Baby poo help please! CMPA??

[hullaballoo19]

Dd is 12 weeks. When she was about 4 weeks old I started to notice some mucous in her poo and some of her poos were green. Weight gain has been decent. Hv wasn't concerned and said it could just be that she's getting more fore milk than hindmilk. Made sure to keep her on one breast for a good amount of time so she's getting the hindmilk and do breast compressions. No change and when we had her check with the doctor at 8 weeks I mentioned it to him, he also wasn't worried and said it's probably just her bowel 'maturing'. He did say she could possibly have something viral but it should clear up and just make sure she's hydrated. When she was 10 weeks she started having diarrhoea (no signs of dehydration etc). She also was back to having just mustard yellow poo with very minimal amounts of mucous (during the diarrhoea, not before). I'd wondered many times if she might have a cows milk allergy as demonstrates symptoms (sneezy and snuffly all the time, irritable, struggles with wind, slimy poos and then the diarrhoea). So I stopped having dairy nearly 2 weeks ago. Took her to drs about the diarrhoea 3 days after I stopped having dairy. Annoyingly she decided to have normal poos that morning 🙄 so the dr basically didn't believe me and said it was normal (I did say I know that's normal but that's not what they've been like!). Anyway, diarrhoea has stopped but mucous is back (pretty much every poo) and yesterday and today we've had some green poos for the first time in ages. Can anyone tell me what is going on?! Planning to stick to dairy free for 3 weeks and then see how she reacts when I have some, but does this sound like cmpa to people who have experience?? Or can anybody else tell me what it could be? Thanks for any help 😊

Bump

Can’t you try her on formula and see if it helps.

My DC did have green poo it was also explosive and happening about 20 times a day. Big problems with feeding but no congestion and no eczema until she was older. It took ages for HCP’s to diagnose because of lack of certain symptoms. I’d definitely carry on cutting it out to see if it helps.

What a strange suggestion

My youngest had this, alongside some other symptoms - vomiting, unsettled, skin rash etc. I went dairy free and soya free - the proteins are very similar apparently. And all the symptoms went away. Formula didn't help - she was sick every time. When I introduced dairy/soya back into her diet all the symptoms returned.

She's now three and has outgrown any intolerance/allergy. We introduced the trigger foods slowly - a dairy ladder, and she's been fine ever since.

I found the gp wasn't very helpful, but the health visitor I saw at the weighing clinic was fantastic. It was her who suggested dairy might be an issue. I ended up getting most of my info from Facebook groups etc. There's loads out there.

Definitely sounds like CMPA, we usually suggest cutting out dairy for 3-4 weeks and then reintroducing it gradually to see if symptoms return. As soon as symptoms return (if they do), then stop the dairy and return to dairy free diet as you have identified the cause. If symptoms don’t return when you reintroduce it could have been due to another reason E.g gastro illness. Once confirmed speak to HV or GP and they should refer you to a dietician who should give you some support around dairy free weaning and the milk ladder at 1 year. Have a look at the iMap guidance here: www.guidelinesinpractice.co.uk/download?ac=1684

Hope that helps.

Thanks very much for replies 😊 I think I just feel a bit confused that the nappies have started being slimy again and I haven't yet noticed much improvement and wondered if I should have by now. She does also seem to struggle getting out wind/poos and straining for ages but I didn't think it was constipation if the poos were soft and she is going regularly... The fact sheet is really great so thanks for that @Ellswells3 I guess I'll try and push it to 4 weeks before testing. Thanks very much for sharing everyone. And no @Samarie123 I have no plans to try her with formula, I don't see how that would help

@hullaballoo19 no problem! It can take at least 4 weeks for some babies symptoms to fully clear E.g. slimy / mucousy stools. I would keep going for a little longer with the dairy free diet if possible! The other thing you can do is keep a bit of a food diary for yourself and log of stools and see if there could be anything else irritating your little ones bowel. It does sound like CMPA though. X

We’ll you won’t know until you try. Sometimes babies can be allergic to something you’re eating or certain meds you may be taking.

Why?

Have you replaced dairy with soya? Over half of babies with cmpa are also allergic to so

I assume the OP wants to bf and wants all the benefits of bf. She also su
suspects her child is allergic to dairy so she isn’t going to give her lots of dairy.

@Samarie123 I know they can, that's why I'm eliminating something from my diet to see if that's what causing it. I want to breastfeed (for a variety of reasons) and dairy free formula is also incredibly expensive (so I hear) so why bother when I can just stop having the foods myself? Also I don't take any medication (other than paracetamol) so can't be that.

@Flopisfatteningbingforchristmas no I haven't replaced with soya as I know it's also recommended to eliminate that too. Though I am allowing myself to have things with soya lecithins in it as I read that that should be okay (and it's bloody hard to find stuff without it!).

For some children they can’t handle soya lecithins. My youngest couldn’t handle me eating them.

Ok fair enough. I hope it gets better for you.

Thanks@Samarie123

And thanks @Flopisfatteningbingforchristmas how did you know about the soya lecithins? Did you cut everything, then have soya lecithins and your dc had a reaction? Would I expect to see symptoms improving if having soya lecithins but nothing else? What I'm basically asking is would I have to start not having the soya lecithins and wait 3/4 weeks from now to actually know if it's cmpa because I'm still having that so her symptoms won't go away and then wont be triggered if I have dairy (because she'd still be reacting to the lecithins throughout)? Hope that makes sense..

I cut out dairy at first, then all soya and then tried to introduce soya lecithins to me and she started to react again.

I’m a little lost with your description (sleepness nights from ill older child). I would cut out both dairy and soya for 6 weeks and then challenge milk. Soya proteins look very similar to dairy which is why there is such a cross over with allergies. Its so difficult when they are little and you don’t know what to do. There is a really good breast feeding cmpa page.

Hi, coming back to this for further thoughts please! So I had no dairy for 4 weeks, no straight up soy but didn't avoid soya lecithins (as suggested). Definite improvement in her mood and she didn't have bouts of being in obvious pain like before. However no significant difference in nappies, no more diarrhoea and no more green nappies but still quite a few slimy ones. However she's definitely teething (constant dribble, chewing on everything etc). I read that teething babies can have slimy nappies because of the dribble so don't know if it's just because of that.. or could be because I didn't stop having the soya lecithins also?? Started having dairy again on Sunday and since then she has had no obvious allergic reactions such as breathing issues, diarrhoea or rash, but she's been very grizzly, and had periods of being in obvious pain. I feel stuck because it coincides with having dairy again, but the teething seems worse since Sunday too! She's arching her back a fair bit when really crying in pain which would imply stomach but is also soothed at times by chewing on a teether. I feel really helpless when she's screaming and I can't fix it ☹️ do these symptoms seem 'sufficient' enough to rule that it is cmpa?? Thanks for any thoughts/advice.

WARNING BABY POOP PIC:
My son 3 months has struggled with camp since birth he is on prescribed milk and sees a dietitian regularly. The last couple of days the colour of his poop has started to go dark , today it’s the darkest it has been and he has just slept all day only waking for a feed which is not like him. Do use think this poop colour looks okay/normal.

@hullaballoo19 I have a CMPA baby and yes that sounds more like the pain from CMPA than teething pain. It can take weeks for the gut to heal entirely from the inflammation caused by CMPA so mucus nappies might go on for a while. As long as your baby is happy and not in pain I wouldn't worry overly about the mucus in the nappy. Definitely cut out the dairy again IMO and try the milk ladder when she's nearer to her first birthday.

@0161J that poo looks fine and quite typical of some formula (kendamil produces forest green poo) my babies often had poo like that when they had viral infections