Yeah, same song, zillionth verse.

I am working with a mom who initially presented as having a 12 day old 
baby who was lactose intolerant.  I checked to make sure it wasn't 
galactosemia.  Baby has abundant yellow seedy stools, gains 1-1.5oz per 
day, and has several daily episodes of drawing up the legs and 
screaming.  Sure sounds like mild oversupply to me.  Previous child was 
bottlefed EBM plus lactaid, and mom just can't keep up with that regime 
for this baby, which is why she called me.  In addition, Mom eats 5-7 
servings of dairy per day, so I red flagged that.  We talked about 
switching sides q3-4 hours and cutting out the dairy.

So why the diagnosis?  Because her pedi did a "stool residue test" 
which showed that the stool had "way to much lactose left in it."

Mom sort of believes me, because I described to her what she would be 
seeing if her baby were truly intolerant of the chief carbohydrate in 
her milk!  She was nervous to restart bf (had weaned to soy) bc she was 
afraid of hurting baby's tummy.  I told her gently but directly that 
weaning a 12 day old had far worse consequences than a few days' sore 
belly.

So my question is, have any of you heard of using this stool test with 
a bf baby?  And is there some standard for how much lactose should be 
in the stool?  And why is this test appropriate for a baby who appears 
to be thriving?

Lynn in MO USA

  

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