One of my peer counselors is helping a mom with a problem and needs some 
input as I'm out of ideas as well. If anyone can help please email me privately 
at [log in to unmask]

Background:
Baby boy is 3mo, uneventful breastfeeding history until now.  Mom is very 
proud that she is breastfeeding as she formula fed (even adding cereal to the 
bottle!) her others. Baby has been uncomfortable and not moving bowels 
regularly for 2 weeks now. After 5 days she brought baby to MD who said 
tummy not distended can offer 1oz water/prune juice mix. Offered the juice, 
baby had bowel movement. It was firm but not hard and "orangey" colored. 
Again baby went 5 days, seemed uncomfortable tried juice again and it worked 
again but only for the one movement. Now baby is another 5days out and still 
no movement even with the prune juice.  It would not be a problem but mom 
states the baby is not his self...uncomfortable, edgy and not nursing well (but 
still at breast). She offers no formula or solids only breastfeeding. BW was 6-
13 and weighed 12-6 two weeks ago. No other meds for mom or baby except 
moms prenatals, no other diet changes that mom can think of. She admits to 
not eating a "good" diet. Lots of prepared frozen type foods and "junk" foods.
I've asked the peer to ask about milk intake (ie: ice cream in the last few 
warmer weeks) although I'm not sure that would cause these bowel changes.
Jennifer Tow can you provide some insight, you seem particularly expert at 
dealing with digestive issues.  Thanks!

Ilene Fabisch, IBCLC/RLC
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