Try Dr. Eglash's site infantproctocolitis.org for info and insight.

Gail Hertz, MD, IBCLC, FABM 
Author of The Little Green Book of Breastfeeding Management
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> On Dec 3, 2014, at 1:11 AM, Susan Nelson <[log in to unmask]> wrote:
> 
> PTP:  
> One of my clients has been doing a severe elimination diet (not suggested by me) because of green mucousy stools w/occult blood.  The pedi suggested she eliminate dairy.  The mom took it many steps further eliminating many other foods chosen because her husband is sensitive to them.  This poor mom was down to about five foods, was losing weight, and the green mucousy stools persisted.  The baby is about 5 mos old, sleeps well at night, and is not overly fussy.  The pedi is somewhat concerned because he went from the 23rd %ile at 2 mos to the 18th %ile at 4 mos.  She suggested they try to get in an extra feeding over the course of a day.
> 
> The mom also experimented with doing one breast per feeding because she read about FM/HM imbalance.  But the baby "just wouldn't have it".  Smart baby!  This is not a case of oversupply.  I believe her supply is adequate.  We've done many feeding weights.
> 
> This mother visited a nutritionist to help her get more calories with her limited diet.  This nutritionist decided that the baby is allergic to human milk casein and told the family to switch to formula.  She wasn't open to exploring the mom's goals.
> 
> My question: 
> Has there ever been a documented case of a baby being allergic to human milk casein?  Is this diagnosis even remotely evidence-based?
> 
> On the bright side, they saw a wonderful GI doc who had many rational suggestions and was reassuring to this fragile mom.  
> 
> Susan Nelson IBCLC
> Austin Texas USA
> 
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