Q. My 5-month-old baby has blood in stools and high eosinophils. Is it cow's milk allergy?

Answered by
Dr. Faisal Abdul Karim Malim
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Sep 14, 2020

My 5 month old baby girl has been showing blood in the stools for the past 75 days. We already went to 3 different gastro pediatricians, who all tend to say is cow milk allergy. My baby is exclusively breastfed. Up to now she has never presented any other symptons. Very calm, regular weight, regular urine, regular stools (besides the blood). We've been doing elimination diet for the past 62 days, for dairy and soy and derivates. Still, the blood is still present. We did ultrasound, everything is perfect. We did blood and stool tests, nothing shows, besides a high number of "eosinofilos". What should we do?

# The high number of eosinophils do indicate cows milk protein allergy. You will need to start the child on soy based formula and observe. The child needs to be on only the soy formula and nothing else. This should be done for 2 weeks atleast and the baby should be observed for any changes in the blood in stools.
IF YOU FEEL THAT THE ELIMINATION DIET HAS NOT WORKED REPEAT THE STOOL ROUTINE AND MICROSCOPY AGAIN. IF THERE IS A PROBLEM WITH THE DIET, THE EOSINOPHILS WILL STILL BE VERY HIGH, ELSE THEY WOULD BECOME LESSER OR ZERO.

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