Post-Fever Care for Toddlers: Nutrition and Health Tips

Antipyretics. Complementary foods?

Dear Dr.
Hsiao,
Thank you for your response on December 4th.
My baby has been observed for another four days, and he has been normal without any fever, only experiencing slight coughing.
I would like to ask:
1.
If it is a viral infection and everything returns to normal after the fever subsides, does that mean he has fully recovered? Is there no need to seek medical attention to understand the underlying cause? Is daily disinfection effective in preventing bacterial and viral invasion?
2.
My baby (male) is currently 1 year and 4 months old, with a head circumference of 48 cm, weight of 10.3 kg, and height of 77 cm.
Are his growth proportions acceptable?
3.
How many bowel movements per day are considered normal? My baby sometimes has up to four bowel movements in a day.
4.
What is the recommended daily food intake for a child aged 1 year and 4 months to 2 years? He is still breastfeeding (2-3 times a day, usually before bed and upon waking up, and during afternoon nap).
Is this okay? Additionally, he drinks fresh milk, soy milk, and yogurt (probiotics).
Is it acceptable to choose one of these? Is it okay for him to drink 100-150 cc of freshly squeezed orange juice daily? Is it acceptable for him to eat one slice of cheese daily? Can he consume goat milk slices? How many slices can he have in a day? (Nutritional content: 100 pieces/serving, 220 calories, 28g carbohydrates, 8g protein, 3g fat, 120mg sodium, 267mg calcium, 5.1mg iron, 0.25g saturated fat/gram, 0g trans fat/gram.)
Thank you very much, Dr.
Hsiao! I appreciate your help! Wishing you good health!

Xuan Mami, 20~29 year old female. Ask Date: 2008/12/08

Dr. Xiao Kaiwen reply Pediatrics

1.
The fever has subsided, appetite is normal, and there are no other specific symptoms; generally, the patient should be considered recovered and can be monitored at home.

2.
Performing disinfection can help reduce the invasion of bacteria and viruses, thereby protecting health.

3.
Having bowel movements twice a day or once every two days is normal (the quality of the stool is more important; it should not be hard, watery, contain blood, or be pale).

4.
Head circumference of 48 cm is in the 50-75% range, weight of 10.3 kg is in the 25-50% range, and height of 77 cm is in the 10-25% range; the growth proportions are acceptable.

5.
At one year and four months, most foods can be consumed (avoid hard items that may cause choking in the throat or trachea).
The principle of food intake is to maintain a balanced diet, avoid picky eating, and not to excessively consume any single type of food (exact quantities do not need to be meticulously calculated).
Calories, carbohydrates, proteins, fats, trace elements, etc., can all be consumed in a balanced manner.
Height and weight are following the previous growth curve, indicating adequate nutrition.

Reply Date: 2008/12/08

More Info

Post-Fever Care for Toddlers: Nutrition and Health Tips
Dear Parent,
Thank you for reaching out with your questions regarding your toddler's health and nutrition following a fever. It’s great to hear that your baby is feeling better and that the fever has subsided. Let’s address your concerns one by one.

1. Post-Fever Recovery: If your child had a viral infection and is now fever-free and showing no other concerning symptoms, it is generally safe to assume that they are recovering well. However, if you notice any unusual behaviors or symptoms persisting, such as a cough that worsens or any signs of distress, it would be wise to consult a pediatrician for further evaluation. Regular cleaning and disinfecting of surfaces can help reduce the risk of reinfection and the spread of germs, but it’s also important to encourage good hygiene practices, such as handwashing, to protect your child from future infections.

2. Growth Proportions: Your child's growth measurements (head circumference of 48 cm, weight of 10.3 kg, and height of 77 cm) appear to be within normal ranges for a 1-year and 4-month-old boy. Growth percentiles can vary, but as long as your child is following a consistent growth curve and is active, it is a positive sign. Regular check-ups with your pediatrician will help monitor growth and development.

3. Bowel Movements: The frequency of bowel movements can vary widely among toddlers. It is normal for toddlers to have anywhere from one to four bowel movements per day. If your child is passing soft stools without straining, this is typically a sign of healthy digestion. If you notice any significant changes in their bowel habits, such as constipation or diarrhea, it would be advisable to consult your pediatrician.

4. Nutritional Intake: For toddlers aged 1 to 2 years, the recommended daily food intake includes a variety of food groups to ensure balanced nutrition. Here are some guidelines:
- Milk: It’s fine for your child to continue breastfeeding 2-3 times a day, especially if it’s comforting for them. Additionally, introducing whole cow's milk (or fortified alternatives like soy milk) is recommended after the age of one. Aim for about 16-24 ounces (480-720 ml) of milk per day.

- Juice: Freshly squeezed orange juice is fine in moderation. Limit juice intake to about 4 ounces (120 ml) per day to avoid excessive sugar consumption.

- Dairy: Offering yogurt and cheese is a great way to provide calcium and protein. One slice of cheese per day is acceptable, and you can also consider introducing other dairy products as long as they are age-appropriate.

- Protein and Grains: Incorporate a variety of protein sources such as eggs, beans, and lean meats. Whole grains like oatmeal, whole grain bread, and brown rice should also be included in their diet.

- Fruits and Vegetables: Aim for a variety of colors and types to ensure a range of nutrients. Soft fruits and cooked vegetables are easier for toddlers to eat and digest.

- Snacks: Healthy snacks can include fruits, vegetables, yogurt, and whole grain crackers.
Regarding the consumption of sheep milk or any specific products, it’s best to consult with your pediatrician or a registered dietitian to ensure they meet your child's nutritional needs.

In summary, your child seems to be on the right track with their growth and recovery. Continue to provide a balanced diet, maintain good hygiene practices, and keep an eye on any changes in health. Regular pediatric check-ups will help ensure that your child remains healthy and thriving.

Best wishes for your child's continued health and happiness!

Similar Q&A

How to Improve Immunity in Toddlers with Frequent Fevers and Colds

A 16-month-old child frequently experiencing fever and colds may benefit from strategies to improve their immune function. Here are some recommendations: 1. Nutrition: Ensure the child has a balanced diet rich in fruits, vegetables, whole grains, and lean proteins to support...

Dr. Zhang Guozhen reply Pediatrics
Dr. Chang Kuo-Chen from the Hsinchu County Zhudong Hospital Pediatrics Department respectfully states that good habits should be cultivated, such as washing hands before meals and after using the restroom. It is also important to rinse the mouth and wash hands upon returning home...

Understanding Persistent High Fever in Toddlers: When to Seek Help

Hello Doctor: My daughter is 2 years and 4 months old. Two weeks ago, she had a cold and we took her to see a pediatrician who prescribed medication. However, she has not fully recovered. On the evening of the 8th, she developed a high fever of 39.5 degrees Celsius. I administere...

Dr. Lin Wenxian reply Pediatrics
Dr. Lin Wen-Hsien, the Director of Pediatrics at Tainan Hospital under the Department of Health, Executive Yuan, responded to DEAR Ami: It must be very concerning for you that your child has had a high fever for several days. During early childhood, due to insufficient immune res...

What to Do If Your Child's Fever Persists After Medication?

If a one-year-old child has a persistent high fever of 39 degrees Celsius (102.2 degrees Fahrenheit) that does not subside even after administering fever-reducing medication, it is important to take the following steps: 1. Monitor Symptoms: Keep a close eye on the child'...

Dr. Huang Yiping reply Pharmacology
Hello: Antipyretic syrup only temporarily reduces fever; it is not a "fever-stopping" medication. It can make the body feel more comfortable and is considered symptomatic treatment rather than a cure for the underlying condition. Therefore, after the effects of the anti...

Understanding Fever in Toddlers: Insights on Treatment and Care

My daughter is currently one and a half years old. In March, she contracted enterovirus, and her grandmother took her to see Dr. Li at the pediatric clinic. Dr. Li mentioned that infants should not frequently take antipyretics as excessive use is harmful, and he also stated that ...

Dr. He Ciyuan reply Pediatrics
1. Enterovirus: Most cases with mild symptoms can be managed with symptomatic treatment. (If there is a fever, appropriate antipyretics can be administered.) For the very few cases with complications, symptomatic therapy should be employed, such as in instances of persistent or r...