Breastfeeding, Pediatrics FAQ

Feeding Guidelines for a 9-Day-Old Newborn: Tips for New Parents

9-day-old newborn When I was discharged from the hospital, the nurse said that the baby's feeding amount was 60cc every 4 hours. However, after returning home, it seems that the baby is adjusting to the environment and is still not very good at sucking from the bottle. For t...

Dr. Xiao Kaiwen Reply:
A nine-day-old newborn has a very small stomach capacity, so feeding does not need to be on a strict schedule or in fixed amounts; it should be based on the baby's demand. It is normal for newborns to have bowel movements ranging from two to three times a day to once every t...

Understanding Infant Gastroenteritis: Breastfeeding and Feeding Alternatives

Breastfeeding My friend's baby is almost one month old. She is breastfeeding, but the baby frequently vomits and has diarrhea. Could this be gastroenteritis? Would it be better to use cup feeding?

Dr. Xiao Kaiwen Reply:
Breastfed infants tend to have more watery stools until they are about a month old, which is not indicative of gastroenteritis. As they grow and their absorption improves, this will change, and they may even have bowel movements every few days. Regarding spitting up, it is common...

Is There a Link Between Spitting Up and Colic in Premature Infants?

Is there a relationship between spitting up milk and colic or premature infants? Hello doctor, my child was born on July 28, at 36 weeks of gestation, with a birth weight of 2196g, which is somewhat low. At birth, his white blood cell count was elevated, and he was hospitalized f...

Dr. Pei Rensheng Reply:
Hello: 1. Premature infants are more likely to experience gastroesophageal reflux compared to full-term infants. 2. During the corrected age of 3 to 4 months, some babies may exhibit signs of colic. 3. Typical colic is characterized by crying for more than 3 days a week, with eac...

Is It Lactose Intolerance or Bile Secretion Issues in My Child?

Is it lactose intolerance or an issue with bile secretion? My daughter started transitioning from breastfeeding to formula after 7.5 months. During the transition, her stool has consistently been green and formed. After nearly 2 months on formula, she began experiencing diarrhea ...

Dr. Xiao Kaiwen Reply:
Halitosis is generally the result of bacterial fermentation in the oral cavity, which is related to oral hygiene. It is recommended to rinse the mouth with a few sips of water after drinking milk. Additionally, it is advisable to clean the tongue, gums, and oral cavity at least t...

Understanding Blood in Baby's Stool: When to Seek Medical Advice

Passage of stool with fresh blood and blood streaks? Hello Doctor, my baby is currently 4 and a half months old and is being fed a combination of formula and breast milk. He was born weighing 2.6 kg and now weighs 6.3 kg. Initially, he had issues with bowel movements that include...

Dr. Pei Rensheng Reply:
Hello: 1. Formula milk for infants under 6 months does not contain probiotics; however, if the baby's immune function is normal, probiotics can still be prescribed for infants under 6 months. 2. Haominy is a highly hydrolyzed and lactose-free formula that is beneficial for s...

Transitioning from Breast Milk to Formula: Guidelines for Parents

Milk consumption issues? My baby was born on June 6, 2016, and has been exclusively breastfed until now. Currently, he/she drinks 60-90cc of breast milk every 2-3 hours. I would like to introduce formula milk (Meiji Gold Selection for 0-1 year old). How long should I wait to give...

Dr. Lin Yishou Reply:
Hello, thank you for your message. There is no need to wait between breastfeeding and formula feeding. Start with breast milk, and if there is an insufficient amount, then supplement with formula. Therefore, if the amount of breast milk is adequate, there is no need to use formul...

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:
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...

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:
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...

Understanding the Difference Between Stool Leakage and Diarrhea in Newborns

I have some questions I would like to ask? Hello... I would like to inquire about the definitions of stool leakage and diarrhea in a newborn baby who is three weeks old. What is the difference between the two? If there is frequent stool leakage and the diaper rash is worsening, d...

Dr. Xiao Kaiwen Reply:
It is normal for exclusively breastfed newborns to have multiple, small, watery stools, which is a temporary phenomenon and not indicative of pathological conditions such as fecal incontinence or diarrhea. This usually improves after the first month. If there is a red rash on the...

Transitioning Your Baby to Formula: A Step-by-Step Guide

Baby formula transition? Hello doctor, my baby is currently 2 months old and she has 4 feedings a day, with 2 of them being breast milk and the rest formula. Most of the time, she drinks breast milk throughout the day. If I want to switch the brand of formula, should I still do i...

Dr. Zhong Ruixian Reply:
Hello, Xiaoyu: It is recommended to proceed gradually! You can start by breastfeeding first and then supplementing with formula, or alternate between breastfeeding and formula feeding for each meal. Alternatively, you can begin by introducing a small spoonful of formula and gradu...

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:
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...

How Much Lactoferrin Should a 1-Year-Old Take to Prevent Enterovirus?

Lactoferrin and enteroviruses? Dear Doctor, my baby is over one year old and weighs 12 kilograms. How much lactoferrin should be supplemented daily to prevent enterovirus? Thank you.

Dr. Xiao Kaiwen Reply:
Lactoferrin cannot prevent enterovirus infections. The prevention methods for enterovirus are as follows: 1. Wash hands frequently and develop good hygiene habits. 2. During outbreaks, avoid crowded and poorly ventilated public places. 3. Minimize contact with suspected patients....

How Soon Should Newborns Start Breastfeeding After Birth?

Breastfeeding at Birth How soon after birth should a newborn start breastfeeding, and if they latch on, is it sufficient for them to drink just a little? Thank you.

Dr. Xiao Kaiwen Reply:
If the newborn's condition allows, breastfeeding should be initiated as early as possible after birth. A one-day-old newborn has a stomach capacity of only 5 cc (approximately the size of a longan), around 25 cc (approximately the size of a lychee) by the fourth to fifth day...

Understanding Infant Stool Leakage: Causes and Solutions for Parents

Infant fecal incontinence My baby is almost two months old. He previously had blood in his stool, and the doctor advised to stop breastfeeding and start with hypoallergenic formula. Once his condition improved, we gradually increased the breastfeeding to four times a day, but the...

Dr. Xiao Kaiwen Reply:
It is normal for infants under one or two months old to have multiple watery stools shortly after breastfeeding. However, as they begin to absorb more nutrients, they may only have a bowel movement every few days. If this pattern of watery stools continues after two months, it is...

Essential Pediatric Concerns: Milk, Diet, and Allergies in Nursing Mothers

Parenting Issues I have a few questions for the doctor: 1. My baby is almost one and a half years old. Recently, I want to give him a bottle of Kainan goat milk every day. Is it okay for him to drink this at this stage and for the long term? 2. I am still breastfeeding and so...

Dr. Xiao Kaiwen Reply:
Children over one year old can drink goat's milk. Instant coffee and snacks should not pose a significant risk as long as they are consumed in moderation. The most obvious substances to avoid are drugs, alcohol, and tobacco; medications should be discussed with a physician. ...

Understanding Diarrhea in Infants: Causes and Solutions

Infant diarrhea Hello Doctor, my daughter is over four months old and has recently shown signs of diarrhea. She is primarily breastfed, but due to insufficient milk supply, she is also supplemented with formula (1-2 feedings of formula per day). My daughter has a history of atopi...

Dr. Xiao Kaiwen Reply:
The frequency of bowel movements has increased compared to before, and the stool has a higher water content, which is defined as diarrhea. If diarrhea persists after discontinuing the newly modified hydrolyzed protein formula, it may not be related to the formula change. It is po...

Concerns About Breastfeeding: Baby's Sleep and Urine Output Issues

Breastfeeding issues Hello, doctor. My baby is 3 months and 1 week old, weighing 6 kg. I am currently breastfeeding, but my baby loves to sleep during the day. I wake her up to breastfeed every four hours, and at night, I supplement with 90 ml of formula. If she still seems hungr...

Dr. Pei Rensheng Reply:
Hello, There are several ways to assess whether milk intake is sufficient: 1. Consuming 100-200 cc of milk per kilogram of body weight each day. 2. Urinating 6-7 times a day. 3. In the first three months, an average daily weight gain of 30 grams; from 3 to 6 months, an avera...

Understanding Blood in Stool of Infants Under Two Months Old

Blood in the stool of an infant under two months old? Hello, doctor. I noticed that my baby had some blood streaks in the stool starting from January 1st. Then on the night of January 4th, there was a larger amount of blood streaks in the stool. I quickly took my baby to Changhua...

Dr. Zhang Yingwen Reply:
Is the blood in the stool bright red or dark red? If it is dark red, it indicates upper gastrointestinal bleeding; if it is bright red, it suggests lower gastrointestinal bleeding. Milk allergy or bacterial gastroenteritis are common causes of blood in the stool in this age group...

Managing Infant Spit-Up: Should You Switch Formula?

Spitting up issues Hello, Doctor. I would like to ask about my one-month-old baby. Initially, I was breastfeeding, but my milk supply has decreased, and since I have to go back to work, I have started supplementing with formula. My baby has always had some spitting up, which was ...

Dr. Pei Rensheng Reply:
Hello: 1. Breast milk is less likely to cause spitting up compared to formula milk. 2. If formula feeding is necessary and there are issues such as diarrhea, spitting up, or dermatitis, you may consider switching formulas. Wishing you good health and a Happy New Year. Sincerely, ...

Is Your Baby Always Hungry? Understanding Formula Feeding Needs

Babies tend to get hungry easily? The baby is now over 40 days old and has not had breast milk, switching to Abbott formula. If the baby gets hungry every 2 to 3 hours after consuming 120 ml, is this considered normal, or could it be an issue with the formula?

Dr. He Shenglong Reply:
Hello: If there are no special medical conditions, there should be no restrictions on milk supply. According to your letter, the issue does not stem from the formula. The method of breastfeeding differs from bottle feeding; babies can achieve better satisfaction through breastfee...

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