Elimination diets can seem exceptionally challenging when one is
thinking in terms of what one can't eat.  Mom's tend to be very
reluctant to even give up dairy, let alone dairy, gluten, yeast, corn,
citrus.  it sounds impossible.

What sounds easier is to say  "make up a big pot of rice, bake some
turkey, saute some summer squash, zucchini in olive oil with salt, and
bake up a winter squash - don't even have to cut it first, just poke
holes in it and toss it in the oven for 1 hr at 450.  Also, for the time
being, stop prenatals and other supplements".   While it may be boring,
at least you'll have food handy.....after a few days you'll probably see
a big change in your baby - though it can take up to two weeks for some
proteins to be eliminated from your baby's body.  Then start
reintroducing foods.

It's not breastfeeding that's the problem here, but most likely some of
the proteins in mom's diet leaking through her gut wall (leaky gut
syndrome) into her blood stream, into her milk.   Baby's gut is reacting
to the proteins.

Wait, another idea, even easier.  There's an IgG antibody food
intolerance test from York Nutritonal Labs (www.yorkallergyusa.com) that
requires only a fingerstick (not a draw).   This could really give some
direction....then mom could in the mean time, go to the basic diet, then
reintro foods based on the results.

Best of luck.  Encourage mom to keep nursing.  Formula is not the
answer.  It will seem so over the short term b/c the baby will probably
improve on the elemental formula (I say probably), but over the long
term, it's risky for such an allergenic person.    This baby needs
breastmilk...she just needs it to be free of her allergens - which could
just as likely be corn, soy, fish/shellfish, peanuts/tree nuts,
gluten/wheat as it could dairy.  Citrus is also fairly high up.

It's unlikely that the dairy free trial was extremely dairy free unless
mom read up on food additives at various allergy websites.  Dairy hides
under alot of names...as does soy and corn (citric acid is suprisingly
almost always from corn, so is dextrin, modified food starch...you get
the idea).

Going with the basic diet for a bit could be quite easy for mom and
could get baby some relief right away.   Following up with IgG testing
would give some direction.  IgE tests probably wouldn't yield much since
baby isn't having 'classical' allergy symptoms such as hives and
breathing difficulties.

I ordered the York test and pd for it myself, then took it to my doc
where his nurse did the test.  Then they billed so i'll get reimbursed.

:)
katherine in atl

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