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Subject:
From:
David Sulman and Anne Altshuler <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 26 Feb 2008 16:31:17 -0600
Content-Type:
text/plain
Parts/Attachments:
text/plain (77 lines)
Helen Butler asked about a baby who experienced constipation  
following introduction of solids.

Constipation can be a sign of cow's milk intolerance.

See http://content.nejm.org/cgi/content/full/339/16/1100

for a study reported in the New England Journal of Medicine, Volume  
339, number 16, pages 1100-1104, October 15, 1998.
It is titled "Intolerance of Cow's Milk and Chronic Constipation in  
Children."


> Conclusions: In young children, chronic constipation can be a  
> manifestation of intolerance of cow's milk.
>

This is something to consider, if it hasn't been already, with this  
family.  You can also do a Google search on "Constipation and  
introduction of cow's milk in infants" to bring up additional articles.


> Date:    Tue, 26 Feb 2008 17:18:44 +0000
> From:    Helen Butler <[log in to unmask]>
> Subject: Re: solids
>
> I'm trying to help a mum at present who actually wants to withhold  
> solids f=
> rom her  baby because of the experience she had with her  
> firstborn.   This =
> little girl was doing fine  on  milk alone but once solids  
> introduced suffe=
> red  dreadful constipation.  She had poor muscle tone in her trunk  
> and was =
> late in sitting up etc.  Has been on laxatives ever since and is  
> now 3.  I =
> supported mum when everyone was telling her  best to wean so   
> little one wo=
> uld drink more  [no, no lumps in the milk!, we did joke about that] 
> despite =
> when baby   went off solids and back to  exclusive  bf the problem  
> went awa=
> y, and  through toddler nursing.  Firstborn is under the care of an  
> eminent=
>   children's hospital here in the UK, and they don't really now  
> what is wro=
> ng.  We have sought the   opinion of  bf supportive docs who think  
> it would=
>  be a bad idea to withhold  solids if baby is keen - is now 7 mths  
> and has =
> better muscle tone than his sister, even though  they seem to be
>  causing constipation, but to go slowly and go with  baby led  
> feeding and a=
> bove all keep up the  BF.  Daughter has allergies so    they need  
> to be eve=
> n more careful.=0AHave any of you come across a  child  with  
> problems like =
> this little girl's and if so  how did they resolve.  The mum would  
> like to =
>  find out that she's not the only one with such a problem=0A=0AHelen
>


Anne Altshuler, RN, MS, IBCLC, LLLL
[log in to unmask]

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