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Subject:
From:
Mary Jozwiak IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 25 Oct 2000 12:56:20 -0400
Content-Type:
text/plain
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On Wed, 25 Oct 2000 12:58:49 +0800, Joy Anderson <[log in to unmask]>
wrote:

>>In addition, colic has never been proven to be the result of
>>indigestion and certainly not as a result of over-feeding.
>
>Kate, with respect, I disagree. I do agree that there is some very
>inappropriate stuff on this site (especially the scheduling
>information), but in my experience, one of the commonest causes of
>colic is 'oversupply', 'OALD', 'foremilk/hindmilk imbalance',
>'functional lactase deficiency' or whatever you want to call it. To
>the mothers, I call it 'too much milk, too fast'!
>
>It is simple lactose overload when baby gets more milk than he can
>digest efficiently, so the excess lactose gets to the bowel where it
>is fermented by bacteria to produce acid stools and gas. Voila -
>colic pains! Baby cries in pain and wants to suck (as that's the only
>comfort he knows), so mother interprets that as hunger, feeds him
>again, and perpetuates the cycle. These babies often don't go to
>sleep after feeds - they scream!
>

I think there is a great difference between "oversupply" (aka hindmilk/
foremilk imbalance and Overactive Ejection Reflex) and classic "colic."
Sears and others have  differentiated the two.

From what I understand, if you can pinpoint the cause and treat it, it's
NOT colic. "Colic" is really more a syndrome of a hard to settle, easy to
disorganize/overstimulate baby. It has little to do with his/her tummy.

Using one breast for a 2-4 hour period and removing the baby during the
first ejection in each session is a great treatment for oversupply or OER,
if the baby also has the neurological-personality of the "Fussy Baby" s/he
is STILL going to cry/scream/fuss until s/he gets a little older and
organizes better.  I have to, respectfully, agree withe Kate.

Mary Jozwiak IBCLC, LLLL, AAPL
Private Practice

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