Human Milk is loaded with Lactose--Breast fed infants are not lactose
intolerant!
My opinion:Do not use any infant formula
           Breastfeed more frequently not less. Try switching breasts
           more often-remember there is one baby & two breasts
           No whole milk for mother for five days as a trial
           "burbing" technique & hold infant more!

Paul M. Fleiss,M.D.On Sat, 1 Jul 1995, Sharon Lemon wrote:

>      Received a call from mom with 7 week old exclusively breastfed until
> yesterday afternoon.  First talked to her at 4 weeks regarding infrequent
> stools (yellow typical) and appeared to be straining with gas at other times.
>  Fed every 2 hours X 15 min. during day and more frequent at noc with
> fussiness.  He had been gaining weight and growing fine.  We discussed diet
> in regards to gas and fussiness...there is a family hx of lactose intolerance
> on fathers side.  He also nursed one breast per feeding because he falls
> asleep (experienced this with first child also).  My first thought was a need
> to increase feedings to both breasts.  Second, to watch dairy intake.
>      First peds said he had tight rectal muscles and to digitally dilate
> daily to assist with expulsion.
>      She just went to another peds that felt there was a milk intolerance and
> to "experiment" by giving him exclusive lactose free formula for atleast 3-4
> days and note any changes.  She cut down her dairy intake since last talking
> to me, but still has cheese, yogurt and ice cream...cooks with butter.  Still
> nurses 1 breast during day...but, the other evening (which is the only 3 hour
> pereiod he seems fussy) he took both sides and slept atleast 7 hours.
>  Yesterday afternoon he started ABM 4-5 ounces and was pretty good.  She
> called me this morning regarding the peds info and strong desire to
> continuing nursing.  I don't feel he would have less than 12 hour cure from
> "lactose-free" food.  The fact that he obtained more food each feeding from
> bottle was probably providing more saitiation of appetite/calories.
>      Please offer words of wisdom...am I on the right track?....If
> lactose-intolerant what advice for moms diet.....do lactaid tablets help only
> mom and not baby through breast milk....
>       It just doesn"t sound like an all day occurance and more like need for
> increase feeding time duriong day.  Fussiness at night if fed well can be
> baby typical also.   Hope I made sense..gotta run to work and my ten year old
> wants the computer!!!!
>
> Thanks Sharon Lemon
>