RE. baby "well" after being put on alimentum





I found an algorithm for the diagnosis and management of cow's milk protein allergy (CMPA) in exclusively breast-fed infants by Vandenplas Y et al. Arch Dis Child 2007: 92: 902-908



Which is interesting/helpful but in the end says "refer to pediatric specialist of diagnosis and treatment, in the mean time: elimination diet in mothers (No CMP) plus Calcium supplement."





More helpful perhaps would be an article from the Peoria Journal Star   pjstar.com  from Friday Oct 8, 2010 which is titled Good vs. bad bacteria.  The author is Clare Howard   [log in to unmask]<mailto:[log in to unmask]>  It features a mom and baby I worked with six years ago whose newborn had bloody diarrhea at age 3 days.  They worked with probiotics recommended by their ped gastro  Dr. Khaled.



Hope this helps!



Polly Kocher, BS, IBCLC









From:    Mary Coutts <[log in to unmask]>

Subject: baby "well" after being put on alimentum



My name is Mary Coutts.  Posting for the first time in years.  Received a call

from a mom who's 3 month old has been very "fussy, unsettled, unhappy, gassy"

beginning at around 2 weeks of age.  She discussed symptoms with ped who put her

on something for gerd.  Thought it might have been helping but did not.  Has

since gone to a gastro doc who suggested she put baby on alimentum (protein

hydrolysate formula)Is this a formula that "covers" all possible food allergies

or only milk and soy protein allergies?  Baby was a "different baby" within 12

hours per mom. Has been on only alimentum for one week now and mom states she

has a very happy baby.  She has been pumping but wants to go back to

breastfeeding. She said she eliminated all dairy for one week before going to

gastro with no change in baby at that time.  She is finding her milk supply

going down.  I gave her suggestions for boosting her milk production.  Would you

suggest she do a strict elimination diet or start with the dairy again and see

if perhaps giving it a minimum of 2 weeks would be the answer?  She doesn't

sound like she wants to take 2 weeks to see if it works and then turn around and

have to try something else.  Plus in her mind she thinks already it won't work

because of the one week trial she already did...Perhaps I just answered my own

question?  Elimination diet?  I have not worked with anyone before with a strict

elimination diet.  For those of you who have, would you please share the

process.  What about pancreatic enzyme supplement? Anxious for help from all of

you much smarter and more experienced than I....Thank you very much.

Mary Coutts, IBCLC, LLLL






====================
The information in this message is confidential and may be legally privileged. Access to this message by anyone other than the addressee is not authorized. If you are not the intended recipient, or an agent of the intended recipient, any disclosure, copying, or distribution of the message or any action or omission taken by you in reliance on it, is prohibited and may be unlawful. If you have received this message in error, please contact the sender immediately and permanently delete the original e-mail, attachment(s), and any copies.
====================

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome