Posted By Posting
Jan 15, 2009
amber f
I'm turning to the experts:) (OT) Or maybe not
Hi Everyone:) I hope you all are having an uneventful winter and loads of good health.

I have a few questions about lactose intolerance in a 5 week old that will be coming to daycare. The baby is a really good baby all day but at night he just seems so uncomfortable and is starting to cry a lot just at night. He is bfed and formula feed. My ? is if he is sensitive to lactose would he have symp. during the day also? He doesn't vomit (he barely spits up) or have lose diapers. The mother is thinking of quitting bfing and I hate to tell someone to do that but maybe the consistancy would help his stomach. I told her to try swaddling at night. She is trying various bottles/nipples to see if he is drinking to much at a time. Do you have any tips or ideas? Her other son that has been coming here is a year old and hasn't been sleeping well because he has had an ear infection for months now and is getting tubes next Wed. She has a lot on her plate.

Jan 15, 2009
lanymama
Mom to Eddie 1/07 and Nicholas 6/08. Eddie allergic and refluxer now on cow's milk!!!! Nicholas also a refluxer on prevacid and breast milk. Mom on elimination diet AGAIN!!
I am thinking reflux not the milk protein intolerance, Has mylanta helped?
Jan 15, 2009
amber f
In my title the maybe not is referring to this being an off topic post not about you being experts:)

I don't think the symp. sound like reflux but who am I to know. I just feel so bad for her and if there is any ideas that would help her I'm open to it.

Jan 15, 2009
jenrackley
PAGER Volunteer Services Coordinator
Nutritionist
Melina 7/24/02 now reflux free!!
TWINS:
Ella 5/3/05 GERD, asthma, hypotonia, food intolerances, esophagitis, IBS //
Ava 5/3/05 asthma, food allergies
Pic: My girls! They are getting so big!
I personally would never want to be the one to tell someone to quit bfding. Is there something she is eating that may be coming into his breastmilk in the evenings? Humn... Has she tried any kind of elimination diet?

Is he complaining at night or when lay him down?
Jan 15, 2009
amber f
(Lanymama) We posted at he same time. The doctors told her that it was probably a lactose sensitivity and she could try lactose free formula. So she is debating over quitting bfing and do the lactose free formula. Wouldn't there be issues during the day if it was formula problems? Wouldn't there be spitting up or lose stools? The baby should also be having issues during the day with reflux to, right? I know reflux is usually worse at night but Nolan had sympt. after every meal.
Jan 15, 2009
amber f
I asked her if she tried to eliminate foods and she said that she really isn't eating much of anything these days. (I'm wondering if she isn't having some ppd?) She asked me if I thought quitting bfing would help and I said I can't be the one to tell her that.
Jan 15, 2009
b-girl
Mom to Jasmine aka: Jazz 01/24/2007
Dx with silent reflux at 8 months
FPIES, DGE, MSPI. Recently diagnosed with EC (Eosin. colitis and now Primary immune deficiency disease.
Also mom to Nathan. born Jan.20th, 2009, MPI . so far dx with reflux and has an extremely sensitibe GI system. Also dx with primary immune deficiency disease.
Jazzy was a silent refluxer, so it was only during sleep/nap time that we had problems, esp. at 5 weeks. It just may be that the baby is still too young to be exhibiting any kind of "traditional" symptoms of either reflux of MSPI or lactose. maybe she can cut out all milk from her diet and try nutremagin/alimentum to supplememnt? At least if she wants to continue BFing, she is covering both milk lactose and protein????
Jan 15, 2009
maiam
maia m - GERD. Nissen Fundoplication w/hiatal hernia repair.
Mom to
Son (10) GERD(aspiration pneumonias, apnea, tracheomalacia), Food allergy, Asthma
Daughter (6) GERD, Heart Murmur, Food Allergy, Asthma, Mold allergy
It is rare that lactose is an issue for babies - If she thinks milk could be an issue, it is more likely milk protein than lactose - but it is odd that it is only an issue at night? Both BM and formula (if milk) would have lactose... I would wonder about reflux too, honestly.

Reflux can cause issues w/ ear infections - my daughter and I both had that. The acid washes up that far and sits there and gets infected. It would be worth a visit to a doc or GI. Especially with a family history of ear infection (older child), it might be something to look into, maybe even before ear tubes. I know they help many, but I personally had them 2x and it didn't fix the *problem* - the fact that I still had horrible untreated GERD. Whenever the tubes fell out, I got more infections, even as an adult!

Jan 15, 2009
maiam
maia m - GERD. Nissen Fundoplication w/hiatal hernia repair.
Mom to
Son (10) GERD(aspiration pneumonias, apnea, tracheomalacia), Food allergy, Asthma
Daughter (6) GERD, Heart Murmur, Food Allergy, Asthma, Mold allergy
http://www.drgreene.com/21_836.html
Jan 15, 2009
maggiemom
Maggie is now 3 years old and reflux free (knock on wood). I still check in some to see how everybody is doing :) Hugs to all!
Do you remember how we all talked about the "witching hour"? Many babies have a rough time at certain times of day. Maggie's rough time was from like 6pm-until whenever until we got her situated with meds and I quit drinking milk.

It may be a "mild" case like Mags where as long as the baby is held kind of upright during the day (as most lil ones are) he's ok, but then lay him down at night and WHAMMO it's painful. Maggie always slept good during the day too bc we laid her on her tummy but at night on her back was a nightmare (DON'T DO THIS WITHOUT DR'S CONSENT).

Talk to her about elevating the crib, ask her to try just cutting out milk and heavy dairy products to start. If she does use formula, she may as well try one of the special formulas or changing her diet will be useless.

Also like Jen said, there may be something in her daily diet that is getting into his evening feeds.

Jan 15, 2009
mommy2max&lucy
Patti, mom to Max (3/04) with EE and chronic sinus issues; Lucy (6/07) with reflux
Hi! Nice to "see" you on here again! I agree that is sounds like reflux might be an issue. Our daughter was happy as a clam unless we put her down for naps or at bed...then the reflux monster came out big time. She did always puke all day long, though...so we were able to put the two issues together to come out to reflux. I wonder if the mom is maybe eating quick meals at dinner (like pizza, pasta w/ tomato sauce, greasy quick food) since she has so much on her plate (understandably so!). Hope she and you can figure it out...you are a great sitter to try and help your parents. We did a home daycare for Lucy for the first 6 months and it was a disaster because the sitter didn't understand reflux and thought we weren't "training" Lucy the right way in terms of sleeping...she thought all her issues were behavior related. - Patti
Jan 15, 2009
mdbarbagallo
Melissa - Mommy to Sebastian, born 9/28/07 @ 7 lbs 7 oz and 20.75 in. At docs at 12 months: 27 pounds and 32 in! Good grief! GERD - currently on Prevacid suspension (liquid equivalent of 45 mg a day). Allergic to dairy, soy, eggs, wheat, all treenuts, peanuts, fish, shellfish, peas, sesame, bananas, barley, coconut, dust, dust mite, dog, cat, latex. Seasonal allergies. Oral Allergy Syndrome (OAS). Neocate only - no solids - until further notice (drinks and loves water, too). Loves his doggie, our rescued Treeing Walker Coonhound, Louise, even though he is allergic to her. Louise will make your doctor a homemade pie if you would like her to. PHOTO: We couldn't do a cake on Sebastian's birthday, but that didn't stop him from tossing around the contents of a big bowl of popcorn! He now tries to eat it when we play with popcorn, so no more of that game.... :(
Hey Amber! I saw your note on Facebook and wanted to check in. From what I understand, lactose intolerance is quite rare (but not unheard of by any means) in kids under 2. I understand that protien intolerance and allergies are much more common. I'm thinking it isn't an allergy because there would definitely be some GI symptoms and probably some skin issues (One would think, at least). However, Sebastian was extremely constipated when on formula - he didn't start having diarrhea until he was on Alimentum...

I would suggest she take ALL dairy and soy AND egg out of her diet...down to the tiny bits in cake mix and to wait at least a week to see if he gets any better. I'm kind of a bad one to ask about thenursing thing because for me, it was a an absolute nightmare (Sebastian was allergic to everything I was eating...and would have had similar issues even with the elimination diet).

I hate to hear aobut babies like this.

Jan 15, 2009
amber f
She said he lays down during the day and he is even awake sometimes and goes to sleep. I'm just not sure about the reflux. "He is the a perfect angel during the day.... at night the worst baby ever." This is how she describes him. I just don't know what is going on. I told it is hard for me to say anything cause I've never seen him.

Thanks so much for the responses. Hopefully when she goes to his follow up appt next week she can get some answers.

Jan 15, 2009
maggiemom
Maggie is now 3 years old and reflux free (knock on wood). I still check in some to see how everybody is doing :) Hugs to all!
Ok-like I said-I would have described Maggie that way too. She had almost no issues during the day. It all started around 6 in the evening. Don't dismiss it as PPD or something like that. You know how it feels to be told that stuff. If he's having that much trouble at night, there's a reason for it. It sounds exactly like Mags.
Jan 16, 2009
katiesmommy
Tracey, mom to Katie diagnosed with GERD at 3 week.
Wow, we all logged off of FB to come here! Katie is still so crabby at night that we can't ask anyone to watch her so like Melissa said it could be the witching hour.
Jan 16, 2009
slimfast13
This is our dd, Alessandra. Dx with GER 10/07. Ran the gamut with meds and now done with them (crossed fingers). Using magnesium, probiotics and prebiotic supplements. With the exception of teething and general sassy attitude, all is well now. They really CAN grow out of it!
I doubt it's MSPI, MPI, or lactose sensitivity if the baby's okay during the day and there are no other symptoms. Is there a specific time when he starts to get cranky? Since we're all so well-versed with reflux, I think many of us are unwilling to say the word "colic" but this strange condition usually does it's deed late afternoon/evenings. Has she tried gripe water, warm bath, etc, etc to calm him down? You mentioned swaddling - has that helped? Bedtime routine? Bedtime bottle/nursing time?

Sometimes babies are like Melissa said - they have a "witching hour" and are just horrendous for that time, then settle.

Jan 16, 2009
amber f
Thanks so much for all the ideas. I talked to the dad today and I asked more reflux type ?s and it is sounding more and more like reflux. They are going to call their doc today and give him the whole pic. He is comfort feeding and then feeling miserable, he sleeps on an incline already. I didn't get enough info yesterday and now I'm leaning more towards having some reflux issues. Thanks so much. Your suggestions and info helped a lot in pointing things out to them. I appreciate it:)
Jan 16, 2009
maggiemom
Maggie is now 3 years old and reflux free (knock on wood). I still check in some to see how everybody is doing :) Hugs to all!
Tell them to push for the upper GI and pH probe to prove it (that is if the doc gives them a hard time). I'm still convinced that's the only reason Maggie's ped did those tests. He was trying to prove me wrong. BUSTED!
Jan 16, 2009
jenrackley
PAGER Volunteer Services Coordinator
Nutritionist
Melina 7/24/02 now reflux free!!
TWINS:
Ella 5/3/05 GERD, asthma, hypotonia, food intolerances, esophagitis, IBS //
Ava 5/3/05 asthma, food allergies
Pic: My girls! They are getting so big!
She isn't unknowingly getting caffeine during the day is she? Sometimes that can get into the evening breastfeeding and then you have a wild one for the night time. It could be reflux and it would be worth looking into... I agree with pp's. I think looking at her diet not switching to formula would be a good first step, reflux or not.
Jan 16, 2009
jenrackley
PAGER Volunteer Services Coordinator
Nutritionist
Melina 7/24/02 now reflux free!!
TWINS:
Ella 5/3/05 GERD, asthma, hypotonia, food intolerances, esophagitis, IBS //
Ava 5/3/05 asthma, food allergies
Pic: My girls! They are getting so big!
Just FYI, Ella was a challenging infant at that age but we didn't see real reflux symptoms until 6-8 weeks old. Maybe it takes a while for the reflux to cause enough pain or damage to see the classic symptoms until they are a bit older? Just a thought. Could be why they aren't seeing issues all the time. I know both of my girls were worse when tired too.
Check with your
doctor first!