In need of help with those more experienced. A mom called today, this is her 3rd baby. Always had good production of milk. Has been diagnosed Cohn's disease. Baby is one month old. Nurses baby both breasts, compresses breast during pauses. Burps baby after feedings. Baby is asleep but wakes up after short while under 15 min screaming and not satisfied unless she has fed him 2 oz. of formula. 
Never experienced this with other children always over producer. Feels let down, also has Reynard's takes Entocort and Prozac only medications. Eats lots of fat in diet, Olive oil on salads, hamburger and uses margarine or butter. Concerns were that she didn't have enough fat in milk to satisfy him. Has several very wet diapers.
stools are slowing down to 1 a day or every 2-3 days with big stools. She has a good pump and pumped 7 ounces. I asked her to put her pumped milk in refrigerator to see if the fat separates to show some fat content.
Also next feeding instead of offering formula offer her milk to see if the two ounces of breast milk has the same satisfying effect as the formula. 
Thanks for your help. Soonest the better. Please email me privately.


Terri Klein RN, IBCLC, RLC
Registered Lactation Consultant
Central Michigan Community Hospital
Phone 989 772 3856
Fax: 989 772 6853
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