What a tough situation to deal with!  I certainly don't know how a Ped. GI 
could have made such a diagnosis over the phone, although I have seen such 
specialists, including the one who was treating Julia when I adopted her, 
who seem to think that Nutramigen, or Pregestimil, are the solution to 
almost any problem!

I think an important thing to figure out is how long it takes for Nutramigen 
to clear the baby's intestines.  It supposedly digests at a rate comparable 
to breast milk, but I wonder if it might even be a bit faster.  If the 
formula being used was a regular milk or soy based one, I would wonder if 16 
hours would be too short a time for anything with the baby's stools to be 
the result of the formula, but with Nutramigen, I think that is probably 
plenty of time.  I guess, if the Nutramigen is the culprit, there will be 
more of the more bloody stools.  Gosh, I can't imagine how unnerving it 
would be to see your baby's diaper full of blood like that!  I can, however, 
see how a new mother would be intimidated enough by a subspecialist telling 
her that her millk was hurting her baby to be afraid not to try doing what 
he said.  I think you need to keep reminding her that you are there for her, 
and then keep supporting her to at least keep her milk supply going until 
she can get to the point of feeling like the doctor's suggestion was not 
what her baby needed.  It is very possible for her to get her baby back to 
the breast.  I know that few moms do, under similar circumstances, but most 
do not have the support and practical advice that they need.  Besides 
keeping her milk production going, it can be very helpful to give the 
formula in a manner that will preserve breastfeeding behaviors which can be 
a challenge to get back to, once a baby has gotten used to a common 
bottlefeeding situation.  I will be posting something on that topic later 
today, from experience with training older adopted babies and children to 
accept the breast.

I haven't been following your thread, so I don't know if this mom has 
eliminated all dairy.  Nutramigen is hypoallergenic, not nonallergenic, so 
if the baby is unusually sensitive to dairy, I suspect that it is possible 
that the Nutramigen could still be intolerable on that basis.

Good luck with this!
Darillyn

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