Mary
Firstly, sending good wishes for the Exam later this month!
Regarding your co-worker's son with eczema. When I worked with a 4
month old who had the worst eczema I've ever seen in my life, the
mother firstly eliminated dairy, but wasn't very diligent about
it. She loved cheese and occasionally slipped, and she didn't check
dairy content of processed/baked goods. Then she substituted goat's
milk products for cow's milk products and I found out with the help
of Lactnetters that goat's milk shares 80% of the proteins of cow's
milk, so that needed to be eliminated too, and she substituted with
sheep's milk. And then we had to tackle beef. It makes sense that
beef being an even denser protein than milk, from the same animal,
could also cause problems, but somehow it's always forgotten. It was
only when she finally eliminated ALL (and I mean every particle!) of
dairy, goat and beef (and beef products, that's soups, stews, stocks,
gelatine products etc.) for about a month that there was a remission
of symptoms. And then the baby's skin cleared and was absolutely
beautiful. I have before and after pics which I have permission to share....
IMHO there would be absolutely no advantage and considerable risk in
weaning this baby to any kind of formula at all, no matter how
hypoallergenic. This baby NEEDs the immunological and gut-protecting
components of breastmilk, and he's lucky that mom is still
exclusively breastfeeding him. The solution is to find out and
eliminate whichever proteins the mother is eating which are leaching
into her milk. Sometimes babies with these extreme sensitivities
refuse weaning/solid foods beyond six months and only accept them
later, and that's OK too.
It would be great if you could let us know the outcome of this
worrying case. Best wishes to all,
Pamela Morrison IBCLC
Rustington England
---------------------------------------------
Date: Tue, 8 Jul 2014 00:11:35 -0400
From: Mary K Medenwald <[log in to unmask]>
Subject: Persistent excema in 5 mo old
Hello! I am currently studying to take the IBCLE this month and
offered to share my co-worker's concern with you more experienced
LC's in the hopes that you may have more experience and advice for her!
My co-worker (an experienced NICU RN) has been exclusively breast
feeding her 5 mo. old son. He continues to have excema, flecks of
blood in his stool, and colic-like, gassy fussiness at night. She
fastidiously eliminated all dairy and soy from her diet for two solid
months and the symptoms perisisted. Her pediatrician told her to
relax and not worry about it as the baby is gaining wt. and otherwise
thriving, however, he did give her a gastroenterology referral. The
GI specialist told her the baby was allergic to a protein in her
breast milk and that she should wean immediately if she wants the
symptoms to go away. Can this possibly be true? It seems impossible
to me that ABM would be superior in this case.
I suggested she see an allergist and to continue breast feeding
until she can get some concrete answers. She's wondering if she
should eliminate gluten?
I would appreciate any experience or advice you could give!
Thanks in advance,
Newbie
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