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Subject:
From:
BRENDA PHIPPS <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 1 May 2006 13:04:53 -0700
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Hi,

Have a mom with a 6-month old, exclusively breastfed, diagnosed with 
allergic colitis.  Infant began having bloody stools several months ago, at 
which time an anal fissure was considered to be the cause. Blood in stool 
has become severe, and baby's hematocrit is 9.6. Baby is thriving, and 
weighs 17 lbs.

Pediatrician referred mom to a peds GI in Phoenix. First GI specialist 
immediately told mother to wean right away - second GI specialist had mom go 
on an elimination diet rather than wean.

Infant has allergy- tested positive to peanuts and cow's milk. Mother has 
not eaten eggs, chocolate, whey and casein products, and absolutely no milk 
products or food with milk in it. No change in stools in 3 ½ weeks since 
mother made these dietary changes.

GI specialist now tells mother to completely wean, and to stop pumping. 
She's been told that she will never be able to reintroduce breastmilk to 
this child again, and that he will be highly allergic to many things for a 
long time - not a good prognosis. Explanation from physician: the amino 
acids from human milk are so small that they are passing through into the 
baby's blood stream. Child has started Neocate formula, and mother has been 
told that it will take up to 10 days to see the difference.

I have told this mother to continue pumping until I find more info. If 
anyone knows this to be a rare but true reason for having to wean this 
child, I'd love to hear from you and learn something from this case.

Important side note: Baby did received formula at birth for the first 
feeding due to a hypoglycemic episode at birth, and continued with formula 
in the SCN via SNS for 3 days until mother's milk came in. Also, her 
pediatrician has stated that infant has "leaky gut syndrome" and I can't 
find anything about this in the archives today.


Please e-mail to the list and to [log in to unmask]<about:blank>

Thanks,
Brenda Phipps, BS, IBCLC




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