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Does colonoscopy affect breastfeeding?

Understanding the Impact of Colonoscopy on Breastfeeding
Colonoscopy is a common medical procedure that allows doctors to examine the inner lining of the colon and rectum. For breastfeeding mothers, concerns often arise regarding the safety of undergoing such a procedure while nursing. The good news is that, with proper precautions, a colonoscopy can be performed without significantly affecting breastfeeding.
Medications and Safety
One of the primary concerns for breastfeeding mothers undergoing a colonoscopy is the medications used during the procedure. Typically, sedatives and pain relievers such as midazolam, fentanyl, and pethidine are administered to ensure patient comfort. According to medical experts, these medications are generally considered safe for breastfeeding mothers. They do not pose a significant risk of affecting the infant through breast milk, provided that the mother informs her healthcare provider about her breastfeeding status prior to the procedure.
Moreover, research indicates that there is no need for mothers to “pump and dump” their milk after receiving these medications. This outdated advice stems from a cautious approach to medication transfer into breast milk, but current understanding suggests that the risk is minimal. In fact, many doctors now agree that breastfeeding can continue without interruption, even during the bowel preparation phase, which is often a source of concern for nursing mothers.
Hydration and Milk Production
Another important aspect to consider is hydration. Breastfeeding mothers typically lose a significant amount of fluid daily through breast milk—averaging around 25 ounces. During the bowel preparation for a colonoscopy, which often involves a liquid diet and laxatives, it is crucial for mothers to maintain adequate hydration. This not only supports the colonoscopy prep but also ensures that milk production remains stable.
Post-Procedure Considerations
After the colonoscopy, mothers may be advised to monitor their own recovery and comfort levels. While the sedation used during the procedure is short-acting, some healthcare providers may recommend waiting a few hours before breastfeeding, particularly if the mother feels drowsy or unwell. However, this is more about the mother’s comfort than a strict medical necessity.
Conclusion
In summary, breastfeeding mothers can safely undergo a colonoscopy with minimal impact on their ability to nurse. By communicating openly with healthcare providers about breastfeeding, ensuring proper hydration, and understanding the safety of the medications involved, mothers can navigate this medical procedure without significant concern for their breastfeeding routines. As always, individual circumstances may vary, so it’s essential for mothers to consult with their healthcare team for personalized advice.

How long do you have to wait to breastfeed after anesthesia?

You can breastfeed or pump after you have this type of anesthesia as soon as you are awake and alert. For a single dose of midazolam, no interruption of breastfeeding is required. If the baby is newborn or premature, and you need more than a single dose of midazolam, we may recommend a pause in breastfeeding.

Does anesthesia affect breast milk?

All anesthetic and analgesic drugs can transfer into breastmilk; however, only small amounts are present in very low concentrations which are considered clinically insignificant.

Who should not do a colon cleanse?

Q: Who should not use colonic hydrotherapy? Colonic hydrotherapy may impose additional risks to pregnant women and individuals with gastrointestinal disorders such as inflammatory bowel disease, Crohn’s disease, ulcerative colitis or diverticulitis.

Can I breastfeed after a colonoscopy?

Types of anaesthesia
Examples of these include colonoscopy or gastroscopy (camera tests of the gut), dental procedures or minor surgery under local anaesthesia. Sedation is often used together with local anaesthesia. You can breastfeed as soon as you feel awake and well enough to hold your infant.

Can you get a colon cleanse while breastfeeding?

Enemas such as Fleet ® may also be used without affecting the breastfed baby. Care should be taken to ensure that the mother remains adequately hydrated throughout the preparation period and on the day of the procedure by drinking plenty of water as permitted by the pre-operative instructions.

Is it safe to breastfeed after a colonoscopy?

Examples of these include colonoscopy or gastroscopy (camera tests of the gut), dental procedures or minor surgery under local anaesthesia. Sedation is often used together with local anaesthesia. You can breastfeed as soon as you feel awake and well enough to hold your infant.

Why not detox while breastfeeding?

In general these products contain a combination of herbal laxatives and at least one diuretic . Basically the result is to make you pass more urine and develop diarrhoea to “cleanse” the system and usually to lose weight. There is a large risk that in doing so your milk supply will diminish too.

How long to wait to breastfeed after an endoscopy?

We suggest that infants not be breastfed for at least 4 hours after maternal midazolam administration (QQŒŒ). We suggest that breastfeeding may be continued after maternal propofol administration as soon as the mother has recovered sufficiently from general anesthesia to nurse (QQŒŒ).

Do you need to pump and dump after propofol?

Although one expert panel recommends withholding nursing for an unspecified time after propofol administration, most recommend that breastfeeding can be resumed as soon as the mother has recovered sufficiently from general anesthesia to nurse and that discarding milk is unnecessary.

Does sedation affect breastfeeding?

No concerns have been reported about breastfed babies experiencing side effects after their mother has been sedated with midazolam, but as a precaution it is sensible to monitor your child for drowsiness, slowed breathing rate and poor feeding, especially if they are under 6 weeks old.

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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