Hi Sharon, As Dr. Fleiss said, human milk is loaded with lactose. True lactose intolerance is something that tends to happen to people around age 4-5 (the physiologic age of weaning) because physiologically we should not need lactase anymore. In cultures where cow's milk consumption is low or unheard of, those people have a very high rate of lactose intolerance. In countries where cow's milk intake is high, people's bodies have adjusted to continuing to produce lactace for a lifetime, or at least for many years beyond weaning. It is not possible (or necessary) to remove lactose from human milk. What you described sounds like a normal baby to me. If this baby is infrequently stooling, it could just be a normal breastfed baby, and Mom should consider herself lucky that she doesn't have to change that many poopy diapers. It doesn't matter how much the baby grunts or groans or what kind of faces he makes when having a bowel movement, as long as it is a normal mustard-style bfed poop. Everyone needs to keep their fingers out of that poor baby's rectum too. Many docs freak when a baby doesn't stool frequently because with an artificially-fed baby, it means constipation. I have yet to see a constipated breastfed baby, and my very own second child had a bowel movement once a week or less. (I was a very happy camper!) As far as the other fussiness goes, this may just be a high-need baby. When a mother tells me that she has a colicky baby, I always ask if the fussiness is inconsolable. Does the baby cry at the top of his lungs? And is Mom's every effort to comfort the baby in vain? There are some babies who just NEED to nurse every hour, or that need to be held most of the time. Has she tried a sling? Unfortunately, many mothers today don't want to "mother" the baby. The would rather be a drug dispenser. If the baby will calm down when nursed or picked-up, then he is fine. If he is truly inconsolable, then it could be any number of allergies...dairy products, mom's vitamins, baby's flouride, etc. LLL has a couple of great reprints that you might find helpful: "When Baby Cries" and one on allergies. Best wishes, Debby Boehle, IBCLC