Kind of a long subject, but saw a nursing couple today with several issues. Baby is 6 1/2 mos old. She and mom have had a number of issues to date -- tongue-tie (fixed,) thrush and yeast (treated by my partner while I was out of office with nystatin, resulting in allergic reaction for both of them), milk protein allergy (resolved with elimination diet.) Mom returned to work at 7 weeks and has been exclusively breastfeeding and pumping at work. Mom initially had a huge supply. Daycare apparently not very used to breastfed babies, and suspected of using bottle instead of other comfort, resulting in baby taking 21 oz a day expressed milk at daycare since age 3 mos. Mom just recently started adding solids (cereal with breast milk) and tried carrots briefly, but baby became very constipated, so she backed off again. Mom is now having a very hard time keeping up with pumping, but due to baby reacting strongly to dairy, she really does not want to add formula at all. After baby's reaction to starting solids, she is at a loss for what to offer next. I have seen several times someone here list foods that rarely cause allergies (something like turkey, squash etc.) I wonder if I could recommend those foods to her as first ones to introduce to baby? Also, mom and I reviewed her current daily schedule, and I think she's not getting quite enough breast stimulation through pump or baby to maintain a full supply, so have advised her to use an upcoming 3 day weekend as a "baby moon" to increase supply if possible. Also, this baby has been sleeping through the night for some time, so I suggested she consider adding a night feeding to help with supply also. Baby has also developed an extreme side preference as well, so her right side is producing less and less. She has already tried most of the tricks I know for increasing supply on one side, baby is pretty good at resisting them! What else can I suggest to this mother? She has been amazingly dedicated with the pumping and is feeling very discouraged about being able to keep up for baby's needs. I think increasing her supply will help a great deal, but also think having a few food ideas to offer baby would make her feel better also. With all the early difficulty this baby has had, we could write a case study on lactation problems I think! Jennifer Tieman Family Physician Mom to 3, and new baby #4 expected 5/31/03 *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html