daily, dirt round as goat dung, smelling sharp, dark green or black color, abdominal pain.
• Sensitive skin, often spots or reddish ulcers, especially in the cheeks, ears and diaper-covered areas. Crust in the hair area.Born black marks like biting mosquitoes. Excessive earwax. Scaly Scalp. Enlarged glands behind the head or neck. Often sweating (excessive), the head, palms or soles of the feet are often palpable summer / warm.
• Airway: In infants: Shortness of breath, sometimes accompanied by a mild cough, especially night and morning. Frequent sneezing, runny nose, lots of nostrils, When sleeping heads often tilted to one side because of a dead end nose. Drinking breast milk often chokes or drinks dominantly only one side of the breast. Eyes are often watery or often appear eye droppings one side / both sides. In large children: a frequent cough, long cough (> 2 weeks), colds, (especially night and morning daylight loss) sinusitis, sneezing, spasms, asthma, and hoarseness.

Reactions of food intersections such as mismatched infant formula mainly disrupt the gastrointestinal system. Gastrointestinal disturbances sometimes cause impaired permeability of the gastrointestinal tract. Many recent studies reveal that chronic gastrointestinal disturbances with various immunopathophysiological and immunopathobiological mechanisms may, in fact, result in neurofunctional brain disorders. These brain function disorders affect behavioral disorders such as concentration disorders, emotional disturbances, sleep disturbances, speech delays, concentration disorders to aggravate symptoms of ADHD and Autism.

Behavioral and motor disorders (neuroanatomic and neurophysiological disorders) that are often aggravated and linked due to allergic reactions or adverse reaction to infant formula

• Neuroanatomical disorders: easily startled if there is a disturbing noise. Movement of the hands, feet, and lips often tremble, headache, migraine
• Excessive motor movement or hyperkinetic: <6 months of age: the eyes/head of the baby often look up. Hands and feet move excessively, age> 6 months when picked up often ask to get down or often move / often move head to back-hit banging head. Often rolled up on mattresses, dropped on mattresses ("smackdown"), often climbing "Tomboy" behavior in girls
• Sleep disturbance (usually at night) restless / back and forth to the end, talking, laughing, screaming in sleep, difficulty sleeping. In older children, nights often wake up / sit, nightmares, "teeth"
• Aggressive and emotionally increased: often hitting his own head, people or objects around him. Often biting, licking, pinching, pulling. Easily angry, stubborn often shouted.
• Impaired concentration and learning disorders: Quickly tired of activities (except watching television, reading comics or playing games), unable to learn long, hurry, do not want to queue, not careful, often losing things or often forget, drastic. The value of a particular lesson is good, but other lessons are bad. It's hard to finish school lessons well. Frequently chatting and bothering friends during classes, usually looking smart and smart.
• Impaired coordination and gross motor balance: Back and forth, sitting, crawling late or unsuitable for age. Walking often fell and rushed, often crashing, on tiptoe, sitting W / feet back. Distractions chew or swallow, do not want to eat fibrous like vegetable or meat or late feeding ability of rice team (normal age 9 months) or rice (normal age of 1 year)
• Late speech: The vocabulary is less than 5 words at the age of 15 months, speech is lost from the previous one. If there is no impaired eye contact, hearing loss, and intellectual impairment, usually a 2-year-old age improves.
• Aggravating symptoms and behavior of ADHD (hyperactivity) and AUTIS (hyperactivity, speech delay, disruption of socialization

MUSCLE FORMULA SELECTION STRATEGY

How is the right strategy or step in choosing the best allergic formula that is best for the child? The first step to do is to determine whether the child has a cow's milk allergy or intolerance. This risk occurs when there is one or both parents have experienced allergies, asthma or incompatibility with cow's milk. The second step must be careful in observing the conditions and disorders that occur in children from birth. Symptoms to be observed are symptoms of gastrointestinal disorders, behavioral disorders, and other organ disorders since the baby was born

Cow milk - by google

If there is a risk of allergies and other symptoms as above, should be more careful in choosing milk. If you need to do the further consultation to the specialist doctors allergic children, childhood gastroenterology or metabolic and endocrinology of children observe organ disorders that occur continuously and occur long term such as a frequent cough, shortness, diarrhea (bowel movements> 2 times per day), difficult to dispose of defecating. When it occurs should be more carefully observed whether this disorder is related due to the incompatibility of infant formula.

Often there is overdiagnosis in determining a child suffering from cow milk allergy. Should not be too soon to convict a cow's milk allergy in infants. Allergic reactions that arise not only occur due to formula milk. In breastfeeding, a diet that the mother consumes can also lead to allergic disorders.

The most common is the overdiagnosis of cow milk allergy, Which should not be allergic to cow's milk is allergic to cow's milk. is when the baby has cough infections, heat and cold often experience disorders such as allergic reactions, especially the skin, gastrointestinal tract and bronchial hypersecretion (excessive mucus).

Read also : Alternative Sources of Nutrition for Child Allergies

Another thing is often the case of children convicted of cow's milk allergy whereas before the use of cow's milk did not cause health problems. Cow milk allergy is usually getting older will be better, not vice versa. Cow milk allergy usually occurs from birth. When new allergic symptoms arise over the age of 6 months, the cause is probably not cow's milk. We should look at allergies to other foods that are usually introduced at that age. Patients with food allergies, in addition to allergic to cow's milk also have allergies to certain foods.

If you suspect incompatibility of formula milk, do not be too quick to condemn cow's milk is the cause. The incompatibility of infant formula is not necessarily just because of the milk content of the cow. Disorders can occur due to the content contained in formula milk such as gluten, dye, flavor (vanilla, chocolate, strawberry, honey, etc.), fat composition, DHA content, corn oil, palm oil and so on. Processing of cow's milk base ingredients can also be influential. Some ways of processing certain cow's milk can eliminate certain proteins that can cause allergic disorders. This difference can be observed by the difference in the smell of the infant formula. Formula cow's milk with one another sometimes smells the sharpness of cow's milk differently.

Substitution of incompatibility of infant formula should not always be with soy milk or hypoallergenic milk. So, if you suspect the incompatibility of milk does not change too quickly with soy milk or other hypoallergic milk. When the disorder is mild with cow milk replacement of similar formulations the disorder may be reduced. For example, replacement of milk that does not contain DHA skin disorders can disappear. The difficult bowel movement with the replacement of certain cow's milk that does not contain oil palm has improved. Similarly, the disorder of patients who often cough, by replacing cow's milk of certain formulas can reduce the disorder.

In addition to mismatching milk, the next consideration in milk selection is the price issue. Adjust the selection of milk types with family economic conditions. The price of milk is not directly related to the quality of its nutritional content. Although the milk is cheap not necessarily calories, vitamins and minerals are not good. As long as the amount, the type is suitable for the age of the child and no interference then it is the best milk for the child's growth.

In general, all formula milk is circulating in Indonesia and in the world of nutritional content is the same. Because it must follow the standard RDA (Recommendation Dietary Allowance) in the number of calories, vitamins and minerals must be in accordance with the needs of the baby in achieving optimal growth. In other words, the use of any brand of cow's milk formula according to the condition and age of the child as long as not cause disruption of body function is the best milk for the child.

The price difference may be influenced by the addition of AA, DHA and so on in formula milk. Other important considerations are easy to obtain, both in terms of place of purchase and supply of products. Switching different types of milk to a child should not be feared as long as there is no interruption of milk acceptance. If there are no risks and symptoms of allergies next step try formula-appropriate baby age of any brand and type. Observe the signs and symptoms caused if no complaints continue with the appropriate amount of milk required by the child.

Breast milk

• Breast milk is the best choice for babies with cow's milk allergy. Breastfeeding has been clinically proven to prevent the occurrence of allergies in the future. Meskpiun can prevent allergies, but the diet consumed by the mother was also able to cause allergies in the baby. So the mother should also eliminate certain diets that can interfere with the baby. Mothers should avoid various types of cow's milk or cow's milk-containing foods.

Milk Soya

• Soya formula milk is lactose-free milk formula for infants and children who are allergic to cow's milk protein. Nutrilon Soya is a lactose-free formula that is safe for babies/children suffering from diarrhea or requires a lactose-free diet. Soya uses soy protein isolate as the basic ingredient. Isolate soy protein has a high protein content equivalent to cow's milk.
• As in breast milk, calcium and phosphorus in soya milk formula have a 2: 1 ratio to support the formation of strong bones and teeth. This formula milk also contains essential fatty acids, namely Omega 6 and Omega 3 with the right ratio as the basic ingredient of AA & DHA formation for optimal brain growth. Giving AA and DHA directly on this formula is not too important because the actual baby's body enough months can mensitesa or produce their own AA and DHA from other essential fatty acids in the milk content
• The carbohydrate of the soya formula is maltodextrin, a type of carbohydrate that can be tolerated by the baby's digestive system is injured when experiencing diarrhea or by the baby's digestive system is indeed allergic to cow's milk. Soya (soy) formula milk is more or less the same nutrient benefit than the extensive hydrolyzate formula, but it is cheaper and more familiar.
• In a study of 170 infants of cow's milk allergy found soya milk can be accepted by most infants with cow's milk allergy both IgE and Non-IgE. The development of IgE associated with soya milk is rare. Soya Milk is recommended for the first choice alternative in allergy sufferers of cow's milk at an age above 6 months. But that does not mean that this study changed the soya milk formula under the age of 6 months. Children who are allergic to cow's milk was found about 30-40% have allergic milk soya.
• Patients with allergies with gastrointestinal disturbances, especially difficult bowel movements, constipation, often not improving with soya. But children with vomiting (GER), bronchial hypersensitivity) response is very good.

Goat milk

• In some countries traditionally goat milk is often given to allergy sufferers of cow's milk. Goat milk is not milked with complete nutrition for babies .. Very small vitamin content, such as folic acid, vitamin B6, B12, C, and D, but rich in minerals.
• Goat's milk and sheep milk have an identical epitope as an allergen. So goat milk usually cannot be tolerated also by allergy sufferers of cow's milk.

Extensive Hydrolysis Formula Milk

• Alternative substitute for cow milk allergy is milk formula containing milk protein of cow hydrolysis (through special processing). This formula milk is not so tasty and relatively more expensive .. Whey protein is often easier in denaturation (damaged) by heat than casein protein that is more resistant to heat. So the process of whey denaturation can be accepted by allergy sufferers of cow's milk, such as cow's milk evaporation.
• The European Society of Paediatric Allergy and Clinical Immunology (ESPACI) defines the extensive formula of hydrolysis as a formula with a hydrolysis protein base with fragments small enough to prevent allergies in children. Extensive hydrolysis formulas will meet clinical criteria if clinically acceptable to 90% of patients with IgE-mediated allergy to cow milk (95% confidence interval) as recommended by the American Academy of Paediatrics Nutritional Committee. So far about 10% of allergy sufferers of cow milk can cause the reaction to extensive milk formula hydrolysis. Certainly, patients who are allergic to the extensive formula of hydrolysis are unknown, estimated at more than 19%. The experience of casein hydrolysis usage has been done almost 50 years more, Some studies show very effective for allergy suffers from cow milk. The casein hydrolysis milk in the market is Nutramigen (Mead Johnson) and Pregestimil (Mead Johnson). While whey hydrolysis in this last time began to be used as an alternative, and it seems that clinical tolerance is similar to casein hydrolysis. Some examples of whey hydrolyzed milk are Alfa-Re (nestle) and Pepti-junior (Nutricia). Whey protein is more easily denatured at hot temperatures but the casein is extremely heat resistant.

Partial hydrolysis Formula

• The partial hydrolysis formula milk still contains peptides large enough that it still has the potential to cause the allergic reaction to cow milk. This milk is not recommended for treatment or milk substitute for cow milk allergy sufferers.
• This hypoallergenic or low allergy milk is, for example, NAN HA, NUTILON HA, and Enfa HA. This milk is recommended for patients who are at high risk of allergy before showing any symptoms of allergy. Studies show that partial hydrolysis formulation reduces the onset of allergic symptoms that can be induced.

Synthetic amino acid formula

• Neocate is a 100% amino acid synthetic which is the basic ingredient of hypoallergenic milk formula. The taste of this formula is relatively better and more likely to be acceptable to babies in general, but the price is very expensive.
• Neocate is used to treat persistent and severe food allergy symptoms. Like Multiple Food Protein Intolerance, allergic to extensively hydrolyzed formulas, food allergies with weight gain disorders, colitis allergies, GERs that do not respond to standard therapy. Multiple food protein intolerance or MFPI is defined as intolerance to more than 5 main foods including EHF (extensive Hydrolysa Milk) and soy formula milk. MFPA (Multiple food protein allergies) is defined as an allergy of more than 1 basic foods such as milk, flour, eggs, and soybeans. This milk is also used as a placebo in DBPCFC to diagnose cow milk allergy