My DD is 4months, healthy happy and growing well. 15+lbs now and was 7lb 7 at birth. We have been having specks of blood generally in small amounts in her stool since she was 2 months old. I have been dealing with an os/oald since the start. I didn't realize what it was till about 4-6weeks I think. I was so frustrated with sore nipples and a bad latch, and felt horrible about the choking/gulping and her getting frustrated with eating. I started block feeding. I think it was prob helping a bit the choking seemed to slow down and my letdown got less painful. I was starting to get concerned about her poop starting to have green and maybe brown specks in it as well as mucous. A LC told me to avoid dairy/soy/peanuts/shellfish in case she is irritated so I wouldn't further irritate her gut.
At my DD's 2 month appt the Dr had never heard of blockfeeding nor had the nurse anyways they told me to stop blockfeeding and go back to "normal". She also got her vaccines that day. I had been off dairy/soy/peanuts/shellfish for about a week at that point and seen no improvement. They told me I didn't need to do that and I should just start with one food at a time and/or just reduce the amount I was eating. The Dr put her on zantac prob a week before her 2 month appt(because I was calling the office with questions about spitting up/projectile vomiting(2x), and screaming) Well I"m a new mom and now figure that her symptoms we're pretty normal and she was just gassy and the spitting up always tended to be when she ate a lot! The Dr also tested a couple diapers for blood and they came back negative.
So that night I went home and stopped blockfeeding, ate normal, monitored her for any reactions from the Vax.
The very next day there was red blood in her stool and we've been dealing with it since then.
I have been off dairy/soy for 2 months, eggs for 5 weeks, and wheat/nuts/peanuts/shellfish/fish for 4 weeks. Nothing seemed to have led to an improvement. Somedays are better than others and then we go back to where we were. In general I always saw the blood in the first or second diaper of the day in correlation with her first feeding on an overly full breast.
I saw a Ped GI 4 weeks ago. She wanted to put her on formula and have me pump and possibly do an endoscopy. I opted to cut more food out so I could keep bf because that seemed like the better thing to do for DD. We had blood work done and stool tested again. Blood work was fine, no occult blood in stool(even though we could see a couple red specks), elevated white blood cells and eosinophils. I felt like the GI didn't really know much about breastfeeding and I didn't find it very helpful.
Saw the LC again at the support group I go to and she said definately go back to blockfeeding and stay on the elimination diet to reduce the chance of causing any allergies while she is irritated. So I have been blockfeeding about a month....but also started pumping once a day and was doing both sides at once. So I was prob overstimulating, and oatmeal seems to make my supply increase(so I've cut that out too), and I was starting to switch sides more frequently at night because I thought she was hungry, but I think she was just frustrated with the slower flow.
Right now I'm blockfeeding at 5hour intervals from the time I start on a side. It's still spraying and she is choking/gulping again on the first and second feeds on a side. I am still pumping once a day but only on one side one hour after she eats and goes to bed and I stop at 1/2-1oz.
Sorry this is so long! I'm wondering if it is because of the OS/oald which is causing it. If its the oald would it be beneficial to pump/express off an ounce before she eats? Or would it be just the oversupply?
We go in for her 4month appt today. So we'll see what the ped says about the GI visit. I at least think the Ped is more pro bf. I would like to get her off the zantac because I don't think she needs it. The last appt I mentioned that and the ped said they normally keep them on it till they outgrow the dose. Seems stupid to give my dd medicine if she doesn't need it. I'm opting out of the rotavirus vax today as well.