Andrea your statement below about the baby who suffered a stroke makes me wonder if this baby has correct tongue peristalsis. Is mom's supply overly abundant so that he has difficulty with swallowing? The trial of formula may be confusing because when he fed from the bottle he was able to handle the flow better with a more closed mouth. Has mom tried positioning to help the baby? "Unfortunately, he had bad reflux and spit up and cried constantly, but mom persevered. Then he started having blood in his stools. They eventually were referrred to a GI doc who put her on an elimination diet. That didn't help." If it definitely does seem to be her diet, and she wants to try digestive enzymes, they are available in health food stores, not just with prescription. I am working with a mom whose baby with reflux and posterior tongue tie has eliminated the specks of blood in his stools by improving latch and nursing from one breast per feed; he's still fussy often but hopefully after the frenotomy he'll do better. Barbara Latterner, BSN, RN, IBCLC *********************************************** 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 email list is powered by LISTSERV (R). There is only one LISTSERV. To learn more, visit: http://www.lsoft.com/LISTSERV-powered.html