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What can you do for lactose overload while breastfeeding?

Understanding Lactose Overload in Breastfed Babies
Lactose overload is a condition that can affect breastfed infants, often leading to symptoms that may be mistaken for other issues such as colic or reflux. This phenomenon occurs when a baby consumes an excessive amount of lactose, typically due to an imbalance in the types of milk they receive during breastfeeding.
What Causes Lactose Overload?
Breast milk consists of two main components: foremilk and hindmilk. Foremilk is the thinner, watery milk that comes first during a feeding, while hindmilk is richer in fat and calories and follows after the baby has been nursing for a while. If a baby consumes too much foremilk without getting to the hindmilk, they may ingest more lactose than their system can handle, leading to symptoms of lactose overload.
Symptoms to Watch For
Parents should be vigilant for signs that may indicate lactose overload in their infants. Common symptoms include excessive crying, irritability, gassiness, and green, frothy stools. These symptoms can often be misinterpreted as signs of colic or a milk allergy, making it crucial for caregivers to recognize the specific indicators of lactose overload.
Strategies to Manage Lactose Overload
If you suspect that your baby is experiencing lactose overload, there are several strategies you can employ to help manage the situation:
1. Adjust Feeding Techniques: One effective approach is to allow the baby to fully empty one breast before switching to the other. This ensures that the baby receives a balanced mix of foremilk and hindmilk, reducing the likelihood of lactose overload.
2. Increase Feeding Frequency: Reducing the time between feedings can also help. By feeding more frequently, the baby consumes smaller amounts of milk at each session, which can be easier for their digestive system to handle.
3. Monitor Feeding Duration: Pay attention to how long your baby is nursing. Some infants may finish a feed in just a few minutes, while others may take longer. Ensuring that your baby is effectively breastfeeding can help them get the necessary nutrients without overwhelming their system.
4. Consider the Baby’s Needs: Each baby is different, and their feeding patterns can vary widely. It’s important to be responsive to your baby’s cues and adjust feeding practices accordingly. If your baby seems to be struggling with lactose overload, consulting with a lactation consultant can provide personalized guidance.
Conclusion
Lactose overload is a manageable condition that can be addressed with careful attention to breastfeeding practices. By understanding the dynamics of foremilk and hindmilk, and by adjusting feeding techniques, parents can help ensure their infants receive the right balance of nutrients without overwhelming their digestive systems. If symptoms persist or worsen, seeking professional advice is always a prudent step to ensure the health and well-being of both mother and baby.

How do I know if dairy is affecting my breastfed baby?

It is common for breastfeeding parents to blame their diet when the baby is more fussy than usual. However, it is important to note that usually if a baby has an intolerance to a food you are consuming, there will be another sign of distress such as rash, forceful spit up, or blood or mucous in the baby’s stool.

How do you treat lactose intolerance in breastfed babies?

If your baby has symptoms of lactose intolerance, you may be told to alternate breastfeeding with feeds of lactose-free formula or even take your baby off the breast. However, authorities only recommend the use of lactose-free formula if the baby is formula-fed and is very malnourished and/or losing weight.

What helps infants digest lactose in milk?

To digest lactose, infant mammals produce the enzyme lactase. The animation illustrates how lactase breaks down lactose into two simple sugars, glucose and galactose, that can be absorbed more easily.

How do you flush dairy out of your system while breastfeeding?

Eliminate all at once: 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.

What happens if you accidentally eat dairy while breastfeeding?

It’s possible for your breastfed baby to have an allergic reaction or sensitivity to something you eat or drink. Foods like beans, broccoli, cauliflower, or some dairy products can cause fussiness, gassiness, or colicky behavior in some babies.

Does warming up milk remove lactose?

It is a common misconception that boiling milk can remove lactose. Although boiling milk is a good way to kill any bacteria that may be in it, it won’t make it any easier to drink if you’re lactose intolerant.

How to fix lactose overload in breast milk?

The key to correcting the problem of foremilk-hindmilk imbalance, which leads to lactose overload, is to ensure your breasts are adequately emptied before switching sides.

How do you counteract too much lactose?

Treatment

  1. Limit milk and other dairy products.
  2. Include small servings of dairy products in your regular meals.
  3. Eat and drink lactose-reduced ice cream and milk.
  4. Add a liquid or powder lactase enzyme to milk to break down the lactose.

How long does it take lactose to get out of breast milk?

It takes up to 72 hours for the mother’s breast milk to become free of milk protein, so until you’re ready to nurse again, your baby will be given a hypoallergenic formula.

How do you flush out lactose intolerance?

Treatment

  1. Limit milk and other dairy products.
  2. Include small servings of dairy products in your regular meals.
  3. Eat and drink lactose-reduced ice cream and milk.
  4. Add a liquid or powder lactase enzyme to milk to break down the lactose.
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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