Essential Guide to Children's Medications and Gut Health - Pharmacology

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Medications for children


Hello, I would like to ask the pharmacist.
I took my child to see a doctor because she has a poor appetite and doesn't like to eat rice or fruits; she only enjoys drinking milk.
However, she is already two years old, and I am worried that she will not get enough nutrition if this continues.
The doctor prescribed a medication called Vitabutyrimin (Dafeng) in tablet form.
I am wondering if it is safe for long-term use as a supplement.
Additionally, she often has hard stools followed by diarrhea and bloating, indicating her gastrointestinal health is not good.
I am quite worried and unsure of what to do.
If I were to buy something from the market, I wouldn't know how to choose among the many options available! There are probiotics, lactic acid bacteria, bifidobacteria, xylitol, and many brands, and I am unsure which ones are safe, effective, and suitable to help my daughter eat better and improve her gastrointestinal health.

Ying, 20~29 year old female. Ask Date: 2010/11/30

Dr. Chen Shuzi reply Pharmacology


Ying: Hello! Taking care of a two-year-old can be quite challenging! For a child who simply enjoys drinking milk, I suggest trying to blend fruits with milk to make a smoothie, or cooking starches (such as rice or wheat) and mixing them with milk to create a puree.
Introduce only one type of complementary food at a time to determine which flavors or textures she prefers.
Of course, encouraging her to try new things is very important! Vitabutyrimin - Da Feng (tablet) contains Clostridium butyricum MIYAIRI 588 20 mg and thiamine mononitrate 0.5 mg.
It is a combination of butyric acid bacteria and vitamins, indicated for alleviating mild diarrhea, abdominal pain, constipation, and for intestinal regulation (normalizing bowel movements) and softening stools.
Please follow the dosage instructions provided by the physician for administering Vitabutyrimin to your child and ensure a follow-up appointment! Thank you for your inquiry, and I wish you good health and safety! Sincerely, Chen Shu-Zi from the Bureau of Health.

Reply Date: 2010/11/30

More Info


When it comes to managing children's health, particularly regarding medications and gut health, it's essential to approach the situation with care and informed decision-making. Your concerns about your two-year-old's poor appetite, reliance on milk, and gastrointestinal issues are valid and warrant a thoughtful response.

Firstly, regarding the medication your doctor prescribed, Vitabutyrimin, it's important to understand that this supplement is designed to support gut health. It contains butyrate, a short-chain fatty acid that plays a crucial role in maintaining gut integrity and function. However, the long-term use of any supplement should be monitored by a healthcare professional, especially in young children. It's advisable to consult with your pediatrician or a pediatric gastroenterologist to determine whether this supplement is appropriate for long-term use in your child's specific case.

In terms of your child's dietary habits, it's concerning that she is not consuming a balanced diet rich in fruits, vegetables, and other essential nutrients. While milk is a good source of calcium and vitamin D, it should not be the sole component of her diet. Children at this age require a variety of foods to ensure they receive adequate nutrition for growth and development. If your child is resistant to eating solid foods, consider introducing them gradually and in a fun, engaging manner. Sometimes, involving children in meal preparation or presenting food in creative ways can encourage them to try new things.

Regarding her gastrointestinal issues, such as hard stools followed by diarrhea and bloating, these symptoms may indicate a need for dietary adjustments. It could be beneficial to increase her fiber intake gradually through fruits, vegetables, and whole grains, as fiber helps regulate bowel movements. However, it's crucial to introduce fiber slowly to avoid exacerbating bloating or discomfort.

When considering probiotics, which you mentioned, it's essential to choose a product that is specifically formulated for children. Probiotics can help restore the balance of good bacteria in the gut, which may improve digestion and overall gut health. Look for products that contain strains like Lactobacillus and Bifidobacterium, which are commonly found in children's probiotic supplements. Always consult with your pediatrician before starting any new supplement to ensure it is safe and appropriate for your child.

In summary, while supplements like Vitabutyrimin can be beneficial, they should be used under medical supervision, especially for long-term use. Focus on improving your child's diet by introducing a variety of foods and consider consulting a pediatric nutritionist for personalized guidance. For gastrointestinal issues, increasing fiber intake and possibly incorporating a child-friendly probiotic may help. Always keep an open line of communication with your healthcare provider to monitor your child's health and make informed decisions about her care.

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