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Symptoms start when the infant is introduced to infant formula containing cow’s milk in their diet or sometimes if the mother is breastfeeding and having dairy foods in her diet.
Cow's Milk Protein Allergy (CMPA) affects around 5% of children under 1 year in the UK with:
(Symptoms differ if the allergy is Immunoglobin E (IgE)-mediated or non-IgE mediated).
Breast milk is the ideal choice for most infants with CMPA. Mothers should be encouraged and supported to continue breastfeeding:
If formula fed:
Most infants with CMPA can be managed in primary care until weaned.
Referral to a paediatric dietitian should be made prior to weaning for all infants who will require a cow’s milk free diet. Breastfeeding mothers following a milk free diet should be referred to the paediatric dietitian who will advise on both the mother’s and the child’s diet.
Refer to secondary or specialist care if any of the following apply: