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A young woman comes into your office for a lactation consultation complaining that her 1-month-old baby is colicky and slow to gain weight.Her baby requires 6 to 7 diaper changes each day and suffers from diarrhea.She tells you she allows the baby to nurse equally on each breast so that she does not feel "overfull";she is desperate for help and asks your advice on what to do.A 24-hour diet history provides the following information about her eating habits.
Breakfast: cereal,milk,banana,and walnut pieces;sometimes she has eggs
Lunch: peanut butter sandwich,salad,and grapes with a glass of milk
Dinner: fish or chicken,vegetables,potato or rice,applesauce,and milk
Snacks: change daily,but she likes trail mix because it is easy to eat when nursing
-After looking at her diet,what changes could you suggest to help with the baby's colic?

Question

Quizplus · Accepted Answer

The baby's symptoms suggest that he may have a cow's milk protein allergy or lactose intolerance, which can be worsened by the mother's consumption of dairy products. Therefore, eliminating dairy products from the mother's diet may reduce the baby's symptoms. Nuts are a common allergen and can also cause colic in some babies, so eliminating them from the mother's diet may also be helpful. Eliminating all fruit except canned fruit is not necessary in this situation.

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