Milk Soy Protein Intolerance: A Mother's Perspective by Tamara Field

I first learned of Milk Soy Protein Intolerance (MSPI) in the office of a pediatric gastroenterologist's office with my seven-week-old son, Max. After the first week of his life Max lost weight and was labeled "failure to thrive." As an educated mother and nurse I was devastated that this could happen. That day in the GI specialist's office, he performed a proctosigmoidoscopy and biopsy on Max. He sat me where I could see him perform the test and told me what I would see. He said that the lining of the bowel would be red, swollen and bleeding, and it was. I just sat there and cried. After the test was over and I could hold Max, Dr. Mack told me that MSPI was indeed what Max had and that I should stop breastfeeding right away and put him on a special formula. He told me that there was a diet I could follow if I wanted to continue breastfeeding, but that it was very stringent and difficult. Wanting to make the best choice for my son, I stopped breastfeeding that day and started him on Alimentum. The results were dramatic. After one bottle of Alimentum he slept for 2 and 1/2 hours straight; the longest he had ever slept.

After learning all about MSPI with my first son, I was more determined that ever that I would 'master' the MSPI diet and breastfeed my second child. So, I set out to the grocery store with a list of forbidden ingredients in my hand. Gradually, after many hours spent standing in the aisles of the grocery store reading labels, I began to find dairy-free, soy-free substitutes for the foods I might normally eat. All the information I collected and recipes I tried, with my husband's encouragement, were compiled into a book: The Milk Soy Protein Intolerance (MSPI) Guidebook /Cookbook which was published in the fall of 2001. We also have an informational website for MSPI: http://www.MSPIGuide.org.

Milk Soy Protein Intolerance is diagnosed by pediatricians, family physicians and specialists in pediatric gastroenterology. It seems to be more highly prevalent in the midwest, but throughout the country it is given different names, such as: protein intolerance, food protein-induced colitis or eosinophilic gastroenteritis. MSPI is diagnosed through the history of an irritable infant, or colic-like behavior, poor growth and abnormal (blood streaked) stools. Some infants will exhibit frank blood in their stools. Confirmation of the diagnosis is often made with a biopsy of the intestinal lining which would show an increased amount of eosinophilic cells, eroded intestinal villi and the presence of hemorrhagic tissue. It is thought that the intestinal lining cannot properly digest the proteins (milk and soy) therefore they are taken up into the blood stream where the body treats them like an antigen and produces antibodies mimicking an allergic response. The intestinal tract then recognizes the ingested proteins as it would an allergen and the intestinal lining reacts by becoming inflamed, often shedding blood into the stool. Some blood may be visible in stools and other blood detected by occult blood testing. The lining of the intestine, then, becomes further damaged as it is continuously exposed to these proteins.

No one really knows why the occurrence of MSPI is prevalent in the United States and especially more prevalent in the midwest region, but one of the theories has to do with our more 'sterile environment.' We, in the United States are so preoccupied with keeping our environment clean and free of germs. In other countries, especially those of the third world, infants and children are exposed to so many other more serious bacteria, toxins and allergens that their tolerance may become greater due to increased exposure. It also seems that the occurrence of MSPI is congenital; if one child has it, the chances are very high that the subsequent children will have MSPI and that it may be more severe.

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BIO:

Tamara Field is a Registered Nurse and works as the Coordinator for Critical Care and Short Stay at Alegent Midlands Hospital in Papillion, NE. She is also a singer, performing and teaching in the metro area. She holds a Doctorate in Vocal Performance and Pedagogy from the University of Colorado at Boulder. Nursing has afforded the opportunity to have a flexible work schedule and have great variety in her career choices.

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