In a message dated 6/19/2002 5:48:11 PM Eastern Daylight Time,
[log in to unmask] writes:

I am reposting this message as we have not received any replies.  Please
help, any information is better than none at all!


> Date:    Wed, 19 Jun 2002 15:22:20 -0400
> From:    Diane Frederick RN IBCLC <[log in to unmask]>
> Subject: Liver disease
>
> I need assistance finding resources for advising a breastfeeding mother.
> She has an unusual condition. The diagnosis is Cryptogenic Chronic Active
> Hepatitis with recent leanings towards Fatty Liver (Non-Alcoholic
> Steatohepatitis).
> A brief (as possible) history is: She was diagnosed with this condition a
> few years ago. She had an liver biopsy with inconclusive results. All forms
> of viral causes were ruled out. She had one elevated cortisol level.
> (normal range is 1-6.5 hers was 7.5) She had subsequent normal liver
> function tests and decided to have a baby. The baby is about 20 weeks old
> now. She has been exclusively breastfeeding and does not want to stop. Baby
> has been gaining and shows no outward signs of abnormal development.
> Recent liver funtion tests returned elevated to the range of 289AST and 289
> ALT. This was a dramatic increase since her last lab work when the baby was
> 7 weeks old (13 weeks ago)
> My Questions are:
> 1. Is her breastmilk comprimised due to the fact that good liver function
> filters out contaminants?
> 2. Could this condition be aggravated by pregnancy and/or lactation?
> 3. Where can she have her milk evaluated for contaminants?
> 4. Should (and where) could the baby be evaluated for any contaminants?
>
> She knows much more about her disease than I do, so please any explanation
> of how to go forward in counseling her would be appreciated.
> Thanks,
> Diane
>
>



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