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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Breastfed Fussy Baby, Doesn't Sleep During Day, Has Acne, Mother Takes Soy Lecithin. Cause?

My baby is 6 weeks old and has gone from pretty mellow, to super fussy, hungry and not sleeping during the day. I have been taking soy lecithin supplement for plugged ducts ( breastfeeding ). My daughter also has baby acne that seems to be getting worse. Could she be allergic to the soy lecithin getting into my breastmilk? If so, how do I know for sure; i have to stay on it so I don t get plugged ducts! Thanks Carrie
Wed, 6 Jun 2012
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Pediatrician 's  Response
Dear Carrie,

Thank you for your query. There is no need of taking any supplements to clear plugged lactiferous ducts. Vigorous sucking by the infant should clear the ducts and once breastfeeding the ducts should not get blocked.

Soy lecithin is derived from the soy oil. Though there should not be any allergy to lecithin as it is not a protein, however some people who are soy allergic can be sensitive to soy lecithin.

The best course for you would be to discontinue soy lecithn for a few days and see how your daughter responds. Then try re-introducing and see the result. If the same symptoms occur then the best course would be to completely discontinue the product.

With best wishes,
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General & Family Physician Dr. Chandana Krishna's  Response
Hi dear Carrie..
Thank you for choosing HCM...
It looks like the feeding is not sufficient for the baby and since you are complaining of blocked lactiferous duct, most common reason is improper positioning of the baby or incomplete drainage from each breast..
In practical terms infant should remain at one breast per feed i.e., until she spontaneously releases the breast.In this way quantity of milk ingested is less but fat content and calorific value increases as feed progresses.A high fat content will satiate the baby and decreases hunger-drive..Interval between feed increases and baby will not be irritable..Since there is no remaining milk it prevents from future obstruction..
Soy lecithin allergy manifests as eczema, hives and itching..This is clearly not it..No need to worry...
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Breastfed Fussy Baby, Doesn't Sleep During Day, Has Acne, Mother Takes Soy Lecithin. Cause?

Dear Carrie, Thank you for your query. There is no need of taking any supplements to clear plugged lactiferous ducts. Vigorous sucking by the infant should clear the ducts and once breastfeeding the ducts should not get blocked. Soy lecithin is derived from the soy oil. Though there should not be any allergy to lecithin as it is not a protein, however some people who are soy allergic can be sensitive to soy lecithin. The best course for you would be to discontinue soy lecithn for a few days and see how your daughter responds. Then try re-introducing and see the result. If the same symptoms occur then the best course would be to completely discontinue the product. With best wishes,