Asacol and Breasfeeding

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angel98682
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Date Joined Aug 2010
Total Posts : 2
   Posted 8/24/2010 10:26 PM (GMT -7)   
I know everybody says that Asacol is fine to take while breastfeeding and that the only side effect is diarrhea. My son is currently 4weeks old. I had stopped taking my meds 2weeks before he was born because i was feeling great. A week after he was born I started feeling symptoms again so I took it and that night my son screamed in pain all night. I took it for a few days and after doing some research I stopped. His symptoms seemed to improve over several days. My symptoms however got worse, so I decided to go back on it. And a day after taking them he started screaming in pain again and being more fussy overall. Is this a coincidence or really could be from the Asacol? I think he does have diarrhea but it's hard to tell with newborn poop...it's very runny and foamy. I dont' know what to do since I feel really bad off of it but he feels bad when i'm on it. I want to keep breastfeeding.

kazbern
Veteran Member


Date Joined May 2010
Total Posts : 8375
   Posted 8/25/2010 7:26 AM (GMT -7)   

Angel,

Congratulations on your new baby!  And I'm glad breastfeeding is going well for you!

I breastfed both of my girls, but my meds were not an issue because I didn't even get diagnosed until my first daughter was weaned (but had symptoms starting with her birth).

Is this your first baby?  The main thing about dealing with his cries and diarrhea is that there are a whole lot of things going on and it is probably impossible to pin down what might be due to the Asacol and what might be something else.  Especially between 4 - 10 weeks, your baby is going to cry a lot, and his bowel is still not mature so expect a lot of gas, regardless of what meds you're taking.

It is not surprising to me that your symptoms have changed; I think it was my first pregnancy that triggered my Crohn's and from what I've heard elsewhere the whole immune system during pregnancy is completely unpredictable.  If you are having a lot of symptoms and want to deal with that and NOT worry about your baby, ask your GI for some prednisone.  It is safe for the baby, and should address your symptoms quickly, and as your baby grows and you get better you can figure out what to do next.

When my 2nd daughter was 2.5 I finally had a colonoscopy and learned that I had inflammation in the upper colon, cecum and ileum.  My GI put me on 4g of Asacol per day and I decided to wean.  But my daughter had nursed for 31 months and I was ready to wean for a number of reasons.  Your situation is completely different and I would encourage you to have a long and detailed conversation about the meds you might use with your GI and your pediatrician, and of course read Dr. Hales fantastic website about medications in breast milk.  If your DRs do not seem knowledgable, contact a local La Leche coordinator or lactation consultant and get some support there.

I am confident that you can continue breastfeeding and still treat your CD effectively!

Here is his page for meds typically used in treating arthritis and other autoimmune diseases: http://neonatal.ttuhsc.edu/discus/messages/48/48.html?1281113177.  See the question about Pentasa - he notes that there is about 10% transfer of this medication to the milk, and that exposing an infant to salicylates might increase the risk of Reye's Syndrome (why we don't give aspirin to children).

Here's a comment about Asacol: http://neonatal.ttuhsc.edu/discus/messages/58/12600.html?1152631796

Prednisone: http://neonatal.ttuhsc.edu/discus/messages/58/2233.html?1259601925

 



*******************
48 yrs old, IBD diagnosis in spring '01. Proctitis, gastritis, ileitis.
Currently taking Pentasa (6g/day), Sulfazine (1.5 g/day), Prevacid, vit. D (20K iu), flax seed oil (2 tsp/day), mesalamine enema as needed.

Post Edited (kazbern) : 8/25/2010 8:41:41 AM (GMT-6)


Stef17
Veteran Member


Date Joined Feb 2003
Total Posts : 1811
   Posted 8/25/2010 9:37 AM (GMT -7)   
 
Angel - read the info in the link I put above. Dr. Hale is the leading expert in the U.S. on medications and mother's milk. Asacol can cause GI syptoms in infants, but since your baby is so young it's very hard to tell. They all have runny, foamy poop! I breastfed all 3 of my kids while taking 1600mg 2x's a day and none of them had any problems. However, I think you should also trust your mother's intuition and if he screams when you've taken the asacol - that's something to pay attention to.  It could be coincidence or just the ups and downs of a newborn. The only way you can really know is to take the meds for several days straight and see if he remains fussy the whole time.
 
I hope Dr. Hale's information helps you a bit. If there's anything else I can do, I'm happy to help.
 
ETA: I second what Kazbern said about your symptoms changing after delivery. Mine did too. It's the drop in hormones and it makes you more likely to have a spike in symptoms or even a full blown flare. Your best bet is to monitor yourself carefully and stay on your meds.
 
And just a thought - since your baby got fussy and seemed to be in pain - could it be something you ate that made him gassy/fussy? A lot of babies are sensitive to the foods their mothers eat while b/f-ing.
 
Stef

Post Edited (Stef17) : 8/25/2010 10:40:42 AM (GMT-6)


angel98682
New Member


Date Joined Aug 2010
Total Posts : 2
   Posted 8/25/2010 11:46 AM (GMT -7)   
He doesn't really get "gassy". Just screams in pain. My GI said that the other side effect babies can get is abdominal cramps... and if those hurt for us i can only imagine the pain for a baby! He was such a different baby once I stopped taking the Asacol. Was so calm, and so easy to fall asleep and stay asleep. And once I started he is back to being very fussy and so hard to put to sleep and only sleeps for short amounts of time. I am back off the Asacol to see if it really is coincidence or not. We'll see how it goes...

Stef17
Veteran Member


Date Joined Feb 2003
Total Posts : 1811
   Posted 8/25/2010 1:03 PM (GMT -7)   
Good luck! And please keep us posted!
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