Did your preemie have lactose or breast milk intolerance and have a bloated tummy?

Jenny - posted on 09/19/2011 ( 2 moms have responded )

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My baby boy was born five weeks early, (his due date is in two days!) and was born intolerant to my breast milk. They first tried to feed him in the nursery with my breast milk and he immediately spit most of it up. He was transferred to the NICU for feeding problems, trouble keeping up his body temp, and later jaundice. While in the NICU they continued to try bottle feeding my breast milk (I've been exclusively pumping to make sure he is gaining weight), and instead of digesting all of it he would have at least half of it sitting in his tummy with growing amounts of air. The doctors put him on TPN for a few days and then on soy Isomil for another week before we re-introduced breastmilk. This time it didn't sit in his tummy but after a few days his abdomen became distended and he became really gassy. It didn't seem to bother him in the NICU so he has been on breastmilk and iron vitamins for about two and a half weeks.

His stools since he came home have been about once a day. He did have a hernia surgery at the end of his NICU stay which included a caudal block and general anesthesia but his bm are still less than when he was in the hospital. Also since he has come home his gas has made him more uncomfortable and he really strains and grunts when he does have a bm. Last night he had A LOT of watery spit up and constantly seemed pained if he wasn't being held. We are going to try to switch him back to the Isomil in hopes of reliving his pain and making his tummy go down. His belly usually measures 41 cm at it's roundest with very visible veins and he is only a little over 7 pounds!

Has anyone else had this problem? Were you ever able to go back to breast milk and make it work? Thanks so much!

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Tanja - posted on 09/19/2011

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my son was born 7 weeks early and yes actualy he had issues for the first year of reflux on breast milk or formula which was strange cause they say the easiest thing to digest id breast milk the only thing that work was the carnation good start soy formula that he was able to hold down now as far as bm go if your feeding him breast milk he will only have a bm once a day or 2 days and my son had extreme direaha for the first 2yrs of life docs could'nt figure out what it was hope this was helpful good luck when in doubt call the doc

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Jenny - posted on 09/24/2011

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We switched him to a soy isomil after I posted this. I was too nervous about his bloated tummy and all the watery spit up. He has been doing great and his tummy went down 3 centimeters and has gotten a lot softer. I think he was digesting a lot of the breast milk and thats why his bm were only once a day; with the isomil he has a bm after ever feeding and it is a lot runnier and thinner. I've been keeping a close eye on him to make sure he doesn't get dehydrated but he has also started eating a lot more to make up for all the bm- almost twice as much! I'm going to keep him on the formula for another week and slowly introduce breast milk again to see how it goes. Thanks for the reply- two years of diarrhea would be a lot to cope with!

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