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Secondary lactose intolerance
https://www.breastfeeding.asn.au/bfinfo/lactose.html
Secondary lactose intolerance is temporary, as long as the gut damage can heal. When the cause of the damage to the gut is removed, for example by taking the food to which a breastfed baby is allergic out of the mother's diet, the gut will heal, even if the baby is still fed breastmilk. If your doctor does diagnose 'lactose intolerance', continuing to breastfeed will not harm your baby as long as she is otherwise well and growing normally.
While the baby has symptoms of lactose intolerance, it is sometimes suggested that the mother alternate breastfeeding the baby with feeds of lactose-free artificial baby milk or even take the baby off the breast. Authorities only recommend the use of lactose-free artificial baby milk if the baby is artificially-fed and is very malnourished and/or losing weight. However, human milk remains the best food and will assist with gut healing. In addition, sensitivity of the baby to foreign protein (cow or soy) should be considered before introduction of any artificial baby milk, as regular types, including lactose-free ones, may make this problem worse. You should seek professional advice on the need for hypoallergenic artificial baby milk. A medical adviser should see any baby with long-term symptoms and/or who is failing to thrive.
Before even partially taking a baby off the breast for a short time, thought should be given to other aspects of the breastfeeding relationship. Questions you could ask include:
How will alternative feeding methods affect my baby?
Could bottle-feeding other milk products result in breast refusal later?
How easily will I be able to express my milk to maintain my supply?
Average recovery time for the gut of a baby with severe gastroenteritis is 4 weeks, but may be up to 8 weeks for a baby under 3 months. For older babies, over about 18 months, recovery may be as rapid as 1 week. If a medical adviser orders alternative feeds for the baby, it is important that the mother understands that her breastmilk is still the normal and proper food for her baby in the long term.
You may have heard about giving drops containing the enzyme lactase to babies who have symptoms of lactose intolerance. There is little evidence that these are of much value when used this way, although there are anecdotal reports that relatively large doses may help in some cases. Lactase drops are designed to be put into expressed breastmilk (or other milk) and left overnight for the enzyme to predigest the lactose in the milk. In practice they seem to be occasionally useful for babies.
这样看来我是不是不应该断奶呀?我好纠结!请牛人指导! |
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