Document Detail

Colic, "overfeeding", and symptoms of lactose malabsorption in the breast-fed baby: a possible artifact of feed management?
MedLine Citation:
PMID:  2899785     Owner:  NLM     Status:  MEDLINE    
Curtailing the time for which a baby feeds at the first breast, in order to encourage intake from the second breast, may maximise milk production by the mother. With escalation of this situation a point may be reached at which the infant, because of the constraint of his stomach capacity, is unable to consume sufficient calories at a feed, since foremilk is lower in calories than hindmilk. The result will be symptoms of hunger (crying, fretfulness) and maybe even failure to thrive. The low fat content of the diet may cause rapid gastric emptying. This in turn may lead to lactose reaching the small bowel in concentrations that may tax the infant's lactase potential, with resulting diarrhoea. A simple change in breastfeeding patterns may alleviate some instances of undernutrition or diarrhoea.
M W Woolridge; C Fisher
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Lancet     Volume:  2     ISSN:  0140-6736     ISO Abbreviation:  Lancet     Publication Date:  1988 Aug 
Date Detail:
Created Date:  1988-09-08     Completed Date:  1988-09-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  382-4     Citation Subset:  AIM; IM    
Institute of Child Health, University of Bristol, Royal Hospital for Sick Children.
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MeSH Terms
Breast Feeding*
Colic / etiology*
Energy Intake
Failure to Thrive / complications,  epidemiology,  etiology*,  therapy
Fats / analysis
Feeding Behavior / physiology*
Gastric Emptying
Infant, Newborn
Intestine, Small / metabolism
Lactose / metabolism*
Malabsorption Syndromes / complications*
Milk, Human / analysis,  physiology
Time Factors
Reg. No./Substance:
0/Fats; 63-42-3/Lactose

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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