A recent analysis from the United Kingdom has found that international guidelines used to help diagnose cow’s milk allergy can result in infants being overdiagnosed – which in turn may discourage breastfeeding .
Posted in Journal Clinical and Experimental Allergy Research led on Wednesday by the University of Bristol in England found that most of the symptoms listed under cow’s milk allergy guidelines are not only common and common, but also not due to a cow’s milk allergy.
“Guidelines designed to help the non-specialist to diagnose cow’s milk allergy in infants may inadvertently medicate common infant symptoms and promote over-diagnosis of cow’s milk allergy.” ,” Doctor. Rosie Vincent is an Honorary Clinical Research Fellow at the Center for Academic Primary Care. The University of Bristol, which led the research, said in a news release.
The researchers used data from inquire about tolerance studies join the UK 1,303 infants Between three and 12 months of age, which counts how many infants had symptoms of a cow’s milk allergy on a monthly basis, defined as International milk allergy in primary care (IMAP) Guidelines.
Researchers say that an allergy to cow’s milk can cause acute or delayed symptoms, the latter of which are more diverse.
Delayed symptoms include gut and skin symptoms such as keeping, or bringing up, milk and vomiting, colic or crying in an otherwise healthy infant, loose stools or constipation, and eczema.
Because many of these symptoms are already common in infants, researchers say this makes it difficult to diagnose a cow’s milk allergy.
However, they say that one in four parents reported two or more potentially mild to moderate symptoms each month, with symptoms most common at three months of age when all babies were fully breastfed and Were not consuming cow’s milk directly.
At six months of age, the analysis found no difference in the number of children with two or more symptoms, whether they had consumed cow’s milk or not.
Senior co-researcher and children’s allergist Dr. Michael Perkin said, “Our findings come against the backdrop of rising prescription rates for specialist formula for babies with cow’s milk allergy, which is completely out of proportion that we You know how common the situation is.” Doctor at the Population Health Research Institute at St George’s, University of London.
Perkins adds that “wrongly attributing these symptoms to cow’s milk allergy is not only unhelpful, but it can also cause harm by discouraging breastfeeding.”
A general practitioner and senior co-researcher at the University of Bristol’s Center for Academic Primary Care, Dr. Matthew Rid said the study was based on iMAP, the results would likely apply to other cow’s milk allergy guidelines as well.
“Well guidelines need to be supported by robust data to avoid the harm from over-diagnosis, which may outweigh the disadvantages of delayed diagnosis, which they want to prevent,” said Rid. “