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Frothy green poos and lots of pain
Has anyone had similar experiences with their newborn?

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19 replies to this topic

#1 cat5245

Posted 07 December 2012 - 02:26 AM


My DD (7 weeks) is exclusively breastfed. She had 20 or more dirty nappies last Saturday. Her poos were very runny, green and frothy. She was lethargic and grizzly over the weekend. Her poos are now green but not as runny or frothy, but she has so much pain each time she poos that it is waking her up and disturbing her a lot. She cries out in pain and cannot be comforted. She is more sleepy than usual and yet is missing out on sleep due to the pain.
Has anyone had any similar experiences?
What might be causing it and what can I do to help her?

I have already eliminated gluten, dairy and high sugar fruits from my diet as well as most preservatives and additives.

Thanks for your help. I hate seeing her in pain and I miss my happy, smiling baby!

Edited by cat5245, 07 December 2012 - 02:27 AM.

#2 bakesgirls

Posted 07 December 2012 - 02:48 AM

I was told by my MCHN when DD3 had the same issue, that when poo is green and frothy the baby may be taking in too much lactose (the natural sugar found in milk), which can happen if babies feed often,  taking in mainly foremilk, but don't get hindmilk to fill them up. She also said it can also be caused by overfeeding or underfeeding, or can be a sign that baby has a stomach bug.

The best thing to do though, is take your baby to a doctor or MCHN though, and discuss it with them They are better equiped to answer any concerns you may have.

Hope you can get the answers you want soon original.gif

Edited by bakesgirls, 07 December 2012 - 02:52 AM.

#3 Loulla

Posted 07 December 2012 - 06:11 AM

My baby had a sore tummy as a newborn and went through a stage of green poo. It sorted out once he learned to feed more efficiently, getting the hind milk. He didn't do that many poos though. See Dr or MACH nurse.

#4 Franni

Posted 07 December 2012 - 06:17 AM

Find a GOOD lactation consultant. I had the same issues with DS as PP mentioned it was due to too much fore milk and in my case too fast letdown, in the mean time maybe feed From only one side each feed. I had to express 50ml of my right breast before feeds for a couple of weeks especially in the morning.

#5 poss71

Posted 07 December 2012 - 06:35 AM

20 or more dirty nappies? Ouch.

Are you puting a barrier ointment on her bottom at each change? Just to protect her from nappy rash - this obviously won't fix the problem, but will give you one less thing to worry about.

Is she putting on a lot of weight? More than say 200g a week?

I would contact a mothercraft nurse - if you are in Melbourne or Sydney they are around, and are the best trained people to help initially. Failing that, a lactation consultant or your hospital midwife. If one of these people can look her over, they will hopefully be able to advise you. Don't avoid the GP or paed if you feel it is required.

I had a similar experience to Franni, with assistance from a mothercraft nurse I fed from one side only at a feed and timed my feeds so that my oversupply and fast letdown was reduced and DD was getting more hind milk. This made a big difference for her stomach issues.

Ultimately, we had other issues, so I switched to expressing, which mixed the milk up nicely for her!, and then combined feeding. But without those issues, I/DD would have been able to continue breastfeeding on the basis of the advice we received.

#6 Sancti-mummy

Posted 07 December 2012 - 07:26 AM

The good news is that it is fairly common.

I found longer feeds each side did work, so what the ladies above have said about fore/hind milk rings true.  It also spaced out my feeds slightly (although there were still cluster feed sessions)

#7 tick

Posted 07 December 2012 - 07:33 AM

My DD2 gets green frothy and acidic poo when I consume soy.  It's in everything, so hard to avoid ..... but that's how it is for us.  

Dairy also affects her but in a more mucousy, blood streaked poo kind of way.

#8 Lainskii

Posted 07 December 2012 - 08:03 AM

QUOTE (Franni @ 07/12/2012, 07:17 AM) <{POST_SNAPBACK}>
Find a GOOD lactation consultant. I had the same issues with DS as PP mentioned it was due to too much fore milk and in my case too fast letdown, in the mean time maybe feed From only one side each feed. I had to express 50ml of my right breast before feeds for a couple of weeks especially in the morning.

I am going though the same with my nearly 7 week old. Advice above is good. Apparently around 6 weeks your milk supply is established (why it happens now) and by 12 weeks, babies are generally better at feeding so it shouldn't be an issue.
My health care nurse said limiting lactose in mums diet might make a difference during this period but not necessarily for everyone.
You know things are better when the poo becomes a mustard colour rather than green.

Good luck OP, I know how hard it is when they are so uncomfortable. I've found that a warm bath seems to settle my DS a little when he is really distressed.

Edited by Lainskii, 07 December 2012 - 08:05 AM.

#9 Lolpigs

Posted 07 December 2012 - 12:59 PM

You can also try hand expressing off some of the fore milk for bubs so he gets more hind milk until he can feed more efficiently.

All of the above advise is good.

#10 Dylan's Mummy

Posted 07 December 2012 - 04:48 PM

It's usually from too much foremilk (the thinner milk that comes first) and not enough hind milk ( the richer, creamier milk that comes next), it called a hindmilk foremilk imbalance. Try feeding for longer from each side. If you can't get bub to feed for very long try putting her back on each side a second time eg left, right, left, right). If bub tends to fall asleep while feeding, as they do when they are little, try tickling the back of her neck to keep her going.

Google information about foremilk hindmilk imbalance.

#11 greengoddess

Posted 07 December 2012 - 06:23 PM

It can be an oversupply issue or foremilk/hindmilk imbalance. Here's some information from Kelly Mom, which is a great resource for breastfeeding mothers.

#12 mama_mrs

Posted 07 December 2012 - 06:29 PM

What did your GP say?

#13 ubermum

Posted 07 December 2012 - 06:30 PM

I had the same and it was a fore/hind milk imbalance. I found using only one breast for 2 hours fixed our problem.

#14 lucky 2

Posted 07 December 2012 - 11:26 PM

Hi OP, if this is not usual for your baby and it has suddenly happened then I'd be seeing a GP as that amount of stooling is not usual and it may be an infection/unwell considering your baby was also lethargic grizzly. Also it may be related to the aftermath of a gut infection but your need your Dr for this.
Has she had her 6 week injections?
What are things like now? It is 7 days since this happened, have you seen your Dr or talked to your chn?
For any change in baby behaviour or physical condition (ie pain and 20 poos!) I would seek health professional advice and not jump to the conclusion of lactose overload initially.
The link below explains lactose intolerance and overload well, if this turns out to be an issue.
My health care nurse said limiting lactose in mums diet might make a difference during this period but not necessarily for everyone.

Altering lactose in mothers diet isn't necessary, lactose is simply a sugar present in milk, a mother cant control it by her diet.

#15 Kay1

Posted 08 December 2012 - 06:53 AM

My son had the same issue. I started to feed longer on each side, really pushing him to get the hindmilk. It resolved eventually. It came back though when I got gastro and had to express and take herbs to get my supply going again. Not sure if the herbs were to blame or just a case of the milk coming in again. Is she unsettled all the time or just when pooing? Hopefully you've seen a GP to rule out anything else and it has settled down by now.

#16 chickychook

Posted 09 December 2012 - 11:41 AM

I had exactly the same issue with my DS.  He was my first, my boobs went into crazy oversupply mode and he was filling up on fore milk and being too full to finish the boob.  

To remedy the ABA recommended block feeding to me.  Feed exclusively on one side for eg. 3 or 4 hours (I did 4 hours, this was usually 2 feeds at that age), then swap to the other side and feed only on that side for the next 4 hours.  Continue until the problem resolves.  From memory it took us around a week until we saw improvement.  

The side you are not feeding on will probably get very full and possibly leaky.  Just express a little off (just enough to be comfortable, not enough to stimulate more supply).  You could even save the expressed milk for feeding later if you are planning to use bottles.

#17 mumofenergiserbuny

Posted 09 December 2012 - 11:49 AM

my son had this, it was from birth until 4.5 months when the doctors finally figured out he was lactose intolerant....
he had a stomach infection/chemical imbalance that caused it..... many months of antobiotics and finally he grew out of it at around 14 months old....
make sure your doctor is listening to your concerns, it tooks us 3 doctors and 7 trips to the ER and a specialist to see it....

#18 lucky 2

Posted 09 December 2012 - 12:15 PM

Re above and lactose intolerance, pp your baby would likely have experienced secondary lactose intolerance rather than primary. The link to the ABA above explains it well.
It certainly took a while for his gut to heal, poor little one.

#19 cat5245

Posted 16 December 2012 - 02:41 AM

Thanks so much for all your responses.

Yes I have checked with three GP's, two early childhood nurses and a naturopath! So many different opinions.
She was putting on weight and not dehydrated the whole time she was sick and didn't even get any nappy rash despite the huge number of pooey nappies which is good.

In the end I think it was a stomach bug that had to run its course. She is now on an infant probiotic and her poos are back to normal. I have also tried to make sure she feeds longer on one side before changing over which may have also helped.


#20 lucky 2

Posted 16 December 2012 - 09:00 AM

That's a great outcome original.gif .
Well done and all the best.

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