How to diagnose and manage cow's milk protein allergy?

Question

Hello doctor,

I am very concerned about my 8-month-old baby. She frequently spits up after almost every feeding and seems extremely irritable, especially when lying down. She is not gaining weight as expected, and I have noticed occasional coughing fits that do not appear to be related to a cold. These symptoms are affecting her sleep and feeding schedule, and I am worried about her overall health and development. Could these signs indicate infant gastroesophageal reflux disease or a milk protein allergy? What diagnostic steps would you recommend, such as pH monitoring, allergy testing, or imaging? Additionally, what treatments or feeding modifications could help alleviate her discomfort and support healthy growth?

Kindly provide your guidance.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

Your baby’s symptoms could indicate infant gastroesophageal reflux disease (GERD) or a milk protein allergy.

Diagnostic steps are as follows:

Clinical evaluation with a pediatrician.
pH monitoring for acid reflux.
Allergy testing or an elimination diet for cow's milk protein allergy (CMPA).
Imaging (for example, upper gastrointestinal series) to rule out structural issues.

Treatment options are as follows:

Adjust feeding (smaller, more frequent meals, and upright positioning).
For GERD: Possible acid-suppressing medications.
For CMPA: Eliminate dairy (either from the mother's diet or using a hypoallergenic formula).

I suggest you consult a specialist, talk to them, and take the medications with their consent.

I hope this has helped you.

Kindly follow up if you have more doubts.

Thank you.