Milk Allergy vs. Lactose Intolerance know the difference Cow’s Milk Allergy Lactose Intolerance Cause Cause • Your immune system treats the proteins • Your body cannot break down the sugar in milk as a threat. in milk (lactose), which causes symptoms • This causes your immune system to in your digestive system. attack the protein and your body makes • Does not involve the immune system. a reaction. Age Age • Usually starts before age 1 • Usually starts after age 2 • Most children outgrow it by age 3 Possible Symptoms Possible Symptoms Skin Only affects digestion • Red, itchy, rash, swelling • Diarrhea Airways • Stomach cramps • Trouble breathing or swallowing, runny • Nausea nose, coughing • Vomiting • Tingling, itchy, swollen lips or mouth • Bloating Digestion • Gas • Diarrhea, stomach cramps, nausea, vomiting Anaphylaxis • Severe allergic reaction, can result in death if not treated How to Diagnose How to Diagnose • Diagnosis should always be done by a • Diagnosis should always be done by a qualified medical professional, such as qualified medical professional, such as an allergy specialist. Talk to your health an allergy specialist. Talk to your health care provider about the possible tests care provider about the possible tests that can be done. that can be done.

Treatment Treatment • Do not consume any food or drinks that • Reduce intake of food and drinks that contain milk protein. contain lactose (many people with • Breastfeed, if possible, exclusively for lactose intolerance can consume some 6 months to age 2 and beyond. lactose with no symptoms). • If formula feeding, talk to your health • If you have symptoms, choose foods care provider about a formula that and drinks that are low lactose or would be appropriate for your infant. lactose-free. • Ask a pharmacist about a lactase enzyme supplement to help improve symptoms; it helps to break down lactose for you.

02/2017 Read Labels to Identify Sources of Milk Ingredients: Enriched Flour Nutrient Claims to Look For: Bleached (wheat flour, niacin, • Contains milk iron, thiamin mononitrate, riboflavin, folic acid), Sugar, Corn • May contain milk Syrup, Partially Hydrogenated Soybean and/or Cottonseed Oil, • Contains milk ingredients Brown Sugar, Palm Oil, Modified • May contain milk ingredients Corn Starch, Leavening (baking soda, monocalcium phosphate, sodium aluminum phosphate), Cinnamon, Salt, Corn Starch, Distilled Monoglycerides, Xanthan Gum, Soy Lecithin, Cellulose Gum, Colour Added. Contains wheat and soy; may contain Milk Ingredients.

Words to Look For in the Ingredient List: • Butter • Dried milk • Whey • Butter solids/fat • Evaporated milk • Whey protein • Buttermilk • Half and half concentrate • Yogurt • Casein • Sour cream • Caseinate • Ice cream Ingredients: Organic Corn Meal, Expeller- • Rennet casein • Lactoalbumin Pressed Sunflower Oil, • Calcium caseinate • Lactoglobulin Whey, Cheddar Cheese (Milk, Sea Salt, Cheese • Sodium caseinate • Lactoferrin Cultures, Enzymes), Maltodextrin, Sea • Potassium caseinate • Lactose Salt, Natural Flavours, • Cheese • Malted milk Organic Sour Cream (Cultured Organic Skim • Cheese flavour • Milk fat Milk, Organic Cream, Cornstarch, Dry Organic • Condensed milk • Modified milk Skim Milk [Acidophilus • Cream ingredients and Bifidus Cultures • Milk powder Added]), Torula Yeast, • Cultured milk Lactic Acid, and Citric Acid. • Curds • Milk protein • Milk solids Contains Milk • Demineralized whey Ingredients. • Delactosed whey • Sour milk solids

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