During diarrheal illness in infants who normally receive human milk, what is recommended regarding feeding?

• A. Continue human milk
• B. Switch to formula
• C. Switch to soy formula
• D. Hold feeding

Answer: (A)

Continuing to feed with human milk during diarrheal illness is best because breast milk provides fluids, calories, and immune protection that support hydration and gut recovery. It is easily digested and contains bioactive components that help protect the intestinal lining and can shorten the course of the illness. Keeping feeds ongoing, with more frequent breastfeeds if needed, helps prevent dehydration and maintains nutrition. If dehydration is a concern, use oral rehydration solutions between feeds while continuing breastfeeding. Switching to formula or soy formula removes many of the protective and hydrating benefits of breast milk and can worsen diarrhea, and withholding feeds deprives the infant of fluids and energy.