9 week old baby ill - Doctor not concerned but it doesn’t seem right

[Rebelwithallthecause]

My baby started getting green mucusy poos just over a week ago.

I have it over the weekend to see if it would improve but it’s still there.
Very green, very mucusy.

I spoke to the GP on Monday and They didn’t want to see baby in the clinic and just said that as long as she’s still feeding and not dehydrated not to worry yet and it will take around 2 weeks to go from her system

Is that right because NHS says to take a baby to hospital if their poos have mucus in them.

She’s been otherwise fine but is throwing up some feeds which she wasn’t doing before and sometimes coughs which I guess is due to some milk coming back up as I can hear her swallowing maybe an hour after she’s fed

She’s breastfed.

Doesn't sound right to me. I thought green mucusy poos we're a sign of CMPA? Can you speak to another GP? Or contact your HV.

Did you leave it over the weekend? Just wondering what ‘have it over the weekend’ is an autocorrect for.

I would call a breastfeeding helpline personally as sounds like it could be a foremilk/hindmilk issue & possibly solved by block feeding, but my last baby is 5 now & I am not up to date & would really encourage you to take advice from an expert not a random on the internet

@justdontatme I thought it could be this or forceful let down.

But I’ve tried block feeding and it’s not really doing much

I didn’t think it could be CMPA as she’s not go any signs of allergies elsewhere like rashes

Don’t think a CMPA would necessarily cause a rash, my friend’s daughter was diagnosed after green poos & ‘colic’ (she cried allllll the time). How long did you try blockfeeding?

It could be a viral infection. Here is what is says on kellymom

The occasional green stool is not unusual in the breastfed baby. Consistently green stools, however, are not normal for the breastfed baby. Most doctors don't seem to recognize this as a potential problem because they often define "normal stool" as that of the formula-fed infant. Baby's stool can be awide variety of colors and textures, and not all of these are cause for concern. It is helpful to know what isnormalfor the bf baby as well.

Consistently green stools in the breastfed baby can indicate:

an imbalance of foremilk/hindmilk, often resulting in frothy green stools.a sensitivity to something in the mother's diet, such as cow's milk products.

a sign that baby has an illness. Babies with an intestinal virus or even a simple cold will sometimes have green, mucusy stools.

Teething can also bring about green stools due to increased saliva (can also cause tummy upset)

a lot of green vegetables or something with green food coloring in mom's diet.

If baby has started solids, that could also account for the change in color (this is normal with the change in diet).

99% sure it’s CMPA. Sounds just like my daughter and she never got a rash. Also is allergic to soya & eggs x

Hmm interesting
Someone mentioned she could be teething as she sometimes chomps on her fist but I thought she was too young for that.

I don’t really have much dairy in my diet generally as no milk in tea or coffee and I don’t eat cheese. I may have the occasional yoghurt or buttered toast though.
My diet hasn’t changed since before this all started

She doesn’t really cry much and she never seems in pain.
Other than the odd windy night she doesn’t suffer from colic at all

I should maybe try block feeding for longer. It’s only been 2 days of trying it (and it’s been hard to do as other child is potty training so I’m often having to take her off the boob quickly to see to the older one)

@Wingingthis how did yours get diagnosed and how do they test to confirm what the allergy is?

The green poos are well and truly pesto looking with nutty bits in

Just over a week ago it was a pure golden yellow without any nutty bits

One boob is definitely an over producer with fast let down. She’s never been too happy with it.
The other boob she gets quite comfy and relaxed on and will stay on it happily

The over producer she pops on and off spluttering and sometimes even coughing and choking a bit which is scary

Could chomping on her hand be a sign of hunger rather than teething. That sounds like a feeding cue? Definitely call your HV. They are very good at pushing doctors into action when needed. If she gets a temp, seems lethargic or not herself then perhaps take her to get checked. Don't be afraid of calling the GP again to say its still happening.

@blackcat86 I’m not too sure if it is a feeding cue. it could be but she does it sometimes straight after a feed too.
My HV is a bit rubbish but I will mention it. I’ve been taking her temp each day and no fevers yet.

I was actually palmed off my health visitors/doctors a lot telling me it was normal. She ended up having blood in her poo. Literally ended up looking like someone had sneezed into her nappy with streaks of blood!! Sorry for the gross image! She was also very unsettled. I just cut dairy & soya our myself and saw a difference, contacted the doctor and was sent to a pedestrian & then to a dietician. There’s two types of allergy - immediate (think anaphylaxis, hives etc) and delayed (more gastro - Dihorrea, vomiting etc). My daughter is delayed allergy also known as non ige. You can’t get a skin prick test for non ige you just have to trial them with the food and wait 72 hours for a reaction! The dietician will help you with this. You’ll have to do a milk challenge ladder

@Spam88

Doesn't sound right to me. I thought green mucusy poos we're a sign of CMPA? Can you speak to another GP? Or contact your HV.

I agree, and the coughing and vomiting. Does she get hiccups?

Has she just had her vaccinations? Rotavirus vaccine can cause this.

@BornOnThe4thJuly she does occasionally have hiccups

She had them a lot when I was pregnant with her

@alwaystiredalwaysgrumpy no vaccinations yet - hers are next week (so this might get worse! 😱)

I would cut out dairy and soya for 2 weeks very strictly and see if there’s any improvement. It’s the only way to know for sure if it’s CMPI. My youngest didn’t have a rash at first but lots of hiccups, mucus, green explosive stools, constantly pulling off the breast and then trying to latch again.

@alwaystiredalwaysgrumpy

Has she just had her vaccinations? Rotavirus vaccine can cause this.

Literally about to type this, rotavirus vaccine did this to both of my DC. Lasted a week or so then cleared up

Is there anything specific I should watch out that might contain soya? I am assuming I don’t have it in my diet but you never know

Il cut out the yoghurts and butter for now too.

It’s in all sorts of stuff to be honest, so best to check all Ingredients carefully. Soya proteins are the same shape as cows milk proteins, so lots of children react to both. If she does improve you could then start to have soya again after another few weeks to see if she can tolerate it.
I would also try to speak to a breastfeeding counsellor for advice. I also had help from the Specialist feeding Health visitor, it was her who suggested it could be dairy after various other professionals saying it wouldn’t be, but she was right.

If your let down is super fast you could pump a little off with a hand pump before putting your baby on the breast. (If you bung it in the freezer this also creates a brilliant stash of milk when you do finally want some time off).

My son had CMPA and this is how it started, the nappies then progressed to green and mucousy with blood in like Wingingit mentioned. He had no rash and they returned to normal after two weeks without soya and dairy. I found my new diet pretty tough though! Good luck with finding the cause.

I just realised that means no chocolate or ice cream!