Breastfeeding and Medication: Safe Guidelines for New Mothers
Medications for breastfeeding Doctor: Hello! I am currently breastfeeding. A few days ago, I had a cold that led to gastroenteritis. The doctor prescribed me two medications as follows: Roumin (Novamin) 5 mg/tablet and Trancolon (Chanpon) 15 mg. I have taken them for two days, an...
Dr. Pei Rensheng Reply:
Hello: The half-life of Novamin is approximately 6.8 to 9 hours. It is classified as Category C for use during pregnancy, indicating that animal studies have shown teratogenic effects, but there are no controlled studies in pregnant women or animals to confirm its risks. If you a...[Read More] Breastfeeding and Medication: Safe Guidelines for New Mothers
Can Nursing Mothers Use AHA for Acne Treatment?
Can a breastfeeding mother apply retinoic acid on her face? Hello doctor, I have acne on my face. Recently, a dermatologist prescribed me a topical retinoid (A acid) to apply, but I am breastfeeding and I'm not sure if it's safe to use. Thank you!
Dr. Pei Rensheng Reply:
Hello: Retinoic acid is commonly used in clinical practice for the treatment of acne. It is available in both oral and topical formulations. Oral retinoic acid (such as Isotretinoin) is teratogenic and classified as category X for pregnancy. Due to its relatively short half-lif...[Read More] Can Nursing Mothers Use AHA for Acne Treatment?
Understanding Weight Issues in Infants: Common Concerns and Clarifications
Regarding issues related to infant weight? Dear Doctor, Thank you for the detailed information in the attached file. After reading it, I have a more concrete understanding of the causes of underweight in young children. However, I have a few questions that I hope you can clarify...
Dr. Pei Rensheng Reply:
Hello, You are a very dedicated mother. 1. The growth curve data provided by the Department of Health in June 1999 is now over seven years old and may not accurately reflect your baby's current situation. Theoretically, with advancements over time, babies tend to be tall...[Read More] Understanding Weight Issues in Infants: Common Concerns and Clarifications
Understanding Baby Spit-Up: Causes, Concerns, and Care Tips
Babies who are prone to spitting up? My daughter is now over one month old, born on October 18. She is currently drinking Nestlé NAN formula. Since birth, she has had a tendency to spit up frequently, often doing so even two hours after feeding when lying down for a diaper change...
Dr. Pei Rensheng Reply:
Hello: The daily food intake for a child should be around 150 cc/kg/day. If your child weighs 3.7 kg, they should drink approximately 3.7 * 150 = 555 cc in a day. If you feed every 4 hours with 90 cc each time, that totals 540 cc for the day, which is close to the 555 cc mentione...[Read More] Understanding Baby Spit-Up: Causes, Concerns, and Care Tips
Managing Vomiting and Diarrhea in Toddlers: A Parent's Guide
Pediatric vomiting and diarrhea? Your son is two years and one month old, weighs 12 kilograms, and is less than 90 centimeters tall. He is still breastfeeding and also drinking cow's milk (about 30cc per serving, twice a day). He is fed rice, porridge, or noodles twice daily...
Dr. Wang Jiayi Reply:
Hello, Ms. Chen: Please seek treatment from a pediatrician as soon as possible! Also, maintain cleanliness at home to prevent cross-infection. The pediatric department of Hualien Hospital cares about you![Read More] Managing Vomiting and Diarrhea in Toddlers: A Parent's Guide
Understanding the Differences Between Four-in-One and Five-in-One Vaccines for Children
Four-in-one and five-in-one? Hello, Dr. Pei! I have three questions for you: 1. I noticed that the contraindication for the oral polio vaccine is "those currently taking corticosteroids." Since I am breastfeeding and occasionally experience headaches, my doctor prescr...
Dr. Pei Rensheng Reply:
Hello: 1. Taking Inderal will not affect the oral polio vaccine; you can still receive the vaccine on schedule. 2. The first dose is the <four-in-one + oral polio vaccine>, and the second dose can be switched to the five-in-one injectable vaccine, which is acceptable. 3...[Read More] Understanding the Differences Between Four-in-One and Five-in-One Vaccines for Children
Understanding Infant Feeding Challenges: Why Your Baby Refuses Milk
Not drinking milk? Hello, I would like to ask about my baby who is currently one month old and weighs around 3800 grams (born at 3400 grams). Last week, she was already around 3800 grams, and in the past week, she has not been eating well or normally. We are exclusively breastfee...
Dr. Chen Rongtai Reply:
Hello Kimi's dad, I am writing to address your concerns regarding your baby, who has had a poor appetite over the past week. Your baby is now one month old and has only gained about 400 grams since birth, which is indeed concerning. Additionally, you mentioned that your ba...[Read More] Understanding Infant Feeding Challenges: Why Your Baby Refuses Milk
Breastfeeding After Taking Inderal: Guidelines for New Mothers
Medication and Breastfeeding Doctor: Hello! If I only take Inderal 20mg when necessary, how long should I wait before breastfeeding? Should I pump and discard the milk during this time? My baby is currently about two months old.
Dr. Wang Jiayi Reply:
Hello Cynthia: You may need to discuss the necessity and safety of Inderal with the physician who prescribed it for you, as well as with your pharmacist, and explore any alternative medications. Inderal can pass into breast milk and may have a moderate to low impact on the infant...[Read More] Breastfeeding After Taking Inderal: Guidelines for New Mothers
Understanding Nighttime Feeding and Sleep Issues in Infants
Regarding infant night feedings and sleep issues? Dear Dr. Wang: My precious son is now over 10 months old, almost 11 months. I've heard many mothers say that babies at this age should be able to sleep through the night, but my baby still wakes up in the middle of the night ...
Dr. Wang Jiayi Reply:
Dear Mommy, Due to the faster digestion and absorption of breast milk, it is necessary to feed more frequently than formula milk. However, your efforts are worthwhile; your baby will be healthier and smarter than most of their peers who are on formula! Keep it up! You will be a...[Read More] Understanding Nighttime Feeding and Sleep Issues in Infants
Feeding Challenges: Balancing Breastfeeding and Formula for Your Baby
Feeding volume and breastfeeding issues? Hello Doctor, I have a few parenting questions I would like to ask: 1. My baby turned 2 months old on August 26 and currently weighs 6300 grams. I am feeding him a mixture of breast milk and formula, with an intake of about 130-140 cc ...
Dr. Zhang Guozhen Reply:
Dr. Chang Kuo-Chen from the Zhudong Branch of the Hualien Tzu Chi Hospital respectfully responds as follows: 1. A 2-month-old baby weighing 6300 grams is growing quite well, despite your uncertainty about whether the baby is getting enough to eat. Generally, we cannot confirm t...[Read More] Feeding Challenges: Balancing Breastfeeding and Formula for Your Baby
Understanding Loose Stools in Exclusively Breastfed Infants
Loose stools (exclusively breastfed) Hello, I am a breastfeeding mother, and my baby is four months old. His stools have been loose (golden yellow) for the past month. What should I do? Do I need to pay attention to my diet? Thank you for your response.
Dr. Zhang Wenwang Reply:
Generally, breastfed babies have yellowish stools that are softer or even watery. However, if the frequency of bowel movements is excessive and the infant's weight is not increasing, it is advisable to have a physician evaluate and examine the situation.[Read More] Understanding Loose Stools in Exclusively Breastfed Infants
Breastfeeding Concerns: Safe Practices and Vaccine Side Effects for Infants
Breastfeeding issues Hello, my baby is currently three months old. Previously, he was breastfed with my aunt's milk for a month and a half, but later, due to a decrease in her milk supply, my child switched to Similac (he has been on formula for over half a month now). Howev...
Dr. Chen Rongtai Reply:
The letter mentions issues related to breastfeeding. Although formula feeding has been adopted for over half a month, it is still recommended to continue breastfeeding. Regarding storage times, breast milk can be stored at room temperature (25 degrees Celsius) for up to eight hou...[Read More] Breastfeeding Concerns: Safe Practices and Vaccine Side Effects for Infants
Medication Safety for Breastfeeding Moms with Gastroenteritis
Regarding medication issues for breastfeeding mothers with gastroenteritis? Hello Doctor: I am a new mother, and when my baby was one week old, I developed gastroenteritis. I went to a nearby clinic to see a doctor. I am currently breastfeeding my baby with a combination of breas...
Dr. Pei Rensheng Reply:
Hello: 1. BENTYL: It inhibits gastrointestinal motility and is classified as a pregnancy safety category B medication. 2. IMODIUM: It also inhibits gastrointestinal motility, with a stronger effect than BENTYL, and is classified as a pregnancy safety category B medication. 3....[Read More] Medication Safety for Breastfeeding Moms with Gastroenteritis
Is My Baby's Milk Intake Too Low? Understanding Urinary Tract Infections
Is the milk supply too low? Urinary tract infection? Hello Doctor, I would like to ask you about my son, who has just turned 5 months old. Since he was 2 months old, he hasn't been eating much. At 4 months, he weighed 5.5 kg, and now he is 6.5 kg. Is this growth too slow? C...
Dr. Lin Huizhen Reply:
Dear Dr. Lin Huizhen of the Pediatrics Department at Tainan Hospital, Ministry of Health and Welfare: 1. Based on your child's age and weight, they are approximately at the 25th percentile on the growth curve. Generally speaking, the milk intake is indeed slightly lower, bu...[Read More] Is My Baby's Milk Intake Too Low? Understanding Urinary Tract Infections
Thyroid Dysfunction During Pregnancy: Impact on Infant Intelligence and Growth
Hypothyroidism? Low intelligence? I would like to ask the doctor: I gave birth to my first son on January 31 last year, and when he was about 5 months old, I became pregnant again (while breastfeeding). At that time, I had a cold shortly after becoming pregnant, and soon after, m...
Dr. Pei Rensheng Reply:
Hello! From the detailed records, it is clear that you are very attentive to your baby's growth and development. Here is an overview of congenital hypothyroidism: 1. According to the Department of Health, the incidence is approximately 1 in 2,800. Most cases are due to under...[Read More] Thyroid Dysfunction During Pregnancy: Impact on Infant Intelligence and Growth
Addressing Infant Feeding Challenges: Tips for Parents on Milk Intake
The issue of drinking milk? Hello Dr. Zhang, My son is currently 4 months old. He has been fed a combination of breast milk and formula (Nestlé hydrolyzed formula) from a bottle. However, since he was 2 months old, his milk intake has decreased. Initially, he could consume 90-12...
Dr. Zhang Wenwang Reply:
Breastfeeding directly stimulates an increase in milk supply, and breast milk is easily digestible and absorbable. On average, babies may feel hungry every two hours. There is no particular formula that is superior; as long as the baby is feeding and gaining weight consistently, ...[Read More] Addressing Infant Feeding Challenges: Tips for Parents on Milk Intake
Understanding Galactosemia in Children: Symptoms, Risks, and Dietary Management
Galactosemia is a genetic metabolic disorder that affects the body's ability to process galactose, a sugar found in milk and dairy products. Individuals with galactosemia lack the Hello, doctor. My child was recently screened and suspected to have galactosemia, and also has ...
Dr. Pei Rensheng Reply:
Hello: The most common cause is the lack of the enzyme (galactose-1-phosphate uridyl transferase) required for lactose metabolism in affected children, which prevents them from converting ingested lactose into glucose. The incidence provided by the Department of Health is approxi...[Read More] Understanding Galactosemia in Children: Symptoms, Risks, and Dietary Management
Does Feeding a Sleeping Baby Affect Brain Development?
Will feeding a baby while they are asleep have any impact on their brain development? Hello Dr. Huizhen, Thank you for your previous explanation about pacifiers, which has put my mind at ease. My baby is now 11 months old and weighs about 10.3 kilograms, and is in good health. ...
Dr. Lin Huizhen Reply:
Tainan Hospital, Pediatrics Dear Xiao Fen, The period of milk refusal in children typically lasts about 2 to 6 weeks, although the duration can vary for each child. During this phase, some children may show a decreased interest in bottle feeding. However, we can try feeding ...[Read More] Does Feeding a Sleeping Baby Affect Brain Development?
Should I Take My Baby to the Doctor for Diaper Rash Concerns?
Should I see a doctor? My baby is 22 days old and has been exclusively breastfed since birth. However, my baby has been having bowel movements approximately every 2-3 hours. I understand that the golden yellow watery stools are a normal phenomenon for breastfed infants, but the f...
Dr. Zhang Wenwang Reply:
1. It is recommended to prioritize breastfeeding if possible, using formula as a supplement, as issues with watery stools usually improve after the first month. 2. The most important treatment for diaper dermatitis is to keep the area dry. If applying ointment, be sure to dry th...[Read More] Should I Take My Baby to the Doctor for Diaper Rash Concerns?
Do Harmful Substances in Breast Milk Increase Cancer Risk for Infants?
Breastfeeding issues Dear Doctor: My baby is now 10 months old and is still breastfeeding. If I consume foods that contain carcinogenic substances or pesticides, will these harmful substances pass through my breast milk to my baby? If so, will this increase her risk of developing...
Dr. Zhang Wenwang Reply:
The occurrence of cancer is caused by multiple factors, and one should not abandon essential practices due to fear.[Read More] Do Harmful Substances in Breast Milk Increase Cancer Risk for Infants?