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Does Excessive Consumption Of Dilaudid During Pregnancy Cause Protein Allergy In The Baby?

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Posted on Sat, 8 Oct 2016
Question: My grand daughter was born and diagnosed with a dairy Protein allergy. My daughter in law was heavily using Dilaudid up to one week prior to birth. Could the Dilaudid cause this?
doctor
Answered by Dr. Diptanshu Das (29 minutes later)
Brief Answer:
Association unlikely

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. When you mention 'protein allergy' I need you to clarify what you mean precisely. After a child is born the child is supposed to feed on breast milk and not 'proteins'. Subsequently at 6 months the child is supposed to be introduced to semisolids which are not necessarily 'proteins'. So, I am keen to know where exactly the distinction of 'proteins' in diet arose. The diet essentially is a composite of all sorts of food principles and it is not discerned in this manner. Please mention the problems that the child is having and I will guide you accordingly.

Dilaudid (hydrocodone) is unlikely to have any association with what you have just mentioned or the problems that the child could possibly have.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Diptanshu Das (11 minutes later)
The baby was born September 2015 and for the entire time the only liquid she drinks is Neocate Infant DHA/ARA yet she does eat the strained baby food. I have 15 grandchildren and this is the only child with problems. I feel a year on formula is not normal and something else is bothering her stomach.
doctor
Answered by Dr. Diptanshu Das (6 minutes later)
Brief Answer:
Further information needed.

Detailed Answer:
Thanks for writing back and for clarifying. I understand (assume) that the child successfully completed the breast feeding. Thereafter the child should have been attempted to be introduced to semisolids. Could you please specify the problems that the child developed? A detailing of the problems would help. I assume that the child could not tolerate the feeds well and developed certain symptoms, possibly diarrhea. I need you to confirm on this. Neocate is an amino-acid based hypoallergenic formula for babies with food allergies. I assume that failed attempts have subsequently been made to move away from this. Could you please specify what problems occurred? Based on your inputs I would be able to guide you further.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Diptanshu Das (8 minutes later)
The baby was never breastfed and when tried she threw up everything so Neocate has been her total liquid since birth. The baby had at times diarrhea but developed diaper rash easily which at times were really bad and again at times bleeding even though the diaper was changed regularly.
doctor
Answered by Dr. Diptanshu Das (19 minutes later)
Brief Answer:
Explanation provided.

Detailed Answer:
Thanks once again for writing back. That the child was never breastfed is upsetting. Had breast feeding been done, things would perhaps gone differently. Anyway, it is quite clear that the child has problems of malabsorption and cannot digest certain stuff. This leaves undigested food matter which is subsequently degraded by intestinal bacteria to produce acids. This is the cause of frequent nappy rashes and the resultant injury to the intestines is the reason for the bleeding.

As of now, I see no reason that the baby would not be weaned off. The sensitivity is likely to have been to certain food principles which simply need to be identified and eliminated. The others can be taken as usual. Most often lactose (the carbohydrate contained in milk) is the culprit. Humans often cannot digest lactose well. But in such a case if curd or yogurt is given, it can be tolerated well since the sugars are already broken into simpler and more digestible forms. Mashed bananas or mashed boiled potatoes can still be tried as these contain nothing of the sort of lactose (or proteins). Depending on the tolerance further plans can be made.

Unless you have plans of keeping him on Neocate lifelong, it is perhaps time to attempt to move on. The options might be limited but definitely are not non-existent.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Diptanshu Das (17 minutes later)
I appreciate the information and will pass it on to my son.
doctor
Answered by Dr. Diptanshu Das (2 minutes later)
Brief Answer:
Glad to be of service

Detailed Answer:
I am glad to know that you appreciate the information provided. A step by step approach needs to be taken. Remaining under the follow up of a pediatrician would be advisable.

Feel free to write back to me anytime and I will be there to stand by your side.

Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3877 Questions

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Does Excessive Consumption Of Dilaudid During Pregnancy Cause Protein Allergy In The Baby?

Brief Answer: Association unlikely Detailed Answer: Thanks for asking on HealthcareMagic. I have gone carefully through your query and understand your concerns. When you mention 'protein allergy' I need you to clarify what you mean precisely. After a child is born the child is supposed to feed on breast milk and not 'proteins'. Subsequently at 6 months the child is supposed to be introduced to semisolids which are not necessarily 'proteins'. So, I am keen to know where exactly the distinction of 'proteins' in diet arose. The diet essentially is a composite of all sorts of food principles and it is not discerned in this manner. Please mention the problems that the child is having and I will guide you accordingly. Dilaudid (hydrocodone) is unlikely to have any association with what you have just mentioned or the problems that the child could possibly have. Regards