Milk allergy recommendations
If the patient has been diagnosed with an allergy to cow’s milk, a strict milk-free diet should be followed, along with its derivatives and products that may contain milk, while their tolerance to milk is checked.
Milk from other mammals such as goat or sheep should also be excluded from the diet, except in very specific cases and where specified by the allergist.
If breastfeeding continues, the mother should follow a cow’s milk protein free diet.
If artificial feeding is established, special formulas will be used as recommended by the allergist.
Attention should be paid to possible accidental contact with milk because it can maintain an allergy. Products labelled as “non-dairy” often contain sodium caseinate which should also be avoided.
Cookware including cutlery and other utensils must be kept meticulously clean and must not contain traces of dairy.
Medical reports of food allergy, recommendations on the avoidance of food involved in the allergy and possible treatments to an allergic reaction, should be given to teachers and carers of the child, if the child eats at school or participates in children’s campsites or day trips.
If your allergist has prescribed and trained you in the use of adrenaline, remember that you must have an injection for the school and for any trips. The administration of adrenaline should be immediate and should never delay or substitute going to the emergency services.
Even if the child does not present any symptoms you should never reintroduce milk on your own – always consult your allergist and wait for the appropriate study to be made.
FOODS THAT CONTAIN OR MAY CONTAIN MILK PROTEIN
- Cow, goat, sheep or any other animal milk.
- Milk formulas, condensed milk, powdered milk or evaporated milk.
- All dairy products: cream, yogurt, cheeses, cottage cheese, sour cream, butter, curds, custard, ice cream or margarines that are not exclusively vegetable.
- Cakes and pastries: cookies, muffins, bread, baguettes, some sweets, pumpkin fritters, milk and powered chocolate, caramel-coated almonds, nougat, pralines, cocoa creams, some cereals like Kellogg’s, …
- In many kinds of bread, milk is added to the yeast (brown bread, Graham bread and bagels).
- Noodles, macaroni, tagliatelle, pasta soup.
- Milk can be found added to meatballs, breaded meat, vegetables, …
- Some baby food and cereals.
- Some drinks: smoothies, juices, milk, horchata (tigernut drink), sorbets.
- Many meats: ham, sausage, chorizo, salami,…
- Stock cubes, packet soups, bean stews, stews and other preserves, dehydrated soups, sauces, puddings, croquettes.
- Additives specified below.
This list is not exhaustive. Always check the list of ingredients on the labels.
INGREDIENTS THAT INDICATE OR MAY INDICATE THE PRESENCE OF MILK PROTEIN
The following list contains the name of multiple ingredients that can be part of blended food that indicate or may indicate the presence of milk proteins. Some of them have more than one name equivalent. Below is a complete list, in alphabetical order for easy reference when looking at the ingredients on a specific tag or label.
- AMMONIUM CASEINATE
- ANIMAL FATS
- ARTIFICIAL BUTTER FLAVOUR
- BROWN SUGAR FLAVOURING
- CALCIUM CASEINATE
- CALCIUM STEAROYL-2-LACTYLATE
- CANDY FLAVOR
- CARAMEL COLOUR
- CARAMEL FLAVOURING
- CASEIN HYDROLYSATE
- CONDENSED MILK
- COTTAGE CHEESE
- DEMINERALIZED WHEY
- EVAPORATED MILK
- FLOUR WITH HIGH PROTEIN CONTENT
- FREE LACTOSE WHEY
- GOAT’S MILK
- LACTIC ACID
- LACTIC ACID ESTERS
- LACTIC ACID ESTERS OF MONO AND DIGLYCERIDES OF FATTY ACIDS
- LACTO SERUM PROTEINS
- LACTOSE (for very allergic children)
- LACTOSE FREE MILK
- LACTYLATED FATTY ACID ESTERS OF GLYCEROL AND PROPYLENE GLYCOL
- MAGNESIUM CASEINATE
- MALTED MILK
- MILK CURD
- MILK POWDER
- MILK PROTEIN
- MILK PROTEIN HYDROLYSATE
- MILK SOLIDS
- NATURAL FLAVOUR
- POTASSIUM CASEINATE
- POTASSIUM LACTATE
- PROTEIN (if no source is specified)
- PROTEIN CONCENTRATE (if no source is specified)
- PROTEIN HYDROLYSATE (if no source is specified)
- SEMI-SKIMMED MILK
- SERUM ALBUMIN
- SERUM PROTEIN CONCENTRATE
- SKIMMED MILK
- SODIUM CASEINATE
- SODIUM LACTATE
- SODIUM STEAROYL-2-LACTYLATE
- SOUR CREAM
- SOUR MILK
- STEAROYL-2-LACTYLIC ACID
- TURRÓN (NOUGAT)
- WHEY HYDROLYSATE
- WHEY PROTEIN
- WHEY PROTEIN HYDROLYSATE
- WHOLE MILK
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