I would appreciate ideas for this case. 6 week old child, born at 7-5, now weighs 11.5 pounds. Baby's dad is a physician. Baby has been spitting up frequently since birth. Parents would not be concerned so much about this, because baby is obviously growing well, but baby seems to be in pain during feeding and cries a lot. No choking episodes, just frequent pain and vomiting. We have removed dairy from mom's diet, (for two weeks, still dairy free) and mom only feeds one breast each feed. Parents tried reflux meds which did not seem to make a difference, I believe propulsid and reglan. They were trying to just go with this and have weekly weight checks. Baby gained only one ounce last week, so they got very concerned. I told them wait and see, could have been a fluke since it was on a different scale in ped's other office, but they didn't want to wait and see. Went to see pediatric gastroenterologist last week who diagnosed breastmilk allergy. Told them to take baby off breast for 72 hours, pump milk and feed predigested. Parents decided to try. Baby refused to drink from bottle, refused predigested. They were only able to get small amounts in her (5 ounces in 24 hours). They went back to gastroenterologist. He said baby had blood in stool. Dad looked at test, could not see a positive reaction. No obvious blood. Dr. scoped the baby. Said, sorry it is not breastmilk allergy, it is gastritis from reflux. Severe redness in throat and esophagus. This MD says he diagnoses 10-11 cases of breastmilk allergy every month. What suggestions would you have for this mom? She has tried holding the baby upright after feeds. She has tried smaller frequent feeds. Do you think this baby would be helped by some chiropractic adjustments? More medication? More dietary changes for mom? All suggestions would be appreciated. Ann Calandro,RNC,IBCLC *********************************************** 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