It often takes several weeks for the gut to fully heal after gi bleeding 
in infants. Arvola and colleagues found that only about a third of the 
babies they studied had cow milk allergy, the rest had various gi 
infections, and all bleeding stopped within a month. It did recurr a few 
times before stopping. We do think that overfeeding can cause gut 
irritation as well. If the baby is gaining well over 8 oz per week, 
reducing the milk production can help. If there is a lot of blood loss, 
then of course GI follow up would be a good thing. If it's only streaks 
and only on some days or some stools, then mom can probably watch and 
see how the baby heals on her only human milk diet.

BTW, what did you notice about the baby's suck:swallow ratio and sucking 
burst length? Did she take normal respiratory pauses after every 10-30 
sucks?

Catherine Watson Genna BS, IBCLC  NYC  cwgenna.com

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