Mary

Firstly, sending good wishes for the Exam later this month!

Regarding your co-worker's son with eczema.  When I worked with a 4 
month old who had the worst eczema I've ever seen in my life, the 
mother firstly eliminated dairy, but wasn't very diligent about 
it.  She loved cheese and occasionally slipped, and she didn't check 
dairy content of processed/baked goods.  Then she substituted goat's 
milk products for cow's milk products and I found out with the help 
of Lactnetters that goat's milk shares 80% of the proteins of cow's 
milk, so that needed to be eliminated too, and she substituted with 
sheep's milk.  And then we had to tackle beef.  It makes sense that 
beef being an even denser protein than milk, from the same animal, 
could also cause problems, but somehow it's always forgotten.  It was 
only when she finally eliminated ALL (and I mean every particle!) of 
dairy, goat and beef (and beef products, that's soups, stews, stocks, 
gelatine products etc.) for about a month that there was a remission 
of symptoms.  And then the baby's skin cleared and was absolutely 
beautiful.  I have before and after pics which I have permission to share....

IMHO there would be absolutely no advantage and considerable risk in 
weaning this baby to any kind of formula at all, no matter how 
hypoallergenic.  This baby NEEDs the immunological and gut-protecting 
components of breastmilk, and he's lucky that mom is still 
exclusively breastfeeding him. The solution is to find out and 
eliminate whichever proteins the mother is eating which are leaching 
into her milk.   Sometimes babies with these extreme sensitivities 
refuse weaning/solid foods beyond six months and only accept them 
later, and that's OK too.

It would be great if you could let us know the outcome of this 
worrying case.   Best wishes to all,

Pamela Morrison IBCLC
Rustington England
---------------------------------------------

Date:    Tue, 8 Jul 2014 00:11:35 -0400
From:    Mary K Medenwald <[log in to unmask]>
Subject: Persistent excema in 5 mo old

Hello! I am currently studying to take the IBCLE this month and 
offered to share my co-worker's concern with you more experienced 
LC's in the hopes that you may have more experience and advice for her!
My co-worker (an experienced NICU RN) has been exclusively breast 
feeding her 5 mo. old son. He continues to have excema, flecks of 
blood in his stool, and colic-like, gassy fussiness at night. She 
fastidiously eliminated all dairy and soy from her diet for two solid 
months and the symptoms perisisted.  Her pediatrician told her to 
relax and not worry about it as the baby is gaining wt. and otherwise 
thriving, however, he did give her a gastroenterology referral. The 
GI specialist told her the baby was allergic to a protein in her 
breast milk and that she should wean immediately if she wants the 
symptoms to go away. Can this possibly be true? It seems impossible 
to me that ABM would be superior in this case.
  I suggested she see an allergist and to continue breast feeding 
until she can get some concrete answers. She's wondering if she 
should eliminate gluten?
I would appreciate any experience or advice you could give!
Thanks in advance,
Newbie


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