Warning: this post is going to be graphic. I can’t write a post about Luke’s digestive issues without going into details about his stools. I figured if I’m going to talk about his stools, I might as well include pictures (which I’ve taken to show his doctors). I know when I was googling “blood in baby stool” I wanted to come across some pictures. I hope these will help others who are searching, wondering if what they are seeing in their baby’s diapers is normal.
You’ve been warned. If you’re squeamish about this kind of thing, feel free to stop reading and come back on Wednesday when I’ll be posting a new dinner recipe for a meatless burger.
If you’re still reading, you must be interested in what’s been going on with my little man. He’s been diagnosed with MSPI, which stands for Milk Soy Protein Intolerance. This means that his immature digestive system has trouble breaking down the proteins in milk and soy. It does not mean he is lactose intolerant or that he is necessarily allergic to anything (although he may be, it’s too early to tell).
We’ve been lucky in that many babies with MSPI cry all the time or are extremely fussy. Luke’s never been that way. The main way we knew there was a problem was through his irregular stools. Normal breastfed baby stools are mostly yellow, sometimes seedy, with a watery or creamy consistency. Luke’s dirty diapers have always been slimy and full of mucus.
Green stools is another indicator. (Occasional green diapers can be normal, but early on his were consistently green. I don’t have any pictures of his early green stools.)
Occasionally they are specked with blood, both black and red.
He was also extremely congested early on in his life, a sign of a dairy sensitivity.
Another symptom is erratic sleep patterns. Luke can easily go from an angel sleeper to a nightmare with no rhyme or reason. Over time I’ve noticed a correlation with blood in his stool and his most mucus-y diapers to his worst sleep. Whatever is going on in there to cause the irregular stools must not feel great and therefore causes sleep disruptions.
The only way to “treat” MSPI is to eliminate the culprits from my diet (since I’m breast feeding). At 8 weeks I eliminated all dairy. It takes at least a month (probably more) for all dairy to be out of your system, so it was a waiting game. The only improvement I saw was his congestion cleared up, but his stools remained the same.
At 12 weeks there was still a lot of mucus in his diapers and also visible blood, so the next step was to eliminate soy. After this his diapers turned from mostly green to mostly yellow and his projectile spitting up stopped (I didn’t know if that was related or not and still can’t be sure). The mucus and blood were still present in his stools.
This is when his pediatrician referred us to gastroenterologist. By the time we got in, Luke was 19 weeks and I’d been off of dairy for 11 weeks. The doctor still thought, however, that dairy was in my system and causing the problems. He said I could have unknowingly eaten hidden dairy. This is true, but highly unlikely given my diet. I don’t eat a lot of processed foods, which is where hidden dairy lurks. He advised me to either switch to a hypoallergenic formula or wait and hope Luke outgrows the intolerance by 9 months.
I took Luke back to his pediatrician and she said it’d be worthwhile to cut out more foods that could be causing him problems. I then cut out wheat, eggs, peanuts, and tree nuts. After two weeks his diapers were still full of mucus, but I hadn’t seen any visible blood in that time. I decided to start adding back in foods to see what the reaction would be. I added back in eggs first, and there was no change.
A week later, I added back in peanuts and tree nuts. I’m not sure why I did these at the same time; I should have done one at a time. Within days, I saw visible blood again. I can’t be sure if they were the cause, but I decided to cut them out again. I put in a call to the pediatrician and she advised me that although it could be the peanuts or nuts, wheat also takes at least a month to get out of your system, so the wheat could still be the cause.
After 6 weeks of eliminating wheat, Luke’s stools finally started to look normal. They were consistently yellow, more creamy, and without visible blood.
We had two weeks of normal-looking stools. This was the good news. The bad news was it took me eating a diet free of dairy, soy, wheat, tree nuts (except coconut), and peanuts to get there.
After 2 solid weeks of good diapers, we decided to start solids (a few weeks earlier than we planned at 5.5 months old) Details about that are a whole different post, but I will give an overview as it relates to his digestive issues. We started with yellow squash. The first two days there was no mucus or blood in his stool–they stayed the same. On the third day there was still no mucus, but there was a small amount of blood. It seems the solid food, even the very small amount, was difficult for his digestive tract to handle.
The next day I accidentally used almond-coconut milk in my oatmeal. I’d been using coconut milk and for some reason just grabbed the wrong box. Later that day, I was so hungry (snacking is the most difficult on this restrictive diet) and figured I’d already had almonds that day so I might as well go all-out and I had a banana bread Larabar, which has almonds. Later that night, his stools were back to mucus-y. I couldn’t believe how quickly they changed his stool consistency. That was on Wednesday and his stools have been full of mucus ever since. I guess it will be a while before I can have almonds. 🙁 I am just waiting for them to work their way out of my system (should be less than a week) in hopes that his diapers go back to normal.
We’ve decided to hold back on any more solids until his next doctor’s appointment this week. We’ll see what she advises. I can tell that the road to feeding Luke is going to be filled with twists and turns and will most likely not be easy any time soon.
I breastfed Meghan until she was 2 and assumed that I’d do the same with Luke. At this point I am just taking it one month at a time. I love breastfeeding and think it’s hands down the best nutrition you can provide for your child, but eating such a restrictive diet has been one of the hardest things I’ve ever had to do.
At this point I am just praying that Luke with outgrow his food sensitivities and be able to eat a normal, non-restrictive diet one day. Breast feeding a baby with MSPI is a crazy journey, but I’m grateful I’ve been able to continue to provide Luke with the nourishment of breast milk despite the challenges.
Curious about how this journey continued with Luke? Here’s an update at how things are going with breastfeeding with MSPI at 15 months!
My daughter is 6 months old now. She had mucous in her diaper from about 6 weeks in but I didn’t realize it wasn’t normal because it was so consistent and she didn’t seem bothered. She would occasionally wake up gassy and screaming but mostly sleep wasn’t an issue until a bit over a month ago when she started walking hourly or more.
She has had visible blood in her stool twice but dr said not to worry and not to eliminate anything from my diet despite my questions and thoughts that it could help.
I removed obvious dairy from my diet and her bowl movements completely changed almost over night to normal yellow no mucous which surprised me because dairy takes a while to leave my system. I was really excited about this and now almost two weeks in, her BM has remained normal.
Her sleep however is still terrible. Up every hour or more and can hear her straining and passing gas. Just wondering how long it took for your sons sleep to get more comfortable once his diapers became more normal…
I’m assuming that for her the gas and stuffy nose symptoms may take a few weeks but am praying each night that her sleep improves.
Hi there! Thanks for this article! My 6 week old started with minor symptoms of what you wrote about a couple weeks ago. I’m now in the market for soy free and dairy free postnatal vitamins! Any suggestions?
Megafood Baby and Me are both soy and dairy free!
We are almost the exact same with only a little blood once; After her 2 month vaccines she started having all mucus poops. Ive been Dairy and Soy free for 12 weeks; grain and egg free for 2 weeks and seafood and almond free for a week now (this one is per a new dr). So confused on what to do next as her mucus poop is the only symptom and no elimination seems to do anything! Hoping its just a “phase” like Luke had.
Hi there I have a couple questions! I have cute out both soy and milk from my diet for the last month- My daughter is now 2months old and still has mucus in her poop and just had a couple specs of blood after eating eggs the day before! So I’m currently going to cut out eggs and wheat… my question is how long until egg is out of my system? Everything online says a month but when will I notice changes in my babies poop? Thank you so much
Cut** not cute🙄
Thank you for your post! Even as a Dietitian I struggled with this whole thing (our little man was diagnosed at 11 weeks and followed many of the same symptoms you mentioned + very low weight gain) I eliminated dairy, soy, eggs, nuts, peanuts, wheat and fish. We had a HUGE improvement. At 5 months intro of fish went well but the next week nuts were a no go – diapers went to BRIGHT GREEN with black specs. I came back to read and re-read your post and the update about how reintroduction would go and how you handled introducing solids. It is SO hard to tell about fussiness vs. actual symptoms. The pictures you shared were so helpful because I see so many parallels. Anyways, just wanted to say how thankful I am for this post! When I write an update on my blog I’ll be sure to share how helpful this post was for me and link to it!
I realize this post is very old but hoping you may still see comments. I’m going thru a similar situation except my pediatrician isn’t as on board as yours. Just curious…is the last picture what you consider normal poop? We haven’t had a yellow seedy poop since about 6 weeks old (4.5 mo now) so I’m struggling to figure out what is supposed to be normal. Thanks!!
Yes, the last picture was what I considered normal. Luke has mucous in his stool from birth. It took many, many months to get to that “normal.” I know exactly how you feel trying to figure it out!
Hi! I am so grateful I found this post, I’ve been reading it over and over again since I am going through the same with my 4.5 baby girl. At this point I’ve cut gluten, seafood, eggs dairy, nuts and soy. But I’m still seeing a bit of blood at least twice a week. I am wondering how you gotta solved with Luke, did he finally overcome it? It’s jard to be on such a test restrictive diet and still don’t see complete improvement
This is the same for my son! I don’t know if he ever really had a “normal” poop… and as a first time mom, I didn’t realize there was anything wrong until a month ago when there was blood and mucous.
We are seeing our doctor again next week and I am SO glad I found this so I can talk to him about MSPI. I have been off dairy for a month and there has only been slight improvement.
Pardon my ignorance, but I have a question for you… why didn’t you go to an allergist? Can babies not be allergy tested?
I asked that question. My son’s doctor said that allergy tests for babies are highly inaccurate and it’s best to wait until they are older. My son outgrew his intolerances by 2 1/2 so we never had to have him tested.
Hello I have a question. We are going through something similar. Removed obvious dairy @wk12 after seeing blood/mucus. Dr said not to just push through but I felt need to and she was super fussy. Still now 2 mo later dealing with reflux type issues up to 1-2hrs after feeding. Hates tummy time. We had blood and mucus appear again over weekend, without eating obvious dairy. Referred to GI. Did you start elimation prior to going to GI. My ped didn’t recommend per Se but feel that I want to get a kick start on the timeline as would stil like to start solids in one month. (6mo). Goal is to BF til 2.
Oh and I’m a vegetarian so what can I eat lol.
Here’s a look at what I ate during a day while I was breastfeeding Luke: https://happyhealthymama.com/what-this-breastfeeding-mama-eats-in-a-day.html
It’s tough even if you’re not a vegetarian, so that adds another layer of difficulty! Lots of beans and rice is my recommendation. 🙂
Also, I ended up breastfeeding Luke until he was 3. I NEVER thought I would make it that long, but it got so much easier when he got older. By 2 1/2, he’d outgrown all of his intolerances. There is a light at the end of the tunnel!
I recently end natural treatment from herbalist healer which i used to got rid of my hives i only applied the treatment for one week. it so amazing i eliminated this disease out from my body. i also recommend everyone suffering from this horrible disease should also be cure you can reach Dr Onokun via email; [email protected]
Just to make sure, your last picture you are saying was normal right? That’s what our sons looks like now and I wasn’t sure if it’s too funny or not. I’m off all allergens and haven’t added back anything yet, he’s 3.5 months.
Yes, the last one is the normal pic. 🙂
I’m so glad you posted pics! My daughter was fine till she turned a month old and then she started screaming ALL the time. Inconsolably, it was horrible. I did a little research and came across your blog, but couldn’t bring myself to even consider that I would have to starve myself of all good things in order to continue nursing her. But it was so bad and she was in so much pain. I cried knowing my nursing days were over. I put her on nutramigen and it was almost immediate that she quit screaming! When i got her to the doc, I explained it all to him and he suggested reflux. I mentioned that we had run out of nutramigen at one point and had tried gentlease because we had it on hand and that she had immediately vomited it back up. So he agreed, probably milk protein allergy or sensitivity. However, four weeks on nutramigen and symptoms start slowly returning! I figure if she’s going to scream on formula, I’m going back to nursing! I hated the formula anyway! So I started pumping like crazy and nursing before every bottle. Going a month without nursing caused my supply to drop to only an ounce. I wished I had never stopped. I went off all milk (not hidden because I didn’t know about that until now) and since she wasn’t getting much from me, it didn’t seem to bother her that it wasn’t out of my system yet. I still wasn’t sure if she had milk protein allergy or just reflux. During the next 2 weeks we tried zantac, but it was a waste of time. I finally called the doctor and told him to please give us something good. Listed every symptom I could find while googling that she had for reflux. He gave us nexium and within a week she had quit screaming again. By this time I’ve been off milk products for a month and the meds seem to help, so I try milk again. I’m loving my cheese and sour cream! Within a week she’s starting to scream again and stools are changing back to mucous and green. I’m currently on day 3 of no milk again. I’m sad about that, but at this point, my milk supply is back up and I’m near full supply again. I currently supplement with about a 4oz nutramigen bottle a day. She’s currently not sleeping good and crying a lot during the day. I know she has reflux as well and not caused by milk because when we started her on nexium, she’d been off milk for about 6 weeks. How common is it for babies to have severe reflux AND milk protein allergy? The symptoms for both are almost identical! Its been driving me crazy trying to determine which she has. I figured out (finally!) that the stools are my clue. Your blog has been the most informative I’ve found and with pictures too! The stools above could be from my daughter! She’s had one that looks like every one of them except the blood streaked one. I think I saw blood specks a few times, but they were so small, it was hard to say and I didn’t feel like running it to the doctor. Anyway, thank you for your blog and for posting pics! Comparison is a huge help!
Yes, I think that’s very common to have both. They must be related somehow. My son was also diagnosed with reflux and was on meds for a little while, but they had awful side effects so we stopped. Thankfully he outgrew both the intolerances and the reflux. I wish you good luck–I know how hard it is.
Hello,
I was just wondering if the last pictute you posted of the poo was a normal poo? That is exactly what my 4mo nappy looks like. I think it is mucousy?? He keeps having eczema flare ups, wind pain, and vomity (but not projectile) I just dont know where to start.
Yes, the last picture was Luke’s normal-looking stool. It really is so hard to judge what is normal! To me it looked shiny but there were not the definite streaks of mucous.
You can always try cutting out the two biggest offenders (milk and soy) and see if it helps. Unfortunately, it’s not a quick fix. 🙁 It can take a while for everything to normalize. Good luck!
Thank you so much for this post! I have been researching so much and your experience is so similar to mine.
My daughter has been having specs of blood in her stool almost a month now. She is 4 months. Sometimes she sleeps great at night but most nights she is waking 1-2 hours. Those are her only symptoms. Her doctor tells me she really doubts it’s a food allergy but her diapers look exactly like Luke’s. We are being referrrd to the gi but the appointment hasnt been made yet. I been patiently waiting.
I have been dairy free for 3 weeks and everything else for 2 weeks. I am currently only eating olive oil, chicken, pears, rice cereal, rice milk, green beans, zuchinni, squash, red potato and sweet potato. I haven’t seen an improvement. She did sleep three nights in a row great but that ended. I thought once I cut about everything she’d be doing much better but I’m getting discouraged! I have no one to relate to. My husband and I also don’t have allergies. I feel his family is disgusted I’m still breastfeeding when it is giving her such bad gas in the night but from what I’ve read it’s still the best thing. She is gaining great. She doubled her birth rate already and continues to gain.
I’m so scared we are going to go to the gi and him tell me to quit breast feeding her whenever I want to SOO badly. I’m just worried I’m never going to figure out what she’s allergic to!
I know your post is really old but I believe you are still responding. Again, thank you for this
Hi Ashley! The good news is that Luke is now 5 (!!!) and has totally outgrown his intolerances. So there is hope! Their digestive systems are so immature, sometimes they just can’t handle all the proteins. It takes time to get everything out of the baby’s system (and your system too) so don’t be discouraged that she wasn’t 100% better right away. The doctors I went to actually said that these babies often do even worse on formula, even the specialized ones, so breastfeeding may be your best bet! I’m glad this post helped you, if only to not feel alone! Good luck at the GI appointment.
Thank you! One more question- did you continue to take a prenatal? I was but then noticed there was soy in my vitamins so I bought a different kind but now I’m reading it has vegetable coating and doesn’t specify if it has soy or corn so I quit taking it. I found it difficult to find one without soy.
I took the Baby and Me multi-vitamin from MegaFood. You have to be really careful with the vitamins!! MegaFood’s are certified free of soy, dairy, and wheat. I’m not 100% sure about corn.
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Thank you so much for writing this! I know it was a while ago but I just came across it “googling” things, concerned for my baby’s diaper. Just as your story went I am waiting to get into the Gastroenterologist but the appointment is still a few days away and I’m anxious. I’ve not been eating peanuts but drink almond milk and eat almond butter. I didn’t even think of that! Off to get coconut milk! I too have cut dairy, wheat, soy and peanuts, it’s so hard! I’m constantly concerned I’m going to eat the wrong thing! My baby is happy and there are no other signs of illness other than her mucous diapers with blood– looks like the one you pictured/ Ugh! Thanks again for sharing!
You’re welcome, Kristi. Good luck with the appointment! I know how difficult it is when you feel like you can’t eat anything. 🙁 I wish you well.
Hello and thank you for your time for explaining all your story. It is so valuable for me. I have a question and I wonder if you can help me. My baby has the same issue. For solid food I am cooking from scratch for him and he can’t eat cereal. How you dealt with iron deficiency without feeding iron fortified meals. He is about 11 months and too sleepy these days. I think it is because of iron!
Thanks!
Before you decide, I would have him tested for iron. Luke was tested at 12 months. He was on the low side, but still within the normal range. I didn’t supplement, but focused on iron rich foods. Beans, greens, and broccoli are some good iron sources.
Hello! I found out my daughter has a milk protein allergy when she was a month and a half. I cut out dairy completely and the blood in her stools disappeared within a few days. Her consistency however, is very runny. It looks EXACTLY like the very last picture you posted. Is that a picture of his stool after you cut out dairy and soy? I have been wondering if her stools are normal or not because they’re so runny, and your post would give a lot of insight if it’s typical or not. Thanks in advance for your input!
Dear Maryea, I was searching the web for mucus in baby stools, when I found your page today. I started crying as soon as I read your post. I didn’t know whether i was crying for you or for my self and what a strong and caring mother you’ve been. I had the same problem with my first child. I went on a strict diet for two whole years. The truth is we never found out what he was really allergic to, so we eliminated everything except for 11 things, for 2 years, i lost more than 20 kilos in just 6 months and weighed 45 kilos. 6 months after giving birth to my son. I’m happy that i was brave enough, like you to go through this, but am sad to repeat this whole diet, now that my second child (4 weeks old) is diagnosed with the same problem. I live in Iran, which makes everything worse, since allergy labeling is not common, and most people don’t even know what “allergy” means?! You can’t find restaurants,bakeries, or products that offer diary free, sesame free, gluten free or nut free products and that makes everything so much harder…..it’s soooo comforting to see that we as human beings, regardless of where we live, what religion we have, or how different our lives are, are all human beings, with shared emotions, feelings and yeah…we are mothers!!!!!….mothers who care for their loved ones…..p.s your Luke is sooooo cute and adorable!
Oh Narges–I’m so sorry you are having to go through the same thing twice! It’s definitely one of the loneliest and hardest roads as a mother. I wish you the best.
Hi. I’m breastfeeding my almost 1 month old and am experiencing similar issues as you had with Luke. She had a string of blood at 1 week and the pediatrician recommended I stop all dairy. I’ve done that and haven’t seen any blood since that one time but she does have green mucousy stools and doesn’t seem to sleep as well as I would think newborns are supposed to sleep. For the last week, I’ve cut out all nuts and eggs but didn’t think of cutting out soy and wheat. The last week has been very difficult for me. I don’t know what to eat anymore. I’ve been eating chicken, potatoes, pears, rice milk with cereal and have been snacking on prunes. I had some corn tortilla chips with guacamole and some popcorn but decided to stop that today since the corn may have had something to do with her explosive poop diaper at 5am in which I had to give her a quick bath because it was just everywhere. But she’s also been spitting up since she was born. The doctors both at the hospital and her pediatrician both said it was normal since babies have an underdeveloped layer before the entering of the stomach. I don’t mind giving everything up but would like some meal ideas and some snack ideas. The total elimination diet has been hard to keep up with since you can only eat turkey, pears, potatoes and a few other things. Any help? I’d greatly appreciate it.
We are at the beginning stages of this. My daughter is 5 months old and it started after she was fed soy formula. She had a ton of black specks in her diaper. They have decreased in amount and I have gone back to exclusively breastfeeding her. Our ped advised me to go on soy free diet first before cutting out dairy. How long does it take before I should see a difference in her diapers? Thank you for the advice and for the diaper pics
It will vary, but it was a solid month before Luke’s diapers started improving and 2 months before I considered them “normal.” I know it’s a long, frustrating road. Good luck!
Thank you so much for this post; I can see by the comments that many, many other parents have found it as helpful as I do!
My daughter is 6 months old. She has always has strange stools. When she was first born she would be almost constantly pooing; diaper changes were a mess. Her doctor advised I NOT eliminate anything from my diet. At 6 weeks she was ill and was on antibiotics as a precaution while the doctors tested for bacterial meningitis. Luckily she did not have it (had viral meningitis) but soon after, her stools became mucousy and green. Her doctor said it was likely effects from the antibotics. Nurses at the local breastfeeding clinic told me it was foremilk/hindmilk imbalance or overactive letdown.
By 3 months old I saw blood in her stool and finally her doctor said I should eliminate dairy and soy, and referred us to an allergist. I saw some improvement in her stools but overall not really- the blood disappeared but I still often saw mucous. At 4 months old, she saw the allergist who said I should reintroduce dairy/soy and see what happens. I did not notice any real change except maybe an increase in mucous, but as she had mucous all along it was hard to tell. He advised me to NOT eliminate anything else from my diet, and remain dairy/soy free.
At 5.5 months old, we had a follow up with the allergist; again he asked me to reintroduce dairy because she did not believe she was benefitting from me eliminating these foods from my diet. After I put my baby to bed that night I had cheese pizza. She woke up sick that night, vomiting soon after I would feed her. The allergist then said she was having a severe FPIES reaction and to stop BF for three days and give Alimentum. Well – my baby has never had formula OR a bottle and it was not a good day. She would not take in anything so we went to the hospital where another allergist and a pediatrician determined it was most likely a stomach bug. I was told to start BF again and wait at the hospital. I did, my daughter did not react, and we were sent home. Just in case, I have remained dairy/soy free.
A week later, she had blood in her diaper again. Just one diaper, but I was utterly defeated. Allergist was not concerned (unless it persisted, which it did not) and advised me to start solids, watching for vomiting in case of an FPIES reaction. Again I suggested eliminating other foods from my diet and he said he does not think I should.
This was last week. We had had avocado, apples and carrots with no vomiting. But most diapers are still full of mucous! Whats worse, my daughter is scheduled to have a milk challenge with her allergist in two weeks. I am terrified (if FPIES she could be very sick).
I am thinking of just ignoring all medical advice given to me and eliminating all the major allergens and seeing what happens. I currently eat wheat, peanuts, and eggs frequently. Also, I am thinking of cancelling her milk challenge until I feel that she has had some consistent “normal” stools.
Anyway, I just wanted to ask if you think there was any long-term damage to your son’s GI system from all the musousy diapers; I am thinking no since I see the wonderful update that he has outgrown all intolerances.
It also just helps to write this out to people who know what I am going through; my family, LOs doctors and even my husband seem to think its all ‘ok” because my daughter is growing really well, sleeps like a dream, and has no other symptoms (except stuffy nose which everyone else attributes to colds) — but I am not satisfied with the mucousy diapers and feel something has to be done. I also BF my first until 16months and plan to reach at least that milestone with this baby.
Thanks again for this post!
I don’t think it can hurt anything to eliminate all allergens and then you can at least feel like you explored all the possible causes. If it were me, that’s what I would do. Sometimes you just have to follow your mommy instincts!
I worried for a long time about long-term damage to his GI system, but at 4 he seems perfectly normal. His stools are totally normal and no issues with digestion at all.
I hope you find more answers soon! I feel for you!