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Lactation Information and Discussion

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From:
"Julia A." <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 12 May 2013 15:08:03 -0400
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Hi everyone,

This is my first post... I read your wise words daily and I now have an odd case that I need help with. Mom of a 10-day-old called me in tears; pediatrician just told her to stop breastfeeding, pump and dump, and feed formula because child has lost a lot of weight (8lbs 4oz at birth, 7lbs 1 oz 10 days later.) Baby is not vomiting/spitting up at all and according to mom, has at least 8 wet diapers and 4 or 5 large stools daily.  Pediatrician's concerned it may be celiac disease (no family history other than a distant aunt with the disease) so he says he doesn't want her nursing at all anymore until they've tested the baby.  First of all, what tests will they do to determine celiac in a newborn? Second, what am I missing? I thought recommendations were for mom to continue nursing until it's confirmed. And I also thought celiac usually takes some time to develop and will likely not show up until introduction of first solids/gluten.  And third, what else could we likely be facing here, with normal outputs and a significant weight loss?

I'm probably leaving out important info in this post... and I'm fairly new at this so I may not even be asking the right questions, but I guess I have to start somewhere right? Thanks in advance for any help or advice you can provide!

Julia Amos, MPH, IBCLC
Milwaukee, Wisconsin
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