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What Goes in Must Come Out!

Breastfed Babies and Their Bottoms

By Lisa A. Goldstein

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The foods you eat can play a role in your child's stooling pattern, but not to any significant degree. "We recommend that mothers eat a well-varied diet, foods that she generally likes and tolerates," says Brown-Ginsberg. "The key is moderation, avoiding overindulgence in any one food. For the most part, baby's bowel movements [will] remain soft, mustard-yellow color despite variety in Mother's diet."

When it comes to food, it's easy to lose focus of the bigger picture. "Spicy foods have always gotten a bad reputation, but remember that in many parts of the world, very spicy foods are eaten by breastfeeding mothers, and the majority do fine!" says new parent Dr. Susan Dulkerian, a neonatologist at Mercy Medical Center in Baltimore, Md.

Seeing Green
One time to be concerned is when the bowel movements are consistently green. This can occur when baby is getting lower fat content milk – foremilk – that usually is available at the beginning of the feeding. Brown-Ginsberg says that having Baby finish on one side before switching to the second side will ensure that Baby gets the higher fat content – hind milk – at each feeding. "Parents should call Baby's pediatrician if stools are consistently green [or] contain mucus or blood," she says.

If theinfant has a soft, non-tender abdomen without distension, apparent pain, lethargy, vomiting or fever, then no intervention is necessary, says Dr. Rudolph. Grunting, pushing or turning red in the face while passing a stool is normal in infants and should not be of concern if the stool doesn't contain blood or mucus. "If the infant has a hard distended tummy, fever or apparent pain that is not associated with passage of a bowel movement or vomiting of blood or greenish-colored vomitus, the infant should be evaluated by a physician," he says.

A Visit to the Doctor
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