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Subject:
From:
Diana Miller <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 17 Jun 2003 12:44:57 -0400
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> Dee,
> Thanks for replying to the discussion on "outgrowing" food allergies.
> Although my "question" was actually rhetorical, responding to someone
> else's post, your reply was useful (and I see that we have had some very
> similar life experiences with dairy allergies and ourselves, as well as
> our children.) I had not heard the term "underground" symptoms before;
> it describes these very well!
> I did not mention that my daughter was also diagnosed with ADD in
> elementary school; as a mother herself she is now convinced that this
> was also another manifestation of allergy.
> Flossie

> Darillyn wrote:
>  As far as food allergies, . . .   Also, I found =
> that either powdered formula or just powdered non-fat milk was easier =
> for those two kids than fresh, so I used only powder until they got to =
> about 18 months.  I suspect that the intense heat treatment used to =
> dehydrate the milk may have broken down the proteins and made it easier =
> to digest.  I wonder if some moms who feel their babies are sensitive =
> might try using only milk that has been powdered.  It might be worth =
> trying for someone who has a real hard time avoiding milk."

In Flossie's note, "underground" sx are clinically called soft signs or secondary
dx, although not always noted by the MD as such.  Continuity and holistic care
would make this easier to see.

Darillyn,  The powdered milk is processed to flash heat the fluid out of the milk,
which alters the protein and leaves the minerals.  Many vitamins are lost in the
heat and fluid and must be replaced.  Non-fat has a better taste because the fat
hasn't been tortured, burnt.  And you can get your fat and cholesterol from other
meat products.  The vitamins are readily available in many fruits and vegetables,
but not to the concentration you would find in fluid milk.  Ho hum.

From:    "Catherine Watson Genna, IBCLC
. . .evaluation by a speech or
occupational therapist familiar with breastfeeding could be helpful.
Some babies with tongue tie also have other malformations that can
impact feeding.  If this is a triple whammy mouth baby (tongue tie,
short labial frena, and micrognathia), it can be difficult for mom to
feed him.  I saw a little girl last week with the triple whammy mouth
(not a scientific term, just tongue in cheek) who was a month old and
just 2 ounces over her birthweight.  Her mom was in to relactate, so
this poor feeding was happening with formula in bottles.  The
pediatrician was not concerned that it took this little lady 1.5 hours
to drink her bottle."

I am a feeding specialist and I have to agree with Catherine about getting a good
oral motor evaluation by a feeding team or OT or SL.  The soft palate could also be
cleft, but baby would have problems with a regular nipple.  BF this baby is a
challenge.  Actual latch on may be a dream and not a reality, but getting the EBM
in the baby would be very wise.  Has the baby had a physical?  Or craniofacial
exam?  I would also check out genetics to see if there are other signs and symptoms
of a syndrome or sequence.  There may be organ problems that if not diagnosed,
could be--yikes--fatal.  Better to R/O than face illness from a treatable problem.
My opinion, anyway.

Diana m. Miller MPH, RD

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