How can a baby not have diarrhea when eating breast milk?

Patient's question:

My baby is 53 days old and has been breastfeeding. She has been having diarrhea, and whenever she strains, it comes out. Her bottom is already sore, and she doesn't seem to sleep very soundly. When I give her formula, she doesn't have diarrhea, and she sleeps a bit better. Today, she just had breast milk for one day, and her bottom is already sore. I want to ask what could be the reason?

Doctor's answer:

According to your description, this situation may be due to lactose intolerance. The baby cannot absorb lactose well from breast milk. If they consume formula with low or no lactose, there won't be a problem. It is recommended to feed the child formula and stop breastfeeding. Prolonged breastfeeding can be harmful to the baby. The above advice is for the question "What to do if a baby has diarrhea while breastfeeding." I hope it helps you, and wish you good health!

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