Managing Illnesses While Breastfeeding: What Nursing Moms Need to Know

Getting sick during the holidays is frustrating—especially when you’re breastfeeding. The good news? Most moms can safely continue nursing while sick, and doing so can actually help protect your baby. Here’s what to know about breastfeeding with a cold, flu, or other common illnesses.

Can I Breastfeed if I’m Sick?

Yes. Experts agree that continuing to breastfeed while you’re sick is not only safe but beneficial. When you’re fighting an illness, your body produces antibodies that pass through your breastmilk and may help protect your baby.

To reduce the risk of spreading germs, practice good hygiene:

• Wash your hands before nursing

• Avoid coughing or sneezing near your baby

• Wear a mask if you’re concerned about transmission

And don’t forget self-care. Your body needs rest and hydration to support healing and maintain your milk supply.

Which Medications Are Safe While Breastfeeding?

Many common medications are considered safe for breastfeeding mothers. Always confirm with your healthcare provider, especially if you take other prescriptions.

Safe options for common illnesses often include:

• Acetaminophen (Tylenol)

• Ibuprofen (Advil)

• Famotidine (Pepcid AC)

• Omeprazole (Prilosec)

• Simethicone (Gas-X)

What About Decongestants?

Decongestants (such as pseudoephedrine) may lower your milk supply, so it’s usually best to avoid them while nursing. Instead, try natural alternatives like:

• Saline nasal spray

• A cool-mist humidifier

• Steamy showers

• Warm fluids

How to Protect Your Milk Supply When You’re Sick

Being sick can impact hydration, appetite, and rest—all important for milk production. To keep your supply steady:

• Drink plenty of water or electrolyte drinks

• Eat small, nourishing meals

• Rest whenever possible

• Nurse on demand

• Use a breast pump if you’re feeling too unwell to feed directly

When Should I Call My Doctor?

Reach out to your healthcare provider if:

• Your fever lasts more than 3 days

• You have trouble keeping fluids down

• You’re diagnosed with an illness that requires specific medication guidance

• Your baby shows signs of illness or dehydration

Getting sick while breastfeeding is tough, especially during the busy holiday season—but you’re not alone, and you can keep nursing safely. With proper rest, hydration, and guidance from your doctor, you and your baby can stay protected and supported through recovery.