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Subject:
From:
"Jennifer Tow, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 30 May 2013 22:52:37 -0400
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What was the baby's birth like? Was baby (including through momma) exposed to abx? When I d an intake on a momma like this, I take her own history from her own birth onward bc it tells me the condition of her gut, which will pretty much be the condition of her baby's gut at birth. 


This momma is eating soem very common allergens-- including rice. This kind of hit or miss elimination diet rarely works for these kinds of cases. Furthermore, gut healing is not about elimination of foods--it is about actively healing both the maternal and infant gut. That cannot happen by focusing only on the baby--you have to heal the mother to heal the baby. 

I saw a momma a few weeks ago who was eating three foods. Her baby had weeping eczema. After the intake I sent her home with about a dozen more foods to eat (she was so happy!) and a gut healing protocol and both have been getting steadily better since. History is so important as is the gut healing piece of this. It is unlikely that foods accounted for the period of improvement---it is more likely that not healing the gut means baby is developing more sensitivities. 


I would want to know if this baby is refluxing? I am seeing amazing results with reflux by supplementing with zinc. I think the very first thing I might do here is get this momma on a corn-free zinc supplement and likely baby as well. We used to tell mommas that babies are not lactose intolerant and I no longer believe this--I think in destroying the brush border, we are creating lactose intolerant babies. Zinc is a cofactor of lactase production and is of immense significance to the health of the intestinal lining. 

I would also advocate bodywork, bc often these kids are a sympathetic state and simply cannot digest their food. A good chiropractor or CST or osteo could make a world of difference fo this baby. 


Jennifer Tow, IBCLC, USA & France
Intuitive Parenting Network, LLC



Date:    Thu, 30 May 2013 10:43:18 -0400
From:    Tania Archbold <[log in to unmask]>
Subject: Blood in stools 14 week old

PTP
---Mother wrote:

So baby has been having small visible blood spots in her stool since she was 5 
weeks or so (she is now 14 weeks). That is when her stool started becoming green 
and full of mucous as well. I saw the pediatrician and she said to cut out 
dairy/soy/beef/legumes. I have been dairy/soy free for 2 months and also have 
cut out all possible allergenic foods for about a month now. I pretty much only 
eat chicken with no spices, vegetables, and rice. I have also stopped taking my 
prenatal vitamins since it has corn starch in the ingredients (not sure if i 
should keep this up since my diet is not very good right now) Also changed 
kate's vitamin d drops recently since the one i was giving her had corn in it 
too( that i was not aware of until recently). Anyway, the blood did disappear 
for about 2-3 weeks but then came back last week (blood present in a bout 6 
diapers total for the week). Also her stool started becoming more green every 
time as well. The only thing i can think of is that i had some spices that had 
corn in it that i wasn't aware of before consuming and i also had a ginger ail. 
could that be the cause? 

The other thing i'm thinking is that it could be a foremilk/hindmilk imbalance. 
Baby has all the symptoms of this. green explosive stools, gassiness(occasionally), 
she used to spit up a lot but not anymore, frequent feedings, blood in stool, 
only gaining 0.6 oz per day now, diaper rash, bowel movement immediately after 
feeding(she has about 5-8 per day, mostly green, mucous for the past 2 months). 
The only time it started to become yellow was when i was block feeding. I 
stopped because i was afraid i was going to loose my milk all of a sudden. I 
tried to block feed for 4 hours but that didnt help, so i did it for 8-12 hours 
on each side and that seemed to make her stool more yellow. Do you think i 
should continue to block feed? and how long should i spend per side? 

Also, i have pumped a few times to see the consistency of my milk and it looks 
like a i have a lot of foremilk. Its pretty much blue with a thin layer of fat 
at the top(after separating from refrigeration). 

Anyway, i'm worried sick about my daughter because she is still having blood. 
And i read that too much lactose in the foremilk can cause irritation in her 
digestive tract and cause bleeding. So im wondering if its the imbalnace or a 
food sensitivity. The pediatrician did not even want to hear about my 
foremilk/hindmilk imbalance! She was actually very rude about it (did not want 
to discuss anything that has to do with my milk, insistent that the colour of 
stool is of no concern) and told me to switch to an amino acid based formula. I 
really don't want to stop breastfeeding and am desperate for answers. We will be 
getting a referral to <pediatric children's hospital> to see the specialist soon 
but i'm afraid he will say to switch to formula too. That's why Im writing you 
to see if you think there is any way i can continue to breastfeed or if you 
think i should just listen to the doctors. 
-------------------------------------------------------------------------------------------------------------------------------------------------------
Tania again:

This is a mother-baby pair I saw in the first week of life.  Baby had an 
undiagnosed PTT which she then had released at a very reputable clinic.

I have not seen her in person since then.

I have asked for details about weight gain and frequency of breastfeeding.

I explained more about what happens with the fat in our breastmilk, and 
encouraged frequent feeding to even out the fat content the baby is receiving.  
I suggested compressions to encourage breast emptying before switching to the 
other side.

I will admit my knowledge of where to go with regards to the mother's diet once 
the main culprits have been eliminated is pretty shaky.

Does anyone have any other ideas?  What other questions should I be asking?

Tania

Tania Archbold B.Sc, IBCLC
www.mothersnectar.ca
Mothers Nectar Lactation Consultant Services
Guelph, ON Canada
519-400-7098






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