[Underlying cow's milk protein intolerance in excessively crying infants; desirable and undesirable effects of an elimination diet].
In three infants with excessive crying, two girls aged 3 and 13 months and a boy aged 5 weeks, feeding with a hypoallergenic formula was started because cow's milk protein intolerance was suspected. Yet in two of the cases, another explanation for the excessive crying, notably parental distress, was more likely based on the history. In these 2 cases, no provocation test with cow's milk had been performed, and the hypoallergenic formula had been continued for a prolonged period of time (without introduction of solid foods), even though the excessive crying had not ceased. Prolonged feeding with the hypoallergenic formula when cow's milk protein intolerance is not confirmed by appropriate provocation testing, may strengthen the parents' misconception that their baby has severe food intolerance, causing unnecessary delay in the introduction of solid foods. This may hamper the normal development of taste and oral motor development.
Smits-Wintjens
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Isala Klinieken, afd. Kindergeneeskunde, Postbus 10.500, 8000 GM Zwolle.
Zwart
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Brand
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D003448:Crying / Q000523:psychology; D003937:Diagnosis, Differential; D004035:Diet Therapy / Q000009:adverse effects* / Q000523:psychology; D005260:Female; D005526:Food, Formulated / Q000009:adverse effects; D006801:Humans; D007223:Infant; D007225:Infant Food / Q000009:adverse effects*; D007231:Infant, Newborn; D008297:Male; D016269:Milk Hypersensitivity / Q000175:diagnosis* / Q000178:diet therapy*; D010290:Parents / Q000523:psychology*; D013315:Stress, Psychological / Q000209:etiology