Pamela writes:

I'm  concerned that tt, lt and ptt is over-diagnosed these days, so I'd 
leave that  question until last and address the symptoms that jump 
out at me  first,  ie increasing baby's intake of pure,  
unadulterated,cow's-milk-free breastmilk as the first priority.

Would  love to hear how this goes!
 
~~~ Brilliant, Pamela. You covered all the cow milk protein stuff I  wished 
I had also said. :) Reflux is often either triggered or worsened by  CMP. 
Saw a 5 week old just now, very mucusy stools, silent and overt reflux, ,  
mostly silent though, arching at breast, clicking/coughing even  before 
feeding after lying down for diaper change. I didn't  even check his tongue, 
because his weight has been fine ( and mom had Niagara  Falls letdown until 
recently) and mom has no pain, and he transferred a normal  amount of milk in a 
reasonable time frame. 
Peace,
Judy

 
Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
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