I have permission to post the following very puzzling case.  A mother  has
been BF a 4 week old without difficulty.  The other day mother notices infant
becoming fussy at the breast coming on and off.  Suspicion of thrush was
dispelled by two pediatricians who refused to treat.  Infant was beginning to
scream now after BF which stressed out the parents who decided to try formula
to see what would happen.  Infant did fine with the formula.  Next feeding
mother puts infant back on the breast and again the screaming but now infant
has a rash around his mouth and has developed a diaper rash.  Diet was
discussed at length.  She had already cut out dairy, peanut products etc.
Takes no medications.  Has not changed soaps, detergents, deodorant or
anything along those lines.  Finally got down to looking at possible
environmental causes:  pet sprays, lawn sprays, carpet cleaners.  Nothing
there either.  LC then looked at where the father works for some possible
contamination.  None found.  We suggested Mom try giving the breastmilk in
the bottle which she did and the infant was screaming after that  too.
Infant was also checked for an ear infection and they were clear.  The
parents are totally baffled as am I and my fellow IBCLC.  Mother and Father
are committed to BF and very much want to continue.  I am hoping that the
collective knowledge on Lactnet may provide an answer.  TIA
Pamela Ehret LPN, IBCLC
WIC Breastfeeding Coordinator
Savannah, Georgia

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