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Thread: Discouraged after gastro spec. visit

  1. #1
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    Jun 2012
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    Default Discouraged after gastro spec. visit

    So my lo had her gastro specialist appt. today. He said everything seems fine, but wants me to cut out dairy, peanuts, eggs, soy and wheat. Also wants me to supplement with formula to try and help her poop more than every couple days, and says babys not gaining enough weight. She weighed 7 pds 12 oz at birth and he weighed her and she only weighs 8pds 14 oz. She is breastfed on demand, and eats alot. I feel like im doing everything wrong now. She took a lactose test so I dont see why i have to cut out dairy, when it came back and said shes not lactose intolerant. dont know what I should do now.

  2. #2
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    Default Re: Discouraged after gastro spec. visit

    I'm sorry the gastroenterologist didn't give you more useful information.

    How old is your baby, again? I'm thinking about 3 weeks...?

    Allergies can result in poor growth. Cutting out the top allergens (wheat, dairy, soy, eggs, and wheat) is not the worst idea in the world, though I am not sure I would eliminate all of those to start with. Dairy is probably the top allergen in that list- and when a baby has a problem with dairy, it's almost never, ever with lactose (milk sugar). It's with casein or some other milk protein. Babies are designed to digest lactose, since human milk is always packed with it (even if mom never, ever touches cow's milk). Production of lactase, the enzyme that helps digest lactose, peaks in infancy. Lactase production declines over time, and it's really only older children and adults who are lactose intolerant (i.e. Unable to fully digest lactose).

    Is your baby exhibiting any other symptoms of allergy, aside from slow growth? Things like excema, or stools which are greenish, green, mucousy, frothy, or which contain blood?
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  3. #3
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    Default Re: Discouraged after gastro spec. visit

    My lo is 7 weeks and 3 days. I thought it was a little harsh to eliminate all those things at once from my diet, and I was thinking i might just go with the dairy first. Her poop, when she does poop is yellow in color and has those white seedy things in it. Although I have noticed that her poop is kinda stringy stretchy (i know a little too explicit). I told her ped. about it and thats when she had me collect her poop and they tested it for white blood cells. It hasnt been brought up again. Other than that, she doesnt have any other symptoms. Wait she does get this red bumps on her face and neck and shoulders lately but I think that may be a heat rash? They go away and dont stay long. I really dont want to supplement formula, I'd rather just breastfeed her exclusively.

  4. #4
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    Default Re: Discouraged after gastro spec. visit

    i wouldnt personally start using formula.

    so her poop prompted you to talk to the ped and then go to the gastro?

    i guess id have to see the poop but overall bm poop is basically like what you described. yellow and seedy is classic. they didnt say anything after they tested it for white blood cells?

    so the recommendation is based on just the look of the poop?

  5. #5
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    Default Re: Discouraged after gastro spec. visit

    No she has only been pooping once every couple days and even once a week since birth, and has also been having really bad gas and cramps that wakes her from her sleep and has her screaming in pain. We tried everything to help with gas but nothing works. So ped. said to bring in poop to check for lactose intoleranc (the white blood cells) and it came back negative. Gastro. spec. was because she didnt poop out liquid that they used when they gave her a enema test to check for blockages or narrowing, which came out negative as well.

  6. #6
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    Default Re: Discouraged after gastro spec. visit

    ok. here is a link about gassiness in babies.

    it may be an allergy or something else. it can be so confusing.

    some babies simple are more gassy or have fewer stools. is her weight an issue at all?

    my thought was also maybe oversupply or forcefull letdown. read through the site and see what you think in relation to her.

    you absolutely could eliminate dairy if you want to try that. i agree that i wouldnt eliminate so many at once, i would personally start with dairy.

    see how that goes.

    for me, to introduce formula is not really a solution. if anything formula is more harsh on the digestive system. if bf is going well keep it going.

  7. #7
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    Default Re: Discouraged after gastro spec. visit

    Yes bf is going great. She latches just fine and I thought she was getting enough. She weighed 7lbs 12 oz at birth and when weighed today at gastro spec. she weighed 8pds. 14 oz. He said she should of gained more than that being shes almost two months old. I will check out that website, not sure if I have oversupply or foreceful let down. Thanks for the link!! I hate not being able to help her feel better.

  8. #8
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    Default Re: Discouraged after gastro spec. visit

    so her weight is a little slow, here is a link about weight


    did she lose weight after birth? its very common, i just ask to know where her weight is really coming up from in 8 weeks.

    and was she always weighed on the same scale and without any diaper?

    i would say get in touch and meet with a IBCLC.

    its so frustrating and difficult when your lo is upset.

    keep us posted!
    Last edited by @llli*mtmama; June 29th, 2012 at 08:17 PM.

  9. #9
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    Default Re: Discouraged after gastro spec. visit

    have you ever done compressions while nursing? i found that helped my son in the early weeks.

    and the lc could do a weight check before and after nursing to see how much she takes in.

  10. #10
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    Default Re: Discouraged after gastro spec. visit

    A total elimination diet is not the recommended procedure in these cases, 1) because it is very hard on the mom, and thus may lead to breastfeeding cessation, a serious health issue and 2) because it tells you so little. If you eliminate all those things and symptoms abate, you still have no idea what caused the issue.

    She took a lactose test so I dont see why i have to cut out dairy, when it came back and said shes not lactose intolerant.
    Dairy allergy in a breast fed baby is not lactose intolerance. It's dairy proteins showing up in your milk that MAY cause a reaction.

    She weighed 7 pds 12 oz at birth and he weighed her and she only weighs 8pds 14 oz
    This is a weight check done on two different scales and thus could be off-way off. You must have had weight checks all along? If weight gain is really slow, I wonder if there is a milk transfer or low supply issue which would also explain the lack of poops.

    Also wants me to supplement with formula to try and help her poop more than every couple days, and says babys not gaining enough weight.
    I really do not understand giving formula to get a baby to poop. A breastfed baby of 7 weeks old could normally go for days without pooping. The not poopsing is not an issue of baby is gaining, except for the pain baby is in. What formula was recommended? It has to be one neither soy nor dairy based if you are going through all this elimination!
    I feel like im doing everything wrong now.
    Please try not to feel this way. You have done nothing wrong! Even when there are allergy issues via breastmilk, which is rare, but it can happen, the recommendation from breastfeeding knowledgeable doctors is STILL to breastfeed. Breastmilk & breastfeeding has so many deep, long lasting and important benefits over formula.

    I suggest you read this article about food based allergy in the breastfed infant. It is dense and full of medicalese but it is from doctors who are breastfeeding knowledgeable and supportive, as I fear your specialist was not. It seems to me he or she found nothing wrong so just assumes the issue is your milk. That is a sign this doctor may not be breastfeeding supportive.
    http://www.bfmed.org/Media/Files/Pro...ish_120211.pdf

    Edit-above,I meant to say: The not pooPING is not an issue IF baby is gaining, except for the pain baby is in.
    Last edited by @llli*lllmeg; June 30th, 2012 at 11:38 AM. Reason: for clarity

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