Sorry this is long, but please bear with me. I don't post often. I got a
question from a mom today that I have no frame of reference for answering.
She is wanting to avoid using Pedialyte for her baby who is going to be
tested for pyloric stenosis.  She was told (or what she understood) was that
the baby needed the electrolytes for the imaging. Has anyone ever heard of
this? I am wondering if they are telling her to fast from breastfeeding in
case baby has to go for surgery the same day, or because electrolytes can be
abnormal with pyloric stenosis. In the latter circumstance, I don't see any
advantage of Pedialyte over breastmilk. Mom is high anxiety. Had two
late-preterm infants who she only breastfed a short time believing her milk
supply was inadequate. Her third child was term and breastfed well from
birth. He was diagnosed with widely metastatic adrenal neuroblastoma at 10
weeks of age. Miraculously, he is still with us and in kindergarten. She
became a huge breastfeeding advocate while breastfeeding this child until
past his third birthday. I worked with her all during that child's
breastfeeding years. Her latest baby was born a few weeks ago at 36 weeks.
Good weight, breastfed well, no particular problems except a little
jaundice, which was not surprising since baby was also Coombs positive. Mom
was so anxious that some of the same issues she had with the first two
babies would come back, that she was pumping in addition to breastfeeding
baby. Baby is up three pounds from birth weight (6 lbs. 2 oz. to over 9-1/2
lbs.) in just a few weeks. Baby has been very fussy, gassy, and had symptoms
of silent reflux. Several different suggestions with positioning,
probiotics, etc. have been tried. Mom has also tried Mylicon and Gripe
Water. Baby has been getting steadily fussier and spitting up more and more.
Part of me wants to believe that this is either reflux or oversupply. Baby
has not been evaluated for tongue tie, either. I know it is wise to rule out
pyloric stenosis. Just want to know what you think. I am talking to the mom
as an LLL Leader, but have not seen the baby since the day after she was
born (in the hospital where I am a mother/baby nurse---but wasn't this mom's
nurse.) Thanks in advance. 

 

Nell Blakely, IBCLC


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