to Ann Calandro:  your message dated March 6th about the baby whose stools
tested positive for sugar therefore Doc Dx'd lactose intolerance...stop BF

If you'll reference the Who Bulletin Supplement 67  Infant Feeding: The
Physiologic Basis  Edited by Akre, Chapter 2, Page 28  (recommended reading
by IBLCE)
     "It is usual to find reducing substances such as sugars in the stools of
healthy bf infants; they contribute to maintaining the acid environment that
retards the growth of pathogens.  In contrast, the delayed gut transit time
of industrially prepared milks permits almost total metabolism of these
sugars."
In other words its NORMAL for a bf baby to have a positive test of stool for
sugar, but ABNORMAL for an ABM fed baby to.  There are other references that
also describe the role of lactose and lactobacillus bifidus in setting up the
mileau in the gut.  The "good bacteria" in the gut feed on the lactose.
The WHO book and the new BFanswer book are also good references for the
rarity of true lactose intolerance, and description of temporary intolerance
following a  diarrheal episode.

(We have  zealous ABM reps who have recently been promoting their lactose
free formula as a cure for almost every baby who spits up or has diarrhea or
even a hint of "colic".  Now they are heavily promoting human milk fortifier)

You might want to look for some other reason for the spitting after feeds; on
the lactnet I've seen suggestions such as elimination of cows milk from Mom's
diet.  You might want to do a topic search on Lactnet.
Good luck,   Liz Flight, RN, CLE, IBCLC