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Allergies / Gut Health in Newborn

Linda Folden Palmer

My son is 2 months old and exclusively breastfed. I had a normal, healthy pregnancy except for 2 bouts of strep throat for which I took antibiotics. I also had IV antibiotics during labor for group B strep, though only one dose, 20 minutes before he was born. I was low-risk for strep B complications: short labor, water broke less than 5 minutes before he was born, no fever during labor, etc. I've been taking probiotics since the beginning of my pregnancy. He had eczema which has almost completely cleared up since I removed dairy from my diet. My husband also had eczema as a baby due to dairy. My son also has had a fungal diaper rash which we've been treating with nystatin and is almost cleared as well. I'm wondering what else I can do to help him. Would it help to give him probiotics? Should I try to reintroduce dairy to my diet at some point? And if he tolerates it when I do, should I wait longer than usual to introduce dairy into his diet when he is eating solids? Would it be helpful to change anything else with my own diet or supplements? Unfortunately, our pediatrician has not been much help with this, so I appreciate your help very much. Thanks!

ANSWER: Your son does get probiotics through your breastmilk, as well as other kinds of support for his body to maintain a beneficial floral balance. Keep up the probiotics for yourself. I do recommend a try of liquid baby probiotics directly to infants as young as yours when there are great challenges, but it sounds as though things are going pretty well for your baby right now so I'd probably want to leave well-enough alone. Because your baby's symptoms are mild, I see no reason not to retry dairy at some point, if you are eager for milk yourself, but give his body at least a couple more months to mature first. Stop the dairy again at the first sign of any reaction, to prevent more sensitization to it, and wait much longer before trying it again, in your breastfeeding diet or his solid food diet. I'd still wait a while to introduce dairy directly to your son when he begins solids. Any child who has already shown some predilection for allergy is more likely to react to the major allergens before 12 months or so. Direct feeding is a greater challenge to an infant's system than through mother's milk. There's no need for dairy products early on anyway, as first foods should be vegetables and maybe poultry, and hidden dairy is generally not a challenge at this point. If you wish to add liquid to a food such as a whole grain cereal, you can use breastmilk, carrot juice, homemade chicken stock, or some other option. Elimination of all artificial trans fats (hydrogenated vegetable oils), and a good intake of DHA and EPA, as in fish oil or algae extracts, is shown to somewhat reduce food reactions and other allergies. Again, you can increase omega-3 fatty acids in your own diet and pass higher amounts in your milk. Otherwise, a diet focusing on vegetables, nuts, beans, and fruit helps to normalize flora and reduce food intolerance in all kinds of ways.



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