Dear Dr. Jack or other Lactnet friends,

I've been working with a mom with a sever case of colitis.  A few weeks ago
her GP precribed Flagyl (10-14 days) as treatment and to discontinue
breastfeeding her 6 month old while on it.  Baby was off breast for three
days, refusing bottles and taking only a few sips of water from cup, refusing
formula from cup.  After receiving info from Dr. Hale and mother improving,
GP cut dose in half and said mom could resume bf.  Baby refused breast and
was in hospital by day five, dehydrated.  Mom was trying all my suggestions
to break nursing strick, on day seven baby resumed bf. (This is mom's fifth
baby, all have been breastfed and self weaned.)

Mom's diarrhea is back after finishing Flagyl and GP has sent her to GI
specialist.  He is running test and wants to prescribe Asacol 400mg oral dose
3xd.  Mom will not begin med until I get back to her with info as to safety.
 From Hale's book, I understand it to  say it's poorly absorbed by GI tract
and infant would receive about 1% of maternal dose.  Does not mention if this
is ever used in pediatric care.  I need more info to share with this mother.
 She doesn't want to wean this baby again, but she does need relief from her
problem.TIA

Warmly,
Pat Lindsey, IBCLC