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How do I know if my breastfed baby is lactose intolerant?

Understanding Lactose Intolerance in Breastfed Babies
Determining whether your breastfed baby is lactose intolerant can be a complex process, as symptoms can often overlap with other conditions, such as milk allergies. Lactose intolerance in infants is relatively rare, but it can occur, and recognizing the signs is crucial for ensuring your baby’s health and comfort.
Key Symptoms to Watch For
If your baby is struggling to digest breast milk, there are several symptoms you might observe. Common indicators of lactose intolerance include:
– Gastrointestinal Distress: Look for signs such as excessive gas, bloating, diarrhea, or abdominal pain. These symptoms may arise after breastfeeding, particularly if your baby seems uncomfortable or fussy during or after feedings.

– Bowel Movements: Pay attention to the consistency and frequency of your baby’s stools. Green and frothy bowel movements can suggest that your baby is receiving too much lactose, which may indicate lactose overload rather than true intolerance.
– Fussiness: If your baby appears unusually irritable or colicky after feedings, it could be a sign of digestive distress related to lactose intolerance.
Distinguishing Between Lactose Intolerance and Milk Allergy
It’s important to differentiate between lactose intolerance and a milk allergy, as the symptoms can be similar. Milk allergies often present with more severe reactions, including skin rashes, vomiting, or respiratory issues. In contrast, lactose intolerance primarily affects digestion and does not typically cause allergic reactions.
The Role of Breast Milk
Human breast milk naturally contains lactose, which is essential for your baby’s development. Most infants are born with the ability to digest lactose due to the presence of lactase, the enzyme responsible for breaking down lactose. Therefore, true lactose intolerance in infants is uncommon, and many babies can tolerate breast milk without issues.
What to Do If You Suspect Lactose Intolerance
If you suspect that your baby may be lactose intolerant, consider the following steps:
1. Monitor Symptoms: Keep a detailed log of your baby’s feeding patterns, symptoms, and bowel movements. This information can be invaluable for healthcare providers.
2. Consult a Pediatrician: Discuss your observations with your pediatrician. They may recommend tests or dietary adjustments to determine the cause of your baby’s symptoms.
3. Evaluate Feeding Techniques: Sometimes, issues with breastfeeding technique can lead to symptoms that mimic lactose intolerance. Ensuring proper latch and feeding positions can help your baby effectively drain the breast, potentially reducing symptoms of lactose overload.
4. Consider Dietary Adjustments: If your baby is diagnosed with lactose intolerance, your healthcare provider may suggest dietary changes, such as temporarily reducing lactose intake or exploring lactose-free formula options if necessary.
Conclusion
While lactose intolerance in breastfed babies is rare, being vigilant about your baby’s symptoms can help you identify potential issues early. By understanding the signs and working closely with your healthcare provider, you can ensure that your baby receives the best possible care and nutrition.

How can I tell if my baby has an issue with lactose?

The symptoms of lactose intolerance in babies and children are:

  1. liquid, frothy stools (poo), which may be green.
  2. being irritable.
  3. stomach aches.
  4. bloating.
  5. passing a lot of gas.
  6. slow weight gain.
  7. nappy rash.

How to know if a breastfed baby has a dairy allergy?

Common symptoms may include:

  • Hives.
  • Swelling under the skin, especially around the eyes or mouth.
  • Swelling of the tongue or throat.
  • Wheezing or respiratory distress.
  • Low blood pressure (hypotension)
  • Vomiting.

How to know if baby can’t tolerate breast milk?

Fussiness before eating because of hunger, during the feeding and then more fussy as they become more uncomfortable can be common. “Children with MSPI may cry 18 hours or more a day and may develop weight loss, congestion, repeated vomiting, reflux, and certain kinds of skin rashes.

How do I know if my breastmilk is upsetting my baby’s stomach?

Monitor your diet closely if you’re breastfeeding. If you feel there are certain foods that might be upsetting your baby’s stomach, try avoiding them for a while. If you notice weight loss, forceful spit up, fussiness or other symptoms, talk to your child’s pediatrician about your concerns.

What does dairy sensitivity look like in breastfed babies?

Lactose intolerance causes symptoms like fussiness, gas, blood or mucus in stool, nausea, spit up and diarrhea. While exposure to lactose may cause your baby discomfort, it will rarely cause any long-term problems.

How do I know if my breast milk isn t agreeing with my baby?

If your baby shows negative symptoms after drinking breast milk. Consider how your baby responds to breast milk after drinking it. If symptoms occur such as fussiness, irritability, crying, gas, increased spitting up and/or drawing their legs up due to tummy pain, write down everything you ate that day.

What are the four stages of lactose intolerance?

Primary (caused by diminishing lactase production in your small intestine). Secondary (caused by injury or disease that damages your small intestine). Congenital (caused by lactase deficiency present at birth). Developmental (caused by premature birth, when the small intestine is underdeveloped).

How do I know if my baby is lactose intolerant breastfeeding?

Symptoms may include:

  1. pain and swelling in the tummy.
  2. failure to settle at feeding times, coming on and off the breast.
  3. failure to gain weight.
  4. diarrhoea.
  5. bulky, frothy and watery faeces.
  6. red bottom with skin worn away in places.
  7. passing wind and crying when passing faeces.
  8. irritability.

What does lactose intolerant baby poop look like?

Loose poop
Your baby may experience frequent watery, foul-smelling loose poops if they have a cow’s milk protein allergy. You may also notice mucus in the stool, and your little one may be gassy and colicky. Babies with diarrhea may quickly become dehydrated, so calling your doctor is recommended.

How to flush dairy out of your system while breastfeeding?

Take out all cow’s milk products, soy and eggs from your diet. Wait 2-4 weeks to see if baby improves. The food will clear from your milk in a few days, but baby’s gut may take longer to heal. If baby improves, introduce one new type of food at a time, generally the one that you miss the most!

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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