Here's the case: Second baby, born at 39 weeks, 7lbs. 3oz. No formula in 
the hospital. Exclusively breastfed. At 8 week check-up mom told Ped. 
about bloody stools (sometimes spotty, sometimes jelly, it varied). Mom 
stopped all dairy and beef immediately per Ped. and then soy a few days 
later (very diligent to diet). Bloody stools continued for a few weeks and 
at approx. 12 weeks pp, mom started pancreatin 2-4 tablets after each meal 
and 2 after each snack, also 2 caps fish oil mid-day (per my suggestion). 
Blood appeared to be gone in 48 hrs. and stool was tested negative at Ped.. 
five days later. At about 8 days after starting enzyme blood returned
(nothing had changed in diet or mom's supplementation). At this time mom 
started a probiotic (per Ped.). At week 14 (which is this week), much to 
mom's disappointment, Ped. introduced Neutramagin. Now baby has diarrhea 
and still occasional blood ranging from jelly-like to spotted...
On top of this, with change in diet mom is getting frequent painful canker 
sores/ulcers in her mouth and has lost 35 pounds (since baby's birth) and 
has reduced energy due to diet and stress. She is probably smaller now 
than her pre-pregnancy weight, which was petite. Pediatrician's nurse told 
her she could nurse in morning and evening, give formula during the day, 
and eat some dairy products...???? Is it now time for a GI specialist? 

Mary Ellen McNeal, LC Intern

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