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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Treatment For Intolerance To Lactose

We were blessed with a baby girl 4months ago. Unfortunately, mother has zero lactation and the baby is on infant formulas from 7days after the birth. The concern with the baby is she never cries for hunger and shows absolute disinterest with the formula milk. We have tried changing the feeding bottle, nipples, infant formulas ( enfamil , similac, lactogen, lactodex etc.,) as per the advice. still no luck. Recently, we got the stool culture test done. It was found that she is intolerant to Lactose. Please suggest on how to proceed further..
posted on Sat, 31 Mar 2012
Twitter Sat, 9 Jun 2012 Answered on
Twitter Sat, 9 Jun 2012 Last reviewed on
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Pediatrician,  's  Response
hi surendra,

First i would like to tell you that there is no condition called zero lactation.. it is to do with the mental stress in the mother and support of the family members.. even at at this point you can consult a good lactation consultant for advice on re lactation.. also coming to the problem in the baby it turns out that many of these formulas are a little difficult to digest compared to mothers milk.. stays in stomach for longer time hence the lack of crying for food.. also top fed babies(anything apart from mothers milk) have high colonization rates of bacteria.. these bacteria can also destroy the enzymes required for digestion present on intestinal membrane.. so the sugars that are passed undigested to lower gut gets acted upon by the bacteria and is converted to acidic products which leads to this intolerance..

my advice to you would be stop using bottles feed the same food in spoon which is more hygienic and less chances of infection.. also you can visit a lactation consultant.. the lactose intolerance your baby has may be a transient one which given some time will recover well.. so baby may need a break from lactose in form of lactose free diet..
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Treatment For Intolerance To Lactose

hi surendra, First i would like to tell you that there is no condition called zero lactation.. it is to do with the mental stress in the mother and support of the family members.. even at at this point you can consult a good lactation consultant for advice on re lactation.. also coming to the problem in the baby it turns out that many of these formulas are a little difficult to digest compared to mothers milk.. stays in stomach for longer time hence the lack of crying for food.. also top fed babies(anything apart from mothers milk) have high colonization rates of bacteria.. these bacteria can also destroy the enzymes required for digestion present on intestinal membrane.. so the sugars that are passed undigested to lower gut gets acted upon by the bacteria and is converted to acidic products which leads to this intolerance.. my advice to you would be stop using bottles feed the same food in spoon which is more hygienic and less chances of infection.. also you can visit a lactation consultant.. the lactose intolerance your baby has may be a transient one which given some time will recover well.. so baby may need a break from lactose in form of lactose free diet..