Marsha says,

> A true 'transient lactose intolerance' which is suggested by what I reported
> from Joan's talk at the ILCA
> Conference (where lactase gtts alleviated symptoms and eventually were no
> longer required), and symptoms which are similar but not caused by the same
> process, which occur after abx treatment, illness or what-have-you?  Just
> pondering out loud.
>
Yes -- that's exactly what I mean by "transient."  Caused by -- whatever --
and will go away.  Antibiotics actually damage the brush border of the gut so
it makes it more permeable, and increases gut transit time, so the lactase
doesn't have time to kick in.  That's why the drops work.   Once the gut
heals up, or the foremilk/hindmilk imbalance is corrected, then gut transit
time is slowed enough for the lactase to do its work -- and the temporary
(transient) lactose intolerance is gone.  It could also be called lactose
overload -- too much for the baby to handle at one time because of the rapid
transit time.  I bet some of the baby's pain during those times comes because
of the cramping caused from the gut working really fast, and some because the
lactase hasn't kicked in.

Jan Barger, RN, MA, IBCLC, RLC
Lactation Education Consultants
www.lactationeducationconsultants.com

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