Coughing/Spluttering/Vomitting in 2 week old - help

[mousemole]

DS2 is two weeks old and already diagnosed with lactose intolerance. Was exclusively breastfed but reacted violently to even the small amount of lactose in my breast milk. Family history of LI on husbands side of family.Now, to my sadness ( as successfully BF DS1) he is on a lactose free formula which has seen all his problems of chronic wind, constipation and/or diarrhoea disappear. I am happy he is not in obvious and continual pain but have noticed the following...

1. Quite often coughs and splutters towards the end of a feed and approx 1 in 4 feeds will projectile vomit a significant amount of the feed
2. Seems to be quite 'mucusy' after a feed which is odd as I thought it was lactose in dairy products that cause mucus and he is on lactose free formula.

Any thoughts ?
Thank you.

for poor baby mousemole.

Congenital LI is so vanishingly rare, it would be worth thinking a bit more about this, mousemole.
Has your baby had any formula at all since birth? Or anything other than breastmilk (medications, for instance) ?

If so, in a sensitive baby (which he clearly is) this could cause temporary gut damage, which should, in time, repair. Very, very occasionally, bf babies need to have a short time on an LF formula and then they can return to bf. If this is what you would prefer to do, then obv you will need to express to maintain supply.

mousemole - just checked your previous thread, and baby mm was indeed having a bottle of formula each evening, yes?

In a susceptible baby (with the family history you describe) this may have preciptated his LI - worth asking the doc about anyway.

Hi Tiktok, yes he had a small formula feed for first few days at 10pm and then we moved to exclusively BF and symptoms actually got worse. Test has come back as positive so unfortunately it is the real deal.

Clearly he is LI, mousemole, not arguing with that!

But is it really congenital LI?

It's a very rare condition indeed....and symptoms are more florid than the ones you described.

Hi Tiktok,
No idea re the congenital bit. I'm wondering if his symptoms are related to reflux ( DS1 had reflux).

hi i was about to mention reflux.Lo i look after hs an intolerance to dairy amongst other things and the symptons you describe were like she had before diagnosed with silent reflux.she never threw up all her feeds just the odd 1,excess saliva,wind i could go on but you get the idea. i think you obviously have alot of experience from ds1 to get the help you need.
good luck and hope baby feels better soon.

mousemole - my point was that nothing you say makes me think you have to stop bf...you are upset to stop bf esp as you bf your other child, so you don't need to stop. If someone has diagnosed your lo with LI, then you can question the permanence of this diagnosis and maybe start bf again.

Up to you.