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Can antibiotics upset breastfed baby?

Introduction
The safety of breastfeeding while taking antibiotics is a topic of significant concern for many new parents. Antibiotics are commonly prescribed to treat infections, but their impact on breastfed infants can lead to questions about potential side effects and the health of the nursing relationship.
Impact of Antibiotics on Breastfed Babies
Antibiotics in Breast Milk: When a breastfeeding mother takes antibiotics, a portion of the medication can transfer into her breast milk. The amount that reaches the infant typically depends on several factors, including the type of antibiotic, the dosage, and the timing of the dose relative to feeding.
Potential Effects on Infants: While most antibiotics are considered safe for breastfeeding mothers, some may cause side effects in infants. Common concerns include:
– Diarrhea: Antibiotics can disrupt the natural balance of bacteria in the gut, potentially leading to diarrhea in breastfed babies. This is especially true if the antibiotic affects the gut flora.

– Thrush: Antibiotic use can lead to an overgrowth of yeast, resulting in thrush—a fungal infection that can appear in the baby’s mouth. Symptoms include white patches on the tongue and inside the cheeks.
– Allergic Reactions: Although rare, some infants may experience allergic reactions to antibiotics through breast milk. Signs can include rashes, swelling, or difficulty breathing.
Choosing the Right Antibiotic
Consulting Healthcare Providers: It is crucial for breastfeeding mothers to discuss their antibiotic options with healthcare providers. Physicians often prescribe antibiotics that are known to be safe during lactation. The American Academy of Pediatrics provides guidelines on which medications are suitable for nursing mothers.
Monitoring the Baby: If a breastfeeding mother is prescribed antibiotics, it is important for her to monitor her baby for any unusual symptoms. If diarrhea, thrush, or signs of an allergic reaction occur, seeking prompt medical advice is essential.
Conclusion
In summary, while antibiotics can potentially upset a breastfed baby, many antibiotics are considered safe for use during breastfeeding. Consultation with a healthcare provider is key to ensuring the health and safety of both mother and infant. By being vigilant and informed, mothers can navigate antibiotic use while maintaining their breastfeeding relationship without significant risk to their babies.

Can antibiotics affect a child’s mood?

Early-life antibiotic exposure has been linked to a lower intelligence quotient and social scores, as well as higher behavioral difficulty scores, suggesting that it may represent a risk factor for ADHD, depression, and anxiety disorders [161].

Can antibiotics make babies fussy?

Stomach upset and fussiness in babies
This may be because antibiotics may deplete the “good” bacteria in your baby’s gut.

What medications should be avoided while breastfeeding?

Common medicines that are not recommended when you’re breastfeeding include:

  • codeine phosphate.
  • decongestants that come as tablets, liquids or powders that you swallow.
  • some nasal decongestants that come as nose sprays or drops – check with a GP or pharmacist before using them.
  • aspirin for pain relief.

How long does it take for antibiotics to get into breast milk?

Aim to avoid breast feeding when milk drug concentrations are at their peak. In general, this occurs 1-2 hours following oral medication. As a general principle, advising the administration of medication immediately following a breast feed is the safest option for the baby but this is not true for all drugs.

Can mastitis antibiotics upset baby?

A GP will usually prescribe antibiotics if you have mastitis and your symptoms are not getting better. If you’re breastfeeding a very small amount of the antibiotic may go into your breast milk. There is no risk to your baby, but it might make them irritable and restless.

What are the side effects of antibiotics in babies?

Side effects may include rashes, allergic reactions, nausea, diarrhea, and stomach pain. Make sure you let your child’s doctor know if your child has had a reaction to antibiotics in the past. Sometimes a rash will occur during the time a child is taking an antibiotic.

What are the side effects of amoxicillin while breastfeeding?

These small amounts are not expected to cause side effects for most nursing infants. In a study of 67 breastfeeding infants, there were no serious side effects from this medication in the breast milk. Some babies had rash, diarrhea, irritability, or constipation, but these reactions did not last long.

Will antibiotics affect my baby while breastfeeding?

Antibiotic usage is fairly common among breastfeeding mothers and there is potential for transfer to infants through breast milk. While most medicines taken by lactating women cause no harm to their babies, at times it can result in serious consequences.

Can antibiotics make baby unsettled?

Most antibiotics can produce excessively loose motions in the baby, with the appearance of diarrhoea. Some infants appear more unsettled with tummy aches or colic. These effects are not clinically significant and do not require treatment.

Can nursing with mastitis make baby sick?

What to do if you get breast mastitis. Keep nursing. Your baby will not get sick from your milk. Start with the unaffected breast to allow your milk to let-down in the affected breast before feeding.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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