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From:
cillakat <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 6 Dec 2002 13:26:08 -0500
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<<  Are we just desperately trying to help desperate mothers with normal 
colicky/fussy babies?>>

I don't think there is 'normal' colick.  I will clarify on my previous 
statement though.  I would agree with Harvey that the evening/regular 
crying can be helped by techniques outlined in his book (though I have a 
strong preference for avoiding pacifiers in virtually all instances).  
That leaves the other crying.  If the baby is being held, nursed and 
nurtured, but is still having alot of unexplained crying and fussiness, 
I think it's worth checking into food intolerances if the mom is 
interested.

<<  But to go to only rice, squash and turkey???????????Isn't that a lot 
to ask?>>

Maybe.  But some mothers are very very interested in getting to the root 
of the problem.  And in most cases, it's easier to go to a basic diet 
for THREE days rather than do a tremendous amount of research and spend 
a tremendous amount of time reading labels in the store to end  up with 
a likely result of still not avoiding the potential allergen since 
decoding various allergens under unusual names is practically a full 
time job.

Moms often tell me that they cut out soy, or dairy or wheat but when 
they give me more information, I have yet to find *one* mom that  
actually did.    If one says "just eat rice, turkey and squash for a few 
days" she's likely to look at you like you're from Mars.  However, if 
you say, to a desperate mom who's begging you to offer solutions "do you 
think that you could make up a big pot of rice, bake a pan of chicken 
and winter squash, and sautee some zucchini....and eat as much as you 
want of that for a few days?  That would give your body a chance to rid 
itself of potential problem causers and give your baby's system a rest.  
then you can add foods rather quickly  based on groups of food.

This isn't something that I think anyone is recommending for a 'fussy' 
baby, but for a mom who is at the end of her rope and ready to feed 
formula.

<<  And if the doctor tells her to go on formula, can't she just say 
no? >>

Sure.  But how often does she.  I have more than a few acquaintances who 
ended up doing a trial of alimentum/nutramigen/neocate/elecare b/c of 
extreme colic/reflux/fussiness.  None of them went back to breastfeeding 
b/c they assumed the babies didn't do well on 'their milk'.  No one ever 
explained to them how they might even find out what it is in their diet 
that was causing the problem to begin with.

<< How bad are these babies really?>>

Really bad.  Almost constant fussing/crying, intestinal bleeding, very 
little sleeping in many cases.

<< Are they physically compromised or is it more of a difficult 
situation for the parents to put up with the crying>>

I don't think it matters.  If the crying is hard for the parents, 
imagine how the baby must feel.  We have a responsibility as the parent 
to do whatever we can to help them feel right in their world.

<< I have read that anything buy soy and dairy allergies are very rare, 
yet now I read on lactnet that 11 foods can be culprits.>>

Just to clarify, any food can be a culprit, but the top 8 allergens are 
responsible for 80% of food allergy reactions (IgE allergies).   IgE 
mediated allergies are fairly rare - 2-5% of the population.  IgG 
mediated food intolerances aren't as rare - some sources claim up to 
45-60%.  James Braly, author of _Food Allergy Relief_ and _Dangerous 
Grains_ believes that:  "If you completely eliminate the allergic [he's 
talking about IgG mediated responses]  foods for 3 to 6 months, you can 
reintroduce most of them (approx. 86%) back into your diet and remain 
symptom-free. "

I've read no hard stats wrt IgG sensitivities.

On a related note: "Previous studies have shown that about 1 in 250 
people in Europe had celiac disease, but it was thought to affect fewer 
individuals, about 1 in 5,000 in the United States. This study screened 
1200 children aged 6 months to 20 years with blood tests and, in some 
cases, small intestinal biopsy. The researchers reported that the 
prevalence of celiac disease in these patients ranged from 1 in 57 to 1 
in 33."  Journal of Pediatrics January 2000 136:86-90

If they're right about that, then gluten intolerance (presence of IgA or 
IgG antibodies without the intestinal damage) is far far more common.    
And bloods miss about 20-50% of celiac anyway (IgA toward the 20% range 
and tTG toward the 50% range since it's the last antibody to develop)

In short I think food intolerance is very common.


katherine, GF in atl
dx'ed the traditional way
mom to two little GF'ers, based on enterolab testing

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