Greetings,
 
I received the following email from one of my clients and am at a loss as  to 
what to suggest next. 
 
I hope you remember  seeing me about a month ago.   I am still breastfeeding 
exclusively,  but am still having problems.  My daughter is still having green 
 stools.  They are sometimes sticky and other times dark or brownish.   Of 
course, then there are the few times they are yellow.  I have tried  everything. 
 I was on sage for a while and seem to have fixed the  oversupply.  I have 
also been on an elimination diet to try to pinpoint  what is causing the upset.  
I am down to eating very little and still see  no change in her bowel 
movements.  She spends the entire day awake and  seems very unhappy.  I mentioned the 
stools to my doctor, but he doesn’t  seem concerned.  Do you have any idea 
what could be causing this?  My  husband wants me to put her on formula, but I 
desperately want to continue to  breastfeed.  Other than the stool color and 
wakefulness she seems  fine.  
 
Although my client is  vegan, she has switched to a diet of rice, sweet 
potatoes, turkey and yellow or  green squash. She has been on this diet for 
approximately a week. She has celiac  disease and has been on a gluten-free, 
dairy-free diet. She was taking a  multiple vitamin and B12 but stopped after our 
consult.  She is on  Levoxyl (Synthroid) for hypothyroidism and had her hormone 
levels checked to be  sure the dosage was still appropriate. Her daughter nurses 
often for about 15-20  minutes. She uses one side for about 4 hours at a 
time. Her daughter has about  10 explosive BMs a day, which are sticky, dark or 
brownish. They don't smell.  Her daughter is awake most of the day and although 
she doesn't scream, she is  fussy. She is now about 8 weeks old and rarely 
smiles- maybe once every 3 days  or so.
What else can we  try?
 
TIA 
 
Kathy
 
Kathleen  Fallon Pasakarnis, M.Ed. IBCLC
Nurturing Family Lactation and Parenting  Services

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