Dear Jay and Tammie,

Bloody stools are most frequently a sign of perferated bowel, if it is
red in the stool, usually in the rectum or the end of the colon.
Usually a protein malabsorption problem.  Mom's diet can help releive
the problem.  If colic becomes a major problem, that's usually a
carbohydrate problem--sugar or fiber.  Mother can take a calcium and
iron supplement to help maintain her physical stores.  If she needs a
broader diet, expressing with the limited diet and dump with the wider
variety.  Doing a diet analysis (from a 3-day diet record) would be
helpful to the Mothers to let them know they are getting good nutrition,
even if it is limited.  Check this website for an analysis database:
http://www.nal.usda.gov/fnic/foodcomp/      it's free

Eat seasonally available foods from local markets.  Could exposure to
other alergens be a problem?  Dust mites, tree and grass pollin?  Many
infants have a VERY sensitive gut.  Ruling out a fissure would be very
beneficial--usually with a lower GI, or endoscopy.  Make sure it is a
Pediatric GI specialist that comes highly recommended.  I have had
horror stories from some parents.

Breast is best!!!  I have had to recommend Neocate to my
non-breastfeeding mothers.  I'm in the South--notorius for conservative,
anti-breastfeeding propaganda.

Diana M. Miller, MPH, RD
Pediatric Nutritionist
Rockingham, NC

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