Digestive Issues in Infants: A Guide for Concerned Parents

Baby digestive issues?

Hello Doctor: I would like to ask you about my younger sister, who is currently over six months old.
Her milk intake is 165cc every four hours, and she has rice cereal once or twice a day.
If she eats rice cereal, the interval for milk is extended to five or six hours.
Since she was over three months old, her milk intake has been inconsistent and gradually decreasing.
We have taken her to see a pediatrician six or seven times, and when she is on medication, her appetite improves, and she sleeps better at night.
However, once the medication is stopped, her condition returns to the previous state, which makes me very worried.
My questions are as follows:
1.
Does taking digestive medication excessively affect a baby's liver and kidneys? The doctor mentioned that the medication aids digestive function and contains enzymes, and that the improvement in her appetite and sleep is because the baby feels more comfortable.
Is this true?
2.
Will the baby become dependent on the medication after taking it for so long? Could this lead to a situation where her digestive system relies on medication for normal peristalsis and digestion, resulting in future gastrointestinal dysfunction?
3.
This situation has persisted for over three months; is that too long? Should I consider switching doctors, or should I take her to a larger hospital for further examination?
4.
Since the baby's condition fluctuates, when she is doing well, we stop the medication.
If she eats less during one meal, we give her a dose of medication, and then she returns to normal for the next meal.
Will this affect the efficacy of the medication? I am really worried that the medication might burden the baby.

5.
I have friends whose children have similar issues, but their approach is to let things take their course, believing that the baby will eat when hungry.
After a while, their babies return to normal, and they seem healthy now! I also want to observe for a while and let the baby's digestive system adjust on its own, but due to pressure from my mother-in-law, we are immediately taken to the pediatrician whenever the baby doesn't eat well.
What should I do? Thank you for your response! A worried, confused, and stressed-out mother.

TT, 20~29 year old female. Ask Date: 2001/05/21

Dr. Zhao Yongkang reply Pediatrics

1.
Generally, the digestive medications used for children are primarily probiotics for the gastrointestinal tract, which pose no harm to their bodies.
2.
Long-term use does not lead to dependency.
3.
Sometimes, children may have poor appetite due to slower development of their digestive function.
After ruling out the possibility of infection, if the child's growth, weight, and absence of vomiting or excessive crying are normal, there is actually no need for excessive concern.
4.
It is recommended to use standard digestive medications for a period of time without interruption, and then monitor the child's condition.

Reply Date: 2001/05/21

More Info

Understanding digestive issues in infants can be quite challenging for parents, especially when faced with fluctuating feeding patterns and concerns about their child's health. Your situation with your six-month-old daughter raises several important questions about her digestive health, medication use, and overall well-being. Let's address your concerns one by one.

1. Impact of Digestive Medications on Liver and Kidneys: It is understandable to worry about the long-term effects of medications on your baby's liver and kidneys. Generally, medications prescribed for digestive issues in infants, such as those containing enzymes, are designed to assist in digestion and are typically safe when used as directed. However, any medication can have side effects, and prolonged use should be monitored closely by a healthcare professional. It is essential to follow the pediatrician's advice and report any unusual symptoms or concerns.

2. Dependency on Digestive Medications: The concern about dependency on digestive medications is valid. While some medications can lead to a reliance if used excessively, most pediatricians prescribe them with caution and for specific durations. If your baby is responding well to the medication, it may indicate that her digestive system needs some support. However, it is crucial to have open discussions with your pediatrician about the duration of use and any potential long-term effects on her digestive health.

3. Duration of Symptoms and Seeking Further Evaluation: If your baby has been experiencing digestive issues for over three months, it may be time to consider a second opinion or further evaluation, especially if her symptoms are not improving. A pediatric gastroenterologist can provide specialized insight and may recommend tests to rule out any underlying conditions. It is essential to ensure that her growth and development are on track, as persistent feeding issues can impact her overall health.

4. Effect of Irregular Medication Use: Using medications sporadically, such as only when your baby eats less, can affect their efficacy. Consistency in medication use, as prescribed, is crucial for managing digestive issues effectively. If you are concerned about the burden of medication, discuss this with your pediatrician. They may suggest alternative approaches or adjustments to the treatment plan.

5. Natural Recovery vs. Medical Intervention: The approach of allowing a child to self-regulate their eating can work for some families, but it is essential to balance this with the need for medical oversight, especially if your baby is not gaining weight or is showing signs of distress. Your friend's experience may not apply universally, as each child is different. If your baby is underweight or not thriving, it is vital to address these issues promptly, even if it means navigating family pressures.

In conclusion, it is crucial to maintain open communication with your pediatrician about your concerns and your baby's health. Keeping a detailed log of her feeding patterns, medication use, and any symptoms can help the doctor make informed decisions. If you feel overwhelmed, consider seeking support from a pediatric nutritionist or a lactation consultant who can provide guidance tailored to your baby's needs. Remember, your intuition as a parent is valuable, and advocating for your child's health is essential.

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