Hi all,
    I'm wondering if anyone has had any experience using pancreatic
enzymes in situations like this.  Dr. Jack Newman mentioned this briefly
during a conference last March when he was speaking on babies
with 'colic'.  He mentioned an alternative to placing mom on a highly
restricted diet -- instead he said (and I'm relying on my notes, so I may
not have everything down acurately!) that the mother could take pancreatic
enzymes (Pancrease 4  -- an Rx drug), 1 capsule with each meal.  This
would break down the proteins before they could be passed through into the
mother's milk.  This normally would show an improvement in the baby's
symptoms within 24-48 hours.  Vague nausea was the only side-effect
mentioned for the mother.
     So I guess my question to all of you is, has anybody used this in
practice?  Have there been successes?  Would this be something to consider
in this case?

Just wondering...

Jeanne Cygnus, IBCLC, The Art of Breastfeeding, Mundelein, IL, USA


On Sun, 1 Dec 2002 08:36:17 -0500, Megan Allen <[log in to unmask]> wrote:

>Hello All,
>
>A fellow counselor is dealing with some difficult issues with her 2nd
>baby. Here is a bit of her story (posted with permission):
>
>"...we have been having some challenges with our 10 week
>old, E----. Last week she got an endoscopy for her tummy and a scope in
her
>rectum.  The results let us know that she has allergy cells present in
both
>areas, but more in her rectum where the tissue was somewhat swollen.  The
>GiSpecialist wants me to put Ellie on a very special/expensive "non-
>allergy" formula for a week to see if there is a difference.  If there is
>no difference then I will go back to nursing and he will rule it out as
>severe colic.  This next week I will have to pump while feeding her the
>formula just in case I can go back to nursing next Friday.  Anyone hear of
>such a thing or been through it?"
>
>Mom is also on meds for depression and anxiety. First baby was also
>extremely fussy for first 4 months of life, breastfed. Part of my response
>to the above email was:
>
>"Is the GI specialist beginning with this plan of action *before* trying a
>maternal elimination diet??? It sounds a bit premature to 'blame
>breastfeeding' instead of trying out other ideas first, or maybe other
>measures have been tried?"
>
>Mom has partly eliminated dairy, but feels a svere elim diet would be too
>stressful given the circumstances. But I think she would try it should it
>be a common solution to this sort of problem, rather than weaning for a
>week. I think she's just looking for a more solid reason to try take
>either route. She would appreciate any input.
>
>Thank you,
>
>Megan Allen
>breastfeeding counselor, Nursing Mothers Inc, DE
>
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