Consumption of a higher ratio of the foremilk of the let-down compared to the later hindmilk can also lead to an imbalance of the amount of lactose (milk sugar) to lipids (fats) reaching the baby's gut, if not enough hindmilk is consumed to compensate. Babies that consume too much foremilk can often be identified by their green, watery or mucusy stools, reflux, and other gastrointestinal problems, as well as their behavioral reactions and changes to the breastfeeding relationship.
Overactive let-down that continues or worsens can lead to the constellation of symptoms that make up Overactive Let-down Syndrome. Babies coping with OALDS often gain weight quickly, even while nursing for short periods with long intervals. Some babies sleep for surprisingly long periods of time and depth, possibly due to an overful feeling, while others have very disturbed sleep, possibly due to gastrointestinal pain. Other babies, especially those of approximately 2-4 months of age, become increasingly upset at the spray of milk and increase their aversion to nursing even to the point of refusing the breast, which can lead to a nursing strike.
This condition can take a long time to control and can be frustrating for the mother and baby, but when controlled effectively a long and satisfying breastfeeding relationship is possible. Mothers with this condition may be given various incorrect rationales for their concerns such as "having weak milk", or "bad milk", it's "just colic", the baby will "grow out of it", or the child is "allergic to your milk", or a food in the mother's diet.
There are no valid reasons to stop breastfeeding due to this condition.
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