Colic Foods to Avoid While Breastfeeding

soothing colicky baby: tips to reduce reflux

Happy Baby: Foods to Avoid While Breastfeeding

Part 3 of 3 – The Problem May be Mother’s Diet:

This is Part 3 in series on your Colicky Baby. Whether you are nursing your baby or not, your baby’s diet may be the cause of their colic. But if you are nursing, the problem may be in your diet. This article is about finding the offending foods, and about colic foods to avoid while breastfeeding.

If you are nursing, your baby’s colic may be due to something in your diet that is passing through your breast milk. Your baby’s intolerance may simply be dose-related. That is, perhaps you regularly drink one glass of milk with breakfast, or perhaps a single cup of coffee, without it bothering your baby. But when you drink more than that it results in a hurting baby.

Next Step: Elimination Diet for Mother

soothing colicky baby: tips to reduce reflux

check-list for elimination diet

I won’t lie to you: conducting a careful elimination diet is a pain! But, if you have a colicky baby, I’m guessing that you would try just about anything to stop your baby from hurting. I think that Dr. Sears has a pretty good description of the process for an elimination diet.

Finding or tracking down the offending food(s) in your diet can be challenging. It will require patience, since it can take one or two weeks for some foods to clear your system. Of all the potential offenders, dairy products are the most common. Start there; if you eliminate dairy and your baby’s distress is no better, slowly re-introduce dairy to your diet, and move on to other foods. Use the check-list below.

Common Offending Foods:

Colic Foods to Avoid While Breastfeeding

  • Beef
  • Caffeine: coffee, tea, soda pop; chocolate
  • Citrus fruits
  • Corn
  • Dairy
  • Egg white
  • Gassy vegetables: broccoli, cauliflower, cabbage, onions, peppers
  • All nuts
  • Peanut products
  • Shellfish
  • Tomatoes
  • Wheat

Interestingly, many of these same foods worsen reflux – the other common cause of colic.

If you are thinking that your baby’s colic is caused by food sensitivity, it’s time for you to keep a food diary. If you have a colicky baby, you should already be keeping a log or diary of colic details: a Fuss Diary. You may already include your diet in that diary; if not, time to add your dietary details.

Note that if food sensitivity is causing a baby’s colic, it will usually be reflected in other signs of sensitivity or allergy: rashes, diarrhea, night waking, or other signs that persist even after the colic has passed.

Also note that sensitivity or allergy in a nursing baby, to foods in mother’s diet, will usually be shown in baby’s stools: frequent, green, mucousy stools (or conversely, constipation), accompanied by a red ring of inflammation around baby’s anus, all suggest food sensitivity. When the offending food product is eliminated, baby’s stools return to more normal, and the red inflammation disappears.

Soy is NOT the Miracle Cure

Breastfeeding is acknowledged as the ultimate nutritional source for infants. But some infants simply cannot be breast-fed. Most commonly, these babies will be fed formula based on cow’s-milk. If sensitive to cow’s milk allergens, these babies may become colicky. However, that does not mean to automatically switch to soy-based formula:

The American Academy of Pediatrics Committee on Nutrition cautions against soy formula for infants who are colicky on cow’s milk, because these babies are likely to also be allergic to soy! Their recommendations are not simple, however, and the detailed considerations are provided in publications from the Committee on Nutrition, listed below.

Babies with a true sensitivity or allergy to allergens in cow’s milk may tolerate one of the formula that contain hydrolyzed (pre-digested) proteins; these are less allergenic. If your baby is one of these, work with your baby’s doctor to find the formula that is right for your baby.

Is It Reflux or Is It Food?

Distinguishing Colic Caused by Reflux or Food Sensitivities

As mentioned earlier, a detailed history is crucial to the assessment of the fussy baby. Here are some of the clues that may tip your thinking toward reflux or food sensitivity as a cause:

  • Colic from food sensitivity is usually not limited to a certain time of day, and will usually be associated with changes in baby’s stools.
  • Colic from reflux is distinguished by regurgitation associated with clear signs of pain or distress: arching of the back, crying with the first swallows of feedings, as well as distress that is fairly consistent throughout the day.

The Evidence For Probiotics: Effective Alternative

A recent well-designed study compared probiotic (Lactobacillus reuteri, 100 million CFU once daily) to simethicone in breastfed babies with colic. Mothers were also put on a dairy-free diet. There was notable difference by the first week of treatment; this difference increased by the fourth week of the study, with 93% response in the probiotic group vs only 7% in the simethicone group. This study was published in 2007 in the journal, Pediatrics. Click here for the free down-loadable pdf, Probiotics for Colic. My conclusion? Regardless of the cause of your baby’s colic symptoms, probiotics won’t hurt, and are likely to help.

For ways to soothe your hurting baby, go back and read Part 2, Soothing Your Colicky Baby.

As always, I’m sure that I’ve missed something important, something that has worked for you. Please leave me a reply below so we can all benefit from your experience.

Until next time, peace …

Russell Faust, MD, PhD, aka the boogordoctor

Image credits: baby pics are used under license from depositphotos.com

Resources:

Clinical study comparing Probiotics to simethicone, reported in journal, Pediatrics:
http://pediatrics.aappublications.org/content/119/1/e124.full.pdf

Hypo-allergenic infant formulas: Opinion of the American Academy of Pediatrics:
http://pediatrics.aappublications.org/content/106/2/346.full.pdf

Soy-based formulas: Opinion of the American Academy of Pediatrics:
http://pediatrics.aappublications.org/content/101/1/148.full.pdf

Great blog, The Boob Whisperer (how awesome is that name?):
http://theboobwhisperer.blogspot.com/2010/09/i-always-thought-that-breastfed-babies.html

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Hi, I’m Russell Faust, author of this medical education blog.
That wonderful photo of me is by Chris Stranad; here is his site: http://www.chrisstranadphotography.com/Index.html

Russell Faust, PhD, MD boogordoctor / healthy children

Dr. Faust and friend

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Comments

  1. Hi Dr. Faust, you may remember me – I wrote an article on how we cured my first son’s cough variant asthma and you commented on it about reflux, which i found very helpful. Well, I had another baby :) This one is 10 months old now and he had reflux horribly bad until 4 or 5 months. Couldn’t sleep or anything. Anytime we would lay him down he would make a kind of gulping noise in is throat. I hated that noise. We finally figured out that he was sensitive to dairy!! I went off dairy and almost instantly the gulping noise stopped. and he never spit up again. :) So I am dairy free. We also eliminated wheat, and eggs. I’m still not certain about those two. He doesn’t sleep that great frequently but when we take him to the chiropractor she says his c2 is out and he always sleeps great after an adjustment. I just don’t know if there is a connection between these other foods or not. But for now there is no reason to start eating them again. Dairy for sure is out though! Looking back, I bet my first son had the exact same thing, because he spit up until he was over a year old. … We just weren’t aware enough back then to figure it out I guess. I just wanted to drop you a line :) Lisa

    • Russell A. Faust, PhD, MD says:

      Lisa!!
      Of course I remember you. And congratulations on the new family addition!
      Yes, our little guy has a huge problem with dairy, too. Amazing how common that is.
      Wish you the best success in tracking down the triggers: it’s a lot of work.
      Thank you so much for the update! Please keep me posted.

  2. Jessica Marques says:

    For my both babies when they had tummy issues and the second one with severe colic as well, I tried Babies magic tea which worked wonder and settled them instantly. The tea can be used in both ways. If you’re a breastfeeding mama, then you can drink it and pass it through your breast milk to your baby, or give directly to your baby, as it has no preservatives and just fennel and cumin are used in this tea.

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