Milk-rejection sign
| Milk-rejection sign | |
|---|---|
| Synonyms | |
| Pronounce | N/A | 
| Specialty | Pediatrics, Gastroenterology | 
| Symptoms | Vomiting, Diarrhea, Abdominal pain, Irritability | 
| Complications | N/A | 
| Onset | Infancy | 
| Duration | Varies | 
| Types | N/A | 
| Causes | Cow's milk protein allergy, Lactose intolerance | 
| Risks | Family history of allergies, Atopic dermatitis | 
| Diagnosis | Elimination diet, Skin prick test, Blood test | 
| Differential diagnosis | Gastroesophageal reflux disease, Infectious gastroenteritis | 
| Prevention | N/A | 
| Treatment | Elimination of cow's milk, Hydrolyzed formula, Soy formula | 
| Medication | Antihistamines, Corticosteroids | 
| Prognosis | Generally good with dietary management | 
| Frequency | Common in infants | 
| Deaths | N/A | 
Milk-rejection sign is a clinical sign in which a child refuses to breastfeed. This can be due to various reasons such as illness, discomfort, or a change in the taste of the milk. 
Causes
The milk-rejection sign can be caused by a variety of factors. Some of the common causes include:
- Illness: If the child is sick, they may refuse to breastfeed. This could be due to discomfort, pain, or a lack of appetite.
 - Discomfort: Discomfort can also lead to milk rejection. This could be due to teething, a sore throat, or an ear infection.
 - Change in the taste of milk: Sometimes, the taste of the milk can change due to the mother's diet or medication. This can lead to the child refusing to breastfeed.
 
Diagnosis
The diagnosis of milk-rejection sign is usually based on the child's behavior. If the child consistently refuses to breastfeed, this could be a sign of milk rejection. However, it's important to rule out other potential causes of this behavior, such as illness or discomfort.
Treatment
The treatment for milk-rejection sign depends on the underlying cause. If the child is sick, they may need medical treatment. If the cause is discomfort, measures can be taken to alleviate this. If the cause is a change in the taste of the milk, the mother may need to adjust her diet or medication.
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Contributors: Prab R. Tumpati, MD