. > I have a client whose baby isn't gaining weight, in spite of 6-7 very
wet
> diapers and 4-5 "two-wipe" bms a day.  Baby is happy, alert, sleeps well,
> etc. Doc wants baby to be supplemented with abm for a weight gain.
>
> Parents told him that baby seems to have a sensitivity to cow's milk in
> mom's diet, so he, in his brilliance, recommended lacto-free formula.
> Hopefully supplementing will be only until the scale is satisfied.  By the
> way, the mom has been doing breast compression and she refuses to pump to
> "supplement" with her own milk, making a high fat feed a couple of times a
> day.

Recently I worked with a client who's baby had plenty of stools and wet
diapers but  wasn't gaining weight.  The stools were also foul smelling.
The baby's grandmother has severe dairy allergy to the point of anaphylactic
shock.  So, we tried eliminating dairy from the mother's diet, as well as
pumping, breast compression, co- sleeping  etc.., and within about one week
the baby started gaining  and the stool smell changed to typical breastmilk
smelling stools.

This was without formula supplementation.  Within about 2 or three weeks the
mom stopped pumping, and all was well,  yet she continues to be strictly
dairy free.

Yael Wyshogrod IBCLC
Rechovot, Israel

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