Gastrointestinal Issues in Infants: Causes and Remedies - Pediatrics

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Gastrointestinal issues


Hello Doctor, I would like to ask you about my baby who is almost one year old.
He often tosses and turns at night and only settles down after passing gas.
During the day, his diaper often smells bad, and when I check, I find that he has only passed gas and not had a bowel movement.
What could this be a symptom of? Is it safe for a one-year-old to take traditional Chinese medicine?

Pei Yu, 30~39 year old female. Ask Date: 2008/01/11

Dr. Pei Rensheng reply Pediatrics


Hello,
(1) The sources of air in a baby's gastrointestinal tract include crying, oversized nipple holes, frequent sucking on pacifiers, food fermentation, or gas produced by intestinal bacteria.
If the baby has a normal appetite, is growing well, and has no abnormalities in bowel movements, there is no need for concern.

(2) After consulting with a traditional Chinese medicine physician, valuable advice was provided.
Although it is generally believed that traditional Chinese medicine is milder and poses less harm to the body, it is advisable to use herbal remedies for infants only after they turn one year old.
Even after one year, the use of herbal medicine must be monitored according to the properties of the herbs, and the same medication should not be used long-term, as this may lead to potential side effects.

Wishing you health and happiness!
Sincerely,
Dr.
Pei Ren-Sheng,
Director of Pediatrics, Taoyuan Hospital, Department of Health

Reply Date: 2008/01/11

More Info


Understanding gastrointestinal issues in infants can be quite challenging for parents, especially when it comes to interpreting symptoms and determining appropriate remedies. In your case, it seems your almost one-year-old baby is experiencing discomfort that manifests as restlessness during sleep, which is alleviated after passing gas. Additionally, you mentioned that your baby often has foul-smelling gas but does not have bowel movements.


Possible Causes
1. Gastrointestinal Disturbances: The symptoms you describe could be indicative of gastrointestinal disturbances, which are common in infants. Gas can build up in the intestines due to various reasons, including the digestion of certain foods, swallowing air during feeding, or even due to an immature digestive system. The fact that your baby feels better after passing gas suggests that gas buildup may be causing discomfort.

2. Dietary Factors: At around one year, infants often start to consume a wider variety of foods, including solids. Some foods, particularly those high in fiber, dairy, or certain carbohydrates, can lead to increased gas production. Foods like beans, broccoli, and carbonated beverages can contribute to this issue. If your baby has recently started eating new foods, it may be worth tracking what they eat to identify any potential triggers.

3. Constipation: While your baby is passing gas, the absence of bowel movements could indicate constipation. Infants can sometimes experience constipation, which can lead to discomfort and gas. Signs of constipation include hard, dry stools, straining during bowel movements, or infrequent bowel movements.

4. Food Intolerances: Some infants may have food intolerances or allergies, particularly to dairy or gluten, which can lead to gastrointestinal symptoms. If your baby is consuming formula or dairy products, this could be a potential cause of the gas and discomfort.


Remedies and Recommendations
1. Dietary Adjustments: Monitor your baby's diet and consider reducing foods that are known to cause gas. Gradually introduce new foods and observe how your baby reacts. Ensure that your baby is getting enough fiber from fruits and vegetables, which can help with bowel regularity.

2. Hydration: Ensure your baby is adequately hydrated, especially if they are consuming solid foods. Adequate fluid intake can help prevent constipation.

3. Tummy Time and Movement: Gentle tummy massages or bicycle leg movements can help relieve gas. Encouraging your baby to move around can also aid digestion.

4. Consult a Pediatrician: If the symptoms persist or worsen, it’s essential to consult a pediatrician. They can provide guidance tailored to your baby's specific needs and may recommend further evaluation or dietary changes.


Regarding Traditional Chinese Medicine (TCM)
As for your question about the safety of using traditional Chinese medicine (TCM) for your one-year-old, it is crucial to approach this with caution. While some parents may seek TCM remedies for their children, it's essential to consult with a healthcare professional who is knowledgeable about both Western medicine and TCM. Not all herbal remedies are safe for infants, and some may interact with conventional medications or cause adverse effects.


Conclusion
In summary, your baby's symptoms could be related to gastrointestinal disturbances, dietary factors, or constipation. Monitoring their diet, ensuring proper hydration, and consulting with a pediatrician are vital steps in addressing these issues. If you consider TCM, make sure to discuss it with a qualified healthcare provider to ensure safety and appropriateness for your child's age and condition.

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