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Infant feeding

Get advice and support with infant feeding from other users here.

24wk old diarrhoea

17 replies

hereharehere33 · 21/09/2015 09:26

My 5 1/2 mth old is ebf and isn't on solids yet but has picked up a big from somewhere. He's had 6 diarrhoeay nappies over night. He seems happy, no signs of dehydration. Been told to give water? What do you think-would I give it in a bottle? Also I had some alcohol yesterday about three small glasses of fizz. Do you think this could have caused it? Didn't think much alcohol actually made it through to the BM but feeling guilty now...

OP posts:
hereharehere33 · 21/09/2015 09:31

Think that should say 24wk with diarrhoea!! 24wk old diarrhoea would be wrong...! Argh, sleep deprivation!!

OP posts:
tiktok · 21/09/2015 09:36

Alcohol won't have anything to do with this at all :)

Who told you to give water? Breastmilk is normally the best 'treatment' for babies who are breastfed....no need for water at all. I'll try and find a link to guidance on this.

Maybe phone your HV and ask?

Doublebubblebubble · 21/09/2015 09:40

Haha no worries x

Don't feel guilty (although from now on I would pump and dump x)

I definitely wouldn't give a bottle. Give more regular breastmilk.

I found this as a guide (not sure how recently it was updated). I would keep an eye on his temp too though x

--------------------------

BREAST-FED INFANTS
No matter how they look, the bowel movements of a breast-fed infant must be considered normal unless they contain mucus or blood or develop a bad odor. In fact, breast-fed babies may normally pass some green BMs or BMs with a water ring.

The frequency of bowel movements is also not much help in deciding whether your breast-fed baby has diarrhea. During the first 2 or 3 months of life, the breast-fed baby may normally have one BM after each feeding. However, if your baby's BMs abruptly increase in number, your baby probably has diarrhea. Other clues are poor eating, acting sick, and a fever.

Remember that something in the mother's diet may cause a breast-fed baby to have more frequent or looser bowel movements--for example, coffee, cola, or herbal teas.

Diet
If your breast-fed baby has diarrhea, treatment is straightforward. Continue breast-feeding but at more frequent intervals. Don't stop breast-feeding your baby because your baby has diarrhea. For severe (watery and frequent) diarrhea, offer Kao Lectrolyte or Pedialyte (in a sippy cup rather than a bottle) between breast-feedings for 6 to 24 hours only if your baby is urinating less frequently than normal.

You may have to stop breast-feeding temporarily if your baby is too exhausted to nurse and needs intravenous (IV) fluids for severe diarrhea and dehydration. Pump your breasts to maintain milk flow until you can breast-feed again (usually within 12 hours).

Hope this helps some and if you're worried call your Dr xx good luck and hope he gets better soon xx

tiktok · 21/09/2015 09:46

Been trying to find some written guidance on this, but it's more about dehydration and/or diarrhoea plus vomiting.

Diarrhoea on its own is usually very short term, anyway - only a day or two.

A call to your HV is prob in order if it doesn't seem to be clearing up, but whatever, water would not usually be needed.

tiktok · 21/09/2015 09:49

That's American guidance, double. Those products are only available in the US (though they have UK equivalents, normally only given to babies who are actually dehydrated).

tiktok · 21/09/2015 09:50

WHY would you pump and dump???

What benefit would this bring?

OP - please don't pump and dump. No need, and your baby needs the breastmilk to help fight the gastro.

tiktok · 21/09/2015 09:51

Three small glasses of fizz yesterday....and you would pump and dump, double?

Absolutely no reason to do so. Alcohol was out of OP's system hours and hours and hours ago, and would not have harmed the baby anyway :(

hereharehere33 · 21/09/2015 09:56

Thanks both, it was nhs direct that said if they were really watery to give water with re-hydration salts but to call GP first. Typically we're on holiday.
I've been drinking coffee too as knackered and it says in the advice above that this can cause watery poos so maybe I should lay off this too?! I've never been to concerned with what I've drunk (except booze)/eaten up till now as doesn't seem to affect him. But will be more careful now.
He seems happy and is smiling away so will keep offering the boob for now and see how he gets on.

OP posts:
hereharehere33 · 21/09/2015 10:03

Thanks tiktok, cross posts. I'll see if I can get hold of my HV but won't give water (don't think he'd take it anyway). Feel less guilty about the fizz now. If the future though, if I have a glass or two should I pump and dump? Or offer expressed milk??

OP posts:
tiktok · 21/09/2015 10:33

NHS told you water with rehydration salts, which is better than water alone, and good to see they advised checking with your GP. But rehydration salts are only useful if the baby is dehydrated, and yours is not :)

There is never any need to pump and dump after alcohol. Alcohol moves in and out of breastmilk very easily - by the time you have got yourself organised to pump, the alcohol (tiny tiny traces only, remember, anyway) is out of the milk.

www.breastfeedingnetwork.org.uk/wp-content/dibm/Alcohol_and_Breastfeeding_Oct_2012.pdf has some good, evidence-based info.

Hope your baby is recovering now :)

Doublebubblebubble · 21/09/2015 10:37

Woah. Tiktok - why the anger??

If you read my post I didn't suggest that the alcohol would have done any harm I just said that That's just what I would do
I'm not suggesting that hare has to pump and dump. It's up to what she wants to do.

Also, I'm aware that the link that i posted from was American advice (I couldn't find a British one to be fair) and i doubt that it would be all that different. (you might want to reread what i posted and then calm down!) but ^^ its still the same advice I was given for my DD by my drs when I ebf her and I'm currently 38+1 and its the same advice that my hv gave to me recently (as we happened to talk about what to do as DD was sick when she came round)

hare I wouldn't offer expressed milk personally - I'd just keep offering the breast regularly. Xx good luck hun xx

Doublebubblebubble · 21/09/2015 10:38

X post - nevermind.

tiktok · 21/09/2015 10:57

Not angry, double, and not in need of calming down.

I suppose I rolled my eyes a bit....sorry 'bout that :)

tiktok · 21/09/2015 12:07

Seriously, double, sorry Blush. I know you were trying to help.

In my defence, mothers are often told to pump and dump, and while you were not actually advising the OP to do so, it was definitely underlying that idea....and US medical stuff always has the potential to mislead.

But apols again. I was tetchy.

BumWad · 21/09/2015 12:44

I would carry on being.

BumWad · 21/09/2015 12:44

Breastfeeding!!!!

BumWad · 21/09/2015 12:46

Why would you pump and dump? What's the rationale behind it? (Genuinely interested).

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