Cow’s milk protein is one of the most common food triggers for adverse reactions in infancy. More recent research suggests that there is a higher prevalence of cow’s milk protein intolerance in infants with GORD compared to infants without. In one study, up to 30% of infants with diagnosed GORD who did not respond to medical intervention (omeprazole) were diagnosed with cow’s milk protein intolerance based on an elimination diet. The risk was higher in those with a family history of atopic disease.
The patch test is done by placing a small amount of a fresh food in a small aluminum chamber called a Finn chamber. The Finn chamber is then taped on the person’s back. The food in the chamber stays in contact with the skin for 48 hours. It is then removed and the allergist reads the results at 72 hours. Areas of skin that came in contact with the food and have become inflamed may point to a positive delayed reaction to the food.
Fructose intolerance is also a common cause of acid reflux. This occurs when the intestine cannot readily absorb this more complex sugar and it ‘overloads’ the system. Fructose is present in a wide range of foodstuff including cakes and pastries, alcohol, breakfast cereals, pizza, diet drinks, sodas and some fresh fruit and veg. It can be difficult to avoid.
For formula fed infants, the only options are soy, extensively hydrolysed formula or an amino acid based formula. Extensively hydrolysed and amino acid based formulas are available on script for eligible infants but require review by Specialists such as Gastroenterologists or Immunologists/Allergists which can be difficult to access in some areas. Discuss this with your medical team who will be able to advise which is most appropriate for your child. Hypoallergenic (HA), goat and lactose free formulas are not appropriate for the treatment of cow’s milk protein allergy/intolerance.
It is also possible to have a false negative test, meaning that the prick, blood or patch tests are negative yet that food does contribute towards a patient’s EoE. Prick skin testing introduces a small amount of allergen into the skin by making a small puncture with a prick device that has a drop of allergen.
In general, experts urge people with symptoms to avoid eating spicy or fatty foods, chocolate, and mint and to be wary of taking fish oil supplements. “Pregnant women (or women on hormone replacement therapy) may also experience these symptoms, as well as those on blood pressure and some antidepressant medications,” Dr. Guillaume says. Try these home remedies for GERD and heartburn. In the word of gastroenterology, EoE-which manifests usually in difficulty swallowing solid food, food getting stuck and sometimes heartburn and chest pain-is a hot topic. “It doesn’t get as much press as you would expect but it seems to be increasing in incidence,” Dr. Gabbard says.
After the initial treatment with omeprazole, two thirds of the cases (54 patients, 66.7%) responded well, and all of their symptoms were resolved. Cow’s milk was eliminated from the diets of the remaining 27 patients. All signs and symptoms of GERD were resolved in this group after a 4 week elimination of cow’s milk from the diet. Heartburn can limit your menu choices, interrupt your sleep, and interfere with your daily activities. Keeping tabs on what you eat and when you eat will help your doctor determine what’s causing your symptoms.
Unsweetened coconut water can be another great option for people with acid reflux. This beverage is a good source of helpful electrolytes such as potassium. These electrolytes promote pH balance in the body, which is crucial for controlling acid reflux. Although this is very uncommon, keep in mind that too much water can disrupt the mineral balance in your body, which would increase the likelihood of acid reflux. If you have EoE, the treatment options will be different, as there are no medications designed specifically for EoE.
Paleo approaches to acid reflux have been pretty critical of lowering stomach acid as a therapy, mostly because the human stomach is supposed to be acidic. Stomach acid is important for proper digestion; it’s supposed to be there, and if it stays in the stomach, it doesn’t cause heartburn at all. The problem is not the existence of acid; it’s acid getting up into the esophagus, where it’s not supposed to be.
This results in heightened acid reflux symptoms. Because tomato-based foods can trigger reflux symptoms, avoiding tomato juice may also reduce GERD symptoms. Cow’s milk is hard for some people to digest and can contain a significant amount of fat. Like all high-fat foods, full-fat cow’s milk may relax the lower esophageal sphincter, which can cause or worsen reflux symptoms. Herbal teas help improve digestion and soothe many stomach problems, such as gas and nausea.