Hello everybody, It is with great remorse (I take this very personally) that the mother who I've been trying to help has given up totally on breastfeeding. After two weeks of persistent corrections for foremilk-hindmilk imbalance - the mother is throwing in the towel. In fact, she is so convinced that her milk is causing her baby's pain that she has no regrets switching to ABM. The Dr. agrees with her totally. It's very hard for me to accept this mother's choice - yet I know it is her choice to make. A nursing session would go as follows: mother would put baby to breast for a short 3-5 minute session and each time her baby would nurse, act content and smilely, and then start to scream within 10 minutes and it continues on for 2 hours! The baby is in agony according to the mother. Stools tests show that there is blood, lactose, and fats present. When the baby uses formula only, stool test is normal and baby is comfortable. Mom says baby has reflux episodes but she's OK with this - better than screaming. The mom has been pumping during this time and her supply has greatly dwindled. To date, our plan has been to rule-out food allergens by eliminating offending foods (dairy, eggs, peanuts, cole crops, coffee, wheat, citrus), to reduce the amount of lactose baby is receiving by having mom nurse on one breast , eliminating vitamin supplements in mother, and encouraging frequent small feeds as opposed to more lengthy feeds where baby would possibly be ravenous and ingest large quantities of foremilk. The only thing we haven't discussed is environmental issues! Does anyone think that the mother is not telling the whole story? I have not talked with the doc. as the doctor has little respect for LLL and would probably not even reply. The fact that I'm an IBCLC would have little influence. Thanks to all who have replied to my fist request for help. Arly, my hubby can't add my name to his address unfortunately - it's the government you know - they're picky about those kind of things! Lisa and Diane, thanks for your replies - I really wish it was lactose overload - it would be solved by now! Depressed in Suquamish, Nancy Ferland, IBCLC, LLLL blah blah blah