A new mother who is breastfeeding tells the nurse that her infant is spitting up frequently, has very loose stools and copious gas, and feeds for only short periods of time. The nurse suspects a feeding intolerance and, after questioning the mother about her diet, suggests that she:

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The symptoms described suggest a possible lactose intolerance or milk protein allergy in the infant, so eliminating dairy products from the mother's diet may be helpful. Stopping breastfeeding is not recommended unless absolutely necessary and supplementing with a soy-based formula may not be necessary or appropriate without further evaluation. Offering the baby water between feedings is not recommended for young infants as it may interfere with their nutritional intake.

A New Mother Who Is Breastfeeding Tells the Nurse That