Empowering Primary Care in the Early Recognition and Management of Cow's Milk Allergy (CMA)

Presented by Prof. Ralf Heine (Paediatric Gastroenterologist and Allergist), this session will cover how to recognise and diagnose CMA in infants, the nutritional risks of delayed diagnosis, how to distinguish CMA from lactose intolerance, and the role of tailored nutrition in supporting symptom resolution, growth, and healthy gut and immune development. Learning Outcomes: 1. Identify the key steps in recognising and conducting diagnostic evaluations for infants with suspected Cow’s Milk Allergy (CMA) 2. Describe the nutritional risks associated with delayed diagnosis of Cow’s Milk Allergy (CMA) in infants and differentiate symptoms of CMA from those of lactose intolerance. 3. Summarise the impact of Cow’s Milk Allergy (CMA) on the gut microbiome and immune system maturation, and evaluate evidence-based nutritional interventions that support growth, symptom resolution, and promote gut and immune health in affected infants IMPORTANT NOTICE: Breast milk is best for baby and provides ideal nutrition. Good maternal nutrition is important for preparation and maintenance of breastfeeding. Introducing partial bottle feeding could negatively affect breastfeeding and reversing a decision not to breastfeed is difficult. Professional advice should be followed on infant feeding. Infant formula should be prepared and used exactly as directed or it could pose a health hazard. The preparation requirements and cost of providing infant formula until 12 months of age should be considered before making a decision to formula feed. Mothers should be encouraged to continue breastfeeding even when their infants have cow’s milk protein allergy. If a decision to use an infant formula for special dietary use or special medical purpose product for infants is taken, it must be used under medical supervision.

Join Paediatric Gastroenterologist and Allergist, Dr Ralf Heine, for an insightful session exploring the emerging benefits of Human Milk Oligosaccharides (HMOs) and Lactose in formula-fed infants with Cow’s Milk Protein Allergy (CMPA). This webinar will highlight how these components support immune system development in a compromised population, offering a deeper understanding of their role in allergy management.

ESPGHAN 2025 Symposium - Making Informed Choices for the Nutritional Management of Infants with CMA

The symposium review article

EXTENSIVE HA™ is a specialised whey based, extensively hydrolysed infant formula (eHF), suitable for mild to moderate Cow’s Milk Protein Allergy (CMPA).EXTENSIVE HA™ is a special medical purpose product for infants, formulated for infants with Cow’s Milk Protein Allergy, for use only under medical supervision.

Making Informed Choices for the Nutritional Management of Infants with CMPA

Compleat® paediatric is a nutritionally complete 1.2kcal/ml standard enteral tube feed, containing food-derived ingredients (rehydrated chicken meat and vegetables, peach puree, orange juice from concentrate). Compleat® paediatric is a Food for Special Medical Purposes for use under medical supervision.

Nutritionally complete paediatric tube feed with a unique blend of whole foods

Purposefully designed with wholesome and familiar food ingredients to meet the nutritional needs of children requiring enteral nutrition.

In this webinar, Jodie Bartle, Paediatric Dietitian, Oncology/Immunology at The Royal Children's Hospital Melbourne, takes us through the findings of her clinical research and how she arrived at a Nutrition Feeding Algorithm for Children and Adolescents undergoing Haematopoietic Stem Cell Transplantation (HSCT), to assist clinicians to make objective and consistent enteral feeding decisions.

Children with medical complexity switched to AA-MCT formula demonstrated growth. Formula was well tolerated, as shown by increased intake of formula, appropriate growth for age and BMI z-scores up to 1 year post-switch.

Nutrition support during the acute phase post allogeneic haematopoietic stem cell transplantation (HSCT) is required to optimise short- and long-term outcomes for children. An algorithm was developed and evaluated to assist clinicians to make objective and consistent enteral feeding decisions and has shown to help support better weight outcomes and reduced LOS in this patient cohort.