I would agree. Baby is hungrier at night, so complaining then. Little
bit of blood in stool is often a red herring, usually is due to a
subclinical (no other symptoms) gi infection.
Cathy

Catherine Watson Genna BS, IBCLC  NYC  cwgenna.com

On 1/29/2014 4:12 PM, [log in to unmask] wrote:
> Low supply
>
> -----Original Message-----
> From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Jessica L. Callahan
> Sent: Wednesday, January 29, 2014 1:08 PM
> Subject: Foremilk/hindmilk imbalance or allergy or ?
>
> Last week spoke to a mother on the phone who thought she may have FH imbalance - described typical symptoms. She did blocked feedings for 24 hours. Called back next day and said symptoms were improving. She called yesterday and said - baby appears better except for evening/nighttime hours where baby is very fussy and appears in pain in her stomach and stomach makes 'rumbling noise'. Baby also had one bout of green/yellow stools with small trace of blood in it but this only happened in the morning. Her stools in the evening are normal.
> Mother will write a food diary but she states there is nothing that she eats the same in the evening.
>
> These were my thoughts:
>
> I was also thinking along the lines of maybe an ear infection or reflux but these symptoms don't happen during the daytime naps.
>
> FH imbalance - but stools are normal in the evening and in the evening mother feels breast are much softer
>
> Allergy - behavior only happens at nighttime
>
>
> I will be seeing mother later this week and will do a weight check and pre/post feeding weight. along with assessing the feeding and looking at her food diary. Does anyone have any other suggestions.
>
> Jessica Callahan IBCLC
> NC, USA
>
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