Breast milk jaundice persists. Do I have to stop breastfeeding to treat it?

Wei was my best friend in middle school. During the Chinese New Year, she had just given birth to her second child. She was the first among our best friends to give birth to a second child. Everyone was very happy for her. Two weeks ago, she suddenly sent me a message asking me if there was any way to remove jaundice through pediatric massage. I was more than stunned. Her second child is two months old. Has the jaundice not gone away? Wei told me that the child\’s jaundice has not gone away. Three days ago, the test results were over 9 o\’clock on the face and over 11 o\’clock on the body. The doctor said it was breast milk jaundice, and the effect of taking Yinzhihuang for three days was not good. The jaundice has not gone away, and the child\’s stools are not particularly good. When I heard that my bowel movements were bad, I thought it was because I was not consuming enough green leafy vegetables, which are rich in dietary fiber. I asked her if it was because she was eating too well and eating a lot of meat and not enough vegetables. Wei\’s answer was a bit beyond my expectation. She said that she eats very lightly, except bone soup and chicken soup, and basically doesn\’t eat any other meat. She eats a lot of vegetables every day and drinks some sweet wine that promotes lactation. She wonders if the sweet wine is to blame. Sweet wine, also known as fermented rice, is indeed a good thing for promoting lactation. But sweet wine is unlikely to cause long-lasting jaundice. Didn\’t you get any sun? I speculated again. Wei said that the child was exposed to the sun every day and almost turned into black charcoal! Why is this? If the diet is very balanced, what other reasons may cause jaundice to persist? I didn\’t think much about it at the time and just told her the solution. The baby is too young, so I do not recommend using pediatric massage to treat jaundice. I recommended her the most common method to eliminate breast milk jaundice: stop breast milk for a few days, switch to formula milk, and then switch back to breast milk after the child\’s jaundice subsides. If jaundice recurs, switch to formula milk again. It will heal naturally if it recurs a few more times. But Wei said that she really didn\’t want to stop breastfeeding. Breastfeeding could not only meet the needs of both her and her child, but also be more nutritious. She insisted and asked me if there was any way to stop breastfeeding to make the jaundice subside. Breast milk jaundice is divided into two types: early-onset and late-onset according to the time of occurrence. The time of occurrence of early-onset jaundice is close to that of physiological jaundice. It is generally believed to be caused by improper breastfeeding and insufficient intake. Late onset is generally believed to be related to the increased enterohepatic circulation of bilirubin metabolism in newborns. It is generally believed that the content of glucuronidase in the small intestine of newborns is high and the activity is high. This enzyme, mainly derived from breast milk, can catalyze the binding of bile. Red pigment becomes unconjugated bilirubin. This process occurs in the small intestine of newborns. When the baby\’s intestinal peristalsis is relatively slow, a large amount of bilirubin that should be excreted is dissociated by this enzyme into unconjugated bilirubin, and breast milk jaundice occurs. I still think that there is something wrong with Wei\’s diet that is causing the jaundice to persist. If breastfeeding is the only way to treat breast-milk jaundice, the only way is to change her diet. Nowadays, many mothers have too much nutrition during pregnancy. After the baby is born, the mother\’s diet during confinement is better than during pregnancy. They are all kinds of nutritious and nutritious foods. The diet is unbalanced, with too much meat intake and serious vegetable and fruit intake. insufficient. Some people don\’t even eat a bite of vegetables during confinement, and they don\’t dare to give fruits to the mother for fear that they will be too cold, which will be bad for their teeth and body, which will also be harmful to the child. Some babies have lingering jaundice, some have recurrent thrush, and some have allergies, skin allergies, gastrointestinal allergies, etc. These are generally related to the mother\’s overly nutritious diet.Great relationship. After listening to my words, Wei asked: \”Then I\’d better change my diet! Can I only drink clear soup?\” I said that\’s not necessarily the case. You can drink vegetable soup or broth, but just stew it, don\’t make it. Thick white soup. \”Then can I eat sugar?\” \”You must control your sugar consumption! Eat less snacks and sweets! Sugar produces phlegm and dampness.\” At this point, Wei suddenly realized that he must have eaten too much sugar. caused. Because the diet during confinement was too light, with little oil and salt, and tasteless in her mouth, she ate a lot of sugar, including porridge and sweet wine, and she also ate a lot of chocolate. Compared with when I was the first child, the extra food I eat is sugar and sweet wine. I told her to try not to eat sweets. There is basically enough sugar in the diet. Because she was very worried, Wei asked me again, are there any taboos about vegetables? I told her that all vegetables can be eaten, especially those that are in season. There are a lot of fresh green vegetables now, such as spinach, pea shoots, spinach, celery, wolfberry, basil, etc., and these vegetables can cleanse the liver. Heat is also very beneficial in relieving jaundice. After listening to the introduction, Wei told me that she had always felt that her diet was quite balanced. Only when she saw this did she realize that there was a big problem with her diet. As for vegetables, she only eats carrots, potatoes, beans, etc. She never eats green leafy vegetables, so she herself is also super constipated. Now I finally found the reason. Eating too much sugar and insufficient intake of vegetables can lead to breast milk jaundice, and baby constipation is also caused by insufficient intake of green leafy vegetables. Green leafy vegetables are rich in vitamins and various minerals, as well as a large amount of dietary fiber, which are of great benefit to the body. I told her that to change this situation, she must add a lot of green leafy vegetables to her diet and stop eating sugar. Wei happily said that she would immediately ask her mother-in-law to change her diet. Two weeks later, Wei happily told me that the baby\’s jaundice was resolved in just three days. She insisted on eating a light diet for three days, eating a lot of green leafy vegetables, no more sugar, no breastfeeding, no medication, but the baby\’s jaundice completely subsided and the stool became normal. As soon as Wei\’s problem was solved, another mother left me a message. She also just gave birth to a baby and also encountered the problem of breast milk jaundice. Her problem was more serious than Wei\’s. She had stopped breast-feeding several times. Every time she stopped breast-feeding and drank formula, the baby\’s jaundice subsided quickly. However, as soon as breast-feeding was resumed, the baby\’s jaundice became severe again. She asked me distressedly if she would never be able to breastfeed again. I told her about Vi, and this time I asked her directly if she had eaten a lot of sweets. This mother said that she also ate a lot of sweets because she couldn\’t eat spicy food or heavy flavors, because no one had ever restricted new mothers from eating sweets. I told her to cut out sugar first, and then eat a lighter diet for a few days, adding a lot of seasonal green leafy vegetables. The mother did as I was told, and a week later, she told me very excitedly that she did not stop breastfeeding this time, but changed her diet, stopped eating sugar, and ate a lot of vegetables. The baby\’s jaundice was completely gone. There are too many babies with breast milk jaundice now, and some babies have jaundice that persists for more than three months. byI had not done in-depth research on this issue before, but the handling of these two cases gave me new research and understanding of breast milk jaundice. Why does the baby have no problems when drinking formula milk, but has repeated problems when drinking breast milk? This is because all the ingredients in formula milk are fixed and added in proportion. But breast milk is different. Breast milk is secreted by the mother\’s body. All nutrients come from the mother\’s diet. The proportion of ingredients in breast milk is closely related to the mother\’s diet. Therefore, the most critical thing for breast milk jaundice is to adjust breast milk and change the mother\’s diet. Breast milk is the most nutritious food for babies, and breastfeeding is the best choice for both mother and baby. But if a breastfed baby repeatedly has problems in a certain aspect, the mother also needs to put the cause on herself, look at her own diet structure and proportions, and make adjustments. I would like to share these two examples of breast-milk jaundice. I hope that when new mothers encounter breast-milk jaundice that persists, they will focus on their own diet, eat less sugar, eat a variety of meats appropriately, and eat more. vegetable and fruit. As long as the diet structure is reasonable and there is no need to stop breastfeeding, the baby\’s breast milk jaundice will disappear quickly.