Hydrolyzed Protein Formula vs. Regular Infant Formula: What Parents Need to Know
Hydrolyzed protein formula versus regular milk powder? Hello Doctor, my baby is currently 1 month and 11 days old. Since my child does not accept breastfeeding and I am taking care of him alone, he is very clingy, which results in me only being able to pump milk every 6-7 hours. ...
Dr. Pei Rensheng reply Pediatrics
Hello: 1. The nutritional value of hydrolyzed protein formula milk is sufficient; before 6 months of age, infants can solely consume hydrolyzed formula without the need for additional nutritional supplements. 2. The best prevention against allergies is breast milk, followed by hy...[Read More] Hydrolyzed Protein Formula vs. Regular Infant Formula: What Parents Need to Know
Understanding Blood-Streaked Stool in Infants: When to Seek Help
Blood-streaked stool Hello Doctor, my sister is currently over 2 months old. Her usual diet consists of breast milk and formula, and her stools are typically green or yellow and loose, with a protein-like or sour odor. Recently, I noticed mucus and streaks of blood in her stool, ...
Dr. Pei Rensheng reply Pediatrics
Hello: 1. How should suspected gastrointestinal bleeding be managed? --> First, check if the baby shows any warning signs, such as tachycardia (without crying or during movement), hypotension (weaker pulse), pallor (indicative of anemia or significant bleeding), decreased ac...[Read More] Understanding Blood-Streaked Stool in Infants: When to Seek Help
Is It Normal for Breastfed Babies to Poop While Feeding?
Breastfeeding can also stimulate bowel movements? Hello Doctor, I would like to ask about my child (born on April 17, approximately 3 weeks old). Recently, while breastfeeding, they tend to poop while eating, and the stool is a light golden yellow, resembling loose stools. Is i...
Dr. Pei Rensheng reply Pediatrics
Hello! Eating increases gastrointestinal motility, especially in infants under one month old. It is common to observe breastfed babies having 10-15 yellow, soft, or even watery stools a day. If the baby is energetic, has a good appetite, and is not experiencing a fever, this is c...[Read More] Is It Normal for Breastfed Babies to Poop While Feeding?
Where to Find Bedwetting Alarms in Taiwan for Pediatric Care?
Can bedwetting alarms be purchased in Taiwan? Hello! My child is nearly nine years old and still has issues with bedwetting, occasionally experiencing daytime leakage as well. After an examination by a pediatric nephrologist, her nerve conduction function was found to be normal, ...
Dr. Pei Rensheng reply Pediatrics
1. Taobao has products for sale. 2. This is the website of the Ministry of Health and Welfare's Social and Family Affairs Administration, which has relevant reports: http://repat.sfaa.gov.tw/01news/news_a_main.asp?id=26734. It should also be available for sale domestically. ...[Read More] Where to Find Bedwetting Alarms in Taiwan for Pediatric Care?
Addressing Constipation and Spitting Up in Infants: A Guide for Parents
Baby's bowel movement issues and spitting up milk? I would like to ask about my 2-month-old baby. Initially, the baby had normal bowel movements after starting formula milk, but after one or two days, the intervals between bowel movements increased, and the baby started pass...
Dr. Pei Rensheng reply Pediatrics
Hello: For normal children and adults, bowel movements are expected to occur between three times a day to once every three days, with stools being yellow and soft. However, infants can have a wide variation in their bowel movement frequency. Generally, breastfed infants tend to h...[Read More] Addressing Constipation and Spitting Up in Infants: A Guide for Parents
Understanding Your Baby's Feeding Patterns: Is It Normal?
Baby feeding issues? I would like to ask the doctor, my baby is currently not yet one month old and does not follow the typical feeding schedule of every four hours. Instead, he feeds approximately every three hours. Is this normal? He often cries and does not have a fixed feedin...
Dr. Pei Rensheng reply Pediatrics
Hello: The younger the infant and the lower the birth weight, the more frequently they tend to feed. It is common for babies under one month old to cry from hunger in less than three hours. Of course, this could also be due to gas (with abdominal distension) or issues like infant...[Read More] Understanding Your Baby's Feeding Patterns: Is It Normal?
Understanding Bile Secretion Issues in Infants: A Pediatric Guide
Abolished bile secretion? Hello, doctor! A friend's child is nearly two months old. Previously, due to high bilirubin levels, the child had grayish-white or off-white, sticky stools and was referred from Taichung Veterans General Hospital to Taipei Veterans General Hospital....
Dr. Pei Rensheng reply Pediatrics
Hello: If there is no issue with biliary atresia and the stool color remains pale, one should consider the possibility of neonatal hepatitis, other infections, or metabolic disorders. These issues are primarily investigated through blood tests. You can continue monitoring at your...[Read More] Understanding Bile Secretion Issues in Infants: A Pediatric Guide
Improving Chest and Shoulder Pain in Children: Exercise and Herbal Remedies
Chest and shoulder pain? Doctor, thank you very much. I would like to ask if increasing exercise or using traditional Chinese medicine can help improve this condition. Thank you.
Dr. Pei Rensheng reply Pediatrics
Hello: Shoulder pain may improve with increased exercise or herbal treatment, but pectus carinatum cannot be alleviated through exercise or herbal remedies. Wishing you peace and well-being! Sincerely, Rensheng.[Read More] Improving Chest and Shoulder Pain in Children: Exercise and Herbal Remedies
Impact of Not Using a Brace for Pectus Excavatum in Children
Chest and shoulder pain? I apologize for the inconvenience, but could you please clarify what the consequences would be if one does not use a brace or undergo surgery? For example, would it lead to shoulder pain or a feeling of tightness in the chest? Additionally, can stretching...
Dr. Pei Rensheng reply Pediatrics
Hello: Most cases of pectus carinatum primarily affect appearance or may cause mild respiratory function decline. If the condition is mild, no brace or surgery is necessary. Stretching exercises do not correct pectus carinatum. Wishing you peace and health. Sincerely, Dr. Pei Ren...[Read More] Impact of Not Using a Brace for Pectus Excavatum in Children
Managing Infant Spit-Up: Tips for Parents of 5-Month-Olds
Vomiting after each meal? Hello Doctor: My daughter is currently five months old and drinks 90cc per meal. Recently, after feeding, when I try to burp her, sometimes she moves or lies down and ends up spitting up all the milk. Other times, she spits up one or two hours later. Is ...
Dr. Pei Rensheng reply Pediatrics
Hello: Spitting up is most common around the age of four months. As children grow, by the time they reach one year old, only 5%-10% of them still experience reflux issues. First, some children with cow's milk protein allergy may present with vomiting. Mothers can temporarily...[Read More] Managing Infant Spit-Up: Tips for Parents of 5-Month-Olds
Improving Pectus Carinatum and Shoulder Pain in Children
Chest and shoulder pain? Hello doctor, I would like to ask about a family member who has pectus carinatum, which is mild and not very noticeable when wearing clothes. When facing him, the pectus carinatum is on my right side. He usually does not experience any discomfort, shoulde...
Dr. Pei Rensheng reply Pediatrics
Hello: Approximately 1 in every 400 individuals has a thoracic deformity. It is more common in males than females. One specific condition, characterized by excessive growth of the costal cartilage, is known as pectus carinatum (or "pigeon chest"). The exact cause is unk...[Read More] Improving Pectus Carinatum and Shoulder Pain in Children
Concerns About Diarrhea in a Nearly Four-Month-Old Breastfed Baby
Diarrhea in a nearly four-month-old infant? My baby is almost four months old, and it seems like he has diarrhea these past few days! He is exclusively breastfed, so his stools are usually quite loose. However, recently, he has been having a bowel movement every time after feedin...
Dr. Pei Rensheng reply Pediatrics
Hello: Recently, as temperatures have risen, there has been an increase in cases of gastroenteritis. If there are blood streaks in the stool, it may indicate an infection, and it would be advisable to go to the hospital for a stool test to check for Salmonella infection. Please c...[Read More] Concerns About Diarrhea in a Nearly Four-Month-Old Breastfed Baby
Understanding Antibiotic Use for Sinusitis in Infants: A Parent's Guide
Antibiotics for sinusitis? Hello Dr. Pei: My younger sister is currently eleven months old. She started having a runny nose (clear) on March 5th, and on March 8th, she developed a fever. A rapid test at the clinic confirmed Influenza A. After taking antiviral medication, she no l...
Dr. Pei Rensheng reply Pediatrics
Hello: Symptoms of sinusitis may include yellow nasal discharge, pain around the nostrils, headache, and fever. Not all symptoms may necessarily appear. X-rays can assist in diagnosis. Unless there are severe adverse reactions to medication, I recommend completing a 10 to 14-day ...[Read More] Understanding Antibiotic Use for Sinusitis in Infants: A Parent's Guide
Why Am I Salivating Uncontrollably Around Food and Girls?
Since the age of 13, have you experienced unexplained salivation when seeing the opposite sex or food? Hello, doctor. I am currently in the first year of junior high school. Since last semester until now (the second semester), I have been experiencing excessive salivation when I ...
Dr. Pei Rensheng reply Pediatrics
Hello: You can seek consultation at the psychosomatic medicine clinic to pursue holistic health. Wishing you a healthy and happy life. Sincerely.[Read More] Why Am I Salivating Uncontrollably Around Food and Girls?
Adjusting Feeding Schedule for Preterm Infants: Is It Safe?
Milk consumption time My baby is a premature infant, born on January 21, with a due date of April 1. Currently, he weighs around 3 kg and is exclusively breastfed. He is currently taking 65 cc every 3 hours. I would like to extend the time between feedings. Is it okay to change t...
Dr. Pei Rensheng reply Pediatrics
Hello! As premature infants grow, the intervals between feedings can be extended. It is indeed possible to follow your suggestion of feeding smaller amounts more frequently, and then observe the baby for any signs of reflux or discomfort. Wishing you health and happiness! Sincere...[Read More] Adjusting Feeding Schedule for Preterm Infants: Is It Safe?
Understanding and Managing Constipation in Infants: A Parent's Guide
Infant constipation Hello, doctor. My child started drinking a combination of formula and breast milk over a month ago, and after two months, formula became the main source. We have been using Nestlé NAN Hypoallergenic HA formula, and initially, my child would have at least one b...
Dr. Pei Rensheng reply Pediatrics
Hello: Most hydrolyzed protein formula milk tends to cause softer stools and is less likely to lead to constipation. Of course, you can try another type of hydrolyzed formula or switch to a different formula; S-26 is also fine. After 4 months, introducing fiber-rich complementary...[Read More] Understanding and Managing Constipation in Infants: A Parent's Guide
Managing Diarrhea in Infants on Levothyroxine: Alternatives and Insights
Infants taking Enterogermina may experience diarrhea? Hello, my son had a TSH level consistently between 10 and 15 from birth to two months. A bone age assessment during that time was normal. However, at two months during his sixth blood test, his TSH level rose to 20. The doctor...
Dr. Pei Rensheng reply Pediatrics
Hello! Eltroxin is a thyroid hormone, and an overdose may lead to increased metabolic rate, diarrhea, and increased appetite with difficulty in gaining weight. You might consider reducing the dosage. These issues should be manageable. Wishing you health and happiness! Best regard...[Read More] Managing Diarrhea in Infants on Levothyroxine: Alternatives and Insights
Managing Febrile Seizures in Young Children: Key Considerations
1. Examination 2. Medication 3. Temperature issues A 2-year and 7-month-old girl experienced her first febrile seizure three days after attending kindergarten, following an enterovirus infection (at that time she was 2 years and 5 months old). She was hospitalized for five da...
Dr. Pei Rensheng reply Pediatrics
Hello, 1. If the child has experienced heat cramps twice, and the EEG is normal with normal development, we can choose to observe. In the future, if there is a fever, we should manage it actively. 2. The duration of antibiotic treatment is fixed and depends on the type of inf...[Read More] Managing Febrile Seizures in Young Children: Key Considerations
Understanding Nighttime Abdominal Pain in Toddlers: Causes and Solutions
A little girl over 2 years old is crying and complaining of stomach pain in the middle of the night? Hello Dr. Pei: Last night at 1 AM, my child was crying intensely, complaining of stomach pain and curling up in bed. After some soothing, they calmed down, but around 4 AM, they s...
Dr. Pei Rensheng reply Pediatrics
Hello, a 2-year-old with abdominal pain may have conditions such as constipation, gastroenteritis, intussusception, or tumors. It is advisable to go to the hospital for X-rays, ultrasounds, and stool tests to clarify the cause. Wishing you health and happiness. Sincerely, Dr. Pei...[Read More] Understanding Nighttime Abdominal Pain in Toddlers: Causes and Solutions
Is a Normal Ear Temperature of 37-37.5°C Safe for My Child?
Is a normal ear temperature between 37 to 37.5 degrees Celsius? A 2-year and 7-month-old girl typically has an ear temperature (measured with an electronic ear thermometer) ranging from 37.0 to 37.5 degrees Celsius, and higher during fever episodes (between 37.5 and over 39 degre...
Dr. Pei Rensheng reply Pediatrics
Hello: An ear temperature below 37.8 degrees Celsius is considered normal. There have been two instances of febrile seizures, so an EEG should be arranged. If the temperature is above 38 degrees Celsius, antipyretics can be administered, but be cautious not to exceed the recommen...[Read More] Is a Normal Ear Temperature of 37-37.5°C Safe for My Child?