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NutritionFacts.org Video Podcast

Friday Favorites: How to Treat Reflux in Children with Diet

NutritionFacts.org Video Podcast

Michael Greger, M.D. FACLM

Nutrition, Alternative Health, Health & Fitness

4.8951 Ratings

🗓️ 9 August 2024

⏱️ 7 minutes

🧾️ Download transcript

Summary

Dairy products can cause hypersensitivity reactions even in those who test negative for cow’s milk allergy.

Transcript

Click on a timestamp to play from that location

0:00.0

Excessive spitting up and vomiting in infants may be treated with putting them on their left side down after meals,

0:14.0

but of course never when sleeping.

0:16.0

It's always face-up to wake up to reduce the risk of crib death.

0:20.0

Also, you can try smaller, more frequent feedings, thickening, or changing formulas,

0:24.4

and in breast-fed infants, which is ideally how all infants should be,

0:28.4

eliminating cow's milk and eggs from the mother's diet.

0:32.7

I've talked about how more than 40% of infants with reflux can be successfully treated with cow's milk removal.

0:39.2

It can also affect them on the other end too, can be a major contributor to diaper rash,

0:44.7

and contribute to chronic constipation, and 80% of affected kids, though only a single kid tested

0:51.2

positive for an actual cow's milk allergy.

0:55.0

So it was like some kind of sensitivity reaction that can really only be diagnosed by giving

1:00.0

a cow's milk-free diet a try.

1:04.0

Anal fissures in infants may be practically pathognomic for cow's milk allergy,

1:10.0

meaning so characteristic of the condition

1:13.0

that it could be used as a diagnostic sign.

1:16.0

No allergy testing required.

1:18.7

It's like when cow milk hypersensitivity was demonstrated in 10 of 17 children with severe

1:24.3

reflux.

1:25.4

In the majority of patients, the hypersensitivity to cow milk

1:28.6

was identified only by eliminating it and then re-challenging to confirm. They did endoscopies,

1:35.3

measured the acid gurgling up before and after milk, and then verified by repeating

1:40.6

milk exposure with double-blind, placebo-controlled challenges when necessary.

...

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