Search Results for 'breast feeding'

[Anonymous]

Hi and welcome! Here is a very good explanation between the 2.

http://www.webmd.com/allergies/guide/foods-allergy-intolerance

I would check out http://www.marci-kids.com for information on Prevacid dosing. Most of the mommas around here (including myself) have found that it take a pretty high dose of these meds for our little ones to be comfortable.

My son has MSPI (milk soy protein intolerance). He is currently on Elecare which is an elemental formula (amino-acid based). We did try Nutramigen first, but my son did not tolerate it well. Hypo-allergenic formulas like Nutramigen and Alimentum still have milk proteins in them , they are just really broken down. Many babies with intolerances can do well on these hypo formulas. Also, has there never been any visible blood in her stool or have you had it tested? My ds never had visible blood, but his fecal hemoccult test was positive for blood.

Many moms on this forum have breastfed babies with intolerances. Hopefully the breastfeeding mommas will chime in with their suggestions in that area.

[Anonymous]

Duh! I just found the post where the diff is explained! If anyone has any personal experience with breastfeeding I’d still love to hear it.

Thanks,
Mandy

[Anonymous]

At 11 weeks old my breastfed daughter began having unexplained nasal congestion and was fussing at every feeding and her stools were green and foamy. By 12 weeks she was refusing to breastfeed altogether and I was giving her expressed milk in a bottle. After several trips to the pedi and an upper GI, they finally diagnosed her with milk/soy allergy. The upper GI revealed damage to her duodenum so they put her on 15mg prevacid solutab. I immediately started the elimination diet and have been on it for almost a month. She is getting better and is back on the breast with the occasional bottle in the evening when she doesn’t want to eat. Her poops are less green, but they vary from day to day. Yesterday was more yellow and typical BF poop, but today it was more green and a little slimy.

My question is–based on her symptoms and the results of cutting out dairy/soy and basically everything else does she have a protein allergy or intolerance? What is the real difference when dealing with a breastfed infant?

I’m asking my question here because everyone seems so knowledgeable about these conditions and now I know why. The medical community is also confused and you can’t get the same answer from two diff docs. The pedi GI said to just stop BFing and put her on Nutramigen. I don’t see why I should do that if she’s getting better.

Thanks so much for reading and I hope you can help us understand what we are dealing with.

I should add she’s never had blood in her stool and she’s never had a rash.

[hellbennt]

I also did a ‘plan’ with jonah- I called it an experiment…

I sent dh in there w/ water to see if that would work.

when it DID work I knew he didn’t need a feeding at that time…

THEN i could address figuring out how to get him to sleep. I did do CIO.

his reflux was TOTALLY under control & I knew that he was not hungry. I did it later than 7 months, though, maybe about 8 or 8.5? and there was a time when he was not satisfied w/ the water. when he WAS satisfied was when he would take a sip of h2o, snuggle against dh & he could put him back in the crib. I (personally) had to have dh do it because a) I’m a sucker 2) he knew he’d get milk from me even if I offered water (I breastfed)

[Anonymous]

Hello, ladies. I’m sorry I’ve been gone for such a long time. We’re doing great. Ariella’s been med free for a few months now and it turned out that Ilan didn’t need to be medicated for his reflux. He’s still gassy but is definitely better and not in pain. I’m just so happy that he’s not a reflux baby 🙂 I’m working part time for now and go back to work full time in September. I’m exclusively breastfeeding and enjoy every second of it. Unfortunately, Ilan enjoys it also and it’s the only way he falls asleep. I’m worried b/c when I go back to work in September, how is he going to do without me? Any suggestion on how to train him to fall asleep on his own? Also, we’re looking for a babysitter now. I never knew that I’m such a paranoid mother. Whenever I “think” of hiring a babysitter, I get a knot in my stomach. I’m just so worried that she won’t treat him nicely. I am going to put up cameras, I just don’t know whether or not I should warn them that they’re being watched. Now that I’ve told you pretty much everything that’s been going on in our lives, I’d love to hear what’s happening with you.

[hellbennt]

poor you! poor baby!!!

there’s so much to learn & who has time w/ a shrieking baby? YOU. You have already found this board & are already trusting your mommy instinct! Please DO NOT stop breastfeeding if you do not want to! And it sounds like you do not want to!

PLEASE CLICK HERE!https://www.infantreflux.org/forum/forum_posts.asp?TID=10133&PID=87611#87611

Wondertime article/colic solved: http://wondertime.go.com/learning/article/interview-colic-expert.html

[Anonymous]

Your experience sounds a lot like mine several months ago. I was also told to pump for a couple of weeks and give a hypoallergenic formula, but I couldn’t because like you said, no time and it would affect my supply (I’m a horrible pumper!) So I found info on this site about the TED (total elimination diet), and I went that route — it greatly helped my son, who had multiple food protein intolerances (MFPI).

Bottom line — you can, through diet changes, basically make your milk the equivalent of a hypoallergenic formula — you can find out if your daughter has protein intolerances through the TED or going dairy/soy-free (as a start). Don’t let the doc tell you otherwise.

Even when you eliminate all possible protein intolerances, your daughter may still be in a lot of pain from just plain ol’ GERD. A lot of babies on this site still need meds to manage the GERD pain even after going on hypo or elemental formulas (or TED breastmilk). My son was like this and needed the marci-kids dose of Prevacid. We started him at around 1 month (can’t remember exactly). No one wants to medicate a baby that little, but when they’re hurting that bad, they need relief or else they may develop more serious problems (like a feeding aversion). Anyway, we also went through Zantac and Axid with no relief.

If I were you, I would look into possibly TED and also getting your daughter on a high dose of a PPI. SWITCH DOCS if you have to — we did three times until we found someone who would give us 30 mg Prevacid, and then we FINALLY had a happy baby.

Good luck!!

[Anonymous]

Ugh. Another exhausted stressed mama…

DD2, 6 weeks 2 days, has suffered from GERD symptoms since birth. At 4 days, she spit up a large quantity of breast milk with bright red blood. Due to this and other confirmed GERD symptoms, at about 2 weeks old, we started Zantac and have increased the dose 2x without any noticeable relief. Dr. #1 in pediatric group had approved Prevacid if the latest increase did not help.

At a f/u appt. for GERD and resistant thrush infection (started 5 weeks ago; symptoms appear to be limited to me), Dr. #2, writes out a script for Prevacid, but wants me (1) to stop breastfeeding for two weeks and instead give DD hypoallergenic formula and (2) possibly try Axid samples before trying Prevacid. My own research has shown that BFing is normally better for GERD than formula, and I did not see any research to support discontinuing BFing due to GERD. I have eliminated dairy from my diet already (preventative measure because DD1, now 6, was sensitive to dairy, had colic and what I now believe was undiagnosed GERD; no ongoing milk sensitivity). I cannot freeze pumped milk due to thrush and fear that pumping will disrupt my supply. Not to mention, how can I possibly have time to pump enough to maintain supply with a fussy GERD baby?

Per Dr. #2’s advice, we switched from Zantac to Axid a few days ago. The last two days on the Axid have been MISERABLE! DD has had hours of unconsolable crying and has just been miserable. She seems much worse than before. Meanwhile, Walgreens cannot fill the Prevacid script because Dr. #2 wrote it for a dosage that does not exist. Dr. #2 is off for a couple of days and nobody in the practice can fix her mistake. I had the office call Dr. #2 at home, but she will not fix dosage without speaking to a GI specialist re. dosage. Apparently, some doctors in my pediatrican group will prescribe Prevacid for newborns, others refuse to to so before the age of 1. It is my understanding that I will not be able to get into a GI specialist for at least 2 months.

I expect to speak to Dr. #2 tomorrow assuming she remembers to call. I was hoping to be armed with the following info if possible:

1. Whether her recommendation to use formula for 2 weeks is advisable (I suspect that it is not but would like info). On the AAP website, the linked study only seemed to suggest changing to hypoallergenic formula if you were already using formula, not BFing.

2. What are the risks/safety of giving Prevacid to 6 week old?. Is Prevacid riskier than Zantac or Axid? I noticed that Axid is only FDA approved for children 12 and up, while Prevacid is for ages 1 and up.

I found the dosage calculator on MARCI-Kids to help clarify that issue. If I had studies from reliable sources, that would be helpful. I have started to do some research on my own (in my free time), but I am overwhelmed by all of the information and did I mention that I am exhausted?

I would GREATLY appreciate any guidance. TIA!!!

[Anonymous]

We give Addie formula…. after having major breast feeding/weight gain issues at the beginning. I have to constantly suck her nose out to get all the excess slime out. (sorry!) I haven’t really noticed it in her poop but will check tomorrow….very carefully! :o)

The intolerance and apnea sounds right. We’ve had some very scary times where she has turned blue. She sleeps in her bed, propped up on her boppy. During the day, I let her sleep in her swing. We have a 4 year-old son who NEVER had any of these issues. She has had an upper GI done and it was normal. She seems to be better when she sleeps at night and is still. Her episodes are during the day usually ranging from 1-2 episodes a day.

[Anonymous]

My son had apnea episodes early on & very labored breathing throughout the day (even when upright). At night he had so much mucous & congestion that he was choking, etc.

Once I cut foods out of my diet (I’m breastfeeding) the congestion & mucous stopped almost immediately.

I agree that it may be an intolerance of some kind.

[Anonymous]

ChloeMommy wrote: Do you think I should go to GI specialist? YES I think you should see a GI ASAP!!!!
What the upper GI study could show? An UGI will show if all the anatomical parts are formed correctly YEs and UGI can show reflux but htat is NOT what an UGI was designed to show and DX.
Is the study could show if my daughter has reflux or not? Yes, like stated beofre it CAN show relfux but it is not the best test for htat, I’ll get to the best tests here in a min.
And what kind of study that could check if the liquid doesn’t go to her lung? You need to have a swallow study done. That will show which end she is/can be aspirating from (aspiration is liquid going into the lungs, NOT GOOD). Aspirations form ABOVE can be corrected with therapy and thickening of liquids. Asoirations form below NEED to be corrected by doing a Fundo/Nissen ont eh child. (a medical procedure where they “tie” the fundos off in the childrne there by stoppiing the relfux from entering the lungs.
Thank you, many opinions or advise would be appreciated.
All of this happened since I started her on 100% formula, when I do breastfeeding, nothing happened.
So I start breastfeeding again.
I tried milk and soy based already.

IMHO I would get the swallow study done ASAP..REALLY. If she is having problems swallowing you don’t want that entering the lungs and causign permanet damage. Sometimes you can go see an ST who is trained in dealing with feeding reflux issues and thye can tell by watching the feed whether in their opinion any aspirations are going on as well. Not the best way, but a GOOD ST can do this.

You can also have an Impendance probe done. They will place a small tube doown the nose and it will enter the gastric space asn will record the acid reflux flares over the courseof a 24 hour period. That is the #1 test for DXing reflux.

The old test was a Ph probe. I would hold out for a Impendance though IMHO…We did th eimpendacne and never loooked back. WAY more info. An impendance probe cna tell the difference between acidic and non acidic reflux. It will give the EXACT PH of whatever is coiming up the child’s arirway. Teh machine is calibrate to the child’s body. I have some picutre of Jedd’s Impedance I’ll add them on another thread at the end.

Now as far as the relfux/spitting up getting worse…..you have to remember tha breastmilk is MUCH easier to digest. A child will eat LESS on formula becasue it is harder to pass. You could be giving he rtoo much so she is vomitting due to that. I woudl keep track of hwo much she takes in in a 24 hour period.

Also, how does she act WHEN she vomits. Now that Jedds’ reflux is 100% controlled he can vomit and NOT be in pain at all. He just opens his mouth and out is comes…no pain period….

Also another thing that can mimick relfux is a motility issue…that is where the stoamch doens’t empty properly. That can cause vomitting as well. The child stays full for too long after being fed. Jedd has had issues with this in the apst as well. There ar eother tests for that but unless you have a G you really don’t want to do the BEST test for that.

The next best test for DGE (delayed gastric emptying) is a GES (gastric emptying scan) That will be done int ehnuclear medicine part of th ehosptal. They ahv eth ehicld drink formula with a “tracer” in it. Then they scan the child for about 20 mins. Then you are allowed to walk around the hosptla (no more food is allowed to ve given) and then go back and get rescanned for 5 mins. VERY essay test.

I owul dstart with an UGI, Impendance Prpbe and then look into the GES tests.

Good luck. Let me know if you have any other ????

Jessica

P.S. sorry about he typos…I am bad for them…

[hellbennt]

Total Elimination Diet

this is generally done by breastfeeding mothers to see if and/or what & how any foods they are eating affects their babies

this can also be done by adults who have excema, rashes, etc. to see if there’s anything in their diet that is affecting them

[hellbennt]

a link to another, related, thread:

https://www.infantreflux.org/forum/forum_posts.asp?TID=11256&PN=1

here’s another thread about breastfeeding a reflux baby:

https://www.infantreflux.org/forum/forum_posts.asp?TID=10173&PID=87204#87204

and, while I’m consolidating (what I love to do, LOL!),

here is more:

Gulping: http://www.lalecheleague.org.nz/articles/gaining_gulping_grimacing.htm

about OAL (overactive letdown):

http://www.users.qwest.net/~fsdebra1/refluxoal.html

What to do about OAL scroll down to the 4th post by Bensmama:

https://www.infantreflux.org/forum/forum_posts.asp?TID=9959

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Me (laura) re: thickening/starting cereal early to help reflux: I just don’t believe these babies need solids introduced any early than they have to…of course, thickening has helped a lot of babies, don’t get me wrong!!!!! also, w/ breastmilk, it can hurt your supply…as with everything, you have to do your own research & come to your own conclusions that you (& your dh, etc) are happy about

this is an excellent resource: http://www.kellymom.com/

here’s about thickening feeds: http://www.kellymom.com/babyconcerns/reflux.html

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=3806288&dopt=Abstract

http://www.lalecheleague.org/FAQ/ger.html

https://www.infantreflux.org/forum/forum_posts.asp?TID=3546

here’s about starting solids: http://www.kellymom.com/nutrition/solids/index.html

hellbennt2008-08-24 20:45:42

[hellbennt]

call la leche league

The La Leche League Breastfeeding Helpline – US began on June 1, 2007. Everyone in the U.S.A. has access to toll free breastfeeding help 24 hours a day. Just call 1-877-4-LALECHE (1-877-452-5324).

[Anonymous]

You are Definitely(!) not being selfish! Hopefully, those who are suggesting that you switch to formula are just trying to offer helpful(?) ideas. We supplemented with formula eventually, but I continued nursing for 25 months due to the same reasons you mentioned. I could see that nursing brought him comfort through his pain that a bottle never could.

I’ve looked up a couple of quotes from “Colic Solved” by Dr. Bryan Vartabedian that might be of help/support to you.

~ About how long it takes to see results from your changed diet: “Remember that it will take a couple of days to clear your breast milk of offending proteins and up to 3 weeks for your baby’s intestinal tract to heal, so be patient and don’t expect overnight changes.” pg. 146

~ About the benefit of breastmilk for a baby with reflux: “Making the change to bottle-feeding is often the worst thing that a desperate mother can do, because breast milk is absolutely the best nutritional substrate for the infant with reflux. Despite the fact that the formula manufacturers have sought reflux solutions, nothing they produce matches the qualities of breast milk as far as helping the baby with reflux: Breast milk empties very efficiently from the stomach, compared with formula, and impaired stomach emptying is one of the major factors contributing to reflux in infancy.” pg. 144

I hope that the CaraCream and the enzymes help you out. Let me know how your ped GI visit goes (and who you get to see…). Is the ped GI visit in your area or up in mine? If you are up here, maybe we could get together for a few minutes before or after your appointment. Just a thought…

Dianne2008-07-11 16:16:40