Dairy allergy or intolerance is either a reaction to lactose – the sugar found in cows milk in which case it is an intolerance, or an allergic reaction to the protein in cows milk. Here we take a brief look at these two conditions and what products are available to help those who have them.
The first of these – lactose intolerance tends to be most common amongst adolescents and adults and is often an inherited condition. Having said that, some children to have this intolerance too.
Conversely the cows milk allergy is most frequent in children, but adults can be affected too. Children having this allergy may well have grown out of it by 4 or 5 years of age. It is possible to have an anaphylactic shock reaction to cows milk protein and this is not something to be taken lightly.
Lactose intolerance
Lactose is a disaccharide – a natural sugar, found in human milk and the milk of other mammals. During normal digestion, an enzyme called lactase breaks down the lactose so that the body can absorb it. But if we can’t produce enough lactase, the lactose passes into our large intestine unprocessed where the bacteria feed on it – the result being gas and toxins, pain, bloating, flatulence and diarrhoea.
Symptoms vary from person to person, as does the severity of intolerance. Some people can drink a whole glass of milk whilst others can’t take much at all. It is often trial and error with the help of your dietitian to see what you can tolerate.
Cow’s Milk Protein Allergy
Here the body reacts adversely to the protein in cow’s milk. There are a variety of symptoms which indicate allergy to cows milk protein including diarrhoea, blocked nose and too much mucus, asthma, rashes and lumps on the skin, eczema, dark eye circles, glue ear, bloated swollen stomach, constipation, sickness, headaches, and hyperactivity in children and as I have mentioned this can cause anaphylactic shock.
Cow’s milk protein allergy can affect as many as 2 babies in every 100, but the child will probably have grown out of this by school age.
Avoidance
The most effective way to alleviate illness due to these conditions is to avoid dairy products from the diet of those affected. In order to do that you need to be aware of all the different products which are derived from cows milk in some form. Here is a fairly comprehensive list of items to watch out for on food labeling.
Butter, buttermilk, butter oil
Vegetable fats
Ghee
Cheese
Curd
Casein, hydrolised casein
Rennet casein, caseinates
Curds
Hydrolsed milk protein
Lactobacillus,
Lactalbumin phosphate, lactalbumin
Lactate
Lactic acid (E270) in fact most products beginning with “lact”, lactoferrin, lactoglobulin,
Lactose – but having said that glucono delta lactone is OK as it’s the natural sugar from Grapes and nothing to do with dairy.
Soured cream
Whey, delactosed whey, whey syrup sweetener or whey in any form
Yoghurt,
Fromage frais
Milk derivative fat
Evaporated milk
Condensed milk
Milk or milk byproducts are also used to produce latex, so don’t be surprised if there is a reaction to latex gloves or condoms. (Vegan condoms are available from the Vegan Society)
Similarly milk proteins can be used in toiletries and food supplement tablets and pharmaceutical tablets, so opt for vegan choices where possible.
Get enough calcium
Milk is a valuable food, made up of protein, fat, carbs, minerals (inc. calcium and zinc) and vitamins. Because it is so nutritious and one of our main sources of calcium, it is important to replace it in your new diet with some foods that are rich in calcium.
One way to do this is to always select specially enriched milk substitutes, there are many of these available but ideally also make sure you include in your diet seeds, vegetables, especially green leafy ones, nuts and pulses like baked beans. The following foods are particularly rich in calcium:
Spinach
Tofu
Figs
Almonds
Watercress
Brazil nuts
Sunflower seeds
Sesame seeds
Beans
These are just some of the foods available. In order for your body to absorb and use the calcium present in food a certain amount of magnesium must be present too, so go for nuts, seeds and green leafy veg were the calcium/magnesium balance is just right to help your bodies absorb the calcium present.
What can I use instead of butter?
There are many dairy free margarine and spreads available. Also Coconut Oil is great for cooking as it is heat stable even at high temperatures and so there is no danger of transfats occurring.
What can I use instead of milk?
Again we have many dairy milk alternatives, including some made from soya, oats, peas, tiger nuts , rice, and nuts, so why not be adventurous? Be sure to select the ones with added calcium though.
Goat and Sheep Milk
The definition of dairy is really cows milk, so goats and sheeps milk are not technically dairy products and you may be able to tolerate these and the products made from them like cheese & yogurt. To explain a little, the proteins found in goat and sheeps milk are the same as those found in cows milk but constructed slightly differently. In fact, there is slightly more of these proteins in the sheep and goat milks. This is also true of lactose which is also present in all three milks. Because of these facts, the medical profession and the FSA do not recommend substituting onto another mammal milk.
However there are many many testimonies about those who have tried these alternatives with beneficial results.
What do I give my baby?
Breast is always best for baby, but some babies may react to mothers milk if the mother has drunk a lot of cows milk. This is something to be aware of.
In the special cases where there has been a referral by a dietitian we can provide goats milk infant formulas and growing up formula. Goats milk should be given to babies over a year old.
What do I eat instead of cheese?
There are some amazing non-diary cheese and soft cheese spreads available – the Tofutti range of spreads is particularly good. Try and choose cheeses without hydrogenated fats as these can lead to transfats.
Something you may not have tried is Engevita Yeast flakes, these can be used to make toast toppers or savoury sauces as it tastes a little like cheese – definitely worth a try.
Some who are less sensitive may be able to tolerate goats and sheeps cheese.
What do I eat instead of cream?
There are creams made of soya and rice, but why not include coconut milk, or oat cream in your diet. Tofu silken is great as a base for creamy sauces, both savoury and sweet. Amazake is a Japanese dessert made from rice which is a great base for sweet sauces or eaten as it is as a creamy dessert.
What do I eat instead of yogurt?
Try some of the dairy free desserts available, there is even a diary free Pro-biotic! Note:Yogurt is one of those things which some people can tolerate who cannot otherwise take dairy products, this maybe to the natural enzymes in yogurt.
What do I eat instead of Ice Cream?
Some of our Oat and Soya Ice creams are as delicious as their dairy competitors, so give them a try.
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