What to Do If You Get Food Poisoning While Breastfeeding

Food poisoning, an illness from contaminated food or beverages, causes symptoms like nausea, vomiting, diarrhea, stomach cramps, and fever. While unpleasant for anyone, experiencing food poisoning as a breastfeeding mother can bring specific concerns about its potential impact on the baby and milk supply. In most cases, continued breastfeeding is not only safe but also beneficial for the infant during this time. This guide provides clear information and practical advice for navigating food poisoning while breastfeeding.

How Food Poisoning Affects Breast Milk and Your Baby

Breastfeeding mothers often worry if bacteria or toxins causing food poisoning can pass into breast milk and harm the baby. Most often, foodborne pathogens do not transfer directly into breast milk. These infectious agents, such as common bacteria like Salmonella or E. coli, remain confined to the mother’s gastrointestinal tract.

Instead of transmitting the illness, the mother’s immune system produces antibodies against the infection. These antibodies pass through breast milk to the baby. This transfer helps protect the infant from illness or reduces symptom severity if they do get sick. If a baby becomes ill, it’s more likely from shared environmental exposure, like contaminated surfaces or the mother’s hands, not directly from breast milk.

Managing Your Symptoms

While your baby is generally safe from direct transmission through breast milk, managing your own food poisoning symptoms is important for your well-being and infant care. The primary concern during food poisoning is dehydration from fluid loss due to vomiting and diarrhea. Increase your fluid intake significantly, opting for oral rehydration solutions that replenish lost electrolytes and minerals.

Rest aids recovery, helping your body fight infection. When you feel able to eat, choose easily digestible foods to avoid upset. Regarding medications, loperamide for diarrhea and acetaminophen for fever or discomfort are compatible with breastfeeding. However, avoid medications containing bismuth subsalicylate, such as Pepto-Bismol, due to salicylate transfer to the baby via breast milk. Always consult a healthcare provider or pharmacist before taking any medication for safety while breastfeeding.

Continuing to Breastfeed While Unwell

Continuing to breastfeed during a bout of food poisoning is recommended. Breast milk provides essential nutrition and hydration, especially beneficial if your baby is also unwell or at risk. Antibodies in your milk offer specific protection against pathogens, bolstering your baby’s immune system.

Despite the illness, maintaining frequent feeds or pumping sessions preserves your milk supply. Dehydration, common in food poisoning, can temporarily reduce milk production. By staying well-hydrated and continuing to nurse or express milk consistently, you can help mitigate any dip in supply. If you are too unwell to hold or feed your baby directly, expressing milk is an alternative.

When to Contact a Doctor

While most cases of food poisoning resolve within a day or two, certain signs require medical attention. Seek medical advice for severe dehydration signs, such as decreased urination, extreme thirst, dizziness, lightheadedness, or dry mouth and lips. These symptoms suggest your fluid and electrolyte losses are severe.

A high fever, especially if it exceeds 102°F (38.8°C), or bloody or black stools or vomit, requires immediate medical attention. Persistent severe abdominal pain or worsening symptoms after a couple of days also indicate medical assessment. Additionally, if your baby exhibits any unusual symptoms, or if you have underlying immune-compromising conditions, contact a healthcare provider.