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Dysbiosis/Gas/Constipation - Could this be caused by fore/hindmilk imbalance?

post #1 of 3
Thread Starter 

(cross-posted)

 

Hello,

 

I am hoping you can help me with a somewhat confusing situation.  I have two children - one who just turned 2 and the other who is 3 months old.  For the last two years, give or take a few months, we have been consumed with figuring out what has been causing stomach troubles in our 2 year old.  It started off as gas, then when he was about 4 months old, he would have a BM every week or so.  The older he got, the more difficult it became for him to pass stools.  There would be times we would both sit on the floor crying because he was in so much pain.  Sometimes suppositories worked, sometimes they didn't.  Sometimes karo syrup worked, sometimes it didn't.  Up until he was about 6 months old, his diet was 90% breast milk, 10% formula (cow's milk then eventually soy).  After realizing that our pediatrician wasn't helpful at all we decided to assign a naturopathic doctor as his primary care doctor.  She advised us to put him on a dairy-free diet, which we did (at this point he was off breast milk and formula and was drinking coconut milk).  After several months, we realized that a dairy-intolerance was not the culprit as his bm's were still very irregular and he was always constipated.  (He drinks a ton of fluid throughout the day.)  So, we stopped the dairy-free diet, kept him on coconut milk (he won't drink cow's milk or eat cheese or anything like that....) and used Miralax, as needed.  (He has also been given high quality cod liver oil and probiotics every night.)  Right around this time his doctor ran a stool sample (I think it was the CDSA 2.0) which showed a PH imbalance and dysbiosis.  She recommended using Grapefruit seed extract.  Today, things seem to be working themselves out for him.  I wouldn't say that he's regular but he is not dealing with constipation or anything like that anymore.

 

Now, onto our 3 month old.  Just like our 2 year old, his diet is almost all breast milk with the exception of maybe 4oz a day of formula while he is at daycare - I've not been able to pump enough of a supply to keep him exclusively breastfed.  When he was a newborn he was constantly looking to eat so he was always fed on demand.  It never seemed like he was satisfied so when he was ~4 weeks old, I tried giving him 2 oz of formula after I breast fed him.  He seemed full and satisfied.  We rarely gave him formula unless he seemed unsatisfied.  He wasn't getting formula daily until about 3 weeks ago when he started at daycare.  Anyway, his awful gas started BEFORE the formula was introduced so my guess is that the formula has nothing to do with it.  The other trouble is that for the last 5 weeks or so, he has only had 3 bm's - all of which were helped along from using a suppository.  If his diet was all breast milk (and he wasn't so gassy) I wouldn't be as concerned but he is also drinking formula.

 

I've been working with the same naturopath and she has suggested dairy avoidance for both of us along with a high quality probiotic.  I haven't tried it just yet - and I'm wondering if dairy is even the issue.

 

My reason for writing today is to ask if you think that, given the history of both children, do you think that this could be a problem with my breast milk?  Meaning - could I be producing too much foremilk and not enough hind milk?  Could this have caused long-term effects in our 2 year old after we had stopped breast feeding (constipation, dysbiosis)?  Could this be what is causing the awful gas in our 3 month old?  (Is it the formula that is keeping him from having a BM more regularly?)

 

I look forward to your response.  I have done so much research on my own but I really need the thoughts from someone who has more experience.

 

Thank you smile.gif

 

post #2 of 3
I doubt that there's anything wrong with your milk. It's completely normal for breastfed babies older than about six weeks to go long periods without pooping. As long as they're gaining well and the stool is large and soft when he does go there's no reason to worry about it. Nor is there any need to supplement a newborn who's gaining well - just because a baby will down a bottle doesn't necessarily mean that they're hungry. And gas and fussiness are pretty typical for newborns IME!
Breasts don't make two kinds of milk. The fat content rises gradually throughout a feed as the fat globules stuck to the alveoli where the milk is stored are gradually flushed out. As long as you're letting your babe "finish" one breast before offering the other, they'll get a balanced meal.
post #3 of 3
Thread Starter 
Quote:
Originally Posted by Megan73 View Post

I doubt that there's anything wrong with your milk. It's completely normal for breastfed babies older than about six weeks to go long periods without pooping. As long as they're gaining well and the stool is large and soft when he does go there's no reason to worry about it. Nor is there any need to supplement a newborn who's gaining well - just because a baby will down a bottle doesn't necessarily mean that they're hungry. And gas and fussiness are pretty typical for newborns IME!
Breasts don't make two kinds of milk. The fat content rises gradually throughout a feed as the fat globules stuck to the alveoli where the milk is stored are gradually flushed out. As long as you're letting your babe "finish" one breast before offering the other, they'll get a balanced meal.


Thanks for taking the time to respond! 

 

It is true, breastfed babies can go quite long without pooping.  Our first son did this often.  The difference is that our younger son has horrible, terrible gas and the longer he goes without pooping the worse it gets.  Once he gets to the point where it is clear that he is uncomfortable from not pooping for many days, we give him a suppository.  The problem is that, when he does go, it has only been because we have given him a suppository.  This has been going on for 5 (almost 6) weeks now.  I will be giving him the 4th suppository in six weeks.  So, essentially, he has had 4 bm's in almost 6 weeks - all with the help of a suppository.  This is why I worry.  I'm also aware that gas and fussiness go along with the territory and are typical for all babies and children - I wouldn't consider this situation typical.... which is why I am seeking advice.  winky.gif

 

 

 

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