Bowel movements, Pediatrics FAQ

Addressing Pediatric Concerns: Constipation and Circumcision Issues

The issues of two babies? The older child is currently attending kindergarten and has a normal diet with three meals a day plus snacks at school. The main issue is related to bowel movements. He goes to the bathroom five times a week, but most of the time his stools resemble smal...

Dr. Xiao Kaiwen Reply:
Hard, pellet-like stools are defined as constipation. When hard stools accumulate, it is inevitable that some may be expelled involuntarily. Generally, issues with the anal sphincter are rare (the likelihood is low; symptoms typically present during infancy, and if necessary, ana...

Understanding Newborn Bowel Movements: What’s Normal and What’s Not?

Newborn stool Hello, Doctor He. I would like to ask you about my child, who is currently one and a half months old. He is being fed a combination of breast milk and formula, and he has bowel movements twice a day, with a substantial amount each time. Is this considered normal? I ...

Dr. He Shenglong Reply:
Hello: If exclusively breastfeeding, breast milk is digested and absorbed more completely, which may result in bowel movements occurring every three to four days. However, the baby should not experience any discomfort (such as crying, vomiting, severe abdominal distension, or ref...

Understanding Your Baby's Sleep Sounds: When to Worry and When to Relax

Is it normal for a baby to make strange noises while sleeping? Hello, Doctor: I would like to ask you a question. My baby is almost 2 months old (will be 2 months on the 15th). When my baby was about 2 weeks old, I noticed that she makes a certain sound while sleeping, and I have...

Dr. He Shenglong Reply:
Hello: When your baby is about two months old, it's normal for them to smile when you play with them, and the timing may vary, so there's no need to rush to have a doctor evaluate it. I recommend that during the vaccination visits, you have the doctor conduct a health c...

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 e...

Dr. Xiao Kaiwen Reply:
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 healt...

Understanding Fever in Infants: Symptoms, Causes, and When to Seek Help

Fever Hello Dr. Hsiao, Here are the symptoms of my baby (1 year and 4 months) over the past few days. Could you please help me assess the situation, possible illnesses, and necessary examinations? Thank you, doctor. 1. On November 19 (Wednesday) afternoon, my baby suddenly had...

Dr. Xiao Kaiwen Reply:
1. The fever on November 19 may have been caused by a viral infection, viral rash, and gastroenteritis, which is generally manageable for individuals with normal immunity. 2. The fever on December 2 is likely due to a new infection (since it has been some time since November 19, ...

Understanding Baby's Bowel Issues: When to Worry About Hard Stools

Bowel issues Hello, doctor. My baby is six and a half months old. Recently, we switched formula from Nestlé hydrolyzed protein to Pigeon regular formula. He has consumed three cans so far. For the past few days, I have been feeding him 30cc of rice cereal or occasionally apple pu...

Dr. Xiao Kaiwen Reply:
1. Even if only the front part of the stool is hard and large, it can still be considered constipation if it causes discomfort. 2. Infants can be given a small amount of water (about 15-20 c.c) between feedings. For babies over four months old, a slightly more concentrated (highe...

Understanding Persistent Diarrhea with Mucus and Blood in Infants

Persistent diarrhea with mucus and streaks of blood? The child is currently 8 months and 10 days old. Since May 19, he has been experiencing diarrhea with mucus and blood-streaked stools. At the clinic, the doctor diagnosed it as Salmonella infection. After two weeks of medicatio...

Dr. Pei Rensheng Reply:
Dear Dora, Hello! 1. If diarrhea lasts more than two weeks, it is classified as chronic diarrhea. Conditions such as enteritis, food allergies, genetic factors, and immune issues can all contribute to chronic diarrhea. Your baby is likely experiencing post-infectious diarrhea ...

Probiotics for Infants: Addressing Constipation and Formula Concerns

Lactic acid bacteria Hello, doctor. My child is 2 months old and has a bowel movement every two days. I would like to help him have daily bowel movements. Is it okay to supplement with probiotics? He is currently drinking a mixture of Nestlé hydrolyzed protein formula and Meiji f...

Dr. Xiao Kaiwen Reply:
Having a bowel movement every two days is considered normal, as long as the stool is not hard. There is no need to supplement with lactobacillus for this reason (especially since newborns already have a sufficient amount of beneficial bacteria in their intestines, and additional ...

Blood in Stool: What Parents Should Know About Pediatric Concerns

Blood in the stool? Hello Dr. Hsiao, My child is currently 2 years and 4 months old and is in the process of learning to use the toilet. Recently, I have noticed some bright red blood in the stool after bowel movements. It's not a lot, but it is fresh blood. Should I take ...

Dr. Xiao Kaiwen Reply:
Bright red blood in the stool is generally indicative of lower gastrointestinal bleeding (as blood from the upper gastrointestinal tract tends to be darker). In infants and young children, the most common cause is anal fissures, which occur due to the narrowness of the anal sphin...

Essential Feeding Tips and Concerns for Newborns: A Guide for New Moms

Neonatal Feeding Volume and Related Issues Hello Doctor: I am a new mom and have some questions to ask. 1. My baby girl is currently 1 month and 19 days old and weighed 4 kg about a week ago. I’m not sure what her current weight is. Sometimes she doesn’t finish 120 cc of formul...

Dr. Xiao Kaiwen Reply:
1. A one-month-old infant is considered normal if their weight has increased by 900-1000 grams from their birth weight, indicating adequate milk intake. It is common for newborns to have small feeding sessions due to their limited stomach capacity. The amount of formula to prepar...

Managing Severe Allergic Rhinitis in Infants and Young Children

Severe Allergic Rhinitis in Infants and Young Children Dear Dr. Hsiao, Hello! I have two sons, one just turned one year old and the other just turned four. I have taken both children to see both Western and Traditional Chinese Medicine practitioners, and they have both been diag...

Dr. Xiao Kaiwen Reply:
Allergic constitution requires persistence and patience to combat. Children are more likely to change their constitution (unlike adults, who find it more difficult to do so), and there is a possibility for improvement or even complete resolution. Conversely, if left unaddressed, ...

Understanding Hard Stools in Infants: Causes and Solutions

Hard stools? Hello, doctor. My baby is currently 4 and a half months old. Recently, I’m not sure if it’s because I started adding rice cereal, but his stools have become very hard. I have stopped the rice cereal and only added it to his formula, but his stools are still hard. Pre...

Dr. Xiao Kaiwen Reply:
A four-and-a-half-month-old baby with constipation can be given a small amount of water (not too much) between feedings, as well as diluted fruit juice with a higher concentration (higher osmotic pressure). Once the baby has started eating solid foods, it is recommended to provid...

Understanding Gastrointestinal Issues in Infants: Causes and Remedies

Gastrointestinal issues Hello Doctor, I would like to ask you about my baby who is almost one year old. He often tosses and turns at night and only settles down after passing gas. During the day, his diaper often smells bad, and when I check, I find that he has only passed gas an...

Dr. Pei Rensheng Reply:
Hello, (1) The sources of air in a baby's gastrointestinal tract include crying, oversized nipple holes, frequent sucking on pacifiers, food fermentation, or gas produced by intestinal bacteria. If the baby has a normal appetite, is growing well, and has no abnormalities i...

Understanding Oral Thrush and Common Pediatric Concerns

Angular Cheilitis (2) Dear Dr. Pei, I have a few questions to ask you: (1) My child was diagnosed with oral thrush last Wednesday. The first three packets of medication were mixed with milk for drinking, but I later realized they should be applied topically, so I switched to t...

Dr. Pei Rensheng Reply:
Dear Xiaofen, (1) After medication, oral thrush usually disappears within about 3 days. If the white spots have not completely cleared after finishing the last dose of medication, it is advisable to consult a pediatrician. (2) Sources of air in the gastrointestinal tract includ...

Understanding Baby's Bowel Movements: What Parents Need to Know

Bowel issues (continued) Hello, doctor... I previously asked about my baby's bowel movement issues. If overfeeding does not affect my baby's bowel movements, will the absence of nighttime feedings have an impact? Excluding the formula issue (since my baby just had about...

Dr. Xiao Kaiwen Reply:
Not drinking night milk will not affect the baby's bowel movements. It is acceptable for a baby to have a bowel movement every 2 to 3 days, as long as the stool is not hard. Green stool simply indicates that the baby is excreting excess iron that is not needed, and does not ...

Understanding Baby's Bowel Issues: Feeding Patterns and Constipation Concerns

Bowel issues? Hello, my baby is currently 7 days away from turning 3 months old. Due to work commitments, I have my mother-in-law take care of the baby every other day. She feeds the baby a lot; a 900-gram can of formula is finished in 6 days. I have asked her to feed the baby ev...

Dr. Xiao Kaiwen Reply:
1. Issues with formula preparation can potentially affect bowel movements (if the formula is too diluted, stools may be less frequent; if it is too concentrated, stools may be loose). Feeding too much does not necessarily impact bowel movements. 2. Fixed feeding schedules are n...

Managing Cold Symptoms and Digestive Issues in Infants

Cold and bowel issues? Hello, Doctor He: 1. I would like to ask about my daughter, who is currently two and a half months old, weighing 4,700 grams and measuring 55 centimeters. She was born weighing 2,500 grams and measuring 47 centimeters. Currently, she is consuming 140 cc of...

Dr. Xiao Kaiwen Reply:
1. At two and a half months, the weight is 4700 grams (10-25 percentile), height is 55 cm (25 percentile), and the weight has increased by 2200 grams since birth. This growth is considered normal (typically, infants gain about 1 kg per month in the first few months). It is also n...

Managing Vomiting in Toddlers: Recovery Tips After Rotavirus

Pediatric vomiting Doctor: My child is currently 1 year and 8 months old. Last Thursday, he was hospitalized for vomiting and diarrhea, and he was diagnosed with rotavirus. He stayed in the hospital for 4 days and did not consume any milk during that time, relying on IV fluids fo...

Dr. Xiao Kaiwen Reply:
Dairy products are less easily absorbed during gastroenteritis. It is advisable to prioritize light foods such as water, plain toast, and porridge. At the age of one year and eight months, milk is no longer a staple food, so it can be gradually reintroduced once the condition imp...

Addressing Pediatric Digestive Issues: Tips for Improving Baby's Appetite

Bowel issues Hello Doctor: My baby just turned 8 months old, weighing 7 kg and measuring 69 cm. At six months, we switched to Jin Ke Bei Ke formula, giving 150 cc four times a day along with complementary foods, and bowel movements were normal. However, after turning seven months...

Dr. Pei Rensheng Reply:
Hello: It is reasonable for bowel movements to occur three times a day to once every three days, so there is no need to worry too much. At 8 months old and weighing 7 kg, it is indeed a bit slow in growth, especially since there has been no weight gain in the past month. Lactose-...

Is Your Baby Constipated? When to Seek Help for Bowel Issues

Not having a bowel movement for a week? Hello, Director. My child has been exclusively breastfed since birth on May 12. However, from July 8 to July 16, the child did not have a bowel movement (previously, bowel movements were normal). During this period, the child experienced so...

Dr. He Shenglong Reply:
At two to three months old, infants may eat less, and if their activity level is normal and there are no other symptoms, it could be due to a nursing strike, which is not a cause for concern. Occasional spitting up does not indicate any special significance; however, it is import...

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