J.H. asks from Austin, TX on December 10, 2008
Newborn Dairy Allergy Predicament
Just wondering if anyone has had this happen to them. We went to my son's 2 week checkup and the pediatrician tested his stool and found traces of blood. She switched him to Enfamil Nutramigen because she thinks he is having trouble digesting the animal proteins in the formula that he was on--Similac Advance Early Shield). I was giving him 2/3 breast milk, 1/3 formula while I am building up my breastmilk supply by pumping so he would have breastmilk when I return to work in a few weeks. The pediatrician also told me to cut out all dairy products from my diet. I have about 5-6 days of breastmilk in the refrigerator/freezer that I don't know what to do with. I am torn between giving it to him with the new formula or just giving him formula (and continuing to pump) until I can get a breastmilk supply free of dairy. It seems EVERYTHING has milk or some sort of dairy product in it and that it can take a couple of weeks to get rid of dairy in my body.
I am so frustrated. He is showing no other signs of a food allergy and has been eating, sleeping (every 4 hrs.) and having frequent bowel movements (after every feeding), so I had no idea that he may have an allergy. At this point, I am tempted just to keep him on straight formula (and no breastmilk) for a week until we go back to the dr. to see if there is any improvement, but feel guilty about him not getting any breastmilk. ANY advice and/or personal experience with this would be appreciated.
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C.M. answers from Chicago on December 11, 2008
Since he's a boy, I would avoid the soy formula and stick with the Nutramigen for now. Soy is an estrogen mimicker. Call La Leche and if they recommend that you don't use the milk in the freezer, you can donate it to one of the breast milk organizations that provide breast milk to preemies. La Leche should have info on the closest milk bank for you.
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A.R. answers from Austin on December 13, 2008
I think it would be better for him for you to cut out all formula and go to strictly breastmilk. Formula is harder for babies to digest, no matter what kind it is. See askdrsears.com for more information. Good luck.
M.H. answers from Houston on December 11, 2008
J.,
My son has been on Nutramigen and he has done awesome on it. The doctor has said that it is one of the best out there so if you feel guilty about not breast feeding him just be comforted that this is really good. It is expensive so I have always bought it online from ebay. I have been able to save about $10 a can and never had any problems.
-Sandee
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H.T. answers from College Station on December 11, 2008
My son had very similar symptoms when he was a few months old. It turned out to be an irritated colon from a very mild stomach virus. Of course we found that out only after a 6 wk elimination diet for me. I exclusively BF. And we only found it out after they stuck a camera up his booty. I insisted, because I was dropping major weight. The key for us was the lack of any other symptoms. Usually allergy kids show a lot of gas and iritability. It has a medical name, if you are interested, email me. I can send you more details when I have it in front of me at home. ____@____.com
H.
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A.T. answers from Austin on December 11, 2008
I was at the same crossroads just a month ago (my daughter is about 2.5 months old now. I was ready to GIVE UP because it is just so hard. My baby girl was screaming in pain though so I knew exactly when I had missed some dairy intake on my part. I had read that it can take weeks for it to get out of your body, but from my experience so far it is just a day or two before I could tell it was out (no screaming). In our situation, the dirty diapers are evidence of this too (stringy avocado looking -bad vs. Grey Poupon - good).
I say keep him latching on unless the doctor says 'no'. I did end up dumping some expressed milk but labeled the rest and put it in the freezer. Our pedi said this will probably pass when baby is about 4 to 6 months old so depending on how old your baby is you could aways put dates on what you have already expressed stored in the freezer and try giving it to him later (3 months later) to test if he is still allergic.
Now that my post-partum hormones are somewhat in check and I've changed my diet, I can see that it isn't as difficult a situation as I initially thought it was. So I have to read labels for a few months and watch what I eat, if that is my biggest problem at the moment then I am a lucky dog!
hang in there mama!
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C.M. answers from Chicago on December 11, 2008
Since he's a boy, I would avoid the soy formula and stick with the Nutramigen for now. Soy is an estrogen mimicker. Call La Leche and if they recommend that you don't use the milk in the freezer, you can donate it to one of the breast milk organizations that provide breast milk to preemies. La Leche should have info on the closest milk bank for you.
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H.H. answers from Houston on December 11, 2008
If you want him to have breastmilk, work on getting your supply up. Remember that while you are at work, you will pump what he will eat the next day, so pumping a freezer full right now probably isn't necessary. Putting baby to breast is the best way to build up his supply.
Dairy intolerance is a big deal, and you may struggle with it later, so if you can, try and cut out all the dairy. I found this about eliminating dairy and how long it takes before the effects are noticed: "Eliminating a food for less than 2-3 weeks may not be effective—cow’s milk protein, for example, can persist in mom’s body for 1½ - 2 weeks, and it may be another 1½ - 2 weeks before the protein is out of baby's system." The milk you already have can be saved until you know for sure this is the problem (keep it separate so you know which the "dairy" milk is vs. the non-dairy).
Baby’s symptoms will usually begin to improve within 5-7 days of eliminating a problem food. Your baby may not improve immediately, however, especially if the reaction is to a food that has been a regular part of mom's diet. Some babies seem to feel worse for about a week before symptoms begin to improve. Sometimes it takes several weeks to see an improvement.
I don't think it will be best to switch baby completely to formula while trying to get the breastmilk cleared of dairy. I think one week isn't enough to evaluate results, though, seeing how long it takes for your milk to be completely free of dairy. Perhaps you should discuss with your doctor what you have found about dairy, and say that one week isn't enough to properly evaluate the situation and that you are not willing to completely switch to formula. Breast milk is still best, even if you have to take all the milk proteins out of it, so why would switching to something that is inferior be better? Better to give it the time it deserves and reevaluate - especially since you have not even seen signs of a food allergy!!!!! If he was in pain after eating, it might be a different story. But as he was showing YOU no signs and the doctor just found traces, I'd say ask for a new appt to reeavaluate (explaining your reasoning and research you've done to that effect) in two-three weeks and continue to only supplement when you NEED to. This is a great source for reading up on the dairy issue in breastmilk: http://www.kellymom.com/babyconcerns/food-sensitivity.html
The decision to give formula instead of breastmilk is sensitive, and one for each individual woman to make. But if you WANT your son to have breastmilk, then by all means, cut out the dairy and work on getting your supply up by nursing him as much as possible, pumping when he's not nursing, eating oatmeal (no milk, though!) and drinking lots of water. Only supplement when absolutely necessary if you want a good milk supply. My son had absolutely nothing but breastmilk for 7 full months as I worked (pumping at work), and barely ate solids from 7-10 months. So basically, he had almost only breastmilk for the first 10 months of his life, and I never once supplemented. I had trouble pumping, but made sure and had him to the breast every time he asked to eat. It's possible to return to work and not have to use formula at all, if you want.
**ETA - I think it is wonderful that someone suggested donating your breastmilk (in the freezer) if diary is an issue, BUT do read up on what is ok for donation. You can not be on any medication or herbal supplements (though there are exceptions). Here is a FAQ about donating milk from the Mother's Milk Bank of Austin (the rules are pretty similar elsewhere). http://www.mmbaustin.org/scripts/index.php?option=com_con...
Good luck!
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S.J. answers from San Angelo on December 11, 2008
So sorry J.! But do not feel guilty about the breastmilk thing. Your baby will be fine. He got the first breastmilk when he was born and that is the most important. My son was a premie, had jaundice and feeding issues, I was not able to breastfeed him either. He was on soy formula and did great. He is healthy and happy 4 year old with only a dust mite allergy. My daughter I breastfeed but felt I never got to spend time with my son (he was only 13 months old when she was born). So, I stopped breastfeeding her very early. She was on nutramigen formula for reflux. She is a healthy 3yr. old with only seasonal allergies. Hope this helps.
S.
www.sanangelo.jbfsale.com
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J.J. answers from Austin on December 11, 2008
The little dairy he may ingest from your milk while you are in the process of cutting out dairy is better than the formula, keep nursing. Full nursing would even be better than formula as their bodies are designed to process your milk. Babies sometimes have sensitivities to things we eat (I had to cut out broccoli too) but keep an eye and pay attention and cut those things out. If you look at the stats, kids who were fed formula have more and worse allergies than those that were breastfed, so breastfeeding is the best thing you can do.
Both my kids would projectile vomit whenever I had dairy during the first 6 months of their lives. I cut milk out of my diet but they were fine when I ate cheese or yogurt (which biochemically are different and easier to digest which is why babies moved to solids are allowed those before whole milk). After 6 months I was able to broaden my diet again (think about it, their stomachs are developing at this time which is why it is a benchmark for introducing solid food). For now, I wouldn't worry too much about items that may have dairy in them but aren't easy to spot (crackers, cookies, etc...), but cut out all items that are obvious (milk, cheese, etc..) for the time being and keep an eye on your son. If he is having problems then cut out more, but really, don't take him off of nursing, it really is the easiest thing for him to digest.
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A.R. answers from Austin on December 13, 2008
I think it would be better for him for you to cut out all formula and go to strictly breastmilk. Formula is harder for babies to digest, no matter what kind it is. See askdrsears.com for more information. Good luck.
K.N. answers from Austin on December 10, 2008
DON'T CRY OVER SPILLED MILK. You can make more (and you will)... and that breast milk won't get him sick.
According to this website (http://www.breastfeeding.com/helpme/helpme_asklc_ans49.html) blood in the stools is due to malabsorption issues in the intestines... that the lactose and bovine protein is causing the intestines to bleed which then interferes with the body's ability to absorb all other nutrients. (By the way, that article mentions other aspects that you might want to review.)
So, if your question is whether you should keep feeding him a diet that contains bovine proteins and lactose, I would say no. Put him on formula until your system is cleared out; pump & dump to keep your production up. My goodness, he is so young! You don't want his ability to gain weight to be compromised... you don't want his intestines bleeding... you don't want any ulcers to develop on his intestines... or for any of those sites to develop infections... and you don't want his allergic reaction to cows milk protein to worsen, become severe, last longer than he may otherwise have it, or make him sensitive to other food allergies. (My daughter has an allergy to cows milk--which is not the same as being lactose intolerant; our pediatrician estimates she should naturally outgrow it by age 4).
What can you eat... Beans, lentils, rice, potatoes, fruit, corn products, pasta, tortias, oatmeal & brown sugar, tomato sauce and salsa, vegetables, salads, fish, chicken, mayonnaise (chicken salad; tuna salad), pork, lamb, olive oil instead of butter... There are lots of soy puddings and yogurts in most grocery stores. Stay away from store bought bread as it contains milk; however actual french bread should not be made with milk (which is why the crust of french bread should look different than regular bread. If the french bread's crust is moist and spongy, then it contains milk). The article also advises to avoid beef since it also contains bovine proteins and you want all bovine protein out of your system.
My daughter was sick from constant sinus infections and congestion issues, pretty much since birth until age 2. She has developed reactions to antibiotics because they were introduced to her so often and at such a young age. THEN we were told that all of it was due to a cows milk allergy. I wish we could have realized her allergy sooner; I wish I could go back and avoid the 2 yrs of doctors appointments every 6-8 weeks, sinus xrays, antibiotic allergies, ear tube surgery...
Good luck (You can do this!)
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