Intestinal Bleeding, Iron Deficiency, and Introduction of Cow’s Milk Bleeding from the intestinal tract in infants fed whole cow’s milk was confirmed in a randomized study of infants at approximately 6 months of age.’ Frank iron deficiency developed in 1 of 52 infants. The serious consequences of iron deficiency warrant care in introducing cow’s milk to the infant diet before other sufficient iron-containing foods are consumed. Milk Allergy For treatment of milk allergy, the consensus has been to use a hydrolyzed protein as the basis of a formula. Recently, at least four cases of anaphylaxis in infants fed protein hydrolysates have been recorded. At first, attention was drawn to children who reacted with distress to partially hydrolyzed formulas. The latest reports, however, are of severe reactions to more extensively hydrolyzed protein sources.* For these children, only complete removal from the implicated protein source seems effective, and in one child with sensitivity to milk, ingestion of beef also resulted in an allergic reaction, though milder. Colic Nonetheless, in a study of colic, changing from a cow’s milk formula to a hydrolyzed casein formula, -about 10% to 15% of infants appeared to cry less when fed the hydrolyzed casein formula. However, marked day-to-day irritability occurred with either formula. It was emphasized that this type of study should not be confused with demonstration of milk allergy.3 Acute Diarrhea A number of studies evaluated the follow-up treatment of infants and children recovering from acute diarrhea.4, 5 More than 50 years ago, Holt and Chung recommended feeding through diarrhea1 episodes.’ Nonetheless, many suggested regimens to “put the bowel at rest” and withheld food. In the past several years, widespread adoption of the practice of oral rehydration with modifications of the World Health Organization (WHO) oral rehydration solution markedly decreased hospital admissions due to dehydration. In the past year, Margolis and coworkers showed no difference in recovery in those .children with mild diarrhea who were fed during the diarrhea1 episode, compared with those who were not fed.4 Further, Haffejee found no difference in rate of recovery in those infants fed lactose-containing food versus those fed lactose-free food if the stools contained no sugar.5 These studies support the recommendations of the WHO over a decade ago when high-caloric-density food was recommended for infants with diarrhea and