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Date: | Sun, 22 Jun 1997 16:13:20 -0400 |
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The New "Breastfeeding Answer Book" on p280-83 discusses transient lactose
intolerance (also called "nuisance diarreah" in toddlers) but this is not the
terminology used for normal, runny breastfed newborn stools.
I would suggest that the doctor who gives this diagnosis is confusing true
lactose intolerance and even "transient" lactose intolerance in toddlers with
*oversupply syndrome* or *foremilk-hindmilk inbalance* in the newborn:
"Oversupply syndrome (Woolridge 1988) ... sometimes happens when a baby
receives too much of the watery lactose-rich foremilk and not enough of the
fatty, high-calorie hindmilk. Too much lactose is though to stimulate the
baby's digetive tract, which then moves the mlk along too fast, causing the
watery, green stools."
Lact-Aid drops and restrictive diets tell the mother that something is
wrong with her milk when what probably needs to be done is a different kind
of feeding management - namely, finishing the first breast first before
offering the second OR restricting the baby to one breast per feeding,
switching to the other after a 2-4 hour period.
Woolridge, M. and Fisher, C. Colic, "overfeeding" and symptoms of lactose
malabsorption in the breastfed baby: a possible artifact of feed management?
*Lancet 1988; II(8605): 382-4.
Lisa Jones, LLLL, in Wellington FL [log in to unmask]
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