Hi Marie Davis

Thank you for your response, I appreciated it, my feeling also is that this
baby has something more going on than dehydration from gastro.  When I saw
the baby it was not in a health care setting it was very casual and you
often see babies being fussy for one reason or another.  The baby looked
reasonably well nourished, nothing in its appearance to indicate a problem,
except the lime green stool.  Output was good mother had a good milk supply,
she did say she could pump at the end of feeds that was another reason why
my initial hunch was not feeding for long enough on either breast.

I am pursuing the name of the rare genetic problem of that previous baby I
cared for in NICU only because the stool looked exactly the same.  The fact
that two physicians and two hospitals did not pick up on the beginning of
dehydration is very puzzling, although I know they can go downhill very
quickly.  Breastfed babies do occasionally get sick, but to get such a
severe form of gastro?

You are right about the absence of documentation (pictorial) of stools, I
have quite a library and could find nothing.  I only have slides of meconium
and breastfed stools, perhaps an  NICU could put together a collection of
abnormal stools and associated problems it would be helpful to all of us who
work with infants.

Hope you are feeling better.

Susan Moxley IBCLC
[log in to unmask]