الفهرس 
Material and methodsOnly 14 pages are availabe for public view
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Abstract
Cow’s milk allergy and the fecal blood loss from gastrointestinal
tract as occult blood in stool is a serious problem
so as to decide whether to give or not the cow’s milk and when
to start it •
The present work aimed to study the cow’s milk allergy
manifestations and detect cases of occult blood so as to
discover the proper time of administration of cow’s milk.
In the present study we took 52 cases of breast fed, and
we added cow’s milk to their feeding. We classified them into
two groups according to age . Group one less than 6 months and
group two more than 6 months. We did complete blood picture,
serum iron and complete stool analysis with detection of
occult blood in stool by guiac test. We also took 15 cases as
a control group of breast fed purely.
We found in our study that incidence of cow’s milk allergy
of both groups was 13.46%. Total cases having higher level of
eosinophil was 26% in the 52 cases. As regards the stool
analysis we found that 32% of cases had positive test for
occult blood in group one which was of less than 6 months and
7.4% of cases in group two which of more than 6 months and
less than 12 months.
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this occult bloottin stool on haematological picture and on
serum iron level although there was slight decrease in their
values.
We recommend to depend on breast milk as a source of
feeding. And if we start cow’s milk we prefer to delay it
after the age of six months, and physicians should be aware
of possible allergic manifestations of cow’s milk protein.
We would go with the opinion which advice to give a
supplementation of 12 mg iron as ferrous sulphate to
compensate for a possible hidden gastro-intestinal blood
loss.
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from this study we concluded that:
* There was a certain relation between introduction of
cow’s milk as a supplementary feeding and the fecal blood loss
detected by guiac test for occult blood in stool.
* We considered fecal blood loss as occult blood in stool
as one of the manifestations of allergy of cow’s milk.
* There was higher incidence of occult blood in stool due
to gastro-intestinal bleeding responding to cow’s milk
introduction before the age of six months than after the age
of six months and below 12 months.
* There was no great effect of the occult blood in stool
on hematological picture ”as regard the hemoglobin cone., blood
indices and red blood cells count.
* Also there was no effect on iron state as there is no
significant change of serum iron level
some decrease in the values.
, although there is
So we recommend to:
* Breast milk should continue to be the main source of
feeding as possible as we can.
* When ever the cow’s milk was needed to be introduced it
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should postponed beyond the age of six months. In other words
it was better not to start cow’s milk before six months of
age.
* It was better to give a supplementation of 12 mg iron
from ferrous sulphate daily to permit sufficient absorption of
iron to compensate for the gastro-intestinal loss.