6 Must-Knows about Cow Milk Allergy in Children

6 Must-Knows about Cow Milk Allergy in Children

Rashes, wheezing, vomiting, and blood in stools are some of the symptoms of cow milk allergy. These symptoms can be distressing for children and parents. Proper diagnosis and management of cow milk allergy is crucial to helping affected children cope better.

Baby in cow costume

It can be troubling for parents to find out that their child is allergic to cow’s milk — a nutritional staple for many children. But there are ways to successfully cope with this allergy. If breast milk, which is the best milk for your child, is not a viable option, there are other good alternatives available to ensure that your growing child receives all the necessary nutrition.

Dr. Chiang Wen Chin and Dr. Lee Bee Wah, both consultant paediatricians at Mount Elizabeth Medical Centre, share what parents need to know in order to effectively manage their child’s milk allergy.

This video is supported by an unrestricted education grant from Abbott, the leader in paediatric nutrition*.

Must-Knows on Cow Milk Allergy (CMA).

1. Definition and Common Symptoms of

CMA, the second most common food allergy in young children, is an abnormal immune reaction to cow’s milk protein. If your child has CMA, he could fall into either of two types of CMA: Immunoglobulin E (IgE) mediated CMA and non-Immunoglobulin E (non-lgE) mediated CMA.

In some children, CMA manifests itself quite immediately, sometimes within minutes of ingesting cow’s milk, in the form of cough, redness, itchiness or even becoming breathless and turning blue. Such an immediate reaction is symptomatic of lgE mediated CMA. In non-lgE mediated CMA, the adverse reaction to cow’s milk may only occur several hours after cow’s milk is consumed, and the symptoms are typically vomiting, diarrhoea or blood in the stool.

2. Proper Management of CMA is Crucial

If your child has a milk allergy, it is critical for you to know how to best manage the allergy. Many studies have shown that food allergy, including CMA, is associated with decreased quality of life for not only the child but for the caregivers as well.

Your child’s medical specialist would be the best person to educate you and your child on how to assess the severity of the reaction, and clear any misconceptions you may have about milk allergy. Do not let milk allergy affect your child’s quality of life and day-to-day performance.

3. Good Alternatives to Cow’s Milk Formula

Naturally, if your baby has CMA, it would be wise to avoid milk that contains cow’s milk protein. If breastfeeding is not a viable option, then your child will require a specialised formula.

If your child suffers from lgE mediated allergy, a tasty, economical substitute is a soy-based formula. Otherwise, an extensively hydrolysed formula should be used. In cases of CMA, an amino acid formula may be recommended for your child.

4. Goat’s Milk Formula is not a Recommended Option

If you believe that feeding your child goat’s milk is a better alternative to feeding him milk with cow’s milk protein, you may be surprised to learn that goat’s milk protein and cow’s milk protein are very closely related. This means that if your child is allergic to cow’s milk, there is a high probability that he may be allergic to goat’s milk too. In fact, up to 80% of children with CMA cannot tolerate goat’s milk.

5. Children May Take a Longer Time to Outgrow CMA

Although some studies in the past decades have shown that 80% of babies outgrow CMA by the time they reach four or five years old, more recent research indicates that CMA may linger on till much later, with almost 60% and 40% of children still having CMA when they are 8 and 12 years of age respectively.

6. Pay more attention to your child’s food intake and growth

If your child has CMA or any other food allergies, it is advisable for your child to undergo an individualised nutritional assessment with a dietician or paediatrician to ensure that his diet is adequate. It is also important to make it a practice to plot your child’s height and weight on a growth chart, to ensure that he is growing healthily.

The timely introduction of cow’s milk or dairy in the form of baked foods and eventually the introduction of cow’s milk in the form of formula milk, fresh milk, cheeses and yogurts should be done under the supervision of a healthcare professional. During this process, parents will be advised to look out for any reactions due to CMA so that tolerance level can be assessed.


About Dr Lee Bee Wah

Dr Lee Bee Wah is a Consultant Paediatrician with special interest in allergy and immunology at The Child and Allergy Clinic, at Mount Elizabeth Medical Centre.  Dr Lee is currently an Adjunct Professor (Department of Paediatrics) at the National University of Singapore, and a Visiting Senior Consultant Paediatrician (Children’s Medical Centre) at the National University Hospital.

About Dr Chiang Wen Chin

Dr. Chiang Wen Chin is a paediatrician with special interest in allergy and immunology at Chiang Children's Allergy and Asthma Clinic, at Mount Elizabeth Medical Centre.  Dr. Chiang is currently a committee member of the American Academy of Asthma, Allergy and Immunology, the Allergy and Clinical Immunology Society of Singapore and Singapore Paediatric Society.


About Abbott and Abbott Nutrition


At Abbott, we are dedicated to fulfilling the promise of human potential, in all places, in all aspects and stages of life. We believe that health is the key to that promise. Because at our healthiest, we’re capable of achieving anything.

And that’s why our pursuit of helping people achieve their best health, through our diverse range of science-based nutritional products, diagnostic tools, medical devices, and branded generic pharmaceuticals, will never end.

Abbott Nutrition offers the most trusted names in nutrition products—from nourishing infants and new mothers for a healthier start, to providing active adults with the vitamins and minerals they need to perform their best, to meeting the distinct nutritional needs of people with acute or chronic conditions.

This commitment to enhancing health and well-being at every stage of life has made us the leading nutrition company in Singapore.

Visit here to find out more of how you can be part of the Abbott Family to receive updates on promotions, offers and news.


[*] Based on Nielsen Singapore Market Track for the Infant Milk Category, for the 12 month period ending December 2014. (Copyright © 2014, The Nielsen Company.)

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Written by

Shoba Nair

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