How
a Food Journal Solved Our Baby's Diarrhea Problem
by
Josh Day
When
our 16-month old son came down with chronic loose stools in July 2008, we speculated
the cause was environmental, either a food allergen or a bacterial issue.
We
begin investigating our hypothesis by discussing James' eating habits and how
often his stools were loose.
We
came up with the following facts:
Too
much fruit (especially peaches) often led to wet or loose stools
Too
much fruit juice (we often employed water with a few ounces of orange juice to
fix constipation)
Too
many beans, peas, or carrots
By
process of elimination, we began to narrow down the list of suspects as we charted
everything our son ate for the course of several days.
In
addition to foods, I suspected bacteria in less-than-perfectly cleaned Nuk bottles
could also very well be the problem.
We
boiled his Nuks every morning and thoroughly washed them after every drink. We
also vacuumed the floors and carpets where James plays.
I
also gave him a different kind of bottle, more like a graduated bottle-sippy cup,
for a day to see if that made any difference.
Regarding
foods, we included yogurt in his diet along with baby rice cereal, something he
hadn't had since he turned one. We also began giving him toasted sourdough bread
which he heartily enjoyed.
(Note:
Bananas had given him loose stools in the past so we didn't go the whole nine
yards with the BRAT method -- banana, rice, applesauce, toast.)
For
the first day we fed him yogurt and rice cereal, applesauce, toast, and -- his
favorite food in the world -- sardines.
Yuck,
sardines! Am I serious?
I
am 100% serious. Sardines are an excellent protein sources for babies, containing
more calcium than milk and chocked full of omega 3's. And the mercury hype doesn't
come into play for sardines as they are tiny fish with a short lifespan and a
limited exposure to mercury, unlike big game fish like sharks and swordfish.
Also,
James drinks Meyenberg-brand goat milk, NOT formula or cow's milk. Goat milk is
nutrient-rich but doesn't contain as much calcium as cow milk, at least according
to most pediatric sources -- though
not all (Dr. William Sears).
The
loose stools were still present, so on the second day we bought James some pedialyte
(note: do not give this to babies under one year of age).
For
the second day he ingested only pedialyte, water, and a tiny amount of grape juice
as a flavor enhancer in his water. We also removed the sardines from his diet.
He
had a normal stool halfway through the second day. We were on the right track.
Now
that we had a base of foods and liquids we knew did not cause diarrhea, we slowly
began to add foods back into his diet, one at a time, to determine what was causing
the problem.
We
returned sardines. Stools continued to be normal.
We
added bananas and fresh, homemade boiled and roasted chicken back to his diet.
Normal.
We
added goat milk. Blam! Diarrhea.
To
be positive, we cut out the goat's milk for two more days, offering water sweetened
with grape juice and the occasional pedialyte.
In
the morning on the last day of our testing, I gave him a Nuk of goat's milk. A
few hours later he had a loose, stinky, stool.
James
had tolerated goat's milk since he was ten months old so this was one of the last
things we suspected. However, the evidence was clear (yes, we also bought a fresh
carton in the event the one we were using was spoiled).
His
system appeared to have developed an intolerance to goat's milk. This is likely
due to several reasons: one, he's toddling and much more active, using more energy
than before, and two, he may have developed an intestinal irritation or a simple
allergy to one or many of the components in the milk.
It's
also important to note James never had full-blown diarrhea. However, it was obvious
something was off as loose stools were not a norm for him.
Next
time your baby suffers gastrointestinal discomfort (and it's not a big enough
deal to call your doctor), put on your detective's hat and keep a food journal.
I
bet you'll be as surprised as we were when you figure out what's causing it!
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