Andrea, has this baby consulted with a G.I. specialist to look into food
allergies, cow's milk being the most common?  Soy allergy is also
common, up to 50% of those who truly have a cow's milk protein allergy.
As been discussed before, mom's diet is extremely limited when
breastfeeding a baby with a true allergy to cow's milk protein and soy.
Now when it comes to metabolic disorders, there are way too many for
someone (includes me) that is not in the genetics specialty to even have
an idea of what can be the diagnosis.  Has this baby had blood work or
urine testing that shows +reducing substances?   Genetic testing is a
very long process, with many blood draws and biopsies and take
considerable amount of time for answers.  On the CHP.edu website for the
genetic program, it mentions that 'inborn errors of metabolism' are
estimated to affect 2 to 3 of every 1,000 babies born. Some examples are
organic acidurias, fatty acid oxidation defects, urea cycle disorders,
mitochondrial disease and galactosemia.  Many inborn errors of
metabolism can cause irreversible damage, and are screened in the united
states prior to discharge from the delivering hospital, or through the
midwife or physician if participating in home births.  Many may be
detected during standard or expanded newborn screening that I mentioned.
One that has made a huge impact is PKU screening as well as
galactosemia.  Your situation could be feeding related, as someone
mentioned in a subsequent post, but there are medical reasons that can
have an impact that are not very common.  So, yes I have seen babies
with absorption problems that are very rare and are usually genetic
related.

I wanted to chime in on the psychic thread, I think it is a bit out
there...  not for this forum.

Angie Kirkwood RN, BSN, IBCLC

Nurse Feeding Specialist and Certified Lactation Consultant
Children's Hospital of Pittsburgh




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