Another situation that could cause slow weight gain/ no weight gain in
the presence of adequate intake is cystic fibrosis.  It's generally not
the first thing that docs think of, because the presentation is usually
  slow weight gain and protein-energy malnutrition in a breastfed baby,
not the failure to thrive with respiratory illnesses that are seen in
artificially fed infants.

No matter what the cause of the failure to thrive, infant energy to
expend in feeding and maternal supply usually spiral downward together.
  Immediately working on rebuilding the milk supply and giving extra
milk is the first step.  If the baby does not turn around quickly,
organic causes for the ftt should be ruled out.  If the baby needs
artificial feeds temporarily, he should be watched carefully for adverse
effects.    Adding artificial feeds can cause rapid deterioration if
there is a metabolic defect.
--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

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