In response to the probiotics. I highly recommend acidophilus to patients if
the baby has to go on antibiotics for an infection. One of my own children
got bloody diarrhea each time he had to take antibiotics, but the culture
for C. difficile was always negative. When I started giving him acidophilus
when he got antibiotics (and after) the diarrhea stopped.
The most striking case I have seen where acidophilus helped, was in a baby
who was hospitalized as a neonate for meningitis. After she recovered from
meningitis she had watery diarrhea. The baby was receiving nothing but
breastmilk. The mother had tried every elimination diet known to man and was
eating practically nothing but rice. The baby had seen two
gastroenterologists in two different cities without any improvement.
The mother researched acidophilus on her own, and gave it to her baby and
the baby improved almost immediately. I didn't think to recommend it in this
case because the baby was only a few weeks old, and my son was a nursing
toddler when the acidophilus fixed his problem.
It is amazing what we can learn from our patients! Nell Blakely, BSN, IBCLC
Brandon, Mississippi
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Sent: Friday, November 20, 2009 11:02 PM
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Subject: LACTNET Digest - 20 Nov 2009 (#2009-1072)
There are 3 messages totaling 112 lines in this issue.
Topics of the day:
1. Domperidone
2. Quiet babies for hearing screening
3. Infant Thrush, mom giving probiotics...any ill side effects?
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Date: Sat, 21 Nov 2009 09:51:24 +0800
From: Jenny Doncon <[log in to unmask]>
Subject: Re: Domperidone
Hi Marianne
I was waiting for someone with more experience to come along, as I'm
not sure how domperidone works, however, she could probably experiment
over a couple of weeks to see what happens. I always found that it
took 2 weeks to really see the impact of any change in my expressing,
so maybe she would find similar with changing her pills.
When it comes to weaning from dom, most mums find that they can drop a
few pills each week, maybe going from 4 x10 to 4x 9 one week, then the
next week 4x8 until she finds a drop in supply, most mums find this
happens somewhere along the line. The trick then is to go back to the
previous week's amount and stay there for a month or so until supply
settles. So if supply drops at 4x7 then she goes back to 4x8 for a
month and when her supply settles starts dropping again. Some mums
actually find that when they go back up a pill or two their supply
gets better than it was before.
I hope this helps.
Jenny
Jenny Doncon
Breastfeeding Counsellor, IBCLC, Australia
EPed 26 months (read my weaning diary here:
http://www.lrc.asn.au/forum/viewtopic.php?t=40015
and the rest of my story here:
http://www.lrc.asn.au/forum/viewtopic.php?t=41257
)
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Date: Fri, 20 Nov 2009 21:27:13 -0500
From: Dawn Kersula <[log in to unmask]>
Subject: Quiet babies for hearing screening
We're a small hospital so we nurses (land me - "the" lc) are all trained to
do hearing screenings. We like to do them after the baby has nursed. My
record was 48 seconds - but I don't hold the record! If you tell moms that
it needs to be quiet there won't be "artifact" in the rooms either (if they
are private rooms - and I don't know why you couldn't say something to the
roommate either).
Dawn Kersula MA,RN, IBCLC in Vermont
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Date: Fri, 20 Nov 2009 22:27:02 -0600
From: Anne Eglash <[log in to unmask]>
Subject: Infant Thrush, mom giving probiotics...any ill side effects?
Probiotics are absolutely fine in the baby's mouth. I always recc just
as what was described- swipe the baby's mouth about 4-5 times a day with
acidophilus powder. Nystatin will almost always cause a diaper rash
after the first 1-2 days of use. For that rash, I recommend a topic
antifungal such as clotrimazole or nystatin ointment. For many babies,
though, the rash goes away in 4-5 days without any special treatment.
Anne Eglash MD
Clinical Associate Professor
Dept of Family Medicine
University of Wisconsin School of Medicine and Public Health
600 N. 8th St.
Mount Horeb, WI, 53572
608-437-3064 (O)
608-437-4542 (fax)
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End of LACTNET Digest - 20 Nov 2009 (#2009-1072)
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