Understanding Ongoing Stomach Issues in Children After Viral Infections
What is the problem? Hello Dr. Chang: My son is 6 years old. In late July, he first contracted enterovirus, and after seeking medical attention, his condition improved. However, he then got infected with rotavirus, experiencing vomiting and diarrhea. After taking medication, he s...
Dr. Zhang Yingwen reply Pediatrics
After the resolution of infectious enteritis, symptoms typically completely alleviate, unless diarrhea persists for more than two weeks (indicating chronic diarrhea), in which case abdominal pain and diarrhea may continue. In rare instances, severe infections can lead to inflamma...[Read More] Understanding Ongoing Stomach Issues in Children After Viral Infections
Understanding Your Baby's Decreased Appetite and Green Stool Concerns
The baby's appetite is poor! The baby is currently 1 year and 3 months old, with a height of approximately 75 cm and a weight in the 9 kg range. Due to some nutritional deficiencies noted at the one-year mark, the doctor recommended switching to a different formula (Pepti Ju...
Dr. Zhang Yingwen reply Pediatrics
At one year and three months old, the baby has a height of approximately 75 cm and a weight in the 9 kg range. Both height and weight fall within the normal range but are on the smaller side (around the 25th to 50th percentile). The baby consumes two servings of Pediasure (250 cc...[Read More] Understanding Your Baby's Decreased Appetite and Green Stool Concerns
Do Adults Need Tetanus and Diphtheria Vaccines for Study Abroad?
Can adults receive vaccinations? Hello, I am going abroad for studies. However, the school in the United States requires me to receive the tetanus and diphtheria vaccines. I was vaccinated as a child. Do I need to get vaccinated again now that I am an adult? Does health insurance...
Dr. Zhang Yingwen reply Pediatrics
The tetanus and diphtheria vaccine is not lifelong effective. If an adult receives a booster vaccine, it can generate antibodies during an outbreak, achieving effective prevention. It is recommended to visit a medical center (for example, National Taiwan University Hospital) to r...[Read More] Do Adults Need Tetanus and Diphtheria Vaccines for Study Abroad?
Understanding Baby's Constipation: Emotional and Environmental Factors
Baby's stool Hello Dr. Chang! My baby is currently 10 months old and has been eating solid foods for about 3 months, primarily with formula milk. Recently, during the weekends when I bring him home (he is with the nanny for 24 hours), the nanny often reports that he has cons...
Dr. Zhang Yingwen reply Pediatrics
In addition to diet, emotions, lifestyle habits, and changes in the environment can indeed affect a child's bowel movements, whether at a caregiver's home or at their own. If possible, personally taking care of the baby is the ideal parenting approach. Bowel movements a...[Read More] Understanding Baby's Constipation: Emotional and Environmental Factors
Safe Remedies for Infant Constipation: Nurse Tips and Concerns
The nurse advised me to use petroleum jelly for my child's constipation? Hello Dr. Zhang: My baby just turned one year old on April 4th, and she is still exclusively breastfed with three meals of solid food. She has a bowel movement 1-2 times a day, but she doesn't like...
Dr. Zhang Yingwen reply Pediatrics
This diligent mother need not worry too much, as a depth of 5 cm is within acceptable limits and will not damage her child's rectum. However, it is still advisable to consult a pediatric gastroenterologist for evaluation and treatment of the constipation issue.[Read More] Safe Remedies for Infant Constipation: Nurse Tips and Concerns
Understanding Your Baby's Unusual Stool Color: When to Seek Help
Abnormal stool color in infants? Hello Dr. Chang: My baby boy is currently 5 months old and has atopic dermatitis. Two months ago, we switched to hydrolyzed protein formula. However, over the past three months, his stool has changed from dark black to gray, with a tubular shape a...
Dr. Zhang Yingwen reply Pediatrics
The stool color resembling volcanic mud (without any yellow mixed in) may be due to the use of intestinal adsorbents (such as Kopectin or Koline) or liver and biliary diseases that prevent bile from being excreted. It is recommended to promptly visit a pediatric gastroenterology ...[Read More] Understanding Your Baby's Unusual Stool Color: When to Seek Help
Is Lactose-Free Formula Safe for My Baby's Digestive Issues?
Lactose-free milk powder? Hello, doctor. My baby is currently 11.5 months old, measuring 76 cm and weighing 10.5 kg. She is lively, cheerful, and active, showing good growth. However, we have been facing persistent issues with her bowel movements. Three months ago, she had roseol...
Dr. Zhang Yingwen reply Pediatrics
1. The nutritional composition of lactose-free formula is similar to that of regular infant formula, so it can be continued even if the baby is nearly one year old. Babies over one year old can also obtain balanced nutrition from the addition of complementary foods. 2. Hydrolyzed...[Read More] Is Lactose-Free Formula Safe for My Baby's Digestive Issues?
Understanding Constipation in Toddlers: A Guide for Parents
Bowel habits in three-year-old children? Hello Dr. Chang: My daughter is currently three and a half years old. Previously, her bowel movements were regular, but about half a month ago, after switching her formula (from S-26 Nutri-Start to S-26 Gold), she started experiencing pell...
Dr. Zhang Yingwen reply Pediatrics
1. The presence of pellet-like stools followed by ribbon-like stools may indicate possible dehydration and prolonged retention of feces, leading to the absorption of moisture from the stool and resulting in hard stools. Therefore, even though there is daily bowel movement, it sti...[Read More] Understanding Constipation in Toddlers: A Guide for Parents
Can I Switch Back to Infant Formula for My 10-Month-Old?
Can it be reversed? My sister was born weighing 2400g, and now at ten months old, she weighs approximately 8600g. Since switching to a larger infant formula at six months, she has been experiencing constipation. I would like to know if I can switch her back to the infant formula ...
Dr. Zhang Yingwen reply Pediatrics
1. It is possible to switch back to infant formula for a ten-month-old baby; however, the issue of constipation at this stage is not solely related to the formula but is more associated with the intake of vegetables, fruits, and fiber. If constipation is severe, it is important t...[Read More] Can I Switch Back to Infant Formula for My 10-Month-Old?
Understanding Congenital Heart Disease in Infants: A Parent's Guide
Congenital heart disease Hello Doctor: My baby was born on November 19, and we noticed some wheezing while in the hospital. After several days of examinations, it was discovered that she has a congenital heart defect involving the arterial trunk. Neither my family nor my husband&...
Dr. Zhang Yingwen reply Pediatrics
Congenital Heart Disease of the Arterial Trunk: The arterial trunk is a single large vessel that emerges from both the left and right ventricles and crosses over a ventricular septal defect. This common vessel has a valve and subsequently branches into the pulmonary artery, coron...[Read More] Understanding Congenital Heart Disease in Infants: A Parent's Guide
Overcoming Constipation: Helping Your Child Stop Holding in Bowel Movements
The issue of withholding bowel movements? Hello, Dr. Zhang. I would like to consult you regarding my 3-year-old daughter. Since she was 1 year old, she has developed a habit of withholding bowel movements due to several instances of painful defecation. She usually holds it in unt...
Dr. Zhang Yingwen reply Pediatrics
Constipation can be influenced by dietary habits and lifestyle factors, and it is also important to consider the possibility of organic issues, such as congenital megacolon or abdominal tumors causing pressure. However, most cases are primarily due to poor bowel habits. Improveme...[Read More] Overcoming Constipation: Helping Your Child Stop Holding in Bowel Movements
Understanding Autonomic Nervous System Issues in Children: A Parent's Guide
Autonomic nervous system disorders My child has unstable emotions, is easily angered, has tendencies toward violence, and has a large appetite. She is a 6th-grade girl.
Dr. Zhang Yingwen reply Pediatrics
By the sixth grade, students have entered puberty, during which significant endocrine changes occur, leading to rapid physical development and transformation. This can leave adolescents feeling confused and unsure of how to cope, often feeling too shy to ask questions. Coupled wi...[Read More] Understanding Autonomic Nervous System Issues in Children: A Parent's Guide
Blood After Bowel Movements in Infants: Causes and Solutions
Blood after bowel movements? Dear Doctor, Hello! My baby is now over eight months old and has had a tendency towards constipation since he was three months old. We have tried numerous formulas, and eventually, switching to New Anqi Er's Anbu infant formula improved his cond...
Dr. Zhang Yingwen reply Pediatrics
Hello: Constipation in babies can lead to anal fissures and bleeding, causing significant pain. It is important to supplement with fiber-rich vegetables or fruits, and hydration is also crucial. You may try black date juice. If there are still difficulties with bowel movements, i...[Read More] Blood After Bowel Movements in Infants: Causes and Solutions
Understanding Sour Smell in Baby's Stool: Causes and Concerns
The stool has a sour smell? My baby was born about 7 weeks ago. In the hospital, due to digestive issues, the doctor prescribed LGG (Lactobacillus rhamnosus GG). After finishing the LGG, my baby had a bowel movement only once in three days, and the stool was thicker than before, ...
Dr. Zhang Yingwen reply Pediatrics
Hello: Foul-smelling stools are often due to abnormal fermentation caused by the inability to digest and absorb carbohydrates. Breast milk is the most easily digestible milk for humans, so the sour odor of your baby's stool may not necessarily be influenced by additives in b...[Read More] Understanding Sour Smell in Baby's Stool: Causes and Concerns
Understanding Your Child's Habitual Vomiting: When to Seek Help
My child has habitual vomiting? Hello Dr. Chang! My child is almost 3 years old, and she has had a habit of vomiting since she was little. Whenever she feels like vomiting, she will throw up everything in her stomach. Sometimes, even three hours after eating, some food remains un...
Dr. Zhang Yingwen reply Pediatrics
Hello: Vomiting can be caused not only by gastrointestinal issues and psychological factors but also by problems in the brain. It is advisable to seek evaluation from a physician.[Read More] Understanding Your Child's Habitual Vomiting: When to Seek Help
Guidance for Parents: Addressing Pediatric Weight Concerns
Weight is significantly behind? Hello, Dr. Chang. My baby boy was born at 37 weeks with a weight of only 1885 grams. When I asked the doctor why he was so underweight, the doctor said it was due to a tight and tangled umbilical cord, which resulted in him not receiving adequate n...
Dr. Zhang Yingwen reply Pediatrics
The baby is one year and six months old and weighs only eight kilograms, which is indeed underweight and indicates poor growth. It is necessary to consult specialists in four areas for evaluation: pediatric neurology, pediatric endocrinology, pediatric gastroenterology, and pedia...[Read More] Guidance for Parents: Addressing Pediatric Weight Concerns
Concerns About Delayed Teething in a 9-Month-Old Baby
A 9-month-old baby has not yet developed any teeth? Hello, doctor. 1. My son is 9 months and 7 days old and has not yet developed any teeth, which makes me a bit worried. Could this be due to insufficient calcium intake? He is 77 cm tall and weighs 10.7 kg. Currently, he drinks...
Dr. Zhang Yingwen reply Pediatrics
Hello: 1. It is indeed somewhat slow for a nine-month-old not to have any teeth, but it is still reasonable to wait and observe the development of primary teeth, which typically begins around six weeks of gestation. However, the first primary tooth usually erupts when the baby is...[Read More] Concerns About Delayed Teething in a 9-Month-Old Baby
Is Your 6-Month-Old's Banana Puree Causing Unusual Stool?
Why does a six-month-old baby have golden stools that resemble hair moss after eating banana puree? Hello! My baby is six months old and is breastfed. I have been giving her mashed bananas for two days, and her stool has black strands that look like seaweed. The amount is quite a...
Dr. Zhang Yingwen reply Pediatrics
Eating banana puree with black strands from hair vegetables may not necessarily indicate a problem due to fiber that cannot be absorbed. Please observe clinical manifestations such as abdominal distension, abdominal pain, or irritability. If any of these symptoms are present, ple...[Read More] Is Your 6-Month-Old's Banana Puree Causing Unusual Stool?
Understanding Vomiting in Sick Children: Is It a Sign of Stomach Issues?
Nausea is common when sick? The child is three years old and always vomits whenever they get sick. Is there a possibility of gastrointestinal issues? An ultrasound was previously performed, and the doctor mentioned that the stomach has folds, indicating that it has been a long ti...
Dr. Zhang Yingwen reply Pediatrics
1. Vomiting during illness may be associated with certain viral infections that can lead to gastrointestinal discomfort or acute gastritis; it can also occur due to increased abdominal pressure from severe coughing, which may cause undigested stomach contents to be expelled, not ...[Read More] Understanding Vomiting in Sick Children: Is It a Sign of Stomach Issues?
Understanding Green Stool in Infants: Causes and When to Worry
Gastrointestinal absorption and bowel movement? My son has just turned three months old and weighs about seven kilograms. He has a bowel movement once a day, and the stool is greenish in color, mushy, and sometimes has a sour smell. Some pharmacies say that the green stool is due...
Dr. Zhang Yingwen reply Pediatrics
1. A weight gain of 7 kilograms in 3 months is excellent. 2. Green stools can indeed be due to the iron content in formula or the action of bile and intestinal enzymes, so there is no need to worry. 3. The sour smell of the stools may be due to malabsorption of carbohydrates....[Read More] Understanding Green Stool in Infants: Causes and When to Worry