Dairy Intolerance in Infants – Fact and Fiction
This course provides Australian healthcare professionals with practical, evidence-based guidance on distinguishing lactose intolerance from cow’s milk protein allergy in infants. It focuses on accurate diagnosis, appropriate management, and avoiding common misconceptions to support safe, effective infant feeding and care.
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Learning Outcomes
What you'll learn
- Differentiate between lactose intolerance and cow’s milk protein allergy (CMPA) in infants
- Describe the underlying mechanisms of dairy-related conditions, including IgE and non-IgE mediated reactions
- Recognise common clinical presentations and distinguish them from normal infant behaviours
- Apply a structured, evidence-based approach to assessment and diagnosis, including elimination and re-challenge strategies
- Implement appropriate management plans for both breastfed and formula-fed infants
- Provide effective parental counselling on feeding, symptom expectations, and dietary modifications
- Identify common misconceptions and avoid overdiagnosis or unnecessary dietary restrictions in clinical practice
Learning Outcomes
What you'll learn
- Differentiate between lactose intolerance and cow’s milk protein allergy (CMPA) in infants
- Describe the underlying mechanisms of dairy-related conditions, including IgE and non-IgE mediated reactions
- Recognise common clinical presentations and distinguish them from normal infant behaviours
- Apply a structured, evidence-based approach to assessment and diagnosis, including elimination and re-challenge strategies
- Implement appropriate management plans for both breastfed and formula-fed infants
- Provide effective parental counselling on feeding, symptom expectations, and dietary modifications
- Identify common misconceptions and avoid overdiagnosis or unnecessary dietary restrictions in clinical practice
Modules
Module 1
Understanding Dairy-Related Conditions in Infants
Module 2
Pathophysiology and Types of Reactions
Module 3
Clinical Presentation and Differential Diagnosis
Module 4
Assessment and Diagnostic Approach
Module 5
Evidence-Based Management Strategies
Module 6
Prognosis, Follow-Up and Parent Education
Module 7
Common Myths, Misdiagnosis and Clinical Pitfalls
Module 8
Summary
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Frequently Asked Questions
No, it is rare in infants. Most symptoms are due to CMPA or normal infant behaviour rather than true lactose intolerance.
Lactose intolerance is due to enzyme deficiency, while CMPA is an immune reaction to milk proteins.
Through a clinical approach using elimination of dairy followed by reintroduction to confirm symptom recurrence.
No, breastfeeding should continue, with the mother eliminating dairy from her diet if needed.


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