Diet, Allergy & Reflux

On this page I’m going to attempt to pull together all of the information we have on diet, allergy, intolerances and gastric reflux disease. Some infants presenting with signs of gastric reflux may have their symptoms relieved entirely by changing their diet.  It is my experience that if there is a food allergy present, it is impossible to gain good control of gastric reflux disease with medication.

If there is a history of any allergy (including hay fever) in either parent there is an increased risk that their children will have allergies and if both parents have allergies this is further increased to 50-60%. Even in a non-allergic family there is a 5-15% risk of allergies.

Studies have shown that about one third of infants with gastric reflux disease will have a cow’s milk protein allergy or intolerance.1 Skin prick or blood RAST testing will often not pick up this “gastrointestinal” food allergy as it may be a delayed reaction, and is best diagnosed by an elimination diet and challenge. This involves removing dairy from the mother’s diet if breastfed or a trial of a non-cow’s milk based formula. A trial of a dairy free diet is in fact the first recommendation on our treatment guidelines: GORD and Managing Uncomplicated Reflux. Some parents have found that unproven forms of testing such as Kinesiology have helped them to remove offending foods. GRSNNZ doesn’t endorse these and would recommend that limited diets also be supervised by a dietician, that a medically qualified health professional (paediatrician, allergist, immunologist etc) be involved and if appropriate the foods be challenged after a suitable time lapse.

Cow’s milk protein allergy should not be confused with lactose intolerance. Breast milk always contains lactose even if the mother is on a strict dairy free, lactose free diet so a baby who responds to a change in their mother’s diet, does not have a lactose intolerance. Please contact us if you would like an article on Lactose Intolerance vs. Milk Protein Allergy.

For more information please see: Food and Reflux

Solids should be introduced around six months of age.2 In addition to this, it is our experience that a number of infants with GOR do not cope well with the introduction of gluten (wheat, barley, rye and oat products) and may develop an intolerance to this. Good first foods that are less likely to cause a reaction include plain baby rice (please check the ingredients as some brands of baby cereal contain milk products), kumara and pumpkin. Taking the introduction of solids slowly should allow you to work out which foods cause problems.

If you have further questions try our site search or contact us.

Bibliography:
Allergy Today Spring 2006 ( page 48 )
Crying Over Spilt Milk Survey December 2006
http://www.allergyclinic.co.nz/
Allergy Today Summer 2006/07 ( page 8 )
References:
1 Gastroesophageal reflux and cow’s milk allergy in infants: A prospective study. URL:http://cat.inist.fr/?aModele=afficheN&cpsidt=3022081. Accessed: 2010-08-21. (Archived by WebCite® at http://www.webcitation.org/5sA3Q7aKH )
2 Ministry of Health. Starting Solids. URL: http://www.healthed.govt.nz/uploads/docs/HE6014.pdf Accessed:21/08/2010

Written by Roslyn Ballantyne (RN), National Coordinator for © Crying Over Spilt Milk Gastric Reflux Support Network New Zealand for Parents of Infants and Children Charitable Trust December 2006. Last updated February 2015.

Page may be printed or reproduced for personal use of families, as long as copyright and Crying Over Spilt Milk‘s URL are included. It may not be copied to other websites or publications without permission and acknowledgement.

  • Hi. Question about stopping losec.. My boy been on losec since 8wks old. Dairy allergic and reflux. He did used to spill a lot when young. He stopped spilling though about 5mths. He's now 11mths. Still on neocate and dairy free . He started on 20mg losec at 8wks. Has been on th same dose since. So he was 6 kg and on 20mg and he's now 12kg and was still on 20mg. We halved the dose a few wks ago so he was on 10mg daily and now have given him no losec at all for 3 days. Can't see any ill effects. Has anyone else had success just stopping like this? Or can I expect some rebound acidity ? Cheers

  • Hi all...not sure if I am allowed to do this or not, but thought this would be the best place to ask. I've had a few people tell me that I should see a cranial osteopath for my 1yr son who has reflux and is also dairy intolerant. I am in Cambridge. So would like to know if anyone has had any success with this kind of treatment and any recommendations on who to see. Thanks in advance :)

  • Gastric Reflux Support Network NZ shared Hope For The Broken Hearted's photo.

    The Bible say laughter is good medicine. God designed us to laugh because it helps our bodies. Laughter releases endorphins, which are made in the brain and spinal column. Endorphins act as analgesics (diminishing the perception of pain) and as sedatives that calm emotions. If you're feeling sad, stressed, or anxious, watch a comedy for a little while... your brain will feel better and you will feel your spirit lift for awhile.

  • Gastric Reflux Support Network NZ shared Judy Arnold - Infant and child Consultant's photo.

    It is that time again. Friday afternoon, 1.30-2.30 Spread the word.

  • Gastric Reflux Support Network NZ shared Inspiring and Positive Quotes's photo.

    I had to share this one!

    Inspiring and Positive Quotes <3

  • Those walking on a similar path are more likely to understand.

  • Gastric Reflux Support Network NZ shared Inspiring and Positive Quotes's photo.

    Inspiring and Positive Quotes <3

  • Gastric Reflux Support Network NZ shared a page.

  • This is GRSNNZ's new additional website. It has it's own Facebook Page attached to it. We were aware that there was a group of parents who were not getting the support that they needed as although they were stressed by their situation, their babies were not deemed to have gastric reflux. Please let anyone you know who might benefit from support with others about the website and associated social media.

    Welcome to “Spilt Milk”! The aim of this website is to provide information and support for parents or caregivers who are stressed by coping with their infant who spills and/or is irritable. The hope would be that by participating with others with similar challenges and experiences, that a...

  • Hi Roz and team just to let you know we are re branding from Mothers Matter to PND Canterbury and the new website went live last week http://www.pndcanterbury.co.nz. There is a page on support for Canterbury. If there are any Mums/Dads with any questions please get in touch supportgroup@pndcanterbury.co.nz or call me on 021 131 4352 Sonya. :) I to had a reflux baby through to about 3 years so I really do get it.

    Postnatal Depression Family/Whanau NZ Trust. Our mission: To support the wellness of mothers and their familes who are suffering from postnatal depression (PND) and other related mental illnesses.

  • Jess McBrearty :)

  • My daughter was discharged from hospital last Monday, but is still very unwell. I processed all the membership forms last week (except for one that has since come in) and have finally come up for air.
    I've just turned on the phone and cleared the messages, but I only have one. I know there was at least one other from 27 February, but the phone hasn't saved it. Please phone back! I would love to talk to you.

  • The GRSNNZ 0800 number and cell phone is currently not being answered or messages cleared. I haven't had a chance to change the message on it either.
    I know there is a message there from last week I haven't cleared too.
    My daughter has been in hospital since Monday and we had several visits last week. I'll attend to the messages hopefully next week.

  • My 4 week old baby is on Ompreazole granules and we are going to start weaning him off in a few weeks to see how we go. I am considering starting him on probiotics to help this process. Can I give probiotics to a 4 week old or do I take them and he gets the benefit through my breastmilk? If I give it to him how do I administer it and what brand is best?

  • Alisha is now 3 1/2 months old, she is around 5 kg. We have had heaps of trouble with her. Put her on various medications and changes in my diet, then onto Neocate Formula with Losec Capsules. She has pretty much improved 100% from where she was a couple of months ago.

    My question is, what quantity of formula does your baby drink and roughly how long inbetween? I've been trying to give her three hours inbetween each feeding which she can manage totally fine. But when food is offered she hardly drinks much in a sitting. I can usually get 100ml of formula into her over an hour, sometimes takes me longer.

    Is this normal for a reflux baby??

  • Gastric Reflux Support Network NZ shared Positive Parenting: Toddlers and Beyond's photo.

  • Is infant gaviscon at all effective for 2.5 yesr old? my son reacts to ranitadine and omeprozole but has had a reflux flare up which is now resulting in vomiting after lying down in bed. He's even coughing and gaging on water during the day probably from the irritation in his throat etc. I'm having to wait quite some time after dinner to give him rice milk and again before attempting bed. It's pushing bedtime out too far with him not napping. Any suggestions? Can't pinpoint anything dietry wise that may be causing it.

  • Gastric Reflux Support Network NZ shared Inspiring and Positive Quotes's photo.

    So true!

    Inspiring and Positive Quotes <3

  • Hi everyone. I'm after a bit of advice, my 20month old has recently commenced on liquid iron supplement (after we were told his iron levels are low from blood tests) but we've found its giving him a really sore tummy. Have tried halving the dose but I still have a tearful distressed little man on my hands. Does anyone have any ideas? Or can recommend something else.

  • Hi there, I'm wondering if someone could please advise me. I have been dairy free for 3 weeks today and introduced some back in today; just butter on one piece of toast and a splash of cows milk in 2 hot drinks. My daughter's been crying and not sleeping most of the day unless held. I've also been block feeding to try to prevent her choking etc on my fast flow, however Plunket advised I may like to rethink that now she's 8 weeks old so my supply doesn't diminish. She's a frequent feeder and I've managed to push her out to 2 1/2 hourly feeds over the last few weeks (on Plunket and Dr advice as they said her always feeding would make the reflux worse). She had been quite a bit better over the last week. Tonight I offered her the other breast at her feed as well, instead of the same one as usual and she had a good feed, so obviously needed it. But my goodness, the reflux has been really bad afterwards with lots of gagging and choking and pained crying etc etc (she's not much of a puker). I don't know if this is from having both breasts at the one feed (surely not) or she's super sensitive to the dairy? I'm wondering how long it will now take to see if there's improvement now that I've quit the dairy again? Please tell me it won't be a whole other 3 weeks again!! As I said, it was only a small amount reintroduced today.

  • Paging Rebecca who left a message on the Gastric Reflux Support Network NZ Support Answer Phone on Monday!
    Sorry, for some reason I can't return your call. Can you either text us again on 022 585 5935 or send us an email through the website (which is now working) - http://www.cryingoverspiltmilk.co.nz/contact/

    Contact Gastric Reflux Support Network New Zealand for Parents of Infants and Children Charitable Trust Phone/Text 022 585 5935 Phone 0800 380 517 * indicates required field Name:* Email:* Subject:* Message:* CAPTCHA Code:* Request Skype Call/Conversation using the form above. Page last updated…

  • Just trying to access the website about allowances in nz.. nothing will load?

  • In all the reading I've done about reflux babies it seems common that they don't settle to sleep to well
    During the day but will at night? Why is that?

  • I don't know if any of you have noticed, but as the website is having a lot of updates at the moment, I have started adding a blog about it to the website. The posts appear on the home page, under the Facebook Preview. Roslyn, National Coordinator.

    For infant and child gastric reflux support in New Zealand: Phone/Text 022 585 5935 Phone 0800 380 517 Contact GRSNNZ via email form Join Gastric Reflux Support Network NZ for Parents of Infants and Children Charitable Trust for access to our Newsletters and Private Local and National Support Networ…

  • Gastric Reflux Support Network NZ shared Inspiring and Positive Quotes's photo.

    :-) :-) :-) :-) :-)

    Inspiring and Positive Quotes <3