Child Temperature and Milk Choking Issues in Pediatrics

Child's body temperature and choking on milk issues?

Hello, Doctor:
1.
When I was about to take my child home from the hospital, I attended a parenting class where it was mentioned that a child's temperature (axillary temperature) should not be below 36.5 degrees Celsius or above 37.5 degrees Celsius; otherwise, they should be taken back to the hospital.
After returning home, I measured my child's temperature, and it has consistently been below 36.5 degrees Celsius.
Is this considered normal? What issues could arise from a temperature below 36.5 degrees Celsius?
2.
My child chokes on milk every time they drink, and sometimes they struggle to catch their breath, causing them to be fussy for a while.
After drinking, their respiratory system also makes a wheezing sound.
Is this normal?

muny, 30~39 year old female. Ask Date: 2001/04/29

Dr. Shi Zhongxian reply Pediatrics

1.
The most accurate body temperature for children is rectal temperature.
If it is above 36 degrees Celsius, there should be no concern.
If you are still worried, you can measure the rectal temperature.
2.
Many infants experience this situation, but it typically resolves by the time they are 7 to 8 months old, once the larynx, esophagus, and trachea have fully developed, and it should not be a major issue.

Reply Date: 2001/04/29

More Info

When it comes to understanding child temperature and milk choking issues in pediatrics, it's essential to consider both the normal physiological parameters of infants and the common challenges they face during feeding.

1. Child Temperature Concerns: The normal body temperature for infants can vary slightly, but generally, a rectal temperature of 36.5°C (97.7°F) to 37.5°C (99.5°F) is considered normal. If your child's temperature consistently falls below 36.5°C (97.7°F), it may be a cause for concern. Hypothermia in infants can lead to various complications, including lethargy, poor feeding, and in severe cases, it can affect heart rate and respiratory function. However, it's important to note that the method of measurement can influence the readings. Rectal temperatures are the most accurate for infants, while axillary (underarm) temperatures can be lower than actual body temperature. If you are consistently measuring below 36.5°C, consider using a rectal thermometer for a more accurate reading. If the temperature remains low, it is advisable to consult a pediatrician for further evaluation.

2. Milk Choking Issues: Choking during feeding is a common occurrence in infants, particularly in the early months as they are still developing their swallowing and breathing coordination. If your child is choking frequently, it may be due to several factors, including the flow rate of the milk, the position of the baby during feeding, or even the baby's developmental stage. Infants often have immature swallowing mechanisms, which can lead to coughing or choking when drinking milk. The "gurgling" sounds you hear after feeding may be due to residual milk in the throat or airway, which is not uncommon.
To mitigate choking risks, ensure that your child is in an upright position while feeding, and consider using bottles designed to control the flow of milk. If your child is showing signs of distress, such as turning blue, gasping, or unable to breathe, it is crucial to act quickly and seek emergency help.
In summary, while a temperature below 36.5°C may warrant further investigation, occasional choking during feeding is typically a normal part of infant development. However, if you have ongoing concerns about your child's temperature or feeding difficulties, it is always best to consult with a pediatric healthcare provider for personalized advice and reassurance. Regular check-ups can help monitor your child's growth and development, ensuring they are on the right track.

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