<<<<Mom has eliminated ALL sources of dairy for the last week and has seen
no
signs of improvement. Yes, I know that the elimination diet is still in
the early stages but I usually note at least a subtle difference within
the first week.
Thoughts?
Ellen Penchuk, IBCLC, RLC>>>>
A few thoughts....
First, yes it is early. I've seen it take as long as three to four weeks
before there was improvement. Many moms do see improvement in that first week,
but with some it's the second or third week at least. They are often
children that end up truly allergic to dairy and not just intolerant of the size of
the protein until the gut closes. Makes sense that they would be that
reactive to even small amounts left in mom's system then.
Secondly, the malabsorption could be due to something else or something in
addition to the dairy. Wheat, egg, peanut and soy are pretty common culprits
when you're addressing food allergies beyond the dairy protein digestion
issue. The more moms I help figure out what it is in their diet that their baby
is reacting to, the more I am keenly aware that nothing is really impossible
for them to react to. I don't eliminate anything in the running. Yes, you
see dairy most then follows the wheat, egg, peanut, soy, highly acidic fruits
and veggies and shellfish. But I've also seen chicken, oats and carrots for
example.
A food diary is helpful....tracking what mom is eating in one column and any
reactions noted in baby in the other. If that doesn't solve it easily, and
dairy has already been eliminated for at least two weeks, I usually recommend
backing out to fruits and veggies with nothing acidic for 3 - 7 days and see
if the symptoms go away. Then slowly adding back in one item at a time and
testing each item.
<<<<There is no indication of OMER. She always nurses on one-side only and
still uses breast compressions, so foremilk/hindmilk imbalance is not the
problem. In the archives there is a reference to 'low-fat' human milk in
moms who have had this type of surgery. While this theory seems logical to
me, on a certain level, in diagnosing the cause of the green/mucous
stooling pattern, it doesn’t fit with the overall picture of an otherwise
healthy, happy and thriving baby. >>>>
If she's actually got "low fat" milk due to the surgery, and that is the
cause, she's compensating for it with quantity if baby is gaining well and
developing well. I tend to agree with you IF this is the final conclusion, that
the healthy, happy, thriving baby belies it being the typical concern that the
imbalance would be.
<<<<Of course the pediatrician’s recommendation is to wean and feed the baby
Alimentum. Mom was very surprised to see that the main ingredient is
casein (no flies on this mom) and refuses to do so. Makes no sense to her.
>>>>
Good thing this mom is smart and there was no battle over not switching to
Alimentum.
Cheryl Taylor White, CBE
_www.drjaygordon.com_ (http://www.drjaygordon.com)
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