Enter your Email address:
Wolters Kluwer Health may email you for journal alerts and information, but is committed
to maintaining your privacy and will not share your personal information without
You currently have no recent searches
MetroHealth Medical Center & CWRU, Cleveland, Ohio
Background: When visible/occult blood is found in stools of exclusively breast-fed (EBF) infants, it is often due to cow-milk/soy protein-induced allergic colitis. Elimination of antigens from the maternal diet usually leads to rapid resolution. If blood persists despite further maternal dietary restrictions, physicians might advise mothers to stop breast-feeding and substitute with hypo-/mon-allergenic formula. Pancreatic enzymes have been used by some to treat eczema due to food protein allergy. The protease component is postulated to break down offending proteins rendering them less antigenic. Aim: To determine if persistent stool blood in the EBF infant, despite careful maternal dietary restriction, resolves by providing pancreatic enzymes to the mother. Methods: Four term EBF infants (ages 1.5-3mos.) were evaluated for visible/occult stool blood despite maternal dietary restriction of cow-milk/soy protein. No mother had cracked/sore nipples. All infants had a positive atopic family history but no anal fissure or stool pathogens were found. Further restriction of egg, wheat, fish, nuts and peanuts (≥ two weeks) did not eliminate stool blood. Dietary compliance was monitored by a dietitian. Due to irritability, GE reflux, diarrhea and hematochezia, two infants had endoscopy revealing allergic colitis. Mothers were then prescribed pancreatic enzymes (Pancrease MT 4®, USP Units: 4,000 lipase/12,000 amylase, 12,000 protease) two capsules with meals/one with snacks. Stool blood was followed two to three times/week by guaiac (Hemoccult®) testing. Results: In ¾ infants, stool blood resolved within a few days of therapy. One mother required three capsules with meals/two with snacks before stool blood resolved. No side-effects occurred due to therapy. Conclusion: Maternal pancreatic enzyme therapy can be an alternative treatment for EBF infants with stool blood when dietary restriction fails. It allows mother to continue to breastfeeding and to reduce the risk of anemia.
POSTER THEME SYMPOSIA
© 1999 Lippincott Williams & Wilkins, Inc.
Colleague's E-mail is Invalid
Your Name: (optional)
Separate multiple e-mails with a (;).
Thought you might appreciate this item(s) I saw at Journal of Pediatric Gastroenterology and Nutrition.
Send a copy to your email
Your message has been successfully sent to your colleague.
Some error has occurred while processing your request. Please try after some time.
An Existing Folder
A New Folder
The item(s) has been successfully added to "".
Login with your LWW Journals username and password.
Username or Email:
Enter and submit the email address you registered with. An email with instructions to reset your password will be sent to that address.
Link to reset your password has been sent to specified email address.
What does "Remember me" mean?
By checking this box, you'll stay logged in for
days or until you logout. You'll get easier access to your articles, collections,
media, and all your other content, even if you close your browser or shut down your
To protect your most sensitive data and activities (like changing your password),
we'll ask you to re-enter your password when you access these services.
What if I'm on a computer that I share with others?
If you're using a public computer or you share this computer with others, we recommend
that you uncheck the "Remember me" box.
Save my selection
Visit JPGN.org on your smartphone. Scan this code (QR reader app required) with your phone and be taken directly to the site.