Common Pediatric Concerns: Baby's Health Questions Answered

Please consult a doctor?

Thank you for your previous response, doctor! I have a few more questions to ask~~ My baby is now 3 months old and weighs 8 kg.
He has one meal of breast milk supplemented with formula milk, around 60-180 cc daily.

1.
A few days ago, while I was cleaning his diaper area, I noticed that his penis shrank in a ring-like manner, similar to a Michelin man, which startled me.
I gently pushed it down, and it returned to normal.
What could cause this?
2.
Recently, my baby has not been drinking much formula.
He does drink some, but he cries while drinking, and he won't drink if he hasn't had enough.
However, he does latch on well when breastfeeding, but my milk supply is insufficient.
Why is this happening?
3.
Sometimes my baby sweats cold, and his head feels cool to the touch, yet he is sweating.
Is this normal?
4.
My baby has seborrheic dermatitis on his scalp.
When I asked the doctor during his vaccination, the doctor said it would resolve on its own and not to worry about it.
However, I would like to know if it's okay for him to start peeling and flaking now?

Shiuan, 30~39 year old female. Ask Date: 2010/01/19

Dr. Xiao Kaiwen reply Pediatrics

1.
The external genitalia of newborns are not fully developed (they will become more pronounced at puberty).
As long as there is no hypospadias or penile curvature, the most important factor is that both testicles have descended into the scrotum and can be palpated, which indicates normal development.

2.
Infants may experience fluctuating appetites; as long as they are gaining weight, have normal urine output, and exhibit normal activity levels, this is generally acceptable.
If there are concerns about insufficient breast milk, there are various methods to address this, and consulting a pediatrician at a mother-baby friendly hospital is advisable.
3.
Infants have a faster metabolism and may sweat more easily, which is normal (as long as they are not febrile).
4.
Newborns, being only a few months old, may exhibit seborrheic dermatitis-like eczema on their cheeks, eyebrows, and forehead due to residual maternal hormones in their bodies.
This condition will naturally resolve once the hormones are metabolized.
However, if it becomes very severe, topical medications may be prescribed by a physician.

Reply Date: 2010/01/19

More Info

Thank you for your questions regarding your baby's health. It's great to see that you're attentive to your child's needs and development. Let's address each of your concerns one by one.

1. Circumcision and Swelling: It sounds like you observed your baby's penis retracting and appearing swollen, similar to a Michelin tire. This can be a normal occurrence in infants, especially when they are cold or startled. The penis can retract due to the contraction of the muscles around it, which is a reflex action. If this happens occasionally and resolves quickly, it is generally not a cause for concern. However, if you notice persistent swelling, redness, or any signs of discomfort, it would be wise to consult your pediatrician for further evaluation.

2. Feeding Issues: It's not uncommon for babies to have preferences or phases where they may refuse certain types of milk, including formula. Since your baby is breastfeeding well, it may be that he prefers the taste of breast milk over formula. If he is crying while drinking formula, it could be due to a variety of reasons, such as the temperature of the milk, the flow rate of the nipple, or even an aversion to the taste. If your breast milk supply is insufficient, consider consulting a lactation consultant for strategies to increase your supply or explore different formula options that might be more palatable for him.
3. Cold Sweats: Babies can sometimes sweat, especially when they are bundled up or in a warm environment. If your baby is sweating but feels cool to the touch, it could be a normal response to temperature regulation. However, if he is sweating excessively, especially during sleep, or if you notice other symptoms like fever, irritability, or lethargy, it would be prudent to consult your pediatrician to rule out any underlying issues.

4. Seborrheic Dermatitis: The flaky, scaly patches you see on your baby's scalp are likely seborrheic dermatitis, commonly known as cradle cap. It is quite common in infants and usually resolves on its own. If your baby's scalp is peeling and the skin is flaking off, this is generally normal. You can gently wash the scalp with a mild baby shampoo and use a soft brush to help remove the flakes. If the condition worsens or if you see signs of infection (such as redness, swelling, or pus), it would be best to consult your pediatrician for appropriate treatment.

In summary, many of the issues you're observing are common in infants and often resolve on their own. However, always trust your instincts as a parent. If something feels off or if you have persistent concerns, don't hesitate to reach out to your healthcare provider for guidance. They can provide reassurance and help you navigate any challenges you may face as your baby grows. Remember, every baby is unique, and what works for one may not work for another. Your attentiveness is key to ensuring your baby's health and well-being.

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