Hi Libby, What about a possible food allergy / reaction to proteins in mum's diet? This is what makes me think of allergy: - slow gain - eczema - very frequent urination - GERD Just a thought :) Sisse, IBCLC in Denmark, Europe fre. 16. aug. 2019 02.02 skrev Lj Berkeley <[log in to unmask]>: > Hello Smart Women! > I am in need of brainstorming help. What follows is a "case study" of a > client that I have been struggling to help. I'll post in bullet point > style so its easy to read. What I want to know is if anything jumps out at > you (i.e. what am I missing?). He has dropped from the 50th percentile to > the 12th and mom is very upset. Pediatrician is not. > > DOB 5/10/19 boy at 39 5/7 wks, vaginal birth (NSVD) in a hospital to an MD > > BW 7lbs 9oz > > Wt at 2d 7lbs 2oz > > Wt at 2 mo 11 lbs 3oz > > Wt at 3mo 12lbs 3oz > > Wt at 3mo + 1 wk 12 lbs 7oz > > > Other pertinent facts: > > > Exclusively breastfed baby. Mother used shields until 8 weeks. Feeds > directly now. > > Baby feeds 10 x day > > Baby feeds 20 mins and generally both sides > > Baby had frenotomy in hospital at 1day of age (only tongue, not lip, > scissors not laser) > > Baby had small amount of GERD causing frequent spit up which has resolved > > > Stools: had frequent up to 2 mo and now has “massive” stools 1x day and > smaller 1x day > > Urine: very frequently urinates, diapers “always” wet and it appears clear > > > Baby developed eczema at 2 mo, began on his cheeks, spread to his > face. Pediatrician > prescribed hydrocortisone “oil” and mother states its helping. > > > Baby does not sleep with parents, but in a nearby bassinet. Feeds q 2-3hr > at night with one interval of 5 hours (usually) between 8pm and 1am. > > > Sibling: Breastfed +- 2 years with great weight gain all along. Sibling > also started feeding with shield and dropped it on her own at 6 weeks. > > > Mother's nipples appear undamaged, she denies any pain, feels full if baby > waits more than 2.5 hours without feeding. Her breasts appear normal to > me, medium sized, mildly flat nipples but evert nicely when baby attaches > (and round on detach) > > > THOUGHTS!?!? > > Libby in El Paso > > > > Lizabeth J. Berkeley, MPH, IBCLC, RLC > Breastfeeding Garden at El Jardin > 901 Arizona, 10:30-1 every Friday > 915-257-8844 > > *********************************************** > > Archives: http://community.lsoft.com/archives/LACTNET.html > To reach list owners: [log in to unmask] > Mail all list management commands to: [log in to unmask] > COMMANDS: > 1. To temporarily stop your subscription write in the body of an email: > set lactnet nomail > 2. To start it again: set lactnet mail > 3. To unsubscribe: unsubscribe lactnet > 4. To get a comprehensive list of rules and directions: get lactnet welcome > *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome