HCP Disclaimer

If you are a parent or carer please visit www.nutramigen.co.uk/parent

This website is intended for healthcare professionals and contains information about Mead Johnson Nutrition special infant formulas.

Important Notice: Breast feeding provides the best nutrition for babies. Mead Johnson special formulas are intended for bottle-fed infants and are Food for Special Medical Purposes (FSMPs) and must be used under medical supervision.

This website relies on the use of cookies to function correctly. This includes a cookie to recognise that you have agreed to accept cookies, analytic cookies that help us analyse use of the website for improving the content, and social sharing cookies that allow users to share content on the web more easily. By clicking “accept” below you agree to allow us to place cookies into your computer. For more information about how we use cookies, please read our privacy policy.

By proceeding you confirm you are a healthcare professional.

Not a HCP?

Supporting Parents

Practical tips

  • Babies with CMA should ideally be well and symptom free when weaning begins.
  • When parents introduce potentially allergenic foods, they should do so in small amounts over approximately 3 days, to allow time to observe delayed reactions./li>
  • It is better to introduce new foods at lunch-time, rather than in the evening, making it easier to get medical help if an immediate or severe reaction occurs.
  • Ask parents to keep a record of when new foods are introduced, for example using a food diary (see below).
  • Parents may find recipe ideas for using hypoallergenic formula as a substitute for milk products helpful. This allows the child to enjoy similar foods to other family members (e.g. milk-free lasagne), but also helps meet the child’s nutritional requirements.
  • It is important to ensure that parents have adequate information on how to identify and manage an allergic reaction. This will help reduce parental anxiety when introducing new foods.

recipies.jpg

Documenting new foods: food diary

  • Parents should be encouraged to document when new foods are introduced, alongside any symptoms that occur, to help identify whether their child may have any additional allergies.
  • This may be particularly useful for children with non-IgE-mediated allergy, as symptoms may take up to 48 hours to develop.1,2
  • An example of a food diary and the information a parent may document is shown below.
Date offeredNew foodAmount eatenReaction (Y/N, what reaction, how soom after eating, how long did it last?)
May 12 Peach puree 1 tsp No
May 13 Peach puree 2 tsp No
May 14 Porridge 1 tsp No
May 15 Porridge 2 tsp No
May 16 Porridge Several tsp No
May 22 Scrambled egg 1 tsp Yes - Diarrhoea, 3 hours after eating,
lasted 4 hours


Download a blank food diary for parents to use

Resources for parents

A series of parent information booklets is available to download or order, providing stage-by-stage practical advice on feeding and weaning infants with CMA. The booklets are authored by two leading paediatric dietitians, Rosan Meyer and Tanya Wright, and include a variety of easy-to-make and nutritious milk-free recipes.

Show references
  1. Du Toit G, Meyer R, Shah N et al. Identifying and managing cow's milk protein allergy. Arch Dis Child Educ Pract Ed 2010;95:134-44.

  2. Heine RG. Allergic gastrointestinal motility disorders in infancy and early childhood. Pediatr Allergy Immunol 2008;19:383-91.