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Subject:
From:
"Margaret G. Bickmore" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 5 Jun 2002 16:35:16 -0600
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I'm a bit perplexed about this and am hoping some here can point me
to answers.  I recently worked with a mom who described classic
lactose overload symptoms: tendency in mom toward oversupply and
strong MER, history of using both breasts at every feeding, baby
unhappy at feedings, explosive green mucousy stools, baby generally
seeming uncomfortable with intestinal gas (?).  Switching to using
one breast per feeding remedied most of the problems very quickly,
but then the mom became concerned about the adequacy of her supply.
(There were other things going on too, not the least of which was use
of schedules.)

A couple of days ago, a pediatrician diagnosed this baby with
gastroesophageal reflux.  According to the mom, the doctor attributed
all of the above symptoms in the baby to GER -- said that green
stools in particular were diagnostic of GER.  I have not heard this
before, and can't find anything (LLL books, Lawrence, and Riordan &
Auerbach so far) to support it  The doctor also said GER was more
common in bf than ff babies, which is not correct according to these
sources.

The recommended GER management meshes pretty nicely with lactose
overload management, so there is no conflict for the mom there.  I
just want to know if there's any truth to what the doctor says about
these symptoms indicating GER rather than lactose overload.

Margaret
Longmont, CO

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