Rachel writes:
>I'm seeing a mother of a two month old baby who has been gaining fine but
>very unhappy with feeding.  Mother contacted me because breastfeeding is so
>stressful.  Some feeds go smoothly, most often at night.  Other times, he
>seems hungry to mother, will latch on and suckle for about five minutes,
>after which time he pulls off, though continues to behave as if hungry -
>hands to mouth, rooting a bit.  Mother notes that milk is often spraying
>from her breast when he lets go.  If mother offers the breast again he
>becomes very upset, screaming and arching.  She fears that five minutes
>isn't long enough to transfer enough milk to survive and is very worried
>that he is getting underfed. 
>
>He has many wet diapers every day and mother reports that he stools 'about
>twenty times a day'.  Stools are 'slimy' according to mother.  This is her
>second baby.  She breastfed her first for over a year, and wants very much
>to enjoy breastfeeding this baby for at least as long, but as it is, neither
>she nor baby are enjoying it much at all.

Rachel, this sounds like classic lactose overload to me - ie too much 
milk too fast. The baby acts 'hungry' due to belly ache. I assume he 
is gaining weight?

Output sounds classic - the slimy stools are from gut irritation from 
the rapid transit time.

I have written about this in the last section of my article on the 
Australian Breastfeeding Association website 'Lactose Intolerance and 
the Breastfed Baby'. See 
http://www.breastfeeding.asn.au/bfinfo/lactose.html

Joy
-- 
******************************************************************
Joy Anderson B.Sc. Dip.Ed. Grad.Dip.Med.Tech. IBCLC
Australian Breastfeeding Association counsellor, Nutrition student
Perth, Western Australia.   mailto:[log in to unmask]
******************************************************************

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