Alimentum was an interesting choice. If the baby improves, it will either be
because (a) the bloody stools were primarily caused by lactose overload
(foremilk:hindmilk imbalance) or another cause; or (b) this particular
mother's milk has more allergenic cow's milk or other foreign proteins in it
than the cow's milk hydrolyzed Alimentum.

Bearing in mind that "hypoallergenic" infant formulas are, as the
manufacturers say, less allergenic than regular infant formula and not
non-allergenic, and that hydrolyzed infant formulas will contain some level
of cow's milk allergens, in the doctor's place I would have chosen an
elemental formula instead, if reducing the lactose in the breastmilk was
ineffective.

It may be that this baby's protein sensitivity, if it exists, is less than
will be provoked by hydrolyzed formula but more than will be provoked by
cow's milk in this particular mother's diet. But it seems odd that it was
too much of an emergency to look at lactose first, but not enough of an
emergency to use a non-allergenic formula.

Arly Helm, MS, IBCLC 

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