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Lactose overload


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#1 stardust81

Posted 21 March 2012 - 05:24 PM

I have been reading about lactose overload in newborns and am wondering if DS is suffering from this and was wondering if anyone could share their experiences with it?

DS seems to have a lot of tummy pain, and spends a lot of time groaning, straining and crying. He sleeps well at night for the first part of the evening until approx 1am when he feeds and then will then go back down for 20-30 mins and then will spend most of the rest of the night awake and groaning, drawing up legs etc. He is also like this at various times throughtout the day. He has frequent explosive bowel movements also. Although I am sure it may be just normal newborn behaviour I would love to hear from anyone who has had a baby who suffered from lactose overload and if there is anything I can do to help him as it isn't nice to see him in pain.

#2 Lucrezia Borgia

Posted 21 March 2012 - 06:00 PM

Hi, my son is 6 weeks and had his paed appointment last week...the paed said he is is suffering from lactose over load too...sounds exactly like what you described...the dr said to try to avoid the cluster feeding in the early evening...ie give him a proper bf when he is due, then if he is unsettled rather than settle him again with the boob go for a dummy or bottle of cooled boiled water...this seems to be working. The dr also said I could give him a bottle of lactose free formula in the evening if I wanted to...I am not doing this at this stage. Good luck!

#3 lucky 2

Posted 21 March 2012 - 06:57 PM

Sorry pp but your paed has given you some terrible advice for managing lactose overload which is a breast feeding related problem and not a medical problem.
Potentially damaging to successful bfing.
Have a look at the link below which is research based information on how to handle a lactose overload.
Things not usually advised would be to give water in a bottle instead of breast milk. Or to give a breast milk substitute (ie lactose free formula).
There is very rarely a health benefit in taking a baby off breast milk, true lactose intolerance would be one reason to completely remove breast milk from the diet but for lactose overload formula is not a better option, even if it is lactose free.

If you want some help with this common breastfeeding related issue you could try the ABA or if you need more help then an LC would be the ideal health professional to see.
https://www.breastfeeding.asn.au/bf-info/lactose
Scroll down to lactose overload in babies.

OP, how old is your baby? You may have a bit of an oversupply if bub is young so tips in the link may help.
You could also ring the ABA for some individualised help.
With overnight unsettledness this is usual newborn behaviour for the first 2-3 weeks of life even without any lactose overload or oversupply.
All the best.
http://www.breastfeedinginc.ca/content.php?pagename=doc-CBB

#4 giggleandhoot

Posted 21 March 2012 - 07:06 PM

DD2 was thought lactose over load, which she was lactose intolerant after many tests.  Have you tried herbal stuff for wind?
DD2 was pooing 8-10 times an hour, every single day!  and bleeding bottom and poos were green. If it's that bad i'd def. see someone. I also had to sleep DD2 on her tummy pretty much from birth ( i know against the guide lines) but it was the only way she's get some sleep as it put pressure on her tummy and seemed to help her sleep.
See a lactation consultant or if you need a GP and see what they think.

#5 mummaorange

Posted 21 March 2012 - 07:11 PM

my DD had this so we used to feed from only 1 breast so feed. then when i would usually swap side i would take her off, burp/change her then feed again from that side.

#6 ubermum

Posted 21 March 2012 - 07:14 PM

I wouldn't take your baby off the breast and I wouldn't give water or a substitute milk. What is the explosive poo like? Yellow is fine, green is more likely to be lactose overload. Also, try to offer only one breast for an hour or two and then the other breast for an hour or two. This will mean that the breast gets completely drained and your baby will get a good mix of fore and hind milk decreasing the chance of overload.

What you describe sounds like normal newborn behaviour and wind. You could try some over the counter wind remedies for babies. Degas always worked well for us and I would just give a dose straight into my baby's mouth just before a breastfeed.

#7 Lucrezia Borgia

Posted 21 March 2012 - 07:48 PM

QUOTE (lucky 2 @ 21/03/2012, 07:57 PM) <{POST_SNAPBACK}>
Sorry pp but your paed has given you some terrible advice for managing lactose overload which is a breast feeding related problem and not a medical problem.
Potentially damaging to successful bfing.
Have a look at the link below which is research based information on how to handle a lactose overload.
Things not usually advised would be to give water in a bottle instead of breast milk. Or to give a breast milk substitute (ie lactose free formula).
There is very rarely a health benefit in taking a baby off breast milk, true lactose intolerance would be one reason to completely remove breast milk from the diet but for lactose overload formula is not a better option, even if it is lactose free.

If you want some help with this common breastfeeding related issue you could try the ABA or if you need more help then an LC would be the ideal health professional to see.
https://www.breastfeeding.asn.au/bf-info/lactose
Scroll down to lactose overload in babies.

OP, how old is your baby? You may have a bit of an oversupply if bub is young so tips in the link may help.
You could also ring the ABA for some individualised help.
With overnight unsettledness this is usual newborn behaviour for the first 2-3 weeks of life even without any lactose overload or oversupply.
All the best.
http://www.breastfeedinginc.ca/content.php?pagename=doc-CBB

Just popping back in...I was surprised with the advice too...I can't name names but he is a good paed operating out of POWP in Sydney...but he is not shy of recommending formula ....even told me in hospital "formula or breast...either is fine..." so I don't know what to make of that! I am not giving DS the lactose free formula...our b'feeding is going really well, he has no issues (eg no nipple confusion) and my supply is fine, probably a bit too much due to constant stimulation because he is a comfort sucker, he wasn't taking a dummy (is now) but is quite happy to suck on a little bit of water...he gets the hiccups all the time after a bf too and sucking on the bottle of water seems to help him out with that. Anyway, I thought I would share my experience with the OP since she asked for advice, and since it was advice from a pediatrician(as oppose to dr google...I have been guilty of that!) I thought I would pass it on...


#8 stardust81

Posted 21 March 2012 - 07:55 PM

Thanks for your replies.

lucky 2 - DS is 9.5 weeks (though was also 5 weeks early). I do seem to still have an abundant supply, certainly much more than with my first baby, so I will read through the info in the link you provided, thank you.

giggleandhoot - I have tried Brauers Stomach Calm and Infants Friends, both didn't seem to do much unfortunately. Your poor DD, that must have been awful to have a bleeding bottom.

ubermum - it is sometimes green and sometimes yellow, on the particularly unsettled days it is more green. I will try to find some Degas.

Thank you all for your help. I do realise it is just a newborn thing, I guess I just thought it would start to improve a little by now, however seems to be getting worse, and the sleep deprivation is getting harder as the weeks go on!

#9 stardust81

Posted 21 March 2012 - 07:57 PM

Lucretia Borgia - Thanks for sharing your experience also. I hope your son settles down soon too

#10 lucky 2

Posted 21 March 2012 - 08:01 PM

L B its just that sort of "advice" sends shivers up my spine, its just not bfing or baby friendly and it is (IMO) unnecessary interference with bfing by someone who should but doesn't know any better, and someone that has influence over new mothers.
No need to explain your contribution to me though, these are the sort of things that women are still being told and it is completely relevant to this thread.
Great to hear your baby is bfing well.


#11 Copper and May

Posted 22 March 2012 - 02:49 PM

Agree wholeheartedly with Lucky2. Breastfed babies don't need water at all, as this mucks up the lovely gut flora that breastfeeding gives. Paediatricians unfortunately don't know as much about breastfeeding as the ABA do, and they only have a small porthole of "infant feeding" in their studies. It sounds as though you could have an overload of milk. Does your bubs seem to be swallowing quickly and gagging and trying to keep up with the supply. If this is the case, you could try posture feeding - which is laying on a bed or the couch and put your baby on your tummy to feed, so that she is feeding uphill and going against gravity. If you don't think it is too much milk, then maybe he is not draining the first breast and getting to the creamy hindmilk, which digests the feed very well and they don't get tummy pains when they are draining the breast.

#12 Oatley

Posted 26 April 2012 - 11:10 AM

I'm going against the grain here and just saying what worked for us.
My son wanted to feed more and more to settle his tummy - meaning he was often getting lots of foremilk, but not much hindmilk (I never had a chance to make any). Foremilk is higher in lactose - vicious cycle. I found a small amount of water in a "breastfeeding friendly" (as much as possible) bottle to stretch out the gap between feeds helped greatly.
The thing that helped the most though was using "lacteeze" - a product that replaces the enzyme in the gut which is what is missing in lactose intolerant (or similar) babies. It's not dangerous, and there are a few different methods - we ground up a quarter of a table, added some steralised water to dissolve and slipped it in his mouth before a feed. It VERY quickly demonstrated that lactose was indeed the problem, and his symptoms lessened dramatically.
I bought some lactose free formula but only used it once - I found stretching out the feeds with water in between as necessary (he wasn't hungry - only suckling to settle tummy) and the lacteeze tablets worked for us.

He finished up on lacteeze at about 4-5 months, and I breastfed him until almost 2. :-)

Good luck OP and I hope you find what works for you - trial and error a bit - certainly listen to your child health nurse and

#13 lucky 2

Posted 26 April 2012 - 11:32 AM

QUOTE
My son wanted to feed more and more to settle his tummy - meaning he was often getting lots of foremilk, but not much hindmilk (I never had a chance to make any). Foremilk is higher in lactose - vicious cycle
.
I'm glad your early problems settled down pp, your milk supply would have reduced which is why.
In relation to the above, foremilk and hindmilk are just "milk".
Its all in there, fore means first and hind means after.
They are not different milks, what is meant it that the fuller your breast is, the higher concentration of milk sugar/lactose and the softer or emptier your breast is the higher the concentration of fat.
There is still fat in the "first" milk and lactose in the milk coming out last.
Though your management of initial oversupply (that can lead to lactose overload) was ultimately successful, it is not the usual, easiest, safest or commonly recommended method of dealing with it.
The safest and easiest methods of managing an oversupply and lactose overload are usually-
http://www.llli.org/faq/oversupply.html






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