Bowel movements, Pediatrics FAQ

Understanding Constipation in Infants on Formula Milk: A Guide for Parents

Formula milk and bowel movement issues? The child is currently 4 months and 15 days old, weighing 6 kg, measuring 61 cm in height, and having a head circumference of 39 cm. They have been drinking Enfamil A+ formula and are on their third can. The milk intake is 150 ml, approxima...

Dr. Pei Rensheng Reply:
Hello! For a baby over four months old, the daily food intake is approximately 100-200 gm/kg/day. Currently weighing 6 kg, this translates to a daily intake of 600-1200 gm of food. Formula milk accounts for about 600-750 mL, and along with other complementary foods, it seems the ...

Understanding Infant Formula Issues: A Guide for New Parents

Formula milk issues Hello, Doctor: My baby is currently two and a half months old. During the postpartum period, my wife initially breastfed and used partially hydrolyzed formula for about 1 to 2 weeks, not knowing the functional benefits of partially hydrolyzed formula. Later, w...

Dr. Zhang Yingwen Reply:
Breast milk is the best source of nutrition for infants, and if possible, it is encouraged for mothers to exclusively breastfeed. If there is a need for formula, hydrolyzed protein formula is generally easier to digest and absorb than regular formula. Therefore, regular formula c...

Understanding Frequent Bowel Movements in Infants: When to Seek Help

Frequent bowel movements? Hello, Dr. Hsiao. Thank you very much for taking the time to read my question. My daughter is currently 1 month and 21 days old and is exclusively on Meiji formula milk. At one month old, due to gastroenteritis, we switched to lactose-free formula, which...

Dr. Xiao Kaiwen Reply:
If you switch back to regular formula and the stool frequency increases again with a watery consistency, it indicates that the gastroenteritis has not fully resolved. You can revert to lactose-free anti-diarrheal formula; in fact, it is fine to use anti-diarrheal formula for one ...

Addressing Common Pediatric Concerns: Feeding, Bowel Movements, and Nutrition

Bowel movements, milk consumption, and complementary food issues? Hello Doctor, 1. My baby is currently 7 months old and is drinking formula 4-5 times a day, with each feeding being 210ml. The diapers often do not feel heavy, and we change less than 6-8 diapers a day. However, t...

Dr. Xiao Kaiwen Reply:
1. An infant urinating more than six times a day (not every time being a small amount of concentrated yellow urine), with a normal growth curve and normal activity levels, indicates that their milk and water intake is adequate. 2. The quality of stool is more important; as long ...

Understanding Constipation and Blood Streaks in Infants: A Guide for Parents

Bowel issues (constipation with blood streaks) The baby is six weeks old and has been drinking water mixed with formula since birth. After reaching one month, the baby had bowel movements about 3-4 times a day, with yellow, loose stools. Suddenly, one morning, the baby had a slig...

Dr. Xiao Kaiwen Reply:
The issue of bottle sterilization or contamination from unclean cloths can generally lead to diarrhea. If the stools are pellet-like, it indicates that the stools are somewhat dry and hard. It may be worth trying a different formula. Newborns have not yet developed strong abdomin...

Understanding Newborn Bowel Movements: Is Formula Feeding the Cause?

Newborn bowel movement issues? Hello, doctor. My child is 22 days old and has been exclusively on S26 formula. He is currently consuming 100 ml every four hours and finishes every meal smoothly. However, he has bowel movements 10-14 times a day and urinates about 16 times. His st...

Dr. Xiao Kaiwen Reply:
Newborns have a stronger gastrocolic reflex, meaning it is common for them to feed from the mouth and immediately have a bowel movement. If there is an abnormal reaction to cow's milk protein, the stool may contain blood, be watery, or the baby may develop rashes. It is advi...

Choosing Formula Milk: Addressing Baby's Constipation Issues

Choosing formula milk when the baby is constipated? The baby is almost 4 months old. Before April 11, the baby was exclusively breastfed, drinking 4-5 times a day (average intake of 600 ml), and having 1-2 bowel movements daily, which were soft, mushy, and yellow. From April 11 t...

Dr. Xiao Kaiwen Reply:
Infants under six months old should not drink too much water. After four months, babies can start trying small amounts of a variety of solid foods, which will change their stool patterns. It is normal for infants to have bowel movements two to three times a day or once every two ...

Choosing the Right Formula for Your Baby: A Guide for Parents

How to choose formula milk? My child is currently over 3 months old and has been exclusively breastfed. For the first two months, the stools were yellow and watery, about 5 to 6 times a day. Since March 26, the bowel movements have changed to 1 to 2 times a day, sometimes just a ...

Dr. Pei Rensheng Reply:
Hello! 1. The priority for allergy prevention is breastfeeding first, followed by hydrolyzed formula. For example, Enfamil HA1 has been on the market for many years and has substantial evidence supporting its role in allergy prevention. 2. The average daily milk intake is 100...

Is Your Breastfed Baby's Diarrhea Normal? Understanding Stool Changes and Care

Is a exclusively breastfed newborn's stool considered normal or diarrhea? The baby is currently 2 months and 15 days old, weighing 6 kg. Since birth, the baby has been exclusively breastfed. Diapers are changed every 2 hours, with approximately 4 to 6 urinations per day, but...

Dr. Pei Rensheng Reply:
Hello! 1. This week, the baby has frequently had diapers without residue but with a large amount of yellow watery stool. Is this a normal stool condition? --> After one month, breastfed babies typically have fewer bowel movements. Based on your description, there is a possib...

Understanding Infant Urination Issues: Strong Odor and Constipation Concerns

Pediatrics - Infant Urination Issues - Strong Urine Odor and Constipation? Hello doctor, my baby is currently 8 months old. Today, March 6 (Friday), when I changed his diaper in the morning, I noticed that the urine output was significantly less than usual; usually, the diaper is...

Dr. Xiao Kaiwen Reply:
Having bowel movements two to three times a day or once every two to three days can be considered normal, as long as the stool is not watery diarrhea or excessively hard and pellet-like. Ideally, urination should occur four to five times a day or more, with urine that is not dark...

Understanding Increased Bowel Movements in Infants: Causes and Concerns

Sudden increase in bowel movements? The baby is now over seven months old and is exclusively breastfed. The growth curve is normal (8.9 kg, height 70.9 cm). On August 27, the baby suddenly had five to six bowel movements, but they were only small amounts, so I decided to observe ...

Dr. Xiao Kaiwen Reply:
1. It's okay; the complementary foods can be chopped into small pieces. However, you can also try mashing them a bit (it doesn't have to be pureed). 2. Based on the stool report, there may be a suspicion of bacterial gastroenteritis, such as Salmonella. Be aware of some...

Understanding Soft Stools in Toddlers: Causes and Solutions

Bowel issues Hello Doctor, my child is currently 2 years and 8 months old. Since birth, her bowel movements have consistently been soft or mushy, rarely forming solid stools. However, she is in good health and very active. Since she turned 1.5 years old, she has become a picky ea...

Dr. Zhang Yingwen Reply:
Hello! Based on your description, 1. Although the stools are soft, the absence of a foul odor and having fewer than three bowel movements per day, along with normal weight gain, may not indicate a problem. 2. Replacing cow's milk with goat's milk may not necessarily imp...

Understanding Your Toddler's Ongoing Loose Stools: Causes and Solutions

The baby's stools have always been loose and mushy (one and a half years old)? The baby was breastfed at birth and later switched to formula milk - Children's Growth 3 (which contains lactic acid and probiotics). Now at one and a half years old, the baby also eats two m...

Dr. Xiao Kaiwen Reply:
I want to note that as long as the frequency of bowel movements does not increase daily, and the stool does not become increasingly watery (which is defined as diarrhea) or contain blood, and growth and development are normal (with height and weight percentiles increasing appropr...

Understanding Loose Stools in Toddlers: When to Worry?

The baby's stool has always been loose and mushy (one and a half years old)? The baby was breastfed at birth and later switched to formula milk - Children's Growth Formula 3 (which contains lactic acid and probiotics). Now, at one and a half years old, the baby also eat...

Dr. Xiao Kaiwen Reply:
I want to note that as long as the frequency of bowel movements is not increasing daily, and the stools are not becoming more watery (which would define diarrhea) or containing blood, and growth and development are normal (with height and weight percentiles increasing appropriate...

Red Spot in Baby's Mouth: When to Observe and Seek Medical Advice

Suspected wound in the oral cavity? Hello, Doctor. My baby has a red spot on the inner surface of the cheek in the mouth. The baby has a habit of sucking on their fingers, and the red spot looks like a wound that might have been caused by a fingernail while sucking. However, I&#x...

Dr. Xiao Kaiwen Reply:
If it is just a simple wound, it will heal on its own. However, if after two or three days it becomes larger or more lesions appear, I recommend having it checked by a pediatrician.

Understanding Fever Without Symptoms in Children: A Pediatric Case Study

Asymptomatic fever? Hello, doctor. Continuing from the last question, my son is almost 8 years old, weighs 19 kg, and is 120 cm tall. He started having a fever on June 17, and on June 18, he had a fever four times, each time above 39°C. We went to the emergency room, but since he...

Dr. Xiao Kaiwen Reply:
Adenovirus infection can also cause diarrhea, which may be confused with salmonella infection. It is not possible to determine the type of infection just by looking at the stool; a stool culture is necessary for identification, and you should discuss this with your physician. Ade...

Understanding Baby's Digestive Patterns: Is It Normal to Find Stool in Diapers?

There are traces of feces in the diaper? Hello, Doctor. My baby is a two-month-old formula-fed infant. Based on the amount of stool, he typically has one to three bowel movements a day, or he may have a large bowel movement every other day. However, occasionally when changing his...

Dr. Lin Yishou Reply:
Hello parents, it is indeed true that most of the time it happens when passing gas. As the child grows a bit older, it will gradually improve. Regarding the second question, if the baby is constantly squirming and resisting feeding, it usually indicates that they are no longer hu...

Understanding Hypothyroidism in Infants: Testing and Care Guidelines

Hypothyroidism Hello doctor, I would like to ask if it is okay to have a follow-up test for hypothyroidism after one month. Does hypothyroidism mean that the hormone levels should not be too high or too low? My baby is 9 days old and is drinking formula milk; how often should he ...

Dr. Xiao Kaiwen Reply:
If hypothyroidism is indeed present, most cases that receive prompt and appropriate treatment do not exhibit neurological deficits, so delays are not advisable. The diagnosis of hypothyroidism involves multiple blood tests; some parameters may show significantly low levels while ...

Understanding Baby's Bowel Movements: When to Worry and What to Expect

Baby bowel movements Hello doctor, my baby is currently 1 month and 13 days old and is exclusively breastfed. However, he hasn't had a bowel movement for five days. He usually consumes 120 ml of milk, but for some reason, he hasn't been finishing it these past few days....

Dr. Zhong Ruixian Reply:
Hello! Based on your question, there are several possible causes: 1. **Fecal Impaction**: If the stools in the colon are hard or abundant, it can affect the baby's feeding. Check if the baby has abdominal distension or if there are hard stools at the anus. Breastfed infant...

Understanding Abdominal Pain During Bowel Movements in Young Children

Bowel issues - abdominal pain during defecation? Hello Doctor: My child is currently 3 years and 3 months old. For the past two to three weeks, he has been experiencing severe abdominal pain during bowel movements, which resolves immediately after he finishes. His bowel habits (f...

Dr. Pei Rensheng Reply:
Hello! Pain during bowel movements at this age is most commonly associated with constipation combined with anal fissures. Even after softening the stool, pain may still occur following the development of an anal fissure. Other potential causes include polyps, hemorrhoids, periana...

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