During diarrheal illness in an infant, what is recommended regarding human milk?

• A. Continue human milk ad lib
• B. Stop feeding human milk
• C. Use only formula
• D. Use only water

Answer: (A)

Continuing breast milk during diarrhea is best because it provides both fluids and nutrition while delivering immune factors that help protect and heal the gut. Breast milk is usually well tolerated and can help restore hydration as the infant continues to feed on demand, even when stools are loose. You can offer more frequent feeds and pair this with age-appropriate oral rehydration solutions if needed, but stopping breast milk or replacing it with water or formula alone can worsen dehydration and deprive the infant of protective antibodies and calories. If the infant shows signs of dehydration or cannot keep fluids down, seek medical care promptly.