An infant with secondary lactose intolerance is being discharged. The nurse should instruct the mother to avoid feeding the infant which of the following?

Cow''s milk
Regular formula

Explanation

•With lactose intolerance the child is unable to consume any dairy products or diarrhea and abdominal pain will develop. The infant will need to be introduced to a lactose free formula initially before slowly returning dairy milk to the diet.

•Most infant formulas are milk based and should be avoided by those with lactose intolerance.

•Celiac disease, or celiac sprue, is an injury to the mucosa of the small intestine caused by the ingestion of gluten (a toxic protein component) from oats, wheat, rye, barley, and related grains.

•Rice does not contain gluten or lactose and can be eaten freely.

•The foods to which a baby is allergic or intolerant can pass from through the mother's breastmilk. In some cases, removal from the mother's diet of the foods to which the baby is allergic or intolerant, for example cows' milk products, can sometimes help. When the cause of the damage to the gut is removed, for example by taking the food to which a breastfed baby is allergic out of the mother's diet, the gut will heal, even if the baby is still fed breastmilk. 

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