Feeding Your Baby

Feeding Your Baby

Dairy and other sensitivities in a breastfed baby

A few breastfed babies react to proteins from the mother's diet, most often cow's milk. Blood or mucus in the poop is the usual sign.

General research · seeking a stewardpostpartumAlso searched as: dairy free breastfeeding, CMPA, mucus in poop, blood in stool, elimination diet

What it is

You saw blood or mucus in your baby's diaper, or someone said 'dairy,' and now you are searching 'CMPA' and 'elimination diet.' Cow's milk protein allergy means the baby reacts to milk proteins that pass into your milk. It is the most common food reaction in babies, and still rarer than social media suggests. Fussiness and gas alone are usually not it.

What's typical

It affects about 2 to 3 percent of babies in the first year; fewer of those are fully breastfed. The usual picture is streaks of blood or mucus in a well, growing baby, starting between two and eight weeks. When dairy leaves the mother's diet, stool usually clears within two to four weeks. Most babies outgrow it by one to three years.

What's known

The AAP and the Academy of Breastfeeding Medicine advise removing one food at a time, starting with dairy, for two to four weeks, then adding it back to confirm. They do not recommend broad elimination diets.

What helps

  • Take a photo of the diaper and note the date. Bring it to the visit.
  • If you and your provider decide to cut dairy, read labels for casein and whey, not just 'milk.'
  • Ask a dietitian about calcium before dairy goes.

When to call someone

  • Nowa lot of blood, a pale or limp baby, forceful vomiting, or hives with face swelling.
  • Todayany blood in the stool for the first time, or blood with poor weight gain.
  • At your next visitongoing mucus, eczema that will not settle, or a plan to test foods back in.

Who helps

PediatricianRegistered dietitianLactation consultant (IBCLC)

Tools: Postpartum Meal Planner · Birthworker Directory

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Sources

  • Academy of Breastfeeding Medicine — Clinical protocol on allergic proctocolitis in the exclusively breastfed infant
  • American Academy of Pediatrics — Patient FAQ on milk allergy in infants

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The Mothership Topic Wiki is general information for mothers and the people who care for them. It is not medical, legal, or mental-health advice and does not create a provider relationship. Experiences posted by members are their own. In an emergency call 911. If you are having thoughts of harming yourself, call or text 988.