Types of milks commonly used in Paediatric GI practice
As a guide formulas are reconstituted 1 fluid oz water plus 1 scoop of powder. 3 fluid oz of water plus 3 scoops = approximately 100mls.
- Lactose intolerance – Enfamil Lactofree, SMA LF, Glucose polymer, Galactomin17 (also for Galactosaemia) and Galactomin19 also
- Extensively hydrolysed formulas – Nutramigen, Pepti-junior, Pregestamil, Peptite, MCP Peptite and Althera
- Elemental Feeds – Neocate, Alfamino, Nutramigen AA
- Soya Feeds (not recommended for cow’s milk protein intolerance) – Infasoy, SMA Wysoy, Isomil, Prosobee, Farley’s soya formula,
- Fat malabsorbtion, liver disease, pancreatic dysfunction – Caprilon,
- Multiple malabsorption short bowel syndrome – modular feed
Breast feeding is the ideal in all circumstances but changes in maternal diet may be required in circumstances of cow’s milk protein and also protein intolerance in the infant because small amounts of whatever the mother eats finds its way into breast milk. Weaning is now proposed at 4 months of age, rather than previously at 6 months of age exclusive breast feeding.
Normal formulas are not dealt with in this section as they are not therapeutic for any particular reason and are merely constituted to create as close to as possible breast feeding.
Certain older children will require a special diet, such as those with Crohn’s disease in which case we may use exclusively with no food for 8 weeks followed by a graded reintroduction with a Paediatric Dietitian. The preparation such as Modulen IBD (Nestle) which is a casein whole protein based fully nutritional feed which can be taken orally or via nasogastric food, and an elemental food – Elemental 028 (SHS International) and details of these can be found on the relevant websites.
Mead Johnson Nutrition – email@example.com
Cow and Gate – www.cowandgate.co.uk
Milupa – www.milupa-aptamil.co.uk
SMA Nutrition www.smanutrition.co.uk
British Dietetic Association – www.bda.uk.com
Danone – www.danone.co.uk
Nutricia – www.nutricia.com
Nestle - www.nestle.com