Hi Libby,

What about a possible food allergy / reaction to proteins in mum's diet?

This is what makes me think of allergy:

- slow gain
- eczema
- very frequent urination
- GERD

Just a thought :)

Sisse, IBCLC in Denmark, Europe

fre. 16. aug. 2019 02.02 skrev Lj Berkeley <[log in to unmask]>:

> Hello Smart Women!
> I am in need of brainstorming help.  What follows is a "case study" of a
> client that I have been struggling to help.  I'll post in bullet point
> style so its easy to read.  What I want to know is if anything jumps out at
> you (i.e. what am I missing?).  He has dropped from the 50th percentile to
> the 12th and mom is very upset. Pediatrician is not.
>
> DOB 5/10/19 boy at 39 5/7 wks, vaginal birth (NSVD) in a hospital to an MD
>
> BW 7lbs 9oz
>
> Wt at 2d  7lbs 2oz
>
> Wt at 2 mo 11 lbs 3oz
>
> Wt at 3mo 12lbs 3oz
>
> Wt at 3mo + 1 wk 12 lbs 7oz
>
>
>  Other pertinent facts:
>
>
> Exclusively breastfed baby.  Mother used shields until 8 weeks.  Feeds
> directly now.
>
> Baby feeds 10 x day
>
> Baby feeds 20 mins and generally  both sides
>
> Baby had frenotomy in hospital at 1day of age (only tongue, not lip,
> scissors not laser)
>
> Baby had small amount of GERD causing frequent spit up which has resolved
>
>
> Stools: had frequent up to 2 mo and now has  “massive” stools 1x day and
> smaller 1x day
>
> Urine:  very frequently urinates, diapers “always” wet and it appears clear
>
>
> Baby developed eczema at 2 mo, began on his cheeks, spread to his
> face.  Pediatrician
> prescribed hydrocortisone “oil” and mother states its helping.
>
>
> Baby does not sleep with parents, but in a nearby bassinet.  Feeds q 2-3hr
> at night with one interval of 5 hours (usually) between 8pm and 1am.
>
>
> Sibling: Breastfed +- 2 years with great weight gain all along.  Sibling
> also started feeding with shield and dropped it on her own at 6 weeks.
>
>
> Mother's nipples appear undamaged, she denies any pain, feels full if baby
> waits more than 2.5 hours without feeding.  Her breasts appear normal to
> me, medium sized, mildly flat nipples but evert nicely when baby attaches
> (and round on detach)
>
>
> THOUGHTS!?!?
>
> Libby in El Paso
>
>
>
> Lizabeth J. Berkeley, MPH, IBCLC, RLC
> Breastfeeding Garden at El Jardin
> 901 Arizona, 10:30-1 every Friday
> 915-257-8844
>
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