Addressing Common Pediatric Concerns: Feeding, Bowel Movements, and Nutrition

Bowel movements, milk consumption, and complementary food issues?

Hello Doctor,
1.
My baby is currently 7 months old and is drinking formula 4-5 times a day, with each feeding being 210ml.
The diapers often do not feel heavy, and we change less than 6-8 diapers a day.
However, the growth curve and activity level are normal.
Is this amount of milk sufficient? If I try to increase the amount, the baby refuses to drink, and if I shorten the intervals, the baby cannot finish the 210ml.
2.
Recently, the frequency of my baby's bowel movements has increased.
Previously, it was 1-2 times a day, but now it often consists of small amounts, reaching up to 4-5 times a day.
The stool color is normal, and the baby’s activity level is also normal.
Should I take the baby to see a pediatrician?
3.
Since four months, I have been gradually introducing solid foods to my baby, but recently, the baby has been refusing to eat porridge and shows resistance.
However, when I offer food that adults are eating (as long as it is suitable for the baby), the baby eats a lot.
Additionally, the baby does not like drinking water and spits it all out whenever it is offered.
Currently, I am feeding very little solid food.
I am unsure if there are effective solutions to this issue or if it is acceptable for the baby to eat what adults are eating (such as light carrots, vegetables, and chicken that are suitable for babies).
Thank you for your response, Doctor.

Tuan Tuan Mami, 20~29 year old female. Ask Date: 2020/05/11

Dr. Xiao Kaiwen reply Pediatrics

1.
An infant urinating more than six times a day (not every time being a small amount of concentrated yellow urine), with a normal growth curve and normal activity levels, indicates that their milk and water intake is adequate.

2.
The quality of stool is more important; as long as it is not watery diarrhea, hard pellets, grayish-white stools, or stools with blood, normal stools are acceptable.

3.
A 7-month-old infant can eat food that adults consume, provided a few principles are followed: normal seasoning, avoiding honey products, avoiding hard foods like nuts, ensuring food is chopped or mashed, and opting for natural foods instead of processed snacks.

Reply Date: 2020/05/11

More Info

When addressing common pediatric concerns regarding feeding, bowel movements, and nutrition, it is essential to consider the individual needs of the child while also adhering to general guidelines for infant and toddler care. Based on your questions, let’s break down each concern and provide insights and recommendations.

1. Milk Intake and Urine Output: At 7 months old, your baby is consuming formula milk about 4-5 times a day, with each feeding being approximately 210ml. This amount is generally acceptable, especially if your baby is growing well and is active. The typical recommendation for infants at this age is around 24-32 ounces (about 700-950ml) of formula per day, but this can vary based on individual appetite and growth patterns. If your baby is not showing signs of dehydration (such as dry mouth, lack of tears, or fewer wet diapers), and the growth curve is normal, then the current intake may be sufficient. However, if you notice a significant decrease in urine output or other concerning symptoms, it would be wise to consult a pediatrician.

2. Bowel Movements: An increase in the frequency of bowel movements from 1-2 times a day to 4-5 times a day, even if the stools are normal in color and consistency, can be typical as babies start to consume more solid foods. As long as the stools are not watery and your baby is comfortable, this may not be a cause for concern. However, if there are any signs of discomfort, blood in the stool, or other unusual symptoms, it would be prudent to seek medical advice.

3. Introducing Solid Foods: It is common for babies to show preferences for certain foods, especially if they see adults eating. If your baby is refusing porridge but enjoys adult food that is safe for them, it is perfectly acceptable to offer them small, soft pieces of what you are eating, as long as it is appropriate for their age and development. Foods like well-cooked carrots, soft chicken, and other vegetables can be introduced. The key is to ensure that the foods are soft enough to prevent choking and are cut into manageable sizes. Additionally, it’s important to continue offering a variety of foods to encourage acceptance of different textures and flavors.

4. Hydration: If your baby is resistant to drinking water, it’s not uncommon. Many infants and toddlers prefer the taste of milk or formula. You can try offering water in different types of cups or with a straw to make it more appealing. Additionally, incorporating water-rich foods like fruits (e.g., watermelon, cucumber) can help with hydration. However, it’s crucial to ensure that your baby is getting enough fluids overall.

In summary, it sounds like your baby is developing well, but it’s always best to keep an open line of communication with your pediatrician. They can provide tailored advice based on your baby’s growth, development, and specific health needs. Regular check-ups are essential to monitor your baby’s progress and address any concerns that may arise. Remember, every child is unique, and what works for one may not work for another, so patience and flexibility in feeding practices are key.

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