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Thread: can it be dairy allergy or foremilk/hindmilk imbalance?

  1. #1

    Default can it be dairy allergy or foremilk/hindmilk imbalance?

    Dear lactation experts,
    I have a 6 weeks old son. I have been breastfeeding him since day one. I did not introduce him any expressed milk if not necessary.
    Recently,
    1. While I am feeding him, he is very uncomfortable. I always assume that he swallow air. Than I burp him. But again, while he is feeding he starts crying. And after he finishes sucking and pulls himself out, he stays calm for seconds and starts crying.
    2. He was used to be a pro of latching. Now he has difficult time initially (especially if he is awake but if he is sleepy he latches easier han he is awake.
    3. He pulls out himself from my nipple during feeding. He does that n times...
    4. His poop has sticky mucus. Sometimes mustard color with seeds sometimes it is greenish..
    5. When I introduce him my expressed breast milk he drinks it fine. But I have to check his poop if it is sticky or not.

    I was googling what could be the problem and I found two reasons for that either dairy allergy or foremilk/hindmilk imbalance.
    I am a working mom and I will go back to work this monday. I do not want to loose the beautiful connection with my baby. His caregiver will give him expressed breast milk when I am at work but when I am home I want to enjoy breast feeding time with him.

    Please help how to solve this problem and make my baby to enjoy feeding again. I really do not want to torture him.
    Any advise is appreciated about this feeding problem and also pumping storing my expressed breast milk storage
    Thanks million!
    Deniz
    Last edited by @llli*dbtemel; June 22nd, 2013 at 08:23 PM.

  2. #2
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    Default Re: can it be dairy allergy or foremilk/hindmilk imbalance?

    Hi mama, mustard color with seeds is normal poop for a breastfed baby. Green poop can be normal too, it can also be seen when mom has a degree of overactive letdown/oversupply resulting in more foremilk - however this is not as much of a concern as many mothers think (foremilk is perfectly fine for baby to drink!). Less frequently, dairy may be the problem - but again this is much rarer. I'm not sure from your post whether you may have overactive letdown or not - it's possible, and that's what is causing baby's fussiness at the breast, popping off, etc. Here's a link to kelly mom about some of the signs of overactive/fast letdown: http://kellymom.com/bf/got-milk/supp.../fast-letdown/. Does any of this sound familiar? Here's another link about overactive letdown: http://www.lalecheleague.org/llleade...poct95p71.html
    If you do think you may have overactive letdown, reclined or "laid-back" nursing can be helpful: http://www.llli.org/docs/00000000000...astfeeding.pdf

    For the second part of your question, pumping and storing your milk: in general, you want to pump about as often as you would be nursing. So usually at least every 3 hours - or 3 times in an 8-hour day, though some mothers may need a fourth session. This is assuming you're using a good-quality, double-electric pump. Who will be taking care of your baby while you are at work? Many mothers find that it's best to store the milk in quantities similar to what baby is drinking, which will usually be 2-3 ounces per feeding (~60-90 mL). How you want to store the milk also depends a bit on your caregiver situation. Many mothers find that it's convenient to give baby the milk they pumped the next day. Then, on the last day of the workweek (Friday if you are working a Monday-Friday schedule), freeze the milk, and thaw any frozen milk on Monday to keep the frozen milk stash fresh. However, it's also fine to keep the milk over the weekend in the fridge and give it to baby on Monday. Here is another kelly mom link about storage guidelines (how long to keep milk at different temperatures): http://kellymom.com/bf/pumpingmoms/m...orage/#storage

    And some links about bottle-feeding breastfed babies, including information you can share with caregivers: http://kellymom.com/bf/pumpingmoms/e...reastfed-baby/
    http://kellymom.com/bf/pumpingmoms/f...ottle-feeding/
    http://www.llli.org/docs/00000000000...astfedbaby.pdf

    It's important that caregiver avoid overfeeding baby. The rule of thumb is 1-1.5 ounces (~30-45 mL)/hour.
    Last edited by @llli*bfwmomof3; June 22nd, 2013 at 09:20 PM.

  3. #3

    Default Re: can it be dairy allergy or foremilk/hindmilk imbalance?

    How are things going, Deniz?

    I agree with bfwmomof3 that fast letdown is a possibility. It usually seems to get worse until around 2 months, and then gradually improves as baby gets better at dealing with the fast flow of milk. It's more common than dairy allergy.

    Did you get a chance to look at the Kellymom page on forceful letdown? Does it sound like what you're seeing?
    Karen
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