I can't remember how old this baby is that is boing discussed...but several 
years ago we  had a baby with very slow gain that was mildly to moderately 
jaundiced as well.  Then one day I walked by the scale as the mom was doing 
a drop-in weight on her own and the baby was GREEN.  I felt her abdomen and 
the liver was huge. I sent her straight to her primary care provider...and 
she was diagnosed with biliary atresia at about 6 weeks.  She had a Kasai 
procedure, and parents were told she would need a transplant soon...but last 
I knew she was 4 years old and doing very well.

I attributed the relatively late diagnosis to the breastmilk.

If this baby is at all yellow, this would be a possibility.  The baby wouold 
not gain despite good intake.

Kathy Leeper, MD, IBCLC
MilkWorks- Lincoln, NE

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