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  • @llli*maddieb's Avatar
    Today, 01:00 PM
    Hi just so you know I don't think you're crazy. I think you're going to have to get very proactive about getting proper care for yourself and your baby. First of all I think you must pin down whether your baby is losing weight, gaining weight or what. This can be done by using the same scale every time, doing the weight checks properly and making sure it is a working digital infant scale. If your pediatrician will not cooperate with you to bring your baby in for periodic checks on the exact same scale, perhaps there is a local health clinic that can accommodate you in this way. You could also consider renting a digital infant scale but you should really not have to do that. You don't need to weigh baby every day but maybe about once a week. Normal gain at this age is about 4-5 ounces per week although some babies might gain faster and some slower. The baby should be gaining, but probably will not gain the same every week. Plateaus are normal sometimes, but unless baby is ill with diarrhea or something, there should never be weight loss in a 3 month old. I would also suggest go to see a board certified lactation consultant (IBCLC) so that they can watch your baby nurse. I would also suggest you bring a bottle - a good lactation consultant will know all about every feeding method and would be able to help you ascertain what is going on - why your baby won't take a bottle, why your baby is so fussy at the breast and refusing to nurse etc. Babies can also be fed...
    4 replies | 205 view(s)
  • @llli*marun4's Avatar
    Today, 10:46 AM
    Bump / Update -- This is the most frustrating thing I've been through. If my baby would even take a bottle, I probably would be on the way to formula feeding by now. :( I'm still having problems getting the baby to eat. He only ate 4 or 5 times yesterday on one side for a few minutes each time -- only 2 times during the day and awake. The other feedings were during the night. He'd go 6 hours during the day without feeding. He had 2 wet diapers (and a couple small, green dirty ones). He is fussy almost all the time. Usually just fussy like he's hungry or maybe tired. Occasionally he sounds like he might be in pain. He gets absolutely hysterical if I try to feed him -- even if he doesn't latch on at all. Even if I just put him in position to feed. Even if he's acting hungry. We've been keeping up with the acid blocker medications (Ranitidine) but we're still seeing this problem after almost a week of taking them. I took him to his pediatrician, who automatically dismissed me and baby as having no problems and left before I could ask her practically ANY questions. Apparently that weigh-in showed he was gaining weight (said he was about 14 lbs 11 oz?!). So either that weigh-in or the last one was inaccurate due to scale calibrations or something. And she said if he's having 2 wet diapers a day not to worry.
    4 replies | 205 view(s)
  • @llli*djs.mom's Avatar
    Today, 08:10 AM
    Also don't think it has to be all of nothing. You can do some pumping and some supplementing while away from the baby. Time in the evening would be better spent actually nursing than pumping.
    3 replies | 168 view(s)
  • @llli*maddieb's Avatar
    Today, 08:06 AM
    Oh yes I very much agree with mommal. And good news on ultrasound safety!
    11 replies | 220 view(s)
  • @llli*kmrs's Avatar
    Today, 08:03 AM
    Decades of research have not turned up any side effects to ultrasound. As far as we know, its totally safe.
    11 replies | 220 view(s)
  • @llli*mommal's Avatar
    Today, 08:01 AM
    :ita with MaddieB! It can be really, really hard for breastfeeding moms to accept that their babies' every fuss, cry, fart, or uncomfortable face is not their fault or the fault of something in their diet. But it's really important for us to remember that babies are fussy, gassy, cranky, bewildering creatures even under the best circumstances, and most of the time mom and her diet have absolutely nothing to do with it. I found that when my kids were having a bit of trouble passing a toot or a poop, the best thing I could do was to nurse them. Nursing activates the gastrocolic reflex, which is scienctific talk for "put something in at the top of the digestive system and you activate muscles all the way down, often resulting in something moving out at the bottom of the digestive system." It's why we- babies, kids, adults, old people- generally poop rig after we eat!
    2 replies | 174 view(s)
  • @llli*mommal's Avatar
    Today, 07:56 AM
    :ita with the PP. What would you like to do at this point? Would it be helpful to talk about ways to phase pumping out of your life?
    3 replies | 168 view(s)
  • @llli*mommal's Avatar
    Today, 07:55 AM
    :ita "Introducing" a child to solid foods is like introducing him to a new friend. They don't have to be best friends right from the moment they meet. Maybe they mostly ignore each other at first. Eventually, though, they will get to know each other better and the friendship will take off. There's no need to force the friendship or worry about it. Neither of my kids ate more than a few Cheerios or a piece or two of shredded chicken from a soup at 8 months, wh but ch, incidentally, is when they both got their first teeth. They didn't really "make friends" with solids until around 14-15 months. They both had normal iron.
    2 replies | 159 view(s)
  • @llli*mommal's Avatar
    Today, 07:49 AM
    :ita with all the above from MaddieB and Kmrs! I would only add that when you go in to see the pediatrician and the GI doc, I think it will pay to be a VERY cautious consumer of advice regarding dietary eliminations, food intolerances, and poop appearance. Doctors get almost no training in breastfeeding, and even less in what to expect when it comes to the poop of a breastfed infant and how that can look when various factors (e.g., thrush, dietary intolerances, oversupply) are present. Because doctors approach baby poop/mucous/bloody poop with such uninformed preconceptions about what is "normal", it is fairly common for doctors to focus in on what they perceive as "abnormal" poop and suggest fairly drastic interventions, including dietary eliminations and switching to formula. They usually are not thinking "Gee, dietary eliminations and switching to formula carries their own inherent risks." They are just thinking "I will feel better if I can get this weird poop to resolve." I think the way you decide if weird poops warrant intervention is by looking at the total baby picture. If the total baby picture is good- baby is gaining and developing normally, and has few additional symptoms of concern- then you take an expectant management approach to poop. That is, you watch and wait. If this get worse, you reconsider making changes to your diet or the baby's diet. Otherwise, you just assume that a baby who appears healthy and normal is healthy and normal, no...
    11 replies | 220 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 11:17 PM
    Did you see kmrs explained how to contact Dr. Newman's clinic? I would suggest that for the thrush questions. The text book Breastfeeding Answers Made Simple contains a good list of what to do to avoid reoccurring thrush, and if you have an LC who has that book they can show it to you, if not, I will try to write out the list perhaps tomorrow. But I do not think they get into as much detail as exactly how thrush might be passed between adults. I am not sure what to do for a thrush rash. But a red bumpy rash is not necessarily thrush, it could just be an irritation rash or at least partly so. These are often caused or exacerbated by commercial wipes. When my kids got a rashy bottom I avoided commercial wipes and the whole notion of "wiping" and instead soaked poopy bottom clean using a soft wash cloth or paper towels soaked in warm water with maybe a little tiny drop of soap, maybe not. Or just sticking baby's bottom into a bowl or sink and gently washing it. This always took care of rashes. My impression is that it should be entirely safe to have an ultrasound while nursing. But hopefully kmrs will have more information on that. I am so sorry you are having such a hard time. It is just not fair. I really hope you get some answers and see some improvement soon.
    11 replies | 220 view(s)
  • @llli*bhacket4's Avatar
    Yesterday, 09:55 PM
    Ok - sorry about that. Started back classes this week, so it's been crazy. Baby has gastro APT tomorrow. I'm going to talk to him about the possibility of his mucus poops and blood being all caused from the yeast issue we've been having.. or if he thinks its allergy related, or whatever. I don't know why I'm going honestly. PEDS referred us. As far as my OB, I think she's just wanting to rule out any options. She is doing the ultrasound just to "be safe".. and said will only resort to a mammogram if something looks weird. Which reminds me - an ultrasound won't hurt anything as far as me nursing, right? So as I mentioned, the sharp pains came back. I'm started to think since I wasn't treating baby at first, he reinfected me. Or, I do live with my husband and 3 dogs. Without sexual contact, my husband and I can't transfer it back and forth, right? So I got another 14 day supply of Diflucan. We are going to do that again, as well as do sunlight outside, GSE nipple washes and APNO, along with GSE pump pieces and laundry. Baby is on nystatin currently (oral) but I'm going to call tomorrow his PEDS and I'm sure she will do the butt cream for it too. I'm going to try to find a good probiotic here that I can take and give to baby. I did notice today he is starting to have some red bumps near his anus. :( Anyone recommend anything else I can do for him? Or any tips/pointers that I haven't mentioned that will help me beat this? I'm really to the point of frustration and...
    11 replies | 220 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 07:40 PM
    I usually held baby in different positions to help them get gas out in either direction. I played around with this as no two babies were exactly alike in what worked. Generally I would rub and pat them bringing my hand in the direction the gas should go, but this varied. Some people like more specific infant massage for this as well, there is the "I Love yoU" massage for example. http://www.askdrsears.com/topics/parenting/child-rearing-and-development/bringing-baby-home/infant-massage/get-set I also found that holding baby most of the time with babies head above tummy often helped a fussy baby and if that was NOT working, the "magic baby hold" helped. It is described here along with several other fussy baby tips: http://www.llli.org/docs/0000000000000001WAB/WAB_Tear_sheet_Toolkit/10_what_about_partners.pdf I also found simply laying baby 'draped" tummy down on my forearm helped. My husband held our fussy first born like this most of the time. Responding to crying quickly and nursing with high frequency and whenever baby cues or even anticipating cues may also help. No parent can prevent a baby crying of course, but lots of crying may increase gas due to baby swallowing air. Also, frequent meals means that meals are overall smaller and easier to digest. Gas is entirely normal and so is gas pain the vast majority of the time. Your baby's gut is developing and so his body is still figuring this all out. No need to worry that there is some kind of diet issues...
    2 replies | 174 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 07:18 PM
    Hi, I believe the current recommendation from the AAP (it may be slightly different among different organizations) is that babies are introduced to solids at around 6 months of age. You have done that. If baby has other plans and is growing and developing normally, in all likelihood nothing is amiss and you can continue to offer solids when and how often as you please and not worry. As far as I know, there is not any dietary requirement that is not met entirely by breastmilk at this age assuming you are starting with an overall healthy, nutritionally balanced baby. The most common concern MIGHT be iron, but this is more likely a problem if baby was predisposed to be low iron in the first place- for example, a baby who had their cord cut overly quickly after being born, as is the case with most caesarean and other emergency type births. Even then, there is no reason to assume there is any issue there. If you want, you can get an iron screen. My middle child - now 10 years old- born via caesarean- did not eat any solids at 8 months. He did not start eating much of anything until he was over a year old, and only began to eat with any regularity at around 14 months. At 9 months he tested borderline with iron and since he had no interest in foods we tried iron drops, but different doctors gave us different opinions about whether the iron level was a concern or not, and since he hated the drops we stopped those. His levels were normal at 11 months, even though he still was...
    2 replies | 159 view(s)
  • @llli*kmrs's Avatar
    Yesterday, 06:57 PM
    It's good information to be aware of, for sure! :)
    11 replies | 220 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 05:42 PM
    Yes I agree I am not sure why a mammogram is being talked of in this particular case, that would be something I would personally want much more clarity on from doctor as you suggest. But many nursing moms are at an age or health history circumstance where routine mammograms are standard, or for whatever reason one is ordered, and lactating mom is told they have to wean baby in order to have one. So, just putting it out there that weaning is probably not needed, and would in fact delay any exam. Either mom can have a mammogram without weaning or a different kind of exam. I was talking generally, not about op.
    11 replies | 220 view(s)
  • @llli*mackeroo2013's Avatar
    Yesterday, 02:08 PM
    Hi my daughter is 8 months old this week and still has not eaten solid food or pureed food. When she turned six months old I started to try pureed food with no luck since then I've been trying almost every day and all she does is spit it back out. I'm not too concerned about that since I know that it can be normal for babies to take longer to get used to new foods. I breastfeed her exclusively and I'm wondering am I enough since she seems to be fussier than normal. I'm nursing her every 2 hours and I pump one time overnight since she sleeps through the night . She doesn't have any teeth yet and I don't see any teeth coming in but my concern is her iron levels I heard that babies need iron after 6 months in age and they need it from food instead of mom. Am I understanding this correctly?
    2 replies | 159 view(s)
  • @llli*zambomommy's Avatar
    Yesterday, 11:46 AM
    First of all, congratulations for giving your baby the best nutrition you can! You have come this far and that is a huge achievement. :hug I am sorry you are dealing with all these, it is hard to manage a baby, older kids, work and a home! I am not sure if your plan is to stop pumping altogether, or gradually pump wean, so that you don't deal with clogged ducts. Whatever you decide to do, please give yourself a pat on the back for coming this far! :)
    3 replies | 168 view(s)
  • @llli*jovadee's Avatar
    Yesterday, 07:51 AM
    My 1 month old seems to be struggling passing gas sometimes during the day. His poop and pee output is fine, about 6-8 poops (yellow and loose) and 8-12 pees a day. At times he gets fussy and crys and starts kicking his legs and squirming while pushing and turning red in the face. Rocking him usually calms him but, Any advice on how to help him pass it? Any changes I should make in my diet? Thanks!
    2 replies | 174 view(s)
  • @llli*podutti's Avatar
    Yesterday, 07:27 AM
    So today I think I have finally reached my limit with pumping :cry At this point I am not sure that the benefits of sending breast milk to daycare outweigh the negative impact this is having on me and my family. I am exhausted, exhausted from pumping, washing/cleaning pump parts, worrying about pumping enough milk, missing out on every coffee break and lunch break with my workmates. I have no patience anymore with my kids or DH. I should arrive home from work and spend time with my children, instead I am pumping to cover next days needs, panicking about scaling milk before it is too late, while my kids are begging me to interact with them. I wanted to make it to 12 months and then switch to cows milk but it is just not working. I wouldn't have made it this far without the invaluable advice I got on this forum so a big thank you for that.
    3 replies | 168 view(s)
  • @llli*kmrs's Avatar
    Yesterday, 03:55 AM
    Yes. Possible, but not sure that its necessary. I, like you, am wondering what they are looking for. Localized area of infection or abscess can be seen on ultrasound, not so well on mammogram even without the patient lactating. Generalized breast pain can be very obscure as far as imaging goes. We scan a lot of patients with pain and I have yet to see a cause for it. Mind you, I am speaking specifically from an ultrasound standpoint. Obviously there are clinical explanations for pain. You may have something going on that doesnt present on imaging studies. My question would be, if you have a history of mastitis, would that not be an explanation for your pain? The only thing I can think of is if they are wondering if there is a mass blocking a duct, which I would think would be the least likely cause. Not to say that its not worth investigating, that's between you and your doctor. But given that you are breastfeeding and I think without a localized area, it may be difficult to find with either mammogram and/or ultrasound. Just throwing this out there, hormones are thought to cause breast pain in many women. I am not sure of the severity of your pain and if you have associated symptoms of infection such as redness, swelling, warmth, fever, elevated white blood cell count, etc. But occasional shooting pain MAY be associated with changes in hormones. Again, NOT a doctor.. just speaking from a little experience in an imaging clinical setting.
    11 replies | 220 view(s)
  • @llli*maddieb's Avatar
    August 23rd, 2016, 11:05 PM
    Thank you kmrs! I was wondering what else aside a mammogram could be done for breast imaging for a mom with a young baby who is making lots of milk. I mean, for one thing, ow. I have personally had 3 routine mammograms while lactating, but in every case my child was 24 months old or older so I was making much less milk than I would have been with a newborn. So it is possible to have a mammogram when nursing. I nursed child shortly before.
    11 replies | 220 view(s)
  • @llli*kmrs's Avatar
    August 23rd, 2016, 08:47 PM
    I have 2 comments to add: I have sent a message to Jack Newman from their website. It tells you specific instructions on info to give and as long as you follow, they will reply. I got a detailed response very quickly. Id say within an hour. Second, I am not a doctor, but I am an ultrasound tech. When you go to have your ultrasound, my guess is the radiologist (Dr reading your ultrasound) would recommend you do ultrasound only since you are breastfeeding. If they want to follow it with a mammogram, I would question why. Not to say there is no possible reason and that there aren't circumstances that would warrant one, but I would question it. Ive been scanning 3 years and have never known a woman who was breastfeeding to have a mammogram. Do you have a targeted area of pain and/or redness, swelling, warmth (etc)? If your breast pain is generalized, you may want to look into a facility that does 'complete' breast ultrasounds. We don't do them at our facility but know where to direct people that are interested in that so you may have to look around, but I would personally do that before having a mammogram.
    11 replies | 220 view(s)
  • @llli*maddieb's Avatar
    August 23rd, 2016, 04:14 PM
    Well I can promise this is not a boy thing, not that that helps you any! Late onset nipple pain is sometimes thrush. Is that at all possibly going on? Some babies do seem to nurse more voraciously than others. We used to call these barracuda babies. And babies do get better at milk transfer as they get older, which sometimes results in shorter nursing sessions. But, it should not be painful or injurious to nurse, ever, at any age. This points to a latch issue. Can you go back to WIC for help? I am a little confused why they had an LLL Leader helping you at WIC- WIC programs usually have a peer counseling program (and those peer counselors may or may not be LLL Leaders.) Also, WIC programs without any lactation services commonly refer a mom in need to local LLL. But some WIC offices have full lactation services that allow mom and baby to have a professional consult with a professional lactation consultant (IBCLC) and this may be a good idea if possible, since it is a bit unusual for latch issues to arise at this stage. Your WIC program may be able to tell you about any low or no cost options in the area for seeing an IBCLC if they do not employ an IBCLC themselves. You can also work on correcting latch yourself using different positioning and latching techniques. Positioning that allows baby to have their head tilted back so they come to the breast more or less chin first- without a tucked chin, in oter words, is important for a comfortable latch and...
    2 replies | 170 view(s)
  • @llli*mom2jesserfly's Avatar
    August 23rd, 2016, 03:15 PM
    I never went through this with my last baby. Is it a boy thing?
    2 replies | 170 view(s)
  • @llli*mom2jesserfly's Avatar
    August 23rd, 2016, 03:14 PM
    I've been EBF my 5 month old son. We've worked on his latch with a LLL consultant at my local WIC department for a shallow latch. All was going well until he got a bit bigger. His suction is really strong and the bigger he gets, the stronger he's sucking. He's going through a growth spurt and it's killing me. He is cranky and wants to nurse all the time. He's waking 1-2 times at night now to nurse again. He has plenty of dirty and wet diapers along with weight gain, so I know he's getting enough. On top of that, he's been biting down on my nipples and thinks it's funny when I scream in pain. I dread when the tooth finally pokes through! What can I do? My nipples are so sore and I flinch when it's time for him to nurse again? :cry
    2 replies | 170 view(s)
  • @llli*maddieb's Avatar
    August 23rd, 2016, 02:58 PM
    You do not know there are food intolerances. It is suspected by your baby's pediatrician but in no way proven that your baby is sensitive to anything you eat nor to dairy or soy specifically. Doctors leap to food eliminations because it is easy- for THEM. After all, it is not the doctor that needs to figure out how to take a major dietary component out of their diet just to test a theory. Also, testing if dairy or soy or anything else is a problem need not be a long process. If dairy is causing a problem, then eliminating all dairy for several days should show at least some improvement. In the rare case a baby is reacting to something in moms diet, Dairy is the most common culprit by far so it usually makes sense to start with dairy. If there is any noticeable improvement, you continue with the elimination and see what happens next. If there is no improvement at all, you put dairy back in and try eliminating soy. Some moms do both at once, and you can do that, but then you will not know which food caused the problems, assuming there is improvement indicating one of them is the cause. Then if there continues to be improvement off the dairy, after a few weeks of that, you can drink a big glass of milk and see if the symptoms resume. Because any improvement on the dairy free diet may very well have been coincidence. Reoccurring plugs and mastitis and now the blood in baby's stool are all indicative of over production. I forget if that is going on or not? Blood in...
    11 replies | 220 view(s)
  • @llli*bhacket4's Avatar
    August 23rd, 2016, 12:38 PM
    It's me again. Alright so as y'all know I almost got mastitis AGAIN roughly 2.5 weeks ago. I had already been dealing with sharp pains throughout the breast, red nips, and tinder nips. Roughly a day or so after the mastitis issue, baby started to get the mucus poops.. and by mucus I mean REALLY mucusy. Also, they stink (compared to what they use to be) and are explosive (which they have always been I feel like). Several days later, my OB put me on Diflucan and we've been doing a treatment for thrush even though baby shows no signs we were both being treated. I was treated for about a week and a half before baby started, but now we have him on Nystatin (per his PED). I stopped Diflucan yesterday as my 14 day supply was up. About 2 days ago, the sharp pains came back. They aren't as bad but around day 4-5 of taking the Diflucan.. they had almost completely went away, but I still had the red and tender nips. But the pain has came back in the last 2 days. Fast forward. PEDS wanted to do a stool sample, and has done 2 so far. Both have blood in them, so she wants me off dairy and soy to test that. She also has referred me to a GI specialist. I saw my OB today and she did a culture of my milk for both bacteria and yeast/fungus. She also put in a referral to have an ultrasound done and said if that doesn't look ok, then she wants me to get a mammogram. She then prescribed me another 14 day round of Diflucan. My question is, I have read so many bad things about it.....
    11 replies | 220 view(s)
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