Hi Brenda,
Well it does seem reasonable to eliminate major allergens, so one could go
along with this basic concept. So I do agree with dairy, beef, soy, eggs,
and gluten. Usually shellfish, nuts, and wheat are major allergens that are
eliminated too. I haven't found info that chicken and turkey are first to be
eliminated so I think she could reasonably add that back unless there is a
compelling reason to think they are offenders.

If she still sees blood in the stools after one week of not breastfeeding
and she is off the above list of foods, then possibly it is something else
or the baby has some still unhealed gut damage. I think the idea of
probiotics is good, although are there additives or preservatives in those?
It makes me a little nervous about giving anything besides breastmilk to a
young infant, although it may be beneficial to do so.

How is the baby doing, other than the spots of blood? If he is basically
healthy and growing? If so, I think the situation could be monitored.
Is the mother on any artificial additives, I think these can be the culprit
too, like red and yellow dyes in sodas and other foods, and in vitamins too;
also just junk foods.
It seems when moms go to a whole foods diet without the common allergen
offenders (see above) then she is likely to see improvement.

Regarding giving this info to mom without contradicting the physician, I
have found the best way is to ask what mom thinks is a reasonable next step,
or what she would like to do; direct her to some literature or internet
sites, or LLL or other medical liasons for info or articles; share how
another client of yours handled it, etc. You could always say, "it sounds as
if you are not totally comfortable with this doctor (or with this plan)" and
if she concurs you can inform her that she is entitled to a second opinion.
Or you can say something like "it sounds like you've done alot of research
on this and really thought it out, have you considered talking with the
doctor about what YOU would like to try next, and monitor the baby." She
might be surprised that the doctor welcomes any info she has found and would
be willing to try a reasonable alternative action.
Anyway something along those lines would be my tactic.

Laurie Wheeler, RN, MN, IBCLC
MISSISSIPPI USA

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