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  1. Nestlé Health Science
  2. health management
  3. paediatrics food allergy
  4. cow milk allergy
  5. Signs & Symptoms

Signs and symptoms of CMPA


Cow’s milk protein allergy (CMPA), also known as cow’s milk allergy (CMA), is a common food allergy (or dairy allergy).

With such a wide range of symptoms, recognising CMPA can be a challenge. It is particularly difficult when symptoms are similar to the expected behaviour of your baby or when they overlap with other common problems.

Babies with CMPA may experience the following symptoms:
  • Digestive problems (such as diarrhoea, vomiting, constipation and reflux)
  • Skin problems (such as urticaria, hives and eczema)
  • Respiratory symptoms (such as persistent cough and wheezing)
  • Generic symptoms (such as tiredness, problems sleeping or crying)

It is also important to note that not all symptoms will occur immediately (within 2 hours) after feeding; some may be delayed by up to 2 days or even a week.
We understand that the symptoms can be distressing, particularly at this time when you are getting to know your baby. CMPA can be easily managed with the correct diet, so getting an early and accurate diagnosis is very important. If you suspect your baby may be allergic to cows’ milk protein, you should always discuss this with your doctor or healthcare professional.

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CMA presents with multiple and diverse symptoms


The majority of babies and young children with CMA have 2 or more symptoms impacting at least 2 organ systems

CMA appears during infancy


CMA is often diagnosed before the baby is 6 months old however it can sometimes take longer. Most babies outgrow CMA by the time they are 3 years old

You should continue to breastfeed even if your baby has CMA


In rare cases, babies who are exclusively breastfed can react to cows’ milk protein from the mothers breast milk. A doctor may recommend a cows' milk protein elimination diet for the mother in these cases

Nestlé Health Science UK Statement on Demand for Specialist Infant Formulas for Cows’ Milk and Multiple Food Allergies

Read the full statement


We believe breast milk is the best food for infants. When in consultation with their healthcare professional, mothers and families find that optimal breastfeeding is not possible due to their infant’s medical condition, formulas for special medical purposes play a vital role in providing essential nutrients to infants. We have a global commitment to market breast-milk substitutes responsibly.


This website is about the management of cows’ milk protein allergy and nutritional solutions intended for infants. By continuing on this website, you accept that Nestlé Health Science supplies the information at your own request.


Are you a healthcare professional (HCP) or a parent?

CMPA Symptoms to Look Out For

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Digestive CMPA Symptoms



Prevalence of digestive symptoms

Up to 60% of affected infants have digestive symptoms.

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Respiratory CMPA Symptoms








Prevalence of respiratory symptoms

Up to 30% of affected infants have respiratory symptoms.

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Skin
CMPA Symptoms





Prevalence of skin-related symptoms

Up to 70% of affected infants have skin-related symptoms.

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General CMPA Symptoms








Inconsolable crying is very common in infants with CMPA, while anaphylaxis is very rare.

You should visit your doctor if your baby has suspected symptoms related to cows’ milk allergy


It is important that you do not experiment with a cows’ milk-free diet for your baby without recommendation and guidance from your doctor.


The information in this section will help you understand what CMA is and the most common signs and symptoms you may see in your baby, as well as how it is diagnosed and managed by your doctor.

Could it be cows’ milk allergy?

Answering a few simple questions in the “Symptom checker” may help your doctor determine if your baby may have cows' milk allergy.

HOW CAN I PREPARE FOR MY VISIT TO THE DOCTOR?

Your doctor will examine your baby and ask more about the symptoms your baby is experiencing.

The SmilesBack app helps you to easily record and keep track of your baby’s symptoms and feeds in preparation for your doctor’s appointment.

Learn more about how CMPA is diagnosed

IMPORTANT NOTICE: Breastfeeding is the best form of nutrition for babies and provides many benefits to babies and mothers. It is important that, in preparation for and during breastfeeding, you eat a healthy, balanced diet. Combined breast and bottle feeding in the first weeks of life may reduce the supply of your own breastmilk, and reversing the decision not to breastfeed is difficult. Always consult your healthcare professional for advice about feeding your baby. The social and financial implications of using infant formula should be considered. Improper use of an infant formula or inappropriate foods or feeding methods may present a health hazard. If you use infant formula, you should follow the manufacturer’s instructions for use carefully – failure to follow the instructions may make your baby ill. Formula for special medical purposes intended for infants must be used under medical supervision.
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