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Any ideas?  

post #1 of 16
Thread Starter 
--------------------------------------------------------------------------------

I am going to post this on the allergy board as well. I really need some opinions on this and an idea of where to start(again).

Just to re-cap, ds is 4 months old-had blood in his stools from about 8 weeks on-just mild streaks. After 4 weeks dairy/soy/egg/nut/treenut free, they cleared. I recently got diagnosed with diverticulitis after a nasty attack. Now this just proves to me even more that ds's issues are related to mine. I was/am on Augmentin-875mg 2x per day. Ds started acting like he was having awful stomach cramps at night so I cut my dose in half. Then yesterday, he had a very bloody stool. This is the first time in weeks that he has had any blood in his stool. He is acting like he was when I was eating dairy(very obvious stomach cramps during the night). I took him to a ped GI last week and had his stool double checked and it was 100% negetive for blood, so this only appeared after my antibiotic use. The GI also told me to add back in eggs definitely and add back soy. He mentioned that wheat NEVER causes this. The only other possible suspect here is that I ate some cookies that didn't list any dairy in the ingredients. The allergy statement just said:this product contains wheat. BUT-on the front of the package there was the kosher markings-U Dairy. I looked it up on the kosher site and it says that this indicated the presence of dairy or that the product was manufactured on equipment that also processed dairy. I didn't think this sort of contamination would produce such a reaction in a breastfeeding infant. Right now we are both on probiotics, and I am taking a pancreatic enzyme(Pancreatin by Kal).

On a side note, I was SO impressed with the ped GI. He told me that he would NEVER recommend that I stop breastfeeding and that if worse came to worse and his stool continued to be bloody that he would just prescibe enzymes for me(which I told him I already had). At least he was supportive.

Anyway, any help or opinions would be greatly appreciated as always. I was also worried that the antiobiotic just really effected his gut flora and that is why he was bleeding OR that he is now having some yeast issues. I should also add that stomach cramping at night is his only symptom(aside from the blood). He has no rashes, excema, dry skin, he is not colicky in the least, usually sleeps wonderfully, takes long naps, isn't irritable, and has normal yellow, non-mucousy poops.

Thanks!!
post #2 of 16
Why add back eggs and soy? If you added those back in, one or both might be the culprit. ANd I disagree that wheat NEVER causes this. It's more rare to have a severe wheat allergy but it DOES happen. It could "just" be the antibiotic. If you did add back in eggs and soy, I would cut them out for a few weeks again, and when you reach baseline again, trial them each separately with at least a week in between so you can be sure it wasn't one of them.

Are you taking the enzymes and probiotics every day? They really do help a lot.
post #3 of 16
Thread Starter 
Thanks, Wendy. No, I didn't add either back in. I was surprised too by the wheat comment. I think what he meant though was that the wheat proteins don't cause that *specific* reaction(allergic colitis)-not that one can't be alllergic to them. I do find it weird though when doctors make blankeet statements like that!
post #4 of 16
No, I specifically mean I know people whose kids DO get allergic colitis from wheat. My son did/does! IME, that's the most common allergic to reaction to wheat!
post #5 of 16
Thread Starter 
ugh....doctor's are so ignorant sometimes. I really wonder if wheat might be giving us a problem....it is the main staple in my diet right now.
post #6 of 16
Well, since the blood is new and coincides w/ the antibiotic, it's likely the antibiotic causing problems. If his poop hasn't been normal yet, then it's definitely worth a try of getting rid of wheat, but you said his poop has been fine until now. If you're getting rid of wheat, it's just as easy to go gluten free for a month or 2, then introduce other gluten grains, like barley, oats, and rye, to see how he does. If his poop was fine up until the abx, then again, it could very well be the abx. I hope you get it all straightened out! I dind't get Liam straightened out until he was 4 mos old, after finally cutting out wheat. It took him 3-5 days to react to wheat (reacted w/ mucousy diarrhea!) so I kept thinking it must be something else after all that time. But talking to other moms w/ nursing babies allergic to wheat, that's very common. Wheat typically takes a few days to cause the mucous and diarrhea.

We never saw blood w/ any of Liam's bad poops. It may have been there, but I never saw it. Never had it tested. Our ped is pretty laid back and just kept telling me to cut more out of my diet if he was still cranky and had bad poos. Sometimes his poop was pure brownish mucous, nothing else, but I never saw any blood. I guess I never really looked closely though.
post #7 of 16
Thread Starter 
Yeah, his poops were very normal for a while-even with the wheat. I also thought his colitis wouldn't clear up if he was still reacting to something in my diet. this all leads me to think it was from the antibiotic. He had a normal yellow poop this morning and it's been almost 2 days since I stopped the abx, so maybe it's out of his system.
post #8 of 16
I'm glad to hear he's doing better! It does sound like it was the antibiotic. It's great you can keep wheat. It's a PITA to not be able to eat wheat, especially if you have to travel, which we do a few times a year.
post #9 of 16
The gut flora in the mucus layer of the intestines is what protects it... there is no doubt in my mind this is from the antibiotic.

Which is not to say that food allergies cannot result from damage to the gut flora and intestines. That's the tricky part of healing from this.

What probiotics are you giving him?
post #10 of 16
Thread Starter 
Turned out to be the abx-well, imo anyway. I stopped them after a few days and within 12 hours, the blood was gone and he was back to himself. I brought it up to his ped and she said it wasn't from the abx, that he would just always have blood in his stool here and there.: I know it was from that though.

I also had him skin tested for and at only 4 months he tested very positive for milk, neg for soy and wheat. The allergist told me absolutely no eggs or peanuts/tree nuts for the remainder of breastfeeding. I trialed in soy-no good. He had horrible gas, so that's out.

His ped also said he is too young for a probiotic??:
post #11 of 16
Quote:
Originally Posted by APmomma View Post
His ped also said he is too young for a probiotic??:
This makes no sense according to recent studies on formula... probiotics will soon be added as "the next big thing to be closer to BM" in this country as they are in Europe. Love to know what other than bias is making the Ped believe this. And they give antibx to preemies!!!! This medical system is so screwed up.
post #12 of 16
Thread Starter 
nak

she said there were no studies to show that probiotics help w/ leaky guts in infants-only studiess to show that they helped w/ toddlers
post #13 of 16
Quote:
Originally Posted by APmomma View Post
nak

she said there were no studies to show that probiotics help w/ leaky guts in infants-only studiess to show that they helped w/ toddlers

Really? I'd love to see the toddler ones... the only ones I know of are on infants! Culturelle studies as well as the ones I cite for the bifidobacterium hypothesis.
post #14 of 16
Growth during the first 6 months of life in infants using formula enriched with Lactobacillus rhamnosus GG: double-blind, randomized trial. (LGG is www.Culturelle.com)
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=16448475

Effects of feeding an infant formula containing Lactobacillus GG on the colonization of the intestine: a dose-response study in healthy infants.
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=16145341

Efficacy of Lactobacillus GG in prevention of nosocomial diarrhea in infants.
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=11241043

Effect of Lactobacillus strains and Saccharomyces boulardii on persistent diarrhea in children. (6-24 months)
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=14518142

Effects of oral Lactobacillus GG on enteric microflora in low-birth-weight neonates.
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=12604982

Neonatal small bowel epithelia: enhancing anti-bacterial defense with lactoferrin and Lactobacillus GG
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=15222479

Oral probiotics prevent necrotizing enterocolitis in very low birth weight neonates.
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=16126048

Similar bifidogenic effects of prebiotic-supplemented partially hydrolyzed infant formula and breastfeeding on infant gut microbiota.
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=15607637

Effects of infant formula containing a mixture of galacto- and fructo-oligosaccharides or viable Bifidobacterium animalis on the intestinal microflora during the first 4 months of life.
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=16277782

[Effects of oral administration of bifidobacteria on intestinal microflora in premature and newborn infants]
http://www.ncbi.nlm.nih.gov/entrez/q...=pubmed_docsum

Effects of bifidobacterium breve supplementation on intestinal flora of low birth weight infants.
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=15491374

[Trial of oral administration of Bifidobacterium breve for the prevention of rotavirus infections]
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=10356887
post #15 of 16
Specific probiotics in enhancing maturation of IgA responses in formula-fed infants.
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=16864708

Probiotics in primary prevention of atopic disease: a randomised placebo-controlled trial.
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=11297958

Probiotic effects on faecal inflammatory markers and on faecal IgA in food allergic atopic eczema/dermatitis syndrome infants.
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=15693914

Allergy development and the intestinal microflora during the first year of life.
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=11590374

Rectal bleeding in infancy: clinical, allergological, and microbiological examination.
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=16585287
post #16 of 16
Effect of probiotics and breastfeeding on the bifidobacterium and lactobacillus/enterococcus microbiota and humoral immune responses.
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=16126047

Rinne M, Kalliomaki M, Arvilommi H, Salminen S, Isolauri E.
University of Turku, Department of Pediatrics, Turku University Central Hospital, Turku, Finland. minrin@utu.fi

OBJECTIVE: To assess impact of probiotics and breastfeeding on gut microecology. STUDY DESIGN: Mothers were randomized to receive placebo or Lactobacillus rhamnosus GG before delivery, with treatment of the infants after delivery. We assessed gut microbiota, humoral immune responses, and measured soluble cluster of differentiation 14 (sCD14) in colostrum in 96 infants. RESULTS: Fecal Bifidobacterium and Lactobacillus/Enterococcus counts were higher in breastfed than formula-fed infants at 6 months; P <.0001 and P=.01, respectively. At 3 months, total number of immunoglobulin (Ig)G-secreting cells in breastfed infants supplemented with probiotics exceeded those in breastfed infants receiving placebo; P=.05, and their number correlated with concentration of sCD14 in colostrum. Total numbers of IgM-, IgA-, and IgG-secreting cells at 12 months were higher in infants breastfed exclusively for at least for 3 months and supplemented with probiotics as compared with breastfed infants receiving placebo; P=.005, P=.03 and P=.04, respectively. Again, sCD14 in colostrum correlated with numbers of IgM and IgA cells; P=.05 in both. CONCLUSIONS: We found an interaction between probiotics and breastfeeding on number of Ig-secreting cells, suggesting that probiotics during breastfeeding may positively influence gut immunity.
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