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CMPI?


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#1 Mrs Emma

Posted 06 December 2012 - 07:03 AM

Hi,
Hoping someone that has experience with a cow's milk protein allergy might be able to help. I am not even sure that my nearly 4 month old DS has this. My main reason is he is quite fussy on the breast when feeding. He will drink for a few minutes and then fuss, pull off, cry, go back on for a second, pull off, cry and so on. Often it appears wind related and he might fluff or burp amongst the crying. I swap sides and he is okay for a few minutes than the same thing happens. He is irritable during the day and night (but really I am not sure that is not just a baby thing). His day sleeps are hit and miss but nights are relatively consistent. Last feed around 7ish, sleeps until 1ish. Then 2-3 hourly after that. During the night he often wakes with wind pains, writhing around in the cot from around 3 am onwards.
He is mixed fed, he has one bottle before bed and sometimes one during the day depending if he is still hungry. He does not do the fussing on the bottle and settles fine after his night bottle.
My questions are do you think this sounds like CMPI? He doesn't have a rash and nothing unusual with his poo (although less frequent since introudcuing the bottle). I was thinking of trialling no-dairy diet for 2 weeks but would I see any improvement if he was still having the formula top up? I don't really want to change his formula unless I have to as it took some settling time.
Thanks for any help!

#2 Mrs Emma

Posted 06 December 2012 - 07:06 AM

Oh, I should also add - he has reflux and takes losec twice a day.

#3 lucky 2

Posted 06 December 2012 - 08:44 AM

Hi there,
The fussiness on the breast could be attributed to a mixture of things such as-
- distractibility, peaks at around 4 months and again at 9 months
- supply reduction from supplementing
- developing bottle preference (more common in older babies)
- development of cmpi due to early and continued exposure to foreign proteins (ie cmp)
I'm just pondering these things, could you talk to your CHN?
I think a LC would be of help here if you wish to exclusively breast feed or exclusively breast milk feed.
Things that might help- Possible options to consider and talk about with your chn/lc/gp
- easiest would be to stop bottles of formula and build milk production by bfing to need with the switch feeding you have been doing, but keep going 2-8 or more sides as needed, continue to keep an eye on his nappies looking for good amounts of pale wee etc to make sure he isn't underfeeding due to the change in feeding
-  continue to give bottle but use ebm, expressing after 1 or 2 morning feeds and give this instead of formula
In relation to distractibility which can peak at 4 months, the link below has some information no this.
http://kellymom.com/parenting/parenting-fa...tractible-baby/
All the best.

eta, ah, I missed the reflux and losec, that would be another possible influence in the fussy feeding but probably less likely as he doesn't fuss on the bottle, perhaps his reflux is under control???
Has he has a Dr review recently, ie often dosages change as baby gets heavier.
My dd had reflux and she certainlly did have lots of fussy feeding and I'd often need to switch feed 8 sides before she finished, she'd come on and off crying and carrying on.
But, we both got through, just think that in 8 months your fussy feeding baby will be on a full family diet, they grow so fast!




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