my baby is 50 days old ...he had diarrhea , and gasious checked with doc he told it looks like lactose intolerance but we tested motion negative only but if I give my breast milk exclusively again the symptoms are starting

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Accepted Answer

It sounds like your baby is experiencing some discomfort that could be related to lactose intolerance, but since the stool test came back negative, it might not be an infection. Lactose intolerance in infants is rare, but it can happen in some cases, especially if there's an imbalance in their digestive system or an immature gut.

Here are a few things you can consider:

Breast Milk and Lactose Sensitivity: While lactose intolerance in newborns is uncommon, some babies may have difficulty digesting lactose, especially in the early stages. Your baby might be reacting to the lactose in your milk. However, the symptoms may not always appear right away, so it’s possible the timing of symptoms is linked to certain feedings.

Foremilk-Hindmilk Imbalance: Sometimes, an imbalance between the foremilk (the first milk your baby receives) and hindmilk (the richer, creamier milk that follows) can cause digestive issues like gas and diarrhea. Ensure your baby is breastfeeding long enough to get the hindmilk.

Gas: Gas could be another contributing factor, especially if your baby is swallowing air while feeding. Try burping your baby frequently during and after feedings to help alleviate gas.

Lactose-Free Formula: If the doctor suspects lactose intolerance, your pediatrician might recommend switching to a lactose-free formula temporarily, but it's best to check with them before making any changes to your baby's diet.

Keep Monitoring: Track any changes in your baby’s symptoms. If your baby has significant issues with breast milk, and it's affecting their comfort and digestion, consulting with a pediatric gastroenterologist may be helpful.

Make sure to continue working closely with your pediatrician, who may suggest dietary adjustments or additional tests based on your baby's symptoms.