Hi Catherine,

Yes, we are already aware of all this anecdotal info.  We are seeking to get
some concrete answers.  We are particularly concerned that we seem to be
seeing an increase in cases.

In conversing with a local dairy farmer I learned that anytime this shows up
in a breastfed calf, the farmer knows that the mothers nutritional balance
is off and starts supplementing the mother accordingly.  Interesting is that
allergy is not considered the problem.  The dairy industry is one of the
most researched industries--so I am hoping that as we delve deeper into
this, we will learn quite a bit.  He was surprised at the oversupply
suggestion.  However he did mention that he has heard that scabs does seem
to have a connection with mastitis.  So we both agreed that milk removal
does seem to be connected in some cases.

We also have some cases where oversupply does not seem to be the issue.

Perplexing, which is why we would like to have a meeting of the minds.  We
are hopeful to bring in folks from different disciplines.  And you of course
we warmly invite you to join us.  Your clinical insights will be very
important.

Nikki 
-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Catherine Watson Genna,
IBCLC
Sent: Thursday, September 08, 2005 7:29 PM
To: [log in to unmask]
Subject: Re: Needing to connect with interested parties about bloody diapers

Bloody diapers (breast milk colitis) is usually attributed to allergy, 
often to cow milk protein in mom's milk. It seems to start with the gut 
becoming irritated from lactose overload (oversupply leading to 
"foremilk" predominance), and the gut damage allows proteins to get in 
and start allergy, which leads to more irritation and bleeding.
Reducing milk supply so that the baby gets a better balance of sugar and 
fat, temporary cow milk (or whatever the allergen is) elimination by the 
mother, and in very severe cases a few days or a week of neocate feeding 
while mom maintains her supply seems to take care of it.

I don't know if research has proven the above, but treating it this way 
fixes it for the babies in my practice.

Do let us know what you learn.
Catherine Watson Genna, BS, IBCLC  NYC

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