I was searching the Lactnet archives and came across your post from many
years ago about a mother with an infant diagnosed as intolerant to mother's
milk. Did you ever get this solved? I am dealing with a mom with a very
similar situation.
Laurena
On Sat, 24 Apr 1999 22:13:01 -0700, Pridie <[log in to unmask]> wrote:
>Hello! This is my first time posting to Lactnet, and I apologize in advance
>if I do this incorrectly. My teenaged son calls me "electronically
>challenged". He's right. I have been a Labor and Delivery/Newborn Nursery
>nurse for 21 years, and last year received my IBCLC. I am currently
working
>20 hours/week as the staff LC, and 12 hours in the department as a RN. I
>have been able to learn very valuable information, and appreciate been able
>to listen in on Lactnet.
>
>I could use your advice, I will try to make this concise. My Mom has given
>me premission to post this and is also hoping for some help. This is her
>first baby, and she has changed careers to fulltime Mom.
>
>Baby is a 5 month old, Birth wt 7#13oz, no problems with delivery, no
>epidural. He is exclusively BF. At 2 weeks of age, Mom was put on
>Amoxicillin for an infected episiotomy. Within 24 hours, baby began what
>Mom describes at "constant straining/pushing" like he needed to stool. He
>would wake up crying, straining, would go on for "hours". BMs were
>brown-rusty. She stopped the antibiotic after 5 days, thinking it was the
>cause of baby's discomfort. Within 48 hours, baby improved, but this has
>never gone away. He would continue off and on for up to 5 hours before
>falling asleep. At that time Mom stopped eating dairy, eggs, nuts, citrus,
>red meat, without any improvement.
>
>At 8 weeks, baby had frank red blood ( about a tablespoon), from his
rectum.
>Dr. said it was a common rectal fissure. Streaks of red blood continued
for
>the next 2 weeks, and Mom strongly requested a referral at10 weeks of age.
>The pediatric gasteroenterologist stated: impossible to be a rectal
fissure,
>and it was either 1: prolasped rectum, or 2: protein allergy to Mom's milk.
>Evaluation showed all labwork within normal limits except platelets were
>"very high". Was told to come back in 2 weeks. In two weeks, Dr. did a
>rectal biopsy and diagnosed "colitis secondary to protein intolerence to
>breastmilk". Dr. felt it was mild enough to keep on BF and ordered the med
>Rowasa 1/4 teaspoon orally three times a day. No improvement in symptoms
>next three weeks. His bottom gets excoriated with blisters, especially
when
>Mom took those antibiotics, and when he started them for an ear infection
>(his symptoms immediately worsened with stools like spinach). At 5 months
>he is 17 pounds, appears healthy, and is very happy when this stuff isn't
>going on. Mom changed peds, and current one is very supportive of
>breastfeeding, but both doctors have told mom she needs to wean and go to
>special formula with predigested protein to heal baby's gut, otherwise,
live
>with the problem, and basically, don't keep coming back. He currently has
>bilateral ear infections, but they did not put him on antibiotics, fearful
>of the consequences.
>
>Do any of you have ideas, advice, help you can give this poor Mom and babe?
>We would really appreciate anything.
>
>Thank you!!
>Catherine Pridie, RN BSN IBCLC
>in Prescott, Arizona, USA (in the mountains NW of Phoenix)
>
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