Fresh Milk vs. Formula: Which is Better for Your Toddler's Nutrition?

Fresh milk or formula milk

Hello, Nutritionist: My daughter is currently 1 year and 9 months old.
Since she was 1 year and 7 months, I have replaced all her formula milk with regular whole milk.
In the morning, she drinks about 180cc of goat milk from Chianan, about 150cc of full-fat cow's milk from Guangquan or National Dong Hwa University before her afternoon nap, and about 250cc before bedtime.
Her meals are similar to what adults eat.
After two months, she has adapted well without any allergic reactions, and her weight and height are around the 75th to 90th percentile on the growth chart.
However, she has recently developed a small external hemorrhoid, and her appetite for regular meals has decreased.
Is this related to my switch to whole milk? I stopped using formula milk because I wanted to avoid her long-term intake of synthetic chemicals, but I am concerned that on certain occasions (usually weekends) when she is picky, whole milk alone may not provide comprehensive nutrition compared to formula milk.
Which is better, formula milk or whole milk? My mother suggested that I can combine both types of milk in a day, and even add soy milk; is that a good idea? How should I adjust her food combinations regarding her external hemorrhoid? She does not usually experience constipation, so why does she have an external hemorrhoid?

Fanrao de mama, 30~39 year old female. Ask Date: 2005/12/01

Dr. Shi Guimei reply Nutrition

Hello! For children over one year old, dairy sources can include either fresh milk or formula milk.
If a child has external moles, it is advisable to first check if they are consuming enough vegetables and fruits during their meals, as well as whether they are not drinking enough water regularly.
Addressing these dietary deficiencies is recommended; if the condition of the moles does not improve, it is suggested to consult a pediatrician.
Below is the daily dietary guideline for children established by the Department of Health:
Food Age 1-3 years Age 4-6 years
Milk (cow's milk) 2 cups 2 cups
Eggs 1 egg 1 egg
Legumes (tofu) 1/3 block 1/2 block
Fish 1/3 ounce 1/2 ounce
Meat 1/3 ounce 1/2 ounce
Grains (rice) 1-1.5 bowls 1.5 - 2 bowls
Fats 1 tablespoon 1.5 tablespoons
Vegetables (dark green or deep yellow/red) 1 ounce 1.5 ounces
Others 1 ounce 1.5 ounces
Fruits 1/3 - 1 piece 1/2 - 1 piece
Note: Each cup is 240 cc, and each piece of fruit is approximately the size of a fist.
A block of tofu weighs about 100 grams (each block of tofu is equivalent to 240 cc of soy milk).

Respectfully,
Dietitian Shih Kuei-Mei, Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2005/12/01

More Info

When it comes to the nutrition of toddlers, the choice between fresh milk and formula is a significant consideration for parents. Your daughter, at 1 year and 9 months, has transitioned from formula to fresh milk, which is a common practice. However, there are several factors to consider regarding her overall nutrition, potential health issues, and the balance of her diet.

Firstly, fresh milk can be a good source of essential nutrients such as calcium, protein, and vitamins D and B12. These nutrients are crucial for a toddler's growth and development. However, it is important to note that fresh milk does not contain added nutrients that are often found in formula, such as iron and certain vitamins. This could potentially lead to nutritional gaps, especially if your daughter is a picky eater on some days.
In your case, since your daughter is consuming a variety of foods alongside fresh milk, she may be getting a balanced diet. However, if she is experiencing a decrease in her appetite for solid foods, it could be beneficial to monitor her overall intake of nutrients. If her diet lacks diversity, it might be wise to consider incorporating fortified foods or even a multivitamin supplement after consulting with a pediatrician.

Regarding the development of external hemorrhoids (external piles), it is essential to understand that this condition can occur in toddlers for various reasons, including straining during bowel movements, which can be linked to dietary habits. Even if she does not experience constipation, the consumption of a high volume of milk, especially whole milk, can lead to a lower intake of fiber-rich foods, which are necessary for healthy digestion.
To address the issue of her external hemorrhoids, you might want to increase her fiber intake. This can be achieved by incorporating more fruits, vegetables, whole grains, and legumes into her diet. Foods like oatmeal, whole grain bread, and fruits such as pears and apples can help promote regular bowel movements and prevent straining.

Your mother’s suggestion of combining both formula and fresh milk, along with soy milk, could be a practical approach. This combination can help ensure that your daughter receives a broader spectrum of nutrients. For instance, if you choose a formula that is fortified with iron and other vitamins, it can complement the nutrients found in fresh milk. Soy milk can also be a good alternative, but make sure to choose a fortified version to ensure it meets her nutritional needs.

In summary, while fresh milk can be a healthy part of your toddler's diet, it is crucial to ensure that she receives a well-rounded intake of nutrients. Monitor her overall diet for variety and balance, and consider consulting with a pediatrician or a nutritionist for personalized advice. Addressing her external hemorrhoids through dietary adjustments and ensuring adequate fiber intake will also be beneficial for her digestive health.

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