Connie,
Is it possible that this mother has an abundance of HEALTHY milk? What are her feedings like? Is this a second or third baby? Has she tried techniques for lowering milk supply?
Mary Griffin Kellogg, MD, IBCLC
>
> From: Constance Tyree <[log in to unmask]>
> Date: 2005/10/07 Fri AM 07:25:40 EST
> To: [log in to unmask]
> Subject: possible breast milk allergy
>
> Hi Lactneters,
> I hope someone out there can help us with this case. I am not sure Pat's
> message got through to you, so i'm forwarding it. Since Pat spoke with
> this mother on 10/5, the baby continues to vomit, as usual, but is happy
> and thriving. He also continues to have the green, slimy stools. They saw
> the GI man yesterday and the only abnormality they found was 6 acidophilic
> cells. Mom asked if that was alot and the GI man said that usually there
> are more than 20. He suggested she put the baby on alimentum and Reglan.
> He felt that the problem was reflux and that the bloody vomitus was a
> result of irritation. Mom does not want to stop breastfeeding if she can
> help it and was afraid to start him on Reglan after having looked it up on
> the internet and seeing all the possible side effects. She is going to
> wait until she sees her pedicatrician on Tuesday and get his/her opinion.
>
> Sure would appreciate it if any of you have had experice with anything like
> this.
>
> Thanks,
> Connie Tyree, RN, MS, IBCLC
> Shore Memorial Hospital
> Somers Point, NJ 08244
> [log in to unmask]
> 609-653-3238
> ----- Forwarded by Connie Tyree/Shore Memorial Hospital on 10/07/2005 07:49
> AM -----
>
> Patricia
> Jaggie/Shore
> Memorial Hospital To
>
> 10/05/2005 04:23
> PM cc
> Connie Tyree
>
>
>
>
> Subject
> possible breast milk allergy
>
>
>
>
>
>
>
>
>
> I am a lactation consultant who received a call today with the following
> details. Please evaluate and advise.
>
> 6mos old male, delivered via cs at term. This is an exclusively breast fed
> infant who has vomited since day 3 (not projectile, but also not just spit
> up...enough each time to reach the floor) . Vomiting occurs after and
> between every feed and, perhaps surprisingly, the infant has thrived. His
> weight at birth was 9-13 and at 6 mos he is 19.8. Developmentally he is
> also thriving, sitting, rolling over in both directions and babbling
> constantly. Last week, an UGI ruled out pyloric stenosis. An endoscopy
> revealed no ulcers, or sick gut. Biopsies of the esophagus, stomach and
> lymphnodes are pending. Up until last week, stools were normal. At that
> time they became greenish and very slimy and mucusy. Mom eliminated
> lactose from her diet 1 week prior to that change in stool and continues to
> be lactose free. She has also elimiated caffeine and nuts. The infant was
> introduced to rice cereal but after 3 days, when mom learned that the tests
> would all need to be done, she ceased offering it. On Monday, at the
> specialist for the endoscopy, the infant initially vomited pink tinged
> vomitus. At the end of the visit, the infant vomited frank blood. Mom
> says that sometimes the vomitus appears mucous encapsulated blood and now
> there are green chunks.
>
> Also, at this time the infant was weighed (on a different scale than
> previously) and appeared to have lost a pound.
>
> My understanding is that galactosemia usually appears early on...? Is
> there another possible metabolic disorder that might be occuring?
>
> I thankyou for your consideration.
>
> Pat Jaggie, RN
> (awaiting IBCLC results due next week)
>
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