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I'm a bit confused. I'm writing in the Health forum as well, hoping that someone will have some experience with the current issues I'm facing. As I wrote about 1.5 weeks ago on this board, my 4 1/2 month old son has been having blood in his stool. Originally, it was a bunch of threads of blood, but it started to get worse. One of his bowel movements looked like more blood and mucuous than stool. A couple of weeks ago, my doctor advised me to take him off breastmilk for 24 hours. He wanted me to put the baby on pedialyte for 12 hours and then formula for 12 hours to see if it gave the baby any relief. Well, I was worried aobut that so I posted here and I was referred to the Elimination Diet. I have been on the diet 8 days now. After about 4 days, it seemed like the baby might have been having some improvement but then suddenly on Day 6 it got much worse. I tried to get a specialist appointment (pediatric g.i.) but have been advised that in Philly I can't get in before a month from now. Furthermore, at the place where I really wanted to get an appointment, the first appointment is in December!<br><br>
IN the meantime, the doctor wants me to take the baby off breast milk for 3 days and put on alimentum. I see the logic of checking to see if somehow the problem is related to my breastmilk. However, I'm so afraid that my milk supply will dwindle and I won't be able to go back to breast feeding. If I pump, will that keep my milk supply up?<br><br>
My baby is gaining weight very well (he's in the 95th percentile) and is chubbier than most babies I see. I actually have theorized that maybe the problem is somehow related to his marathon eating sessions. The night before Day 6, when conditions got bad, Jackson woke 4 times in the middle of the night. I fed him every time he woke because nothing else was working for him. One of the times when I put him on the breast, I woke up and he was still nursing ONE HOUR LATER!. It seems odd that after this night of overfeeding that the conditions erupted again. Anyone ever heard of overfeeding causing a problem like this?<br><br>
Any feedback would be greatly appreciated.<br><br>
Dani<br><br>
Also, I did contact a LLL leader in my area and she was going to try to find someone with first-hand experience in this area. I haven't heard back from her.<br><br>
Also, does anyone know if pumping during the 3 days that my doctor wants to put the baby on formula will keep up my milk supply?<br><br>
Thanks for your time!
 

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I would certainly pump as often as your baby would eat (not a full time nurser, am relactating, so you may want confirmation from someone who IS a fulltime nurser). I would also find another alternative to the bottle. You can finger feed, cup feed or even eye dropper... anything but a bottle...the bane of my existence! Like I said, you may want confirmation from someone who exclusivly bfs. I hope that all is well and that this problem is fixed soon. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">s mama!
 

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that you must go through this all1<br>
first i think you should find out #1 : how in anyway possiblewould there be a connection to breastmilk and blood in stool. if the dr. cannot answer this question have him get someone who can show the possible link before any change in feeding type.<br>
#2<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/Welcome.gif" style="border:0px solid;" title="welcome">hat else would be done besides changing feeding type?-- how about a scan of the bowel?? that seems most obvious.<br>
Now, i understand how it is to be a new mom and a new bfer, so, let me say that i've seen too many stories of drs screwing up the breastfeeding relationship w/out ever acknowledgeing the benefits to said ill baby.<br>
imagine that something is a little wrong inside this little babes belly and you are offering him the most comforting and nourishing thing EVER "invented" !!!!!!<br>
I bet the night you are wondering about overfeeding was a night that the problem (whatever it may be) was resurfacing and baby was looking and receiving the comfort he needed.<br>
I really hope that you find out the answeres to these questions i ask and if not able to get clear, precise answers, than get a second oponion.<br>
And dont forget... you are your childs best advocate and you are woman!!!<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/bow2.gif" style="border:0px solid;" title="bow2"><br>
Laura
 

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dani, i've been following your other thread. i'm not sure if i've got the situation all straight, but if you did see some improvement on the elimination diet before the bad day on day 6, i'm not sure how the dr would know if going off the boob and on formula for 3 days was causing any improvement or lack thereof. i mean, if after 6 days you're getting mixed messages on the elimination diet how is the dr gonna know what's going on after only 3 days? i'm not making too much sense 'cause it's late and i'm tired, but maybe you can see what i'm driving at.<br><br>
you might also look into a pediatric allergist as well as the ped gastro dr. i have a friend who's ds had gastric issues from allergies and it was the allergist who tracked it down.<br><br>
hth<br><br>
p.s. i might be worried about nipple confusion with 3 days on formula as well as just an unhappy baby who wanted to nurse but couldn't. i think your supply probably could rebound if that's what you end up doing, though. i'd call that LLL leader back and follow up with her, too.
 

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Wow, I am so sorry this is still such a problem for your poor little guy.<br><br>
I'm not a medical professional at all, but here are my thoughts:<br><br>
1) Has your doctor sent a stool sample off for testing to see whether there's anything infectious going on in there?<br><br>
2) How long have you been on the elimination diet? Particularly dairy - how long has your diet been free of ALL dairy? It can take 3 to 4 weeks to clear your system. What about soy and wheat? Have you gotten rid of those, too?<br><br>
3) Apart from blood in the stool being really scary....what is the concern if your son is gaining well and seems happy? This may sound like a dumb question, but what does the ped think is going on?<br><br>
4) My biggest piece of advice: get a lactation consultant. You can go <a href="http://www.iblce.org/us_regional_registry.htm" target="_blank">here</a> to find one in your area. I would start calling around and ask them what experience they have with this kind of issue.<br><br>
5) The next thing I would do is contact Dr. Jack Newman, a doctor up in Canada who's a breastfeeding expert. I hope the numbers <a href="http://www.tqq.com/support_network.html" target="_blank">here</a> are current.<br><br>
6) If you decide to take him off the breast and pump, you need a hospital grade rental pump and you will probably need to pump every 3 hours. I second feeding him through some way other than a bottle, unless he's used to a bottle and can switch back and forth OK. If you're going to go this route, I would definitely positively be working with a lactation consultant to help make sure you can keep your supply up and get him back to the breast.<br><br>
Here are some links I've found on blood in a breastfed baby's stool that you'll want to read:<br><br><a href="http://www.parentsplace.com/expert/lactation/qas/0,,205480_106190,00.html" target="_blank">This article from Parent's Place says more than 50% of cases of blood in stool go undiagnosed.</a><br><br><a href="http://www.medela.com/NewFiles/colitis_bfdinfant.html" target="_blank">Medela article on colitis</a><br><br>
HTH!
 

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A few MORE questions:<br><br>
1. Have your or dc been on antibiotics recently? If so, this can cause GI distress, and probiotcs would help to repair the damage. PM me if you have questions about probiotics.<br><br>
2. Is it BRIGHT RED blood or dark blood? If it's bright red, DEMAND an immediate appointment with a pediatric GI specialist.<br><br>
3. I second what others have said: make your DR explain exactly why he thinks taking the baby off breastmilk might clear up the blood issue. What exactly does he think is in breastmilk that might cause this? It's a very, very rare baby that is truly "allergic" to breastmilk, especially if the mom follows a strict elimination diet.<br><br>
Good luck!<br><br>
Mel
 
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