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

Understanding Milk Intolerance in Breastfed Babies
Determining whether your breastfed baby is intolerant to milk can be a nuanced process, as symptoms can vary widely and may overlap with other conditions. Here’s a detailed look at how to identify potential milk intolerance in your little one.
Recognizing Symptoms
Common signs of milk intolerance in babies can include:
– Gastrointestinal Distress: This may manifest as excessive gas, bloating, diarrhea, or constipation. If your baby seems uncomfortable after feedings, it could be a sign of digestive issues related to milk.
– Skin Reactions: Rashes, eczema, or hives can sometimes indicate an allergic reaction or intolerance to proteins found in breast milk, particularly if the mother has consumed dairy products.
– Respiratory Issues: Symptoms such as wheezing, nasal congestion, or difficulty breathing may also arise, although these are less common and could indicate a more serious allergy rather than simple intolerance.
It’s important to note that lactose intolerance is relatively rare in infants, as most babies are born with the ability to digest lactose, the sugar found in breast milk. However, some babies may experience lactose overload, especially if they are consuming large amounts of foremilk (the milk that comes first during a feeding, which is higher in lactose) without enough hindmilk (the richer milk that follows).
The Role of Maternal Diet
Interestingly, research indicates that a mother’s diet has only a slight impact on the composition of her breast milk. This means that breastfeeding mothers do not necessarily need to eliminate dairy from their diets unless there is a clear indication of intolerance or allergy in the baby. If you suspect your baby is reacting to something in your milk, it’s advisable to consult with a healthcare professional before making significant dietary changes.
Diagnosis and Next Steps
If you observe any of the aforementioned symptoms, the first step is to consult your pediatrician. They may recommend keeping a detailed food diary to track your diet and your baby’s reactions. This can help identify any correlations between what you eat and your baby’s symptoms.
In some cases, healthcare providers may suggest a temporary elimination diet, where you remove dairy from your diet for a few weeks to see if your baby’s symptoms improve. However, it’s crucial to do this under medical supervision to ensure both you and your baby are receiving adequate nutrition.
Conclusion
Identifying milk intolerance in a breastfed baby involves careful observation of symptoms and consultation with healthcare professionals. While lactose intolerance is uncommon in infants, other food sensitivities can occur. By monitoring your baby’s reactions and working closely with your pediatrician, you can determine the best course of action to ensure your baby’s health and comfort.

What color is lactose intolerance poop?

Changes in Stool
For instance, it’s not unlikely for a person with lactose intolerance to have foamy stools. Sometimes his or her stools may appear black or tinged with bright red blood. Passing stool may also be accompanied with pain.

How do you rule out a milk allergy in a baby?

The doctor will examine your baby, and might order some stool tests and blood tests. The doctor may refer you to an allergist, who might do skin testing. In skin testing, the doctor or nurse will place a tiny bit of milk protein on the skin, then make a small scratch on the skin.

How to tell if a breastfed baby has dairy intolerance?

Symptoms of lactose intolerance in babies include:

  1. Gas.
  2. Diarrhea.
  3. Bloated stomach.
  4. Spitting up.
  5. Irritability, crying or other colic symptoms.
  6. Failure to thrive and gain weight.

What is the 3 month breastfeeding crisis?

As you may have read in my other blog about a baby’s breastfeeding crisis, a breastfeeding crisis, sometimes called a growth spurt, is a common phrase used to describe a phase where mothers may encounter significant breastfeeding challenges, typically related to an increase in milk demand from the baby.

How do I know if my baby is not tolerating breast milk?

MSPI symptoms

​fussiness or excess crying before, during and after a feeding ​stools may be infrequent, watery, have mucous, or be bloody
​reflux ​spitting up
​nasal congestion ​skin rash, eczema, hives, dry skin
​weight loss ​repeated vomiting
​sudden waking with discomfort

How do I know if milk is not agreeing with baby?

Along with changes in bowel movements, like having diarrhea after eating, an increase in gassiness can also be a sign that your baby’s formula isn’t agreeing with them. This may be accompanied by abdominal bloating and firmness of the belly.

How do I know if I should cut out dairy while breastfeeding?

If your baby reacts to cow’s milk proteins in your breast milk, you will be advised to avoid milk (dairy) whilst breastfeeding. This is usually done as a trial for between 4 to 6 weeks to see if your baby’s symptoms improve. If they do not, and you were following the diet strictly, you can return to your normal diet.

How do I know if my baby is upsetting breast milk?

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 does it look like if baby is allergic to breast milk?

Even a baby who has never been formula fed, and has never had any food besides breast milk may show signs of food allergy including: diarrhea, bloody stools, vomiting, colic, eczema, constipation and poor growth.

What does baby poop look like with a milk allergy?

Green, bloody, or mucus-tinged stool—along with some other issues—could indicate a milk allergy. If you suspect your baby has a cow’s milk protein allergy, keep an eye out for these common issues that may occur shortly after feeding: wheezing, coughing, swelling, a rash, gas, crying, and unusual poops.

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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