Lora Horn posted in response to Alicia's inquiry about references on cow's
milk protein allergy and its impact on gastroesophageal reflux in breastfed
babies.  I don't remember if I saw any answers previously.  Here are some
articles that may help:

Cavataio F et al. Clinical and pH-metric characteristics of
gastro-oesophageal reflux secondary to cows' milk protein allergy. Archives
of Disease in Childhood 1996;75:51-56.

"During the first 12 months after birth there is a very high incidence of
gastro-oesophageal reflux secondary to cow's milk protein allergy.....
After a cow's milk protein-free diet there is a significant improvement in
symptoms in the gastro-oesophageal reflux + CMPA patients but not in those
with gastro-oesophageal reflux only."

Host A, Husby S and Osterballe O. A prospective study of cow's milk allergy
in exclusively breast-fed infants. Acta Paediatr Scand 1988; 77:663-670.

Among the symptoms in sensitive babies was "vomiting and infantile colic."
This could have been reflux. All these babies had symptoms when the mothers
used milk products, which disappeared when the milk was eliminated and
returned when milk was reintroduced.


Heacock HJ et al. Influence of breast versus formula milk on physiological
gastroesophageal reflux in healthy, newborn infants.  Journal of Pediatric
Gastroenterology and Nutrition 1992; 14:41-46

Breastfed babies had fewer and shorter episodes of reflux that formula-fed
babies.

Anne Altshuler, RN, MS, IBCLC and LLL leaderin Madison, WI
e-mail address:   [log in to unmask]