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Is it OK to have Pepto-Bismol while breastfeeding?

Understanding the Safety of Pepto-Bismol While Breastfeeding
As new mothers navigate the challenges of breastfeeding, questions about medication safety often arise. One common concern is whether it is safe to take Pepto-Bismol, a popular over-the-counter remedy for stomach upset and diarrhea, during this sensitive period.
The Composition of Pepto-Bismol
Pepto-Bismol contains bismuth subsalicylate, which is effective in treating gastrointestinal discomfort. However, the presence of salicylate—a compound also found in aspirin—raises red flags for breastfeeding mothers. Research indicates that salicylates can pass into breast milk, potentially posing risks to nursing infants.
Expert Recommendations
Health authorities, including the American Academy of Pediatrics, advise caution when considering the use of salicylates like Pepto-Bismol while breastfeeding. The consensus among experts is to avoid this medication unless absolutely necessary. The NHS also explicitly states that Pepto-Bismol should not be taken during breastfeeding, reinforcing the notion that safety should be the priority.
Potential Risks to Infants
While there is limited research directly linking Pepto-Bismol to adverse effects in breastfeeding infants, the possibility of salicylate absorption into breast milk cannot be ignored. Salicylate toxicity, although rare, can occur, and the effects on a developing child are not fully understood. Therefore, many healthcare professionals recommend erring on the side of caution and exploring alternative remedies for gastrointestinal issues.
Alternatives and Precautions
For mothers experiencing stomach discomfort, there are safer alternatives that can be considered. Simple dietary adjustments, hydration, and other non-medicated remedies may provide relief without the associated risks of Pepto-Bismol. If symptoms persist, consulting a healthcare provider is crucial to ensure both the mother’s and the infant’s health are safeguarded.
In conclusion, while the discomfort of gastrointestinal issues can be challenging for breastfeeding mothers, the prevailing advice is to avoid Pepto-Bismol due to the potential risks associated with salicylates. Prioritizing safety and seeking alternative treatments is the best course of action during this critical time.

Can breastfeeding moms take Pepto-Bismol?

Pepto-Bismol and breastfeeding
Do not take Pepto-Bismol if you’re breastfeeding.

What can I take for an upset stomach while breastfeeding?

Medicines For Digestive Problems
Bismuth subsalicylate compounds (such as Pepto Bismol) contain enough aspirin ingredients that they may not be safe for your baby. For a sour stomach or heartburn, Tums and Rolaids are safe to use. Look for the ingredients calcium carbonate or magnesium hydroxide.

Will my upset stomach affect my baby while breastfeeding?

A nursing mother with diarrhea caused by food or water sources can continue to breastfeed her child. However, she should also increase her own fluid intake to prevent dehydration (loss of too much water in the body). The organisms that cause travelers’ diarrhea do not pass through breast milk.

When should you not take Pepto-Bismol?

Warnings. You should not use Pepto-Bismol if you have bleeding problems, blood in your stools, or if you are allergic to aspirin or other salicylates. You should not use Pepto-Bismol for a stomach ulcer unless your ulcer is caused by H.

Why can’t you take Pepto-Bismol while pregnant?

After taking Pepto Bismol, a mother’s bloodstream contains about as much salicylate as if she had taken a dose of regular aspirin. Salicylate cross the placenta, so the baby can be exposed. The potential exists for low birth weight, jaundice, bleeding, and birth defects.

Is Pepto-Bismol safe while breastfeeding for Reye’s syndrome?

There are currently no reports of Reye’s syndrome in babies exposed to bismuth subsalicylate and it is normally only used very short term for stomach upset. Breastfeeding mothers would be well advised to use alternative products to treat acute diarrhoea E.g. loperamine (Imodium®) if possible.

What can I take for a stomach bug while breastfeeding?

Some people are prescribed (or buy) prochlorperazine (Buccastem ®, Stemetil ®) tablets to relieve the nausea and vomiting, loperamide (Imodium®) to reduce the symptoms of diarrhoea and rehydrating sachets (Dioralyte ®) to prevent dehydration. These drugs are suitable to take and carry on breastfeeding as normal.

Who Cannot take Pepto-Bismol?

Do not take this medicine if you are pregnant or breastfeeding. Pepto-Bismol is not suitable for some people. To make sure this medicine is safe for you, tell your doctor or pharmacist if you have: ever had an allergic reaction to bismuth subsalicylate or any of the other ingredients in Pepto-Bismol or Pepti Calm.

Will my baby get sick if I’m sick and breastfeeding?

In fact, your body will actually start producing antibodies for those illnesses and pass those antibodies through your milk to your baby, effectively reducing the risk and severity of those illnesses to your infant and/or toddler.

What are the nursing considerations for Pepto-Bismol?

Nursing Considerations: Bismuth subsalicylate contains salicylate. It should be avoided if the client has an allergy to salicylates (including aspirin) or if the client is taking other salicylate products such as aspirin. It should not be used if the client has an ulcer, a bleeding problem, or bloody or black stool.

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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