If you read my last post, you already know that my son Jack was diagnosed as milk protein intolerant at 6 days old.  (If you didn't check it out, click here to catch up!}

As you could imagine, eating out, grocery shopping, and going to social gatherings all became a chore, especially since most people and eateries have never heard of milk protein intolerance before.  They were always quick to correct me, "don't you mean lactose intolerant?"  No.  I don't.    
 While the symptoms are very similar, there are distinct differences between cow's milk protein allergy (CMPA), cow's milk protein intolerance (CMPI) and lactose intolerance.

Without getting too technical, here are the major differences between the three:
  • Lactose intolerance is the body’s inability to digest the milk sugar, lactose.  People with this condition do not create enough of the enzyme lactase.
  • CMPA (the allergy) is a person's immunological response to ingesting the proteins of milk (casein and whey).  This is an allergy in every sense of the word, causing anything from hives to anaphylaxis.
  • CMPI (the intolerance) is when the person cannot digest the milk protein, leading to uncomfortable symptoms and potentially long-term gastrointestinal tract damage. 
PictureLactaid- one of many lactose-free products
So why does this all matter?  Milk is milk, right?  Not quite.
People with lactose intolerance can take a lactase supplement to help digest milk sugars without uncomfortable digestive side effects.  Most people who are lactose intolerant can withstand a certain threshold of lactose without symptoms, and can even eat lactose-low foods such as yogurt or hard cheese.  

People with CMPI and CMPA are not as lucky.  Not only do you need to be careful of ingesting the milk protein itself, you also need to be very aware of cross-contamination with other products containing milk proteins.  This also means not eating anything out of a fryer! (see... even french fries at a restaurant become problematic).  To make it worse, there are SO many uses for milk proteins, including as a preservative.  I remember one brand of canned tomatoes I couldn't buy because milk proteins were in there! 



Perhaps worst of all, there are dozens of different names for milk.  A great tool to decipher all of these milk-names can be found on Godairyfree.com.  I love this site because it also shows other potential situations where milk proteins can be found.

Do you have a milk related intolerance or allergy?  If so, what tips and tricks can you share?  Feedback is always welcome!

Lactose intolerance. The National Digestive Diseases Information Clearinghouse (NDDIC). NIH Publication No. 09-2751. June 2009, updated April 12, 2012. 

Bahna, S. (2002). Cow's milk allergy versus cow milk intolerance. Annals of Allergy, Asthma, Immunology, 89(6 Suppl 1), 56-60. 
10/8/2013 11:44:48 am

LOVE your blog! My best friend has a son with egg and peanut allergies. It seems like this is occurring more and more? I would love to hear how you handle restaurant and school lunches? I can't wait to tell my friend about your blog I'm sure she'd love to hear from other mommies that deal with allergies in their children everyday.

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Aliza Hurvitz
10/16/2013 08:47:02 pm

Great blog! Being able to help people with their food allergies is a great reason to become a dietitian. I am interested in learning more about lactose intolerance because recently I have been having trouble with dairy. I have family members who are lactose intolerant so it is likely that I am also. The interesting thing is that some family members knew from when they were little and my sister and I developed it more around the age of 21-22. Have you come across any information about when and why people develop this at different ages?

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Julia Stoll
10/23/2013 02:02:50 pm

Jan,

You did a great job at really summing up the differences in the allergies in layman's terms. I can't imagine how stressful it is for you to go out to eat, after saying that even fryers are dangerous.
Thanks for sharing your personal story with us as well with your son Jack. Looking forward to more posts!

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