I have been working with a mother who is at her wits end.  She has a
six-week-old boy who is constantly uncomfortable.  She has an oversupply
issue and a forceful letdown.  I have given her all the standard remedies
for these.  She has cut her supply by feeding on one side only for 4 hours,
then switching.  She pumps the other side for comfort only.  The baby's
doctor was reluctant to diagnose reflux, but finally did when it appeared
there could be no other reason for his sudden crying bouts.  He's gassy and
fusses at the breast.  The mom has good latching technique and she's very
motivated to make this work, but she's getting worn out.  

The birth was traumatic, but no doctor has diagnosed an injury.  The mom has
spent some time discussing the birth with the baby, hoping to let him tell
his story.  This helped for a day or so, but the sudden crying at any time
of the day or night tells her that something is really bothering him.  The
mom eats no dairy, hasn't for weeks, eats a very bland diet that does
contain wheat.  Stools appear normal in color/consistency.  Baby has never
been supplemented with formula.  When the baby was two weeks old, his dad's
appendix ruptured and the mom was forced to care for him and the baby with
the help of her mother.  The grandmother then was hospitalized with gall
stones while the dad was still in the hospital.  So the mom lost her help.
Then, the baby's mother developed mastitis.  So you can see, they have all
been through a lot.  This is one of those clients that I really have
developed a caring relationship with and I so want to help her.  Can anyone
suggest anything?

Terri Lear

Teresa Lear, BA, IBCLC
Breastfeeding Solutions, LLC
6327 Brocketts Crossing
Alexandria, VA  22315-3552
703-313-0040
"Be the change you want to see in the world."
--Mahatma Ghandi

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