J.B. asks from North Attleboro, MA on March 16, 2008
Why my breastfed baby have green poop?
I have a 3 1/2 week old son who is breastfeeding exclusively. Once the meconium passed from his system, his poo turned seedy and mustard colored as is described in the literature. About a week ago, his poo turned more green and more runny. Based on what I have read, this could be do to: ingesting too much foremilk in relation to hindmilk, a food allergy to something like dairy, or a viral/bacterial infection. He doesn't have a fever and doesn't have any other signs of infection. I am currently in the process of feeding longer on one breast and limiting my dairy intake (for the last 2 days), but have yet to see a significant change in the color of his poo. Does anyone know how long I should wait to see an effect? I have read that I may need to wait 2 to 3 weeks if the issue is an allergy to dairy. Also, does anyone know if there could be other reasons why his poo has changed? How concerned should I be? He has a doctor's appointment this Thursday, so I will definitely address it with her then.
Summary
"Green stools and gassiness in an otherwise healthy breastfed baby are often caused by a foremilk/hind milk imbalance. To help remedy this situation, allow your baby to control the feed. When nursing, let your little one come off the first breast on his own, relaxed and satisfied. If problem persists, contact your health professional.
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A.H. answers from Washington DC on March 19, 2008
My daughter is now over 8 months old and is on a mix of solids and breastmilk. When she was exclusively breastfed we would have green poop every once in awhile. For us it always happened when she decided to eat for a short period of time. I still feed her completely on one side before I switch her to the other. She will pop off when there isn't enough milk left and I know it is time to switch. She was fine regardless, but it is odd to see green poop:)
D.S. answers from Boston on March 18, 2008
We too went green for a bit, then bright yellow. If you are really worried, call his dr, but I think it sounds normal.
C.W. answers from Boston on March 18, 2008
I breastfed my first for year and my second for 9 months and I would not worry. In my experience the color of the poo and the consistency changes all the time and I read somewhere that it can change dependent on what you are eating too!I know that if I ate lots of veggies the poo was more green and runny. My advice is unless he seems unwell don't worry.
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L.P. answers from Boston on March 17, 2008
Having had 3 kids with food allergies, I'd ask a few questions, especially since I've discovered how little many pediatricians seem to know about breastfeeding. How green is the poo? Grass green? Avocado green? Is there any mucous? By that, I mean does it stretch at all? Are there any othe red or black flecks? Does he have any other skin issues like eczema?
Green stools indicate that there is bile in the stool and that typically happens when the stool passes quickly through the intestine. This occasionally happens in normal breastfeeding and so an occasionaly green poop is OK. If they are consistantly green then it indicates that they are passing through quickly all the time, and this can be caused by a few different things.
Foremilk is watery to quench thirst and sweet while hindmilk is more fatty and sustaining. Too much lactose (milk sugar) can have a laxitive effect and cause gas, green frothy stools, more frequent demands for feeding and discomfort. If you have oversupply/overactive letdown baby may choke or gag while nursing, pull off the breast and you may notice that your milk squirts forcefully in several jets during letdown. (I could hit another kid sitting a distance away when baby pulled off ;)) You may also get engorged a lot, suffer plugged ducts, and find you have a hard time getting a breast truly "empty" or soft.
If there is mucous or blood in the stool it is a sign that the intestinal lining is irritated, probably due to a protein intollerance or allergy. Dairy is generally the first place to start, which means removing all traces of dairy protein from your diet--this means not just butter, milk, cheese, yoghurt, ice cream, etc but also anything containing casein, whey, lactose, and caseinates of all sorts. It can take a couple of weeks for the dairy to completely clear your system so be patient.
It's worth noting that baby can be senitive to any one of a number of proteins in your milk. For example, many babies who are sensitive to dairy are also sensitive to soy. Soy is highly allergenic, and in some cases soy sensitivity can extend to the whole legume family. Other common allergins include wheat, egg, fish, shellfish, citrus (including tomato), and nuts.
For many moms, removing dairy is enough, but you won't know unless you avoid all dairy-containing foods. It can be tricky: for example, non-dairy creamer is not dairy-free! But once you learn to read labels it gets easier.
If you have any questions, please feel from to email me. I have 3 kids, I've had oversupply-overactive letdown with all of them, and they each have different food sensitivities--I've seen a LOT of green poo!! In fact, I'm currently avoiding all dairy, soy, legumes, and gluten for my 7 mo old!
Good luck!
3 moms found this helpful
B.W. answers from Boston on March 18, 2008
Hi J., you probably got tons of responses but I wanted to put my experience in too. My baby girl (also exclusively breastfed) had the same thing at about the same age. My ped. said it was just from what I was eating, and unless she seemed uncomfortable or there was mucus or blood in her diaper, any color/consistency change was ok. Once for a few days it even looked like beach sand!! Good Luck honey!
L.H. answers from Hartford on March 18, 2008
My first question to you is the baby showing any signs of dehydration or discomfort?? If not, I would say it is not a big deal. Poop is a mysterious thing which will come in all kinds of beautiful smells and colors based on your food intake.
I am not a doctor, but I would say don't sweat it!
C.W. answers from Boston on March 18, 2008
I breastfed my first for year and my second for 9 months and I would not worry. In my experience the color of the poo and the consistency changes all the time and I read somewhere that it can change dependent on what you are eating too!I know that if I ate lots of veggies the poo was more green and runny. My advice is unless he seems unwell don't worry.
C.A. answers from Boston on March 18, 2008
What you said about too much foremilk in relation to hindmilk is what I have always heard as the major reason for green baby poop. This I have heard is from nursing too frequently. I don't know if you think that might be the case, but I nursed on a schedule - every 2 1/3 to 3 1/2 hours, and by "too frequently" I mean every hour or so as some people find themselves doing when feeding on demand. So I know you said you're feeding longer on one breast, but maybe you should also look at your frequency. Good luck!
K.S. answers from Barnstable on March 18, 2008
J.,Green poo usually means you are taking iron, grape juice or you are not feeding long enough on one side.To get the hind milk( The cream. lack of fatty milk) many issues can lead to green poop. you can call your local breastfeeding center or WIC office they usually have a CLC you can contact. I know because I work for the one on Cape Cod, MA & I'm a CLC. SO my advice would be to let the baby nurse as long as she wanted to on one side, until she came off by herself. then burp & change diaper. try to wake her as much as you can by stripping her down & getting skin to skin contact with her( you naked from the waist up & her only in a diaper)& try to get her on the other side. But don't get all freaked if she is too sleepy to nurse on the opposite side she will the next time around. that will be in 1 1/2 hrs to 2 hrs like clock work. the green poops will change to mustardy color unless you are doing the other things I mentioned. But remember all food goes into your baby's tummy.
I hope this helps. Kathy
W.C. answers from Lewiston on March 18, 2008
I found back in the day when I breast fed(and I had twins;-)) that their poo would change with whatever I would eat also.What goes in must come out they told me.Hope that eases your mind some but I would address it also.Now that my girls are 21 ,I tend to mother my dog,lol but whenever I am concerned about anything I still ask the doc!:-)
A.H. answers from Washington DC on March 19, 2008
My daughter is now over 8 months old and is on a mix of solids and breastmilk. When she was exclusively breastfed we would have green poop every once in awhile. For us it always happened when she decided to eat for a short period of time. I still feed her completely on one side before I switch her to the other. She will pop off when there isn't enough milk left and I know it is time to switch. She was fine regardless, but it is odd to see green poop:)
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