Dear Joy,
You may well be right about some cases of colic; however, not all that the
lay population call "colic" really is what you are referring to as colic.
Sometimes the problem is milk undersupply with concurrent failure to thrive.
Sometimes it's milk allergy with blood in the stools. Sometimes it's
intermittent volvulus requiring surgical intervention... The list is
endless. One of the current theories here in the US is that children with
colic are more sensitive and require MORE sensitivity to needs of holding,
cuddling, changing, feeding, rocking, movement, etc. Some probably are gas.
If we could get inside these little baby heads, I think that we would find
that we say "colic" for a large variety of problems. I am concerned about
the way that she recommends giving less attention to something which really
needs MORE attention if not more food.
Sincerely,
Kate
Kate McIntosh MD FAAP
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----- Original Message -----
From: Joy Anderson <[log in to unmask]>
To: Lactation Information and Discussion <[log in to unmask]>
Cc: Scott and Kate <[log in to unmask]>
Sent: Wednesday, October 25, 2000 12:58 AM
Subject: Re: Baby Technique
> >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!
>
> For anyone wanting a fuller explanation along with other discussion
> of lactose intolerance in breastfed babies, I wrote a paper for NMAA,
> and it is on the website: http://www.nmaa.asn.au/bfinfo/lactose.html
>
> I must admit, I have found it frustrating when colic is covered on
> medical websites and there is no mention of this 'benign' cause that
> is so easily 'treated' by simple breastfeeding management.
>
> ******************************************************************
> Joy Anderson B.Sc. Dip.Ed. Grad.Dip.Med.Tech. IBCLC
> Nursing Mothers' Association of Australia Breastfeeding Counsellor
> Perth, Western Australia. mailto:[log in to unmask]
> ******************************************************************
>
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