>Since three weeks of age her baby began projectile vomitting every time mom >
>nursed. Immediately after vomiting baby would be hungry and nurse again.
>Now it is four weeks since ped. consult, - baby continues to vomit volumes
of
>breast milk, mom will nurse again, baby will vomit, mom will supplement with
>thickend formula and the baby will spit minimally. Changing feeding
>positionings, amounts of feeding, positioning after feeding have all been
>tried.

This sounds like severe reflux, possibly caused by a cow's milk sensitivity
in the mother's diet.  Has the baby been worked up for the usual reflux and
meds, or has she tried altering her diet to identify an allergic trigger
for the reflux if it is more due to an allergy rather than a physiologic
reflux?  There is a doccumented link between Cow's Milk Protein (CMP)
allergy and gastroesophageal reflux (GERD).
See:
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?uid=4076244&form=6&db=m&
Dopt=b which says:

Cow's milk protein allergy and gastro-oesophageal reflux.

Forget P, Arends JW

Evidence for cow's milk allergy was looked for prospectively in 15 children
with recurrent vomiting. Whereas radiological examination showed
gastro-oesophageal reflux
to be present in all patients, 3 out of 15 children presented an
enteropathy associated with an increased number of IgE plasmocytes in small
intestinal biopsy tissue.
These three patients did not improve with conventional medical therapy but
a striking improvement occurred within 24 h on a cow's milk-free diet. We
conclude that
diagnostic confusion between gastro-oesophageal reflux and cow's milk
allergy can occur and that the presence of IgE plasmocytes in small
intestinal biopsy tissue
indicates IgE-mediated cow's milk protein allergy. All cases of
"intractable" gastro-oesophageal reflux should be suspected of cow's milk
allergy and investigated
accordingly.
Also, see
http://www.nutramed.com/children/kidsmilk.htm
and
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?uid=8813871&form=6&db=m&
Dopt=b

Just a thought.
NancyH
Nancy Holtzman RN BSN MOM
Great Beginnings New Mothers Groups
Boston MA
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