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LACTNET Home

LACTNET Home

LACTNET  September 2005, Week 2

LACTNET September 2005, Week 2

Subject:

bloody stools, long

From:

milburn1 <[log in to unmask]>

Reply-To:

Lactation Information and Discussion <[log in to unmask]>

Date:

Fri, 9 Sep 2005 15:38:34 -0600

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (139 lines)

Dear Friends,



I have mother's permission to post.  With Nikki's recent post about bloody 
stools and Catherine's insightful reply, this letter comes at a time when 
this topic is fresh on our minds.  I am going to share a *brief* (:>) 
synopsis of events, in the hopes that someone can offer some ideas as to 
possible causes.  My apologies in advance for the length.



Baby is now 11 months old, was induced at 38 weeks (head size); birth weight 
was 7 lbs, lowest was 6 lbs 13ozs; mother has treated autoimmune thyroiditis 
since age 14.  This is mother's second baby; oversupply with first baby. 
Mother feels oversupply this time is not as severe as it was with first 
baby.  I can get details if they would be helpful; mother was able to pump 
copious amounts at that time.



Mother began treating for oversupply very early on, was only offering one 
breast per feed; pumping for relief several times a day (for a total of 2 to 
4 ounces daily).  Saw IBCLC on day 8 pp primarily for engorgement.  Began 
sage tea, 1 qt daily.



Still somewhat engorged at 2 weeks pp.(7 lbs 2.5 ozs)  Mother cannot go 
without nursing more than 2 to 3 hours without pain.



2 months; 11 lbs- baby's stools are loose, green, and sometimes foamy. 
Mother thinks these stools began when baby was 1 to 2 weeks old.  Mother had 
been drinking 2 quarts of sage/peppermint tea blend and writes, "During this 
time if I did not drink the teas, I would get a rebound in supply within 24 
hours."



First blood (small amount of blood and mucous) in stool seen one day after 4 
month checkup. (13 lbs 8.5 ozs)Ped thinks it's a fissure.



6 months; 15 lbs 1 oz- discussed periodic blood in stools with Ped; babe was 
given Pepcid with reflux since he had been arching his neck backward; Ped 
not really sure there is a problem.  Mother told to start rice cereal, then 
yellow veggies followed by fruit.  Baby given brown rice porridge with 
increased irritability with loose green stools only every other day.



Baby also has had nasal stuffiness and fluid in one ear.



Back to pedi 8 days later, saw a different doc who suggested mother try a 
trial off of dairy.  She also suggested baby was just crying because he had 
figured out how to be held.



Results of solids= scaly patches on buttocks/lower back area.  Stopped rice, 
applied cream and was resolved in about 3 weeks.



After baby was 7 months old, baby began exhibiting cold symptoms and began 
having dark red flecks in stool.  Tested positive for blood at docs, doc 
said he saw a fissure, mother went off her dairy free diet.



During these last 10 days, baby has had bloody flecks/mucousy stools almost 
every day.



Referal to GI ped; mother started hypoallergenic diet.  Stopped creon 
becuase it didn't seem to be working.  Restarted creon after talking to GI 
doc.  Baby continues to have liquid stools for the last few weeks, still 
blood and mucous about twice a week.



9 1/2 months, approximately, flexible sigmoidoscopy done.  Results show 
*many* little ulcerations in colon, significant inflammatory process.  Blood 
work including albumin, hemoglobin and hemocrit are normal; circulating iron 
a bit low.  Eosinophilus on biopsy is 40.  Weight is 16 lbs 5 ozs.



End result- mother has been pumping and storing milk while her baby has been 
on Neocate.  On Neocate, stools are a thicker green, some dark gray flecks. 
Mother hopes to get baby back to the breast as soon as she is able to. 
However, mother is still concerned that her milk caused the problem in the 
first place, and is worried that should he start nursing again, that this 
problem will present itself again.



She would very much like to know what she could have done to avoid this 
situation; if anything.



What are all of your thoughts?  Any ideas on what caused this situation and 
what she could have possibly done to eliminate, remedy, or treat it along 
the way?



My sincere thanks to those of you still reading and willing to share your 
experiences!



TIA!



Sincerely,

Tallis Milburn

             ***********************************************

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