Joan Fisher, an IBCLC in Ottawa, has a protocol that she's spoken on at ILCA twice, for dealing with bloody-stooled or otherwise severely distressed babies for whom oversupply is a likely contributing factor. I haven't heard her updated talk, but a few years ago she was using a 4-step approach, moving from one step to the next only as needed: 1) address any oversupply issues 2) remove dairy from the mother's diet 3) assess role of other possible allergens in her diet, and possible role of meds (hers or baby's) or any foods mom ate copiously during pg (for one mother, she said, the culprit turned out to be Kool-aid) 4) have mother pump for bottles that she treats with lactase. Baby is fed this almost-lactose-free milk until stools return to normal, when direct breastfeeding is gradually reintroduced. Some of us proposed feeding lactase directly and bfing directly; others (including Joan) have found this simply isn't effective enough in severe cases. A compromise would be combining direct bfing with treated bottles. -- Diane Wiessinger, MS, IBCLC, LLLL Ithaca, NY www.wiessinger.baka.com *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html