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      Milk Allergy Diet for Children

      General guidelines for milk allergy

      When your child has a food allergy, he or she must follow an allergy-free diet. This means your child can't have the food they are allergic to, or any products containing that food. The items that your child is allergic to are called allergens.

      A milk allergy is the body's abnormal response to the proteins found in cow's milk. Milk allergy is most common among infants and young children. As they get older, many children will outgrow a milk allergy. Milk and milk products are found in many foods. Obvious forms of milk are cream, cheese, butter, ice cream, and yogurt. Milk and milk products may also be hidden sources in commonly eaten foods. To stay away from foods that contain milk products, you must read food labels.

      Milk is an important source of calcium. Your child needs calcium for healthy bones, teeth, and nerves. Talk with your child's healthcare provider about foods with calcium that you can give to your child. Some examples are green leafy vegetables, orange juice with calcium added, figs, tofu, and dried beans.

      Important information about avoiding milk and milk products

      • The word "nondairy" on a product label means it does not contain butter, cream, or milk. But the product may have other milk-containing ingredients.

      • The word "lactose-free" on a product label does not mean dairy-free. The product may still have milk or milk products. Always read the whole label to be sure.

      • Kosher food labeled pareve or parve almost always means that food is free of milk and milk products. A "D" on a product label next to the circled "K" or "U" means there is milk protein. Don't use these products.

      • Some products that could contain milk are not required to state it on their labels. These include cosmetics and over-the-counter medicines.

      • Processed meats often contain milk or are processed on milk-containing lines. This includes hot dogs, sausages, and lunch meats.

      The lists below may not include all products that could contain milk. But they can help guide your food decisions. It is up to you to carefully read all food labels.

      Foods

      Allowed

      Not allowed

      Beverages

      Carbonated drinks

      Coffee

      Tea

      Soy substitute-milk formulas, water

      Fruit drinks

      All milks (whole, low-fat, skim, buttermilk, evaporated, condensed, powdered, hot cocoa)

      Yogurt, eggnog, milkshakes, malts

      All drinks made with milk or milk products

      Breads

      Milk-free breads

      French bread (water-based)

      Wheat, white, rye, corn, graham, gluten, and soy breads made without milk or milk products

      Graham crackers or rice wafers

      Wheat, white, or rye breads

      Biscuits, donuts, muffins, pancakes, waffles, zwieback, crackers, saltines, rusk

      Most commercially made breads and rolls contain milk or milk products

      French toast made with milk

      Cereals

      Any cereal that does not have added milk or milk products

      High-protein cereals

      Prepared and precooked cereals with milk solids, casein, or other milk products added

      Desserts

      Meringue, gelatin, popsicles, fruit ice, fruit whip, angel food cake

      Cakes, cookies, and pie crusts made without milk or milk products

      Cake, cookies, custard, pudding, cream desserts, or sherbet containing milk products

      Ice cream, cream pie

      Pastries brushed with milk, junket, popover

      Eggs

      Prepared without milk

      Scrambled with milk, creamed eggs, egg substitutes

      Fats

      Vegetable oil, meat fat, lard, bacon, shortening, milk-free gravy

      Peanut butter (made without milk solids)

      Margarine without milk solids

      Kosher margarine

      Butter, cream, margarine

      Salad dressing or mayonnaise containing milk, milk solids, or milk products

      Some butter substitutes and nondairy creamers

      Fruits

      Fresh, frozen, or canned fruits and juices

      Any served with milk, butter, or cream

      Meats, fish, poultry, & cheese

      Baked, broiled, boiled, roasted or fried: beef, veal, pork, chicken, turkey, lamb, fish, organ meats, or tofu (prepared without milk or milk products)

      Sausage, deli or lunch meats, or ham if made without milk products

      A small number of people with cow's milk allergy may develop a reaction to beef. People with cow's milk allergy should be careful when having beef or foods containing beef. 

      All cheese, cottage cheese, cream cheese

      Some sausage products, bologna, hot dogs

      Breaded meats, meatloaf, croquettes, casseroles, hamburgers (unless made without milk)

      Commercial entrees made with milk or milk solids

      Potatoes & substitutes

      Macaroni, noodles, spaghetti, rice

      White or sweet potatoes made without milk, butter, cream, or allowed margarine

      Au gratin, buttered, creamed, scalloped potato or substitutes

      Macaroni and cheese

      Mashed potatoes made with milk or butter

      Frozen French fries sprayed with lactose

      Soups

      Bouillon, broth, consommé or soups with broth base plain or with all allowed foods

      Bisques, chowders, creamed soups

      All soups made with milk or milk products

      Sweets

      Corn syrup, honey, jam, jelly

      Hard candy, candy made without milk or milk products

      Granulated, brown or powdered sugar

      Candy made with milk, such as chocolate, fudge, caramels, nougat

      Vegetables

      All fresh, frozen, or canned vegetables without milk or milk products added

      All vegetable juices

      Au gratin, buttered, creamed, or scalloped vegetables

      Batter and dipped vegetables

      Vegetable souffles

      Miscellaneous

      Ketchup, olives, pickles, nuts, herbs, chili powder, salt, spices, condiments

      Any foods that have no milk, cheese, or butter. Also foods that don't have powdered milk or whey.

      All items containing milk, cheese, butter, whey casein, caseinates, hydrolysates, lactose, lactalbumin, lactoglobulin or milk solids, artificial butter flavor

      Nondairy substitutes containing caseinate

      How to read a label for a milk-free diet

      Don't have foods that contain any of the following ingredients:

      • Artificial butter flavor

      • Butter, butter fat

      • Buttermilk

      • Casein

      • Caseinates (ammonium, calcium, magnesium, potassium, sodium)

      • Cheese, cottage cheese, curds

      • Cream

      • Custard, pudding

      • Ghee

      • Half-and-half (a blend of whole milk and light cream)

      • Hydrolysates (casein, milk protein, protein, whey, whey protein)

      • Lactalbumin, lactalbumin phosphate

      • Lactoglobulin

      • Lactose

      • Lactoferrin

      • Milk (derivative, protein, solids, malted, condensed, evaporated, dry, whole, low-fat, nonfat, skim)

      • Nougat

      • Pudding

      • Rennet casein

      • Sour cream

      • Sour cream solids

      • Whey (delactosed, demineralized, protein concentrate)

      • Yogurt

      Other possible sources of milk or milk products

      • Brown sugar flavoring

      • Caramel candies

      • Caramel flavoring

      • Chocolate

      • High-protein flour

      • Lunch meats, hot dogs, sausages 

      • Margarine

      • Natural flavoring

      • Milk-based fat substitutes

      Related Topics

      • Neurological Exam for Children
      • Multiple Sclerosis (MS)

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      • Allergy
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