There is evidence that babies with cow's milk protein sensitivity may not in fact show other symptoms of allergy. This study (one of two I referenced in a post yesterday) found that most infants with CMP sensitivity and GER didn't have any other symptoms. This is consistent with my personal experience as well. Iacono G, Carroccio A, Cavataio F, Montalto G, Kazmierska I, Lorello D, Soresi M, Notarbartolo A. Gastroesophageal reflux and cow's milk allergy in infants: a prospective study. J Allergy Clin Immunol. 1996 Mar;97(3):822-7. <http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8613639&dopt=Abstract> "METHODS: We studied 204 consecutive patients (median age, 6.3 months) who had been diagnosed as having gastroesophageal reflux on the basis of 24-hour continuous pH monitoring and histologic examination of the esophageal mucosa. RESULTS: Clinical history suggested diagnosis of cow's milk allergy in 19 infants, and 93 others had positive test results (serum IgE anti-lactoglobulin, prick tests, circulating or fecal or nasal mucus eosinophils) **but did not have symptoms indicating cow's milk allergy.** (emphasis added) The cow's milk-free diet and two successive blind challenges confirmed the diagnosis of cow's milk allergy in 85 of the 204 patients with gastroesophageal reflux. The clinical presentations of the infants with gastroesophageal reflux alone were different, in view of the greater frequency of diarrhea (p less than 0.0001) and atopic dermatitis (p less than 0.0002). In all, gastroesophageal reflux was associated with, and probably caused by cow's milk allergy, in 85 of 204 cases (41.8%)." Margaret Longmont, CO >Dear Jennifer, > >Most of the times, babies that have bad GER due to allergies will have >some other clues about their atopic tendencies, most common one being >eczema. There might be clues in the family history too. If neither mom nor >dad have any hx of allergic rhinitis/eczema/asthma and big brother >doesn't have Sx of these, I'd put food allergies at the bottom of the >list. A combination of Zantac and Reglan or Prilosec might be useful to >reduce the Sx of esophagitis for this baby. > >Vaishali Kute, MD FAAP *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html