Otitis media, milk allergy, and folk medicine

In his recent article, "Otitis Media in the First Six Weeks of Life." Dr. Bland suggested that middle ear infection occurred predominately in bottle-fed babies because breast-fed babies perhaps enjoyed the advantage of IgA in breast milk. An alternative explanation would be an allergy to cow's milk with resultant inflammation and blockage of the eustachian tubes leading to middle ear infection. I would suggest that a baby with a history of recurrent otitis media in the first year of life be given a three-month trial on a strict cow's milk elimination diet.