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Mothering Magazine Sponsored Chat with Dr. Jay Gordon. In the middle of his residency training, pediatrician Jay Gordon took an unusual step. Deciding that he needed greater knowledge about nutrition, vitamins, and alternative medicine in order to practice medicine the way he wanted to, Dr. Gordon took a Senior Fellowship in Pediatric Nutrition at Sloan-Kettering Institute in New York City. After his residency at Children's Hospital of Los Angeles, Dr. Gordon joined the teaching attending faculty at UCLA Medical Center and Cedars-Sinai Medical Center. Intensely interested in infant nutrition and breastfeeding, Dr. Gordon is the first male physician to sit for and pass the International Board of Lactation Certification Exam. He has served on the Professional Advisory Board of La Leche League for twenty years. Dr. Gordon treats patients at Santa Monica, California.


www.mothering.com
5/16/07

27 mothers, and 1 father in attendance!!

Books by Dr. Jay:

21:12:47 Webmama_Tina tonite we are very excited to have the good dr jay again!
21:12:54 sienna1 ?
21:12:56 BrianaBlueEyes hello ladies
21:12:56 Webmama_Tina here's the dr's blurb from mothering:
21:12:59 aembrescia ?
21:13:04 my2boys00-03 ?
21:13:08 Webmama_Tina In the middle of his residency training, pediatrician Jay Gordon took an unusual step. Deciding that he needed greater knowledge about nutrition, vitamins, and alternative medicine in order to practice medicine the way he wanted to, Dr. Gordon took a Senior Fellowship in Pediatric Nutrition at Sloan-Kettering Institute in New York City. After his residency at Children's Hospital of Los Angeles, Dr. Gordon joined the teaching attending faculty at UCLA Medical Center and Cedars-Sinai Medical Center. Intensely interested in infant nutrition and breastfeeding, Dr. Gordon is the first male physician to sit for and pass the International Board of Lactation Certification Exam. He has served on the Professional Advisory Board of La Leche League for twenty years. Dr. Gordon treats patients at Santa Monica, California.
21:13:11 amyirony ?
21:13:37 Jay Gordon Yes, I recognize myself there
21:13:41 Webmama_Tina anythign you'd like to add to that dr?
21:14:04 Jay Gordon Soccer player, proud father and husband
21:14:08 Webmama_Tina :)
21:14:13 my2boys00-03 :)
21:14:37 Webmama_Tina okey dokey, rains got in line about a half hour ago, one of the first to enter the room...so lets start with her! :)
21:14:39 BrianaBlueEyes :)
21:14:50 ElijahsMommy ?
21:15:26 Webmama_Tina rainsmom, you ready mama?
21:15:32 rainsmom Hi...every 2-6 wks, my 6yo dd gets high fever, 101-106!  no other symptoms, lasts for 1-4days.  is this normal?  should I test her for something specific.  she isnt vaxed
21:15:39 Webmama_Tina ah ha
21:15:55 Webmama_Tina current chatter: rainsmom ... upcoming chatters: sienna1, aembrescia, my2boys00-03, amyirony, ElijahsMommy 
21:16:12 Jay Gordon There is a \recurrent fever syndrome\" which I've seen twice.  Benign.  But .  .  ."
21:16:32 Jay Gordon This is almost always just a set of viruses rotating through the classroom and community
21:16:53 Jay Gordon How long?
21:17:01 Jay Gordon Has she been having these fevers?
21:17:09 rainsmom how long its been going on.......a year
21:17:21 Jay Gordon BTW, vaccination has nothing to do with this.  Docs, of course, try to frighten you
21:17:42 Jay Gordon Everything else OK>  Have a doc you trust?
21:17:47 rainsmom She ISNT vaxed....otherwise I would be worried.  but 106 is high!
21:18:10 rainsmom not really.....a naturopath, but he is moving away.  I do have a ped, but he's not you
21:18:31 Jay Gordon Ear thermometer?  Not very accurate.  But, she does need an eval if you have a ped you trust
21:18:58 rainsmom no ear, oral thermometer. should I ask for specific tests?
21:19:18 Jay Gordon if she's healthy in all other ways, there's not much to worry about.  Still, monthly very high fevers should be looked into
21:19:43 Jay Gordon Screening panel:  CBC, sed rate, and maybe a viral panel
21:19:48 rainsmom even tho i nursed for 3yrs, i worry about her immune system.
21:20:07 Jay Gordon worth the trouble but still almost definitely coincidence and nothing ominous
21:20:43 Jay Gordon worth the tests for peace of mind, too
21:21:00 rainsmom thanks doc!  that helps!  should I let fever run its course......i do warm sponge baths and tylenol if body aches
21:21:23 Jay Gordon Again, there is a rare (benign) recurrent fever syndrome which people treat with prednisone (what else?!)
21:21:56 Jay Gordon a temp that high is usually too uncomfortable to go untreated:  baths, belladona, ferum phos and Tyl if you need it
21:22:17 rainsmom yikes! prednisone?  ill be looking for something on the natural spectrum
21:22:30 rainsmom have been doing belladonna as well
21:22:36 my2boys00-03 ?
21:22:39 Jay Gordon of course--and, the PRD doesn't really change much
21:22:52 rainsmom thank you doc!
21:23:06 Jay Gordon welcome
21:23:13 Webmama_Tina sienna, you'er up
21:23:16 sienna1 My dd is almost 9 months old, pretty much ebf, has about 2-3 tblsps of food  daily.  We cosleep.  DD is tired and needs to go to bed at 7 or so, but can't stay asleep without being in our bed with me...same with nap time.  How can i help her get the sleep 
21:23:25 Webmama_Tina  current chatter: sienna1 ... upcoming chatters: aembrescia, my2boys00-03, amyirony, ElijahsMommy 
21:23:43 sienna1 she needs when i can't sleep with her...i feel terrible just letting her collapse from exhaustion
21:23:53 Jay Gordon Fevers, as you've alluded to, help fight an illness.  But, 104+ usually stops a child from eating, drinking sleeping.  Plus, it's impossible to evaluate a child that hot
21:24:22 sienna1 i feel like she needs to have some sleep routine....otherwise she gets very overtired and miserable.
21:24:24 Jay Gordon Umm .  .  . I recommend doing exactly what you're doing
21:24:35 Jay Gordon Yes, a routine is a great idea:
21:24:44 Jay Gordon Song, bath, book, nurse
21:24:55 Jay Gordon shorter than you might be doing right now
21:25:25 Jay Gordon I like routines but I'm not a fan of scheduled sleep
21:25:36 Jay Gordon and cosleeping a FAR superior to anything else
21:25:38 sienna1 the thing is i have another child and i can't lay with her at 7 pm
21:25:43 Jay Gordon and MUCH safer
21:25:44 sienna1 all night
21:25:45 pawprint ?
21:25:49 Jay Gordon aaaah
21:25:52 Jay Gordon Dad?
21:26:05 bruingrad ?
21:26:08 Jay Gordon Read w older child while lying w younger?
21:26:33 sienna1 okay...i guess the question is ...is it harmful for her to be sort of chronically overtired
21:26:37 Jay Gordon try starting a routine at the right time each night
21:26:58 sienna1 we do have a routine, and she goes down beautifully, but wakes after 25 mins or so
21:27:10 Jay Gordon No, babies and toddlers are for the most part \good animals\"  They get all the sleep, calories and activity they need if we let them"
21:27:10 sienna1 and can't get resettled without me staying with her.
21:27:17 Webmama_Tina  current chatter: sienna1 ... upcoming chatters: aembrescia, my2boys00-03, amyirony, ElijahsMommy, pawprint, bruingrad 
21:27:36 sienna1 okay...so if i just get her up and try again later...i'm not going to do her harm.
21:27:43 sienna1 she will make sure she gets the sleep she needs?
21:27:48 sienna1 naps too?
21:27:58 Jay Gordon Have a look at my sleep modification program on my site.  Actually, I like what you're doing better than what I recommend, but you may have to change what you're doing for the sake of the family
21:28:08 Jay Gordon No, no harm
21:28:42 sienna1 great. thanks.  i did some research recently into the fact that different cultures (japan for instance) have very different expectations...very un \wisebluth\""
21:28:54 Jay Gordon FoolishBluth
21:29:15 Jay Gordon I like his book least of all of the pop sleep books.  Get McKenna!
21:29:16 sienna1 and i realized that sleep needs, if they were biological, would be the same all over the world
21:29:17 nydancer226 ?
21:29:24 Jay Gordon Yes
21:29:38 sienna1 and i wanted to hit myself in the head with that book!!!1
21:29:41 sienna1 duh!!!
21:30:07 sienna1 does your site have nap tips too?
21:30:21 Jay Gordon Yes, but it's tricky
21:30:26 sienna1 will get mckenna.
21:30:31 Webmama_Tina  current chatter: sienna1 ... upcoming chatters: aembrescia, my2boys00-03, amyirony, ElijahsMommy, pawprint, bruingrad, nydancer226 
21:30:33 Jay Gordon Parenting is tricky .  . .
21:30:49 Jay Gordon and sleep is usually the toughest dilemma of them all
21:31:02 sienna1 dunno, breastfeeding was pretty tricky to learn!!
21:31:06 Jay Gordon and the reason people have trouble finding the answer is that there's no answer for everyone
21:31:15 sienna1 thanks very much for your help.
21:31:28 Webmama_Tina aembrescia, you're next! :)
21:31:31 aembrescia i have an 8.5 month old boy-breastfed, cosleeper, worn in a sling 20 lbs who has no interest in crawling.  loves to stand up and walk around holding on to my hands.  when we put him on his hands and knees he generally collapses onto his belly complaining
21:31:42 Webmama_Tina  current chatter: aembrescia ... upcoming chatters: my2boys00-03, amyirony, ElijahsMommy, pawprint, bruingrad, nydancer226 
21:31:46 Jay Gordon welcome!  Please remember, no one knows what your kids need better than you do
21:31:58 Jay Gordon Normal
21:32:07 Jay Gordon Some kids never crawl one bit
21:32:11 aembrescia what is your opinion on this?  i have heard that non crawlers could be more apt to be dyslexic, dyspraxic etc...
21:32:13 Jay Gordon and they're not all dyslexic!
21:32:16 Jay Gordon or damged
21:32:20 Jay Gordon damaged
21:32:35 Jay Gordon (our answers crossed!)
21:32:46 aembrescia so not to worry if i give him the opportunity?
21:33:08 Jay Gordon absolutely nothing to worry about
21:33:39 Jay Gordon the overasll picture is much more important: evolving pincer grasp, babbling, attentive to your language, smiling and laughing
21:33:47 Jay Gordon and pointing by about 10-12 months
21:34:14 aembrescia and i have another almost 4 year old who also coslept until about 2.5- he still comes into our room 5 nites a week- any suggestions for this?  baby has all of the other stuff...
21:34:41 Webmama_Tina aembrescia ... upcoming chatters: my2boys00-03, amyirony, ElijahsMommy, pawprint, bruingrad, nydancer226 
21:34:46 Jay Gordon March him back and \pay him\" w a little extra time in the park, reading and so on"
21:35:02 Jay Gordon I don't agree w the books that say kids are \punished by rewards\""
21:35:22 aembrescia oh we do all this and he still pays many visits.  he gets lts of treats if he stays in his room
21:35:26 Jay Gordon I think--within reason--they are rewarded by rewards.  Real life
21:36:03 Jay Gordon The behavior changes take weeks to months and you could also try sleeping on his floor for a little while, moving away slowly and so on
21:36:18 JRP I've never chatted before so I apologize in advance for any bad manners.  Do you just jump in?
21:37:00 Jay Gordon He just needs to know that the family will work better and therefore he'll do better if he stays in his own room until sunrise .  .  . or so
21:37:03 aembrescia sometimes he says he doesn't care about the treat- he'd rather sleep in bed with us.  he's VERY smart and very affectionate- just a bit crowded with the baby and he now wakes up the baby who still wakes me pu 4x a nite
21:37:06 Webmama_Tina Welcome to this week's Mothering Sponsored chat! This is a moderated chat. Please make sure you read and fully understand the Moderated Chat Instructions before participating in this chat. Instructions can be found here: http://www.mommychats.com/modrules.htm ...A Friendly Reminder: Please do not post unless it is your turn to ask a question. If you have a question, please post a single \?\" and you'll be added to the queue. Have your question ready when your name is called. "
21:37:19 Webmama_Tina aembrescia ... upcoming chatters: my2boys00-03, amyirony, ElijahsMommy, pawprint, bruingrad, nydancer226 
21:37:27 Webmama_Tina woops cut off the first part
21:37:35 Webmama_Tina current chatter: aembrescia ... upcoming chatters: my2boys00-03, amyirony, ElijahsMommy, pawprint, bruingrad, nydancer226 
21:37:40 Jay Gordon march him back anyway and offer to stay a little while if he agress to stay after you've left.  Make deals
21:37:46 Jay Gordon firmly--best you can
21:37:52 Jay Gordon toughest of all issues
21:38:24 aembrescia okay- thanks for the advice- i just figure let all get as much sleep as possible no matter where anyone ends up!
21:38:49 Jay Gordon THAT might be the best answer of all
21:39:00 Jay Gordon throw away other people's ruleboks about your family
21:39:02 Jay Gordon and their sleep
21:39:16 Jay Gordon heaven knows most people want you to follow their rules
21:39:20 Jay Gordon (I do .  .  .)
21:39:25 Webmama_Tina lol
21:39:44 mrsdouglas5 ?
21:39:54 Jay Gordon :/ 
21:40:01 aembrescia did that (threw away conventional rules) with the first kid and ended up with intellegent delightful boy
21:40:05 ElijahsMommy lol
21:40:09 Jay Gordon Pudding
21:40:11 Jay Gordon Proof
21:40:28 Webmama_Tina my2 is next
21:40:33 my2boys00-03 hi, i have a 3.5yr ds he has a bleeding problem he doesnt clot properly,in the past 4-5mnths he has started with really bad nose bleeds it gushes and it takes any where from 45-1hour to clot,they want to cautherdize his nose,my problem is my older ds had 
21:41:00 JRP ?
21:41:01 Jay Gordon Known clotting disorder or a serious picker?
21:41:08 Webmama_Tina current chatter: my2boys00-03 ... upcoming chatters: amyirony, ElijahsMommy, pawprint, bruingrad, nydancer226, mrsdouglas5, JRP  
21:41:12 my2boys00-03 the same problem only he doesnt have the clotting disorder so i am wondering do i hold off and keep doing what i am now and hope he outgrows it like older ds or get it done
21:41:21 my2boys00-03 know clotting disorder
21:41:26 my2boys00-03 known*
21:41:29 Jay Gordon Cautery is very safe if he needs it
21:41:40 my2boys00-03 it takes him a lil over 2 mins to clot from a pin stick
21:42:03 Jay Gordon is the clotting disorder diagnosed and treated?
21:42:03 my2boys00-03 ok so would you suggest it or try and wait it out
21:42:31 Jay Gordon Nose bleeds like you're describing are scary to kids.  I'd just cauterize
21:42:36 my2boys00-03 it was dig yes but as far as treating there isnt one,just to use a turnaqic if needed and if serious take him in to er to get a shot
21:42:57 my2boys00-03 last nite it was very very bad i woke up in a pool of blood and he was covered in blood
21:43:21 Jay Gordon maybe you need a second opinion--which dz is it?
21:43:34 my2boys00-03 ok and i have 1more question if you dont mind
21:43:56 my2boys00-03 well i had 2pedi dz him with the clotting disorder 1pedi said yes to the cauth and the ent said we can wait it out
21:44:26 Jay Gordon need to know exactly what he has and whether or not there's treatment--you deserve great answers
21:44:28 my2boys00-03 if the bleeding continues badly then we'll go for it
21:44:48 my2boys00-03 its hmyofileac sorry i cant spell it
21:44:49 Jay Gordon OK
21:45:05 my2boys00-03 he doesnt clot it takes me to long to clot
21:45:10 my2boys00-03 him*
21:45:38 Jay Gordon again, 2nd opinions are usually worth the trouble
21:45:59 my2boys00-03 i have gotten 2 opinions one said yes now one said wait it out
21:46:21 my2boys00-03 and honestly i dont know,my older ds outgrew it but he doesnt have the clotting disorder
21:46:36 Jay Gordon one does not outgrwo true hemophelia
21:46:49 my2boys00-03 no not the bleeding problems but constant nosebleeds
21:46:55 Jay Gordon might need a third opinion--it's a big deal
21:47:10 my2boys00-03 my older ds use to get nosebleeds alot but they werent that bad,
21:47:20 Jay Gordon this, btw, is generally true for any significant childhood dz--I don't trust just one doc's answer
21:47:26 Webmama_Tina current chatter: my2boys00-03 ... upcoming chatters: amyirony, ElijahsMommy, pawprint, bruingrad, nydancer226, mrsdouglas5, JRP 
21:47:35 my2boys00-03 and he outgrew the nosebleeds but i am very concerned i also heard to cautherzie the nose is very painful
21:48:29 Jay Gordon They can anesthetiz the area
21:48:31 my2boys00-03 and i dont want to put him thru something that might traumatize him if we can just hang on and he outgrow the nosebleeds
21:48:57 my2boys00-03 ok so should i go to another pedi or another ent
21:49:14 Jay Gordon neither!
21:49:18 Jay Gordon hematologist
21:49:30 my2boys00-03 ok,thank you very much
21:49:35 Webmama_Tina amy, you're up!
21:49:37 amyirony do you have an opinion on night nursing and dental caries?  2.5 yo dd showed decay at 18 mo, and dentist says it's night-nursing and would like me to night wean.  I've seen conflicting info on it.
21:49:39 Jay Gordon welcome
21:49:54 Webmama_Tina current chatter: amyirony ... upcoming chatters: ElijahsMommy, pawprint, bruingrad, nydancer226, mrsdouglas5, JRP
21:49:57 Jay Gordon There is really no conflicting data:
21:50:06 Jay Gordon Human milk does NOT rot human teeth!
21:50:28 Webmama_Tina *applause* 
21:50:42 Jay Gordon But, sweet potatoes, apple sauce or raisins PLUS breat milk can produce cavities.
21:50:45 spookygirl :heart: :heart: 
21:50:46 amyirony I read somewhere recently that that is true until other food is introduced.  Then it's a new ballgame.
21:50:56 Jay Gordon Read Dr Palmer's site. It's superb
21:51:10 Jay Gordon amy, exactly
21:51:23 Jay Gordon teeth need a pretty good cleaning before bed for night nursers
21:51:30 amyirony Yes, actually I had been letting her eat a TON of raisins right before that first visit.  I stopped immediately and it seemed to slow dramatically after that.
21:51:46 Jay Gordon but, as bad as cavities might be, advice to wean is  .  .  . misguided
21:51:54 Jay Gordon good work
21:51:57 amyirony what is Dr. Palmer's site?
21:52:08 Jay Gordon I love raisins.  But they're bad for my teeth
21:52:43 Jay Gordon http://www.brianpalmerdds.com/caries.htm   
21:52:46 jessjgh1 http://www.brianpalmerdds.com/   I think (I need to pass that site on to my best friend a pro-breastfeeding pedi, because she believes her dentist) (sorry for interruptions) 
21:53:13 amyirony She's had at least 10 fillings and one tooth is just a stub now.  But the dentist says her hygiene now is excellent, no plaque.
21:53:20 amyirony I will check out the site, thank you.
21:53:30 Jay Gordon welcome
21:53:36 Webmama_Tina elijahsmommy, you're up!
21:53:49 ElijahsMommy I have a 2 year old ds who has eczema and many other food allergies such as (peanuts, oats, soy, mushrooms) that didn’t really seem to come ahead until after he turned 2. Although I feel like I am on a great start with starting him on supplements (Vitamin 
21:53:50 Webmama_Tina current chatter: ElijahsMommy ... upcoming chatters:  pawprint, bruingrad, nydancer226, mrsdouglas5, JRP
21:53:52 Jay Gordon also, dentists would really like to see kids between ages one and two and I agree
21:54:01 ElijahsMommy C, Cal/Mag, Fish Oil, Zinc) stopping his dairy intake, and watching what he eats, I wanted to know if there is any more advice you could give as far as supplements, certain foods he should/should not eat, or what more I could do with a child that has eczem
21:54:30 Jay Gordon Dairy (dairy, dairy and .  .  . dairy!) eggs, peanuts, wheat (gluten)
21:54:39 Jay Gordon for some kids soy's a problem
21:54:50 Jay Gordon I love your lists of supplements
21:55:10 ElijahsMommy s eczema strictly related to food allergies?
21:55:23 Jay Gordon You're doing everyting right--he'll outgrow most of this
21:55:39 Jay Gordon no, but at this age it's mostly food
21:55:47 ElijahsMommy ok
21:55:51 Jay Gordon might be fabric or chemicals or animals
21:56:05 ElijahsMommy So those can be factors?
21:56:41 Jay Gordon Yes, internal and external triggers can cause those rashes
21:56:54 Jay Gordon homeopathy works for some kids too
21:57:00 ElijahsMommy I have been watching what he eats...been doing lots of veggies and fruits...some meats and lots of rice products but he still breaks out
21:57:13 Jay Gordon but food avoidance for child and BF mom, is the key
21:58:12 Webmama_Tina we're almost out of time, dr do you have time to answer the last questions in the queue or do you need to go?
21:58:14 ElijahsMommy One more question, I am thinking of not vacc anymore, what is your advice as far as supplements to keep up immune system if I don’t vacc?
21:58:54 Jay Gordon Supplements are great but his immune system might actually do better if you interrupt vaccines
21:59:03 Jay Gordon (This is not a popular opinion)
21:59:30 ElijahsMommy interrupt meaning no more vacc or wait til much older?
21:59:30 Jay Gordon I can't prove it, but I thinks kids with fewer and later vaccines stay healthier
21:59:44 Jay Gordon With his issues, I'd stop altogetheer
21:59:55 ElijahsMommy THANK YOU SO MUCH
22:00:02 Jay Gordon welcome!
22:00:03 ElijahsMommy so the supp he is on is good so far?
22:00:10 Webmama_Tina current chatter: ElijahsMommy ... upcoming chatters:  pawprint, bruingrad, nydancer226, mrsdouglas5, JRP
22:00:17 ElijahsMommy one more question what about Vitamin B
22:00:18 Jay Gordon your instincts are good and, again, often better than your doc's
22:01:54 Jay Gordon I have to go in about six minutes
22:01:54 Webmama_Tina dr do you have time to answer the rest of the questions in the queue or do you need to go?
22:02:00 Webmama_Tina ok that answered that
22:02:03 Webmama_Tina pawprint is next
22:02:16 Webmama_Tina lets see how far we can get in 6min :)
22:02:23 Jay Gordon I'll answer fast!
22:02:32 Webmama_Tina lol
22:03:22 Jay Gordon You know, I love my own ideas, but I have yet to figure out why more peds are not more flexible about the way you want to raise your children
22:03:37 Webmama_Tina pawprint, ya there?
22:03:44 pawprint I have two boys- both born 'early' at 35 and 34 weeks. One a c/s for breech, one an induced med free VBAC. Both PROM. (Who knows why?) 
22:03:46 Jay Gordon Vaccines, antibx, long BF, vegetarian families
22:03:59 Jay Gordon OK, paw
22:04:05 pawprint Both of average weight, and healthy as can be.
22:04:32 pawprint That said- I'm gunshy about #3. Treat these babies as full term?
22:04:48 Jay Gordon No
22:04:54 Webmama_Tina current chatter: pawprint ... upcoming chatters:  bruingrad, nydancer226, mrsdouglas5, JRP
22:04:58 Jay Gordon \Near term\" babies are differenrt"
22:04:58 pawprint ANd PROM- nutritional deficinecy?
22:05:16 Jay Gordon no .  .  . I didn't know that's what you meant
22:05:41 pawprint The midwives were of the mindset that I 'cook em' fast. 
22:05:44 Jay Gordon Eat great, stay in shape (!!) and more, but you did nothing wrong leading to the preterm deliveries
22:06:14 pawprint The first was a very unhealthy mama- the second was a Bradley baby.
22:06:15 Jay Gordon nope--you just deliver early--they're not fully cooked but certainly just fine for being out here with us
22:06:28 pawprint Excellent. Thank you. :)
22:06:35 Jay Gordon welcome
22:07:31 Webmama_Tina ok bruingrad
22:07:33 bruingrad I have a 4.5 yo who has serious BM withholding issues. Didn't potty until 3.5 because we child-led. For a while after peeing in potty only BM in a pullup - not nighttrained, sleeps in PU.  FINALLY BM in potty for about a month, but after some discomfort, 
22:07:45 bruingrad withholidng again
22:07:45 Webmama_Tina one min left i think?  this will be the last one then, i'm sorry mamas!
22:07:49 Jay Gordon no dairy please!
22:07:51 Webmama_Tina dr jay, i'm sure will be with us again though
22:07:52 Webmama_Tina :)
22:07:57 Jay Gordon no pressure and no dairy
22:08:07 bruingrad Any ideas?  She's on miralax.. only 3/4 tsp down from 2 at the highest
22:08:10 Jay Gordon and you may need to tolerate regression occasionally
22:08:18 bruingrad dairy?  
22:08:26 Jay Gordon MIralax is OK, but senna and cascara sagrada work too
22:08:30 Jay Gordon and prune juice
22:08:41 Jay Gordon dairy products constipation
22:08:44 bruingrad She says she's scared of pain -- even though it's been really soft for ages.  
22:08:53 Jay Gordon no \might\" or maybe\""
22:08:57 Jay Gordon they cause it
22:09:01 bruingrad Only reason is an issue is she's probably starting K in the fall
22:09:17 Jay Gordon yes, and now you're doing a great job obliterating the memories by keeping stool soft and comfortable
22:09:23 bruingrad I know what Senna is.. what is cascara sagrada?
22:10:17 bruingrad I'm concerned because she withholds until she can't anymore and then it sneaks out a little during the day sometimes (mostly goes in her pullup after sleep this last week).  I'd hate that to happen to her in Kindergarten!
22:10:54 Jay Gordon another herb you can find in most HF stores
22:11:09 Jay Gordon That's why tyou need to do everything now
22:11:19 Jay Gordon dairy, herbs, hydration, 
22:11:31 Jay Gordon OK, have to run!
22:11:33 bruingrad We've been at this for a year or more.  I'll work on the dairy..she loves milk and yogurt for sure
22:11:36 bruingrad Thanks!
22:11:37 Jay Gordon Thank you very much for inviting me
22:11:38 Webmama_Tina thank you SOOO much dr!
22:11:41 jessjgh1 Thanks!!! 
22:11:43 Webmama_Tina this has been another great chat!
22:11:49 Jay Gordon Bruin, no milk please!!
22:11:53 Jay Gordon Thank you all
22:11:56 Jay Gordon XOX
22:12:00 Webmama_Tina i'll get working on the transcripts when i have a spare moment (which is hard to find, but i'll find it!)
22:12:11 jessjgh1 Thanks Tina!
22:13:03 Webmama_Tina sure thing! :)

 

 

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