So, here's the story so far:
I'm the mother of twin girls born April 1st, 2006. Early on, we had some lactose overload problems because I was consuming too much sugar - one girl had broccoli-green stool, and the other was constantly fussing, spitting up, and farting. I cut out most of the sugar in my diet and the symptoms went away.
Since then, I've developed oversupply / overactive let-down. We're doing all the basic stuff that is recommended - nursing in "uphill" positions, avoiding pumping, and even block-nursing both babies on one side (although I've only done this casually). However, the problem still seems to be getting worse and the girls are developing lactose overload symptoms again - green stools, and gassy fussiness.
So here are my many questions:
Should I try pumping out the foremilk at the beginning of the day / feeding block? Also, does hand-expression stimulate milk production less than pumping? Is there any way to increase the amount of fat in the foremilk so that it will move through the babies' digestive tracks slower and give time for the lactose to be digested properly? Can breast compression help in this case (as seem at http://www.kellymom.com/newman/15bre...mpression.html) ? Could I lower the amount of lactose in my milk further by cutting back even further on sugar, and would this be wise or even help? Should I start looking for recipes with sage in them to lower my supply ? Would a milk bank want my pumped foremilk, even though it is so low-fat and causing problems in feeding my own babies?
Thanks for any help!