>This baby is 3 mos old, totally breastfed,  and has history of  blood in
>stool and somedays of lots of colic. (Mom is a nurse practitioner
>friend  of mine and teaches nurses in a University in TN.) The GI doc
>placed her on an elimination diet for one month of all dairy , all wheat
>products and soy, citrus, peanuts eggs, chocolate.

This is a good start to check for food allergy but it *could* be
something other than these (if they don't seem to be solving the
problem). The list I have for most allergenic foods also includes
corn, fish and tomato (Allergy Assoc of Australia). This mum needs to
be a 'diet detective' in her family - ask as many relatives on both
sides of baby's family as possible about any food that they suspect
may cause them problems, build up a picture of the most likely
culprits, etc and go from there. Strongly suggest that she work with
a dietician for food elimination, preferably one with experience in
food allergy and intolerances.

> It seemed to help but
>upon return to the GI doc, the bleeding was still occurring and he found
>much during the rectal exam. His eosinophils and IGe are elevated. No
>anemia and growth is fine.

If growth is fine, then at least the problem is not super-urgent to solve.

> Baby is totally breastfed until now when the
>GI doc advised to slow down breastfeeding and supplement with
>progestimil or alimentum. Since the doc did not advise to quit
>breastfeeding Mom was happy to try the supplement. But her baby does not
>take it well and then will nurse all night, when he strains more, has
>more blood. Yesterday he was refusing the formula.

Smart baby.

> Stools are nicer when
>he takes the formula.

They would be expected to be - whatever is in the mother's milk from
her diet is an irritant. Doesn't mean in the long term that this is
the best solution. This child will always need to be fed and there
are likely to be more problems down the track past infancy. I would
stongly advise finding out what the problem foods are as soon as
possible and *keep breastfeeding*.
******************************************************************
Joy Anderson B.Sc. Dip.Ed. Grad.Dip.Med.Tech. IBCLC
Nursing Mothers' Association of Australia Breastfeeding Counsellor
Perth, Western Australia.   mailto:[log in to unmask]
******************************************************************

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