Low supply
-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Jessica L. Callahan
Sent: Wednesday, January 29, 2014 1:08 PM
Subject: Foremilk/hindmilk imbalance or allergy or ?
Last week spoke to a mother on the phone who thought she may have FH imbalance - described typical symptoms. She did blocked feedings for 24 hours. Called back next day and said symptoms were improving. She called yesterday and said - baby appears better except for evening/nighttime hours where baby is very fussy and appears in pain in her stomach and stomach makes 'rumbling noise'. Baby also had one bout of green/yellow stools with small trace of blood in it but this only happened in the morning. Her stools in the evening are normal.
Mother will write a food diary but she states there is nothing that she eats the same in the evening.
These were my thoughts:
I was also thinking along the lines of maybe an ear infection or reflux but these symptoms don't happen during the daytime naps.
FH imbalance - but stools are normal in the evening and in the evening mother feels breast are much softer
Allergy - behavior only happens at nighttime
I will be seeing mother later this week and will do a weight check and pre/post feeding weight. along with assessing the feeding and looking at her food diary. Does anyone have any other suggestions.
Jessica Callahan IBCLC
NC, USA
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