J.C. asks from South Windsor, CT on August 19, 2008
Temporary Weaning to Formula
My exclusively breastfed 6 month old son has had severe eczema for over 3 months now, and we don't know which way to turn. We have seen medical doctors, tried alternative methods, used every ointment, lotion and even steroid cream, but have not been able to get this under control. Over the last 10 weeks I have eliminated the 10 major allergens from my diet, as well as tried a major elimination where I only ate turkey, brown rice, sweet potato, and squash. I have done these for 3 weeks at a time, as it takes that long to clear the system of proteins. None of this has worked. We are using a homeopathic remedy from our naturopath, and I do believe this is helping, as we have seen improvement, but it is slow going and as we wait, my poor son is suffering. He is very itchy, especially at night, so sleeping is terrible for all of us. Benadryl provides minor relief, but not enough to get him more than a couple hours sleep. As a last resort at the suggestion of one allergist, we decided to try him on Neocate nonallergenic formula. If he clears up, we know it is something in the breastmilk, and I need to stop nursing. If he does not, then it is not food related, and I can nurse without fear that I am contributing to his problem, and stop killing myself with food elimination.
So, the question is... how do I do a temporary weaning? This is only day 2, and I have been mixing the formula with breastmilk because he wouldn't drink the formula straight. I have been putting less breastmilk each time, and he is accepting it so I should be ok there. He won't fall asleep at the bottle though, and is used to nursing himself to sleep, so now he screams when I try to rock/walk/swing him to sleep. I don't even know how I am going to cut out middle of the night nursing because the itchiness wakes him up many times in the night and I nurse him to calm him and that is how he falls back to sleep. I don't want to cut him off of the breast too quickly, but I need to get him strictly on formula for 3 weeks straight so we can tell if the formula is working or not. When my MIL or husband put him to sleep he has to go to sleep without nursing, but it is usually a struggle and often includes walking in the stroller. That is not always convenient though, and not an option in the middle of the night. Also, I am pumping whenever he feeds to keep up milk supply for in case we can resume nursing.
More Answers
K.T. answers from Boston on August 21, 2008
Hi-
I had the exact same problem as you. My daughter developed terrible eczema at 6 weeks and it took us until she was 6 months old to get some improvement. I did an extreme elimination diet like you, and only saw minor improvement in her skin. With the guidance of our pediatrician and allergist (both of whom I respect and trust) I ended up weaning her to Similac Alimentum, and her skin completely cleared up. I bathe her daily, then immediately slather her up with vaseline. I use hydrocortisone ointment periodically for any flares. I also had to "sleep train" her while weaning her. My husband and I ended up making her "cry it out" at bedtime b/c no soothing techniques worked within a decent amount of time (and we were just too exhausted). The first night, she cried for close to an hour, and it was painful...but then she started sleeping through the night for 10-12 hours and was happy. It took her a while to sleep train, but it was worth it; she's now a happy baby. For middle of the night waking, I would check in on her to make sure she was OK and that diaper didn't need changing, and then let her cry it out again. It was incredibly painful, but it did teach her self soothing, and now she can sleep through the night.
Best of luck.
D.B. answers from Boston on August 20, 2008
There is a fabulous family of nutritional supplements that have worked wonders in eliminating eczema - it's safe for infants and for nursing/pregnant mothers, and was formulated by the same food scientist who was on the team who developed ProSoBee and Enfamil formulas. I would love to tell you more about it and have you talk to other moms who have had great results. You can use the kids' product for your baby, or use the adult product for yourself. It's awful to have a little one so uncomfortable, and it's heartbreaking to give them medications and steroid creams. There is another answer out there! It's a great company, 20 years of success, well-written up in business magazines, and feeding 41,000 kids world-wide through its humanitarian arm. Feel free to email me, and I'll give you my phone number. We can talk, go on-line to check out the company, and do some phone calls with other moms. Love to talk to you!
R.D. answers from Boston on August 20, 2008
Hi J.,
Before stopping BFing I'd make sure you checked out all other possible causes first-especially since it is a great way to comfort your child. Has your child been allergy tested? Have you had your house checked for mold? Have you only washed all the laundry in hypoallergenic detergent? Is there a children's hospital near you that you could see a specialist? Maybe it's an autoimmune problem. I can't imagine what you're going thru seeing you baby so unhappy. I doubt it's your milk and I'd hate for your supply to drop (pumping is not as efficient as bfing).
Bestof luck to you and please let us know what happens.
R.
N.H. answers from Boston on August 20, 2008
I am not sure about weaning, but I was wondering if you tried the medicated cream Desodine(prescription) or hydrolatum (over the counter). These helped my son. Desondine has been a life saver. Whenever he has any sign of dryness I use it and it goes away within a day or so. It doesn't stay away long, but it works while he uses the cream. You may have already tried these. Good luck it's so hard to see them uncomfortable.
D.C. answers from Boston on August 20, 2008
hi J.,
Please don't stop breast feeding as a possible solution. At 6 months if you stop for 3 weeks your supply will drop and you may not be able to start again. My daughter didn't have any skin problems but she was a month premature with a large hole in her heart that caused failure to thrive. The nutritionist never discouraged my breast feeding in favor of formula.
You can also call LaLeche League http://www.llli.org/WebUS.html for more info on feeding and weaning.
Good luck getting to the bottom of the cause.
D. C
Mom of 4: 16, 14, 11 & 8
L.S. answers from New London on August 19, 2008
The allergies could be anything. My son is very sensitive to sweet potatoes he gets a rash and a friend of mine is allergic to potatoes and chicken (he gets itchy). It may take a little bit to get him to switch to formula. It could be the bottle, the nipple, the temp. of the formula. My son will only drink his formula cold and uses the playtex fast flow nipple. It took about two weeks to ween him completely, but that is because I did it really slow. As for the allergies, make sure your sheets are pure cotton. Some people are sensitive to sythentic fabrics. Make sure you wear cotton as well. What are you washing your fabrics with? As for the temperary nursing, it might be hard to get the baby back on the breast. Some babies are not interested in nursing anymore, but it will be okay. Your son got 6 months of breastmilk, which is great. Don't feel bad if you can't go back to nursing. I'm sorry your son is so itching. Eczema is cruel.I wish you the best. My husband gets eczema from stress and temperature changes in his body. At nightime the histamine levels increase which makes things worse. Good luck to you.
M.C. answers from Boston on August 20, 2008
I really hope you are able to find another solution - the ingredients in formula are pretty nasty compared to breastmilk. If you do have to do it, you could consider homemade formula - sounds crazy but I have a number of friends who do it. There's a recipe in the Nourishing Traditions cookbook and all kinds of info online at www.westonaprice.org - it's the closest you can get to breastmilk's nutrition and doesn't have icky stuff like corn syrup solids!
R.S. answers from Hartford on September 06, 2008
you have to do whats best for you and the baby, if you are stressed then the baby will be stressed. These days formula had everything you need to give your baby all the nutrition he needs. I would say just do half and half for a couple of days to get him used to it.
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