{"id":7690,"date":"2023-09-26T19:08:39","date_gmt":"2023-09-26T12:08:39","guid":{"rendered":"https:\/\/loudhdtv.com\/?p=7690"},"modified":"2023-09-26T19:08:39","modified_gmt":"2023-09-26T12:08:39","slug":"treating-reflux-in-kids-with-diet","status":"publish","type":"post","link":"https:\/\/loudhdtv.com\/?p=7690","title":{"rendered":"Treating Reflux in Kids with Diet\u00a0"},"content":{"rendered":"<p> <script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-3711241968723425\"\r\n     crossorigin=\"anonymous\"><\/script><br \/>\n<\/p>\n<div>\n<p><span data-contrast=\"auto\">Even those who test negative for cow\u2019s milk allergy may have hypersensitivity reactions to dairy products.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Excessive spitting up and vomiting in infants may be treated by <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26554410\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">putting<\/span><\/a><span data-contrast=\"auto\"> them down on their left side after meals\u2014of course, never when sleeping. It\u2019s always <\/span><i><span data-contrast=\"auto\">face-up to wake up<\/span><\/i><span data-contrast=\"auto\">\u00a0to reduce the risk of crib death. Also, as I discuss in my video <\/span><a href=\"https:\/\/nutritionfacts.org\/video\/how-to-treat-reflux-in-children-with-diet\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">How to Treat Reflux in Children with Diet<\/span><\/b><\/a><span data-contrast=\"auto\">, you can <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26554410\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">try<\/span><\/a><span data-contrast=\"auto\"> smaller, more frequent feedings, thickening or changing formulas, and in breastfed infants, which is ideally how all babies should be fed, eliminating cow\u2019s milk and eggs from the mother\u2019s diet.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">You may recall that, in my video <\/span><a href=\"https:\/\/nutritionfacts.org\/video\/treating-reflux-in-babies-with-diet\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">Treating Reflux in Babies with Diet<\/span><\/b><\/a><span data-contrast=\"auto\">, I talk about how more than 40 percent of infants with reflux can be successfully <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/8613639\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">treated<\/span><\/a><span data-contrast=\"auto\"> with cow\u2019s milk removal. It can also <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22988522\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">affect<\/span><\/a><span data-contrast=\"auto\"> them on the other end, too, as cow\u2019s milk allergy can be a major contributor to diaper rash and also <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23429756\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">contribute<\/span><\/a><span data-contrast=\"auto\"> to chronic constipation in 80 percent of affected kids. In one study, however, only a single kid tested positive for having an actual allergy to cow\u2019s milk, so it seems to be a kind of sensitivity reaction that can really only be diagnosed by giving a cow\u2019s milk-<\/span><i><span data-contrast=\"auto\">free<\/span><\/i><span data-contrast=\"auto\"> diet a try. Anal fissures in infants may <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/24319847\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">be<\/span><\/a><span data-contrast=\"auto\"> practically <\/span><i><span data-contrast=\"auto\">pathognomonic<\/span><\/i><span data-contrast=\"auto\"> for cow\u2019s milk allergy, meaning so characteristic of the condition that it could be used as a diagnostic sign, with no allergy testing required.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">It\u2019s like when cow\u2019s milk hypersensitivity was <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15448429\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">demonstrated<\/span><\/a><span data-contrast=\"auto\"> in 10 of 17 children with severe reflux. In the majority of patients, the hypersensitivity to cow\u2019s milk was identified only by eliminating it and then re-challenging to confirm. Researchers did endoscopies, measuring the acid that gurgled up before and after milk consumption, then verified by repeating milk exposure with double-blind placebo-controlled challenges when necessary. Yet, all but one of the children proven to have this adverse reaction to dairy tested negative on allergy tests. So, the kids tested negative for a cow\u2019s milk allergy, but they still got better by cutting out the cow\u2019s milk. \u201cIn conclusion, an association of cow milk hypersensitivity and severe GERD [reflux] was observed not only in infants but also in preschool\/school children.\u201d\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Another disease that can <\/span><span data-contrast=\"auto\">be<\/span> <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22820121\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">cured<\/span><\/a><span data-contrast=\"auto\"> with cow\u2019s milk elimination is eosinophilic esophagitis, a chronic inflammatory disorder of the esophagus, the tube that connects your mouth to your stomach. To figure out what\u2019s causing the inflammation, an elimination diet is prescribed, where you basically remove everything, then each time you add back a food, doctors insert an endoscope down your throat and take biopsies to see if that particular food made things worse. <\/span><i><span data-contrast=\"auto\">How many freaking foods are there?!<\/span><\/i><span data-contrast=\"auto\"> You can imagine how difficult, costly, invasive, confusing, and frustrating that may be for families. So, researchers at Northwestern figured why not just see what happens if you remove just one food from their diet instead of making them go through all that. Their finding? Eliminating cow\u2019s milk induced remission in 65 percent of the children they tried it on. Normally, doctors would have to try to coat their patients\u2019 throats with steroids to knock down their immune response. Doing so then sets the stage for infections like thrush, though, and of course, as soon as the steroids are stopped, the esophageal inflammation comes raging back because you aren\u2019t treating the underlying cause. But steroids are considered the standard of care. Too bad there\u2019s never been a head-to-head test of cow\u2019s milk elimination versus steroids\u2026until now.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">As you can see in the graph below and at 3:40 in my <\/span><a href=\"https:\/\/nutritionfacts.org\/video\/how-to-treat-reflux-in-children-with-diet\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">video<\/span><\/b><\/a><span data-contrast=\"auto\">, researchers <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25721813\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">conducted<\/span><\/a><span data-contrast=\"auto\"> a comparative effectiveness trial of cow\u2019s milk elimination versus a swallowed steroid and found they both appeared to work just as well, which is to say the cow\u2019s milk elimination worked <\/span><i><span data-contrast=\"auto\">better<\/span><\/i><span data-contrast=\"auto\"> because there are no side effects and you\u2019re treating the actual cause. They concluded, \u201cOur results suggest that cow\u2019s milk elimination is an effective treatment option that should be considered as a first-line therapy\u2026\u201d<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;134245417&quot;:false}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;134245417&quot;:false}\"> <img decoding=\"async\" loading=\"lazy\" class=\"aligncenter size-full wp-image-95737\" src=\"https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/3-40.png\" alt=\"\" width=\"1920\" height=\"1080\" srcset=\"https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/3-40.png 1920w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/3-40-960x540.png 960w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/3-40-1024x576.png 1024w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/3-40-768x432.png 768w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/3-40-1536x864.png 1536w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/3-40-480x270.png 480w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/3-40-1200x675.png 1200w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/3-40-720x405.png 720w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/3-40-540x304.png 540w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\"\/><\/span><\/p>\n<p><span data-contrast=\"auto\">In adolescence, cow\u2019s milk protein intolerance can <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27177188\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">contribute<\/span><\/a><span data-contrast=\"auto\"> to chronic fatigue syndrome, evidently a common problem in young people with chronic fatigue and most importantly \u201ca treatable contributor to their symptoms.\u201d But again, most were unaware that dairy was a problem, possibly because it can take hours between milk ingestion and when you start feeling worse, so people don\u2019t make the connection. So, even those who report no problems after milk ingestion may still be suffering problems after consuming dairy.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;134245417&quot;:false}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Finally, what about adults? Well, there\u2019s lactose intolerance. Most people on Earth <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/3140651\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">are<\/span><\/a><span data-contrast=\"auto\"> lactose-intolerant after weaning, with the exception of some human populations that <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26404364\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">developed<\/span><\/a><span data-contrast=\"auto\"> lactose <\/span><i><span data-contrast=\"auto\">tolerance<\/span><\/i><span data-contrast=\"auto\"> about 10,000 years ago, thanks to a mutation in the lactase gene that enabled adult humans to digest lactose (milk sugar). As you can see below and at 4:53 in my <\/span><a href=\"https:\/\/nutritionfacts.org\/video\/how-to-treat-reflux-in-children-with-diet\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">video<\/span><\/b><\/a><span data-contrast=\"auto\">, they <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26404364\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">were<\/span><\/a><span data-contrast=\"auto\"> mostly select European populations, whereas most Hispanics, Africans, and Asians remain intolerant, which may be a good thing, since acid regurgitation, reflux, and heartburn <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26414355\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">is<\/span><\/a><span data-contrast=\"auto\"> so common among adults in the Western world. Food intolerance may <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28884564\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">play<\/span><\/a><span data-contrast=\"auto\"> a role in adults as well. Milk was found to be the leading culprit, but researchers were using what\u2019s called a leucocytotoxic test, where you see how someone\u2019s white blood cells react to individual foods in a petri dish.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\"> <img decoding=\"async\" loading=\"lazy\" class=\"aligncenter size-full wp-image-95739\" src=\"https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/4-53.png\" alt=\"\" width=\"1920\" height=\"1080\" srcset=\"https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/4-53.png 1920w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/4-53-960x540.png 960w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/4-53-1024x576.png 1024w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/4-53-768x432.png 768w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/4-53-1536x864.png 1536w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/4-53-480x270.png 480w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/4-53-1200x675.png 1200w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/4-53-720x405.png 720w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/4-53-540x304.png 540w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\"\/><\/span><\/p>\n<p><span data-contrast=\"auto\">This test is <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25493035\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">frowned<\/span><\/a><span data-contrast=\"auto\"> upon by professional allergy associations as not being sufficiently sensitive and specific. It can\u2019t hurt, though, to put it to the test. A double-blind, randomized, controlled trial was <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25493035\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">performed<\/span><\/a><span data-contrast=\"auto\"> in 38 reflux patients for which proton pump inhibitor drugs failed to completely control their symptoms. What happened when the diet was given a try? As you can see in the graph below and at 5:48 in my <\/span><a href=\"https:\/\/nutritionfacts.org\/video\/how-to-treat-reflux-in-children-with-diet\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">video<\/span><\/b><\/a><span data-contrast=\"auto\">, researchers <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25493035\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">randomized<\/span><\/a><span data-contrast=\"auto\"> people to either a diet in which they excluded foods they tested sensitive to (most often dairy) or one that instead excluded foods for which they <\/span><i><span data-contrast=\"auto\">didn\u2019t<\/span><\/i><span data-contrast=\"auto\"> test positive to control for the placebo effect. A month later, the symptoms in the control group dropped, but the symptoms in the true diet exclusion group dropped significantly further. The researchers kind of felt bad for the control group, so they switched those participants to the right diet, too, and two months later, everyone was feeling better.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\"> <img decoding=\"async\" loading=\"lazy\" class=\"aligncenter size-full wp-image-95741\" src=\"https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/5-48.png\" alt=\"\" width=\"1920\" height=\"1080\" srcset=\"https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/5-48.png 1920w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/5-48-960x540.png 960w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/5-48-1024x576.png 1024w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/5-48-768x432.png 768w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/5-48-1536x864.png 1536w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/5-48-480x270.png 480w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/5-48-1200x675.png 1200w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/5-48-720x405.png 720w, https:\/\/nutritionfacts.org\/app\/uploads\/2023\/09\/5-48-540x304.png 540w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\"\/><\/span><\/p>\n<p><span data-contrast=\"auto\">I covered the effects of maternal diets on breastfed babies in <\/span><a href=\"https:\/\/nutritionfacts.org\/video\/treating-infant-colic-by-changing-moms-diet\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"auto\">Treating Infant Colic by Changing Mom\u2019s Diet<\/span><\/b><\/a><span data-contrast=\"auto\"> and <\/span><a href=\"https:\/\/nutritionfacts.org\/video\/infant-seizures-linked-to-mothers-spirulina-use\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"auto\">Infant Seizures Linked to Mother\u2019s Spirulina Use<\/span><\/b><\/a><span data-contrast=\"auto\">. Breast is best, but you may also be interested in <\/span><a href=\"https:\/\/nutritionfacts.org\/video\/the-best-baby-formula\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"auto\">The Best Baby Formula<\/span><\/b><\/a><span data-contrast=\"auto\"> and <\/span><a href=\"https:\/\/nutritionfacts.org\/video\/formula-for-childhood-obesity\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"auto\">Formula for Childhood Obesity<\/span><\/b><\/a><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p class=\"p1\">For more on dairy and child health, check out the Related Videos below.\u00a0<\/p>\n<p><span class=\"et_social_bottom_trigger\"\/>  <\/div>\n<p><script>\n            !function(f,b,e,v,n,t,s)\n            {if(f.fbq)return;n=f.fbq=function(){n.callMethod?\n                n.callMethod.apply(n,arguments):n.queue.push(arguments)};\n            if(!f._fbq)f._fbq=n;n.push=n;n.loaded=!0;n.version='2.0';\n            n.queue=[];t=b.createElement(e);t.async=!0;\n            t.src=v;s=b.getElementsByTagName(e)[0];\n            s.parentNode.insertBefore(t,s)}(window, document,'script',\n                'https:\/\/connect.facebook.net\/en_US\/fbevents.js');\n            fbq('init', '1582627921973608');\n            fbq('track', 'PageView');\n        <\/script><br \/>\n<br \/><div data-type=\"_mgwidget\" data-widget-id=\"1675549\">\r\n<\/div>\r\n<script>(function(w,q){w[q]=w[q]||[];w[q].push([\"_mgc.load\"])})(window,\"_mgq\");\r\n<\/script>\r\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Even those who test negative for cow\u2019s milk allergy may have hypersensitivity reactions to dairy products.\u00a0 Excessive spitting up and vomiting in infants may be treated by putting them down on their left side after meals\u2014of course, never when sleeping. It\u2019s always face-up to wake up\u00a0to reduce the risk of crib death. Also, as I &hellip;<\/p>\n","protected":false},"author":3,"featured_media":7691,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-7690","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/posts\/7690","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7690"}],"version-history":[{"count":0,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/posts\/7690\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/media\/7691"}],"wp:attachment":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7690"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7690"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7690"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}