Dear experienced ones,
Okay, i've searched thru the archives going back to 2000. i've reviewed my
own files and researched some new ones online. Hopefully, this will be a quick
question:
(permission to post) - Recently, i've had two moms within two weeks of each
other present their newborns with copious bloody stools before 4th week of
age. Both moms exclusively nursing, in constant contact w/newborns, in
normal health, w/good support systems at home. Both immediately followed
the dairy elimination protocol, (not so quick to eliminate soy). Neither one had
started vit. D supplements w/baby. Both of them reported improving diapers
within first two weeks, to the point of no visible blood, dark or bright red.
Everyone is happy. Then, suddenly, two to three days of copious bloody
stools again. (That is the question, for those who don't want to read all the
details, lol!).
As the first mom put it, 'it definitely got worse before it got better'. Her baby
is now seemingly healing, happy, and mom is now totally dairy and soy-free in
her diet. She is about 2+ weeks ahead of the second mom in this timeline.
The second mom is just now struggling with day three of this second round of
bloody stools, although she admits today is much better than before. She has
not given up soy yet, but says she is starting ASAP. Assures me of
compliance on the dairy issue. She is really wanting some explanation as to
why it gets better, then worse, then hopefully better. Plus, she has had no
support from her ped. Feels guilty for not immediately putting baby on formula
for one week. She is now doubting herself a bit for deciding to have faith in
her milk. By all accounts, she is in great, normal healthy postpartum, she has
no allergies herself, no medical issues.
The only thing i wonder about is comments i've heard about 'healing crisis', or
possibly the gut going through a 'house cleaning'. Just getting rid of
the 'remnants' perhaps? (There's my question!, :-))
BTW, both babies have normal hemoglobin, good weight gain overall, lots of
wet diapers, of course.
Both moms do have OAMER, and within first week, were practicing block
feeding, and both very aware of making feeds easier for babies. Explosive,
frothy stools abated almost immediately. I would imagine that that issue may
not be as likely a cause of renewed bloody stools if both moms were feeding
like they say they are?
I am including all this info so as to clarify that i've been thorough with these
two moms in particular (at least, i hope!). The crux of this post is, what's up
with the second round of bloody stools? Any cases out there you would care
to share? Okay, sorry this wasn't so quick after all!
Thanks in advance, and i am so grateful for Lactnet!
Alicia Burgett, IBCLC in PP
Spokane, WA (still snowed in!)
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