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Am J Dis Child. 1925;30(5):642-645. doi:10.1001/archpedi.1925.01920170046003.
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Quite frequently, one observes breast fed infants who, after doing well for the first few weeks or months of life, stop gaining in weight, and become restless and irritable. The stools are either small and dark colored, or frequent, loose and foul smelling. Mucus and fat curds may be present. Vomiting, occasionally severe, may be a predominating symptom. Ultimately these infants lose weight, and unless proper treatment is instituted they become distinctly athreptic. The symptoms enumerated are commonly designated by the term "dyspepsia."

CAUSE  Overfeeding at the breast has been considered a frequent cause of the symptoms observed, especially in those infants in whom diarrhea has been a prominent symptom. It is undoubtedly true that breast fed infants occasionally receive more milk than is necessary to cover their requirements, but in such cases the infant usually spits up a certain amount and continues to thrive. In my experience, overfeeding with


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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