Breastfeeding, Pediatrics FAQ

Understanding Pediatric Digestive Issues: Tips for Concerned Parents

Unsure how to diagnose and treat! Dr. Pei: Hello, my daughter is over three years old. When she was five months old, due to her mother's health issues, she stopped breastfeeding and started drinking Abbott formula. About two to three months later, I noticed that before bedti...

Dr. Pei Rensheng Reply:
Hello: 1. Your daughter has exhibited signs of teeth grinding and muscle spasms before sleep, which raises concerns about possible electrolyte imbalances or abnormal brain discharges. It would be advisable to consult a pediatric neurologist for an evaluation, which may include ...

Understanding Baby's Stool Changes: Breastfeeding and Solid Foods

Breast milk and complementary foods? Hello, my baby is almost 6 months old. When he was 5 months, he had bowel movements once or twice a day, or every other day. Recently, I've been feeding him rice cereal and porridge (just a small amount to get him used to it), and now his...

Dr. Zhang Wenwang Reply:
The symptoms you described are consistent with diarrhea. The cause is not solely related to food. If you suspect that complementary foods are the culprit, it is advisable to pause them for a while and then try reintroducing them later.

Is It Safe for My 5-Month-Old to Start Crawling Early?

Is it okay to climb too early? 1. Hello, my daughter is currently five months old. She has received three vaccinations during her second, third, and fourth months, but I cannot find the Chinese name for these vaccines. Can you help me? The general name is Hexavalent (which includ...

Dr. Lin Huizhen Reply:
Dear Ms. Yu, 1. Hexavalent vaccine. 2. This should be a matter of personal preference. 3. It will not affect them, as children's neurological development is sufficient, and they will naturally begin to crawl. 4. Children can start training to eat complementary foods around ...

Understanding Feeding Challenges in Toddlers: When to Seek Help

Dislike eating, forcing oneself to swallow, and sometimes ends up vomiting..? Hello, my daughter is one year and ten months old and was born at 36 weeks as part of a set of twins. She weighed only 1306 grams at birth and has had difficulty with breastfeeding since she was little,...

Dr. Zhang Peixin Reply:
Hello: Mom, thank you for your hard work. Please first check if the height, weight, and head circumference growth are normal or if there are signs of growth delay. If it's the latter, you should seek medical attention promptly. If necessary, you can go to a medical center to...

Common Infant Care Concerns: Rashes and Sleep Issues Explained

Regarding infant care issues? Hello Dr. Chang, I have a 45-day-old baby at home and I would like to ask you two questions: 1. My baby has recently developed red spots on both cheeks and the chin. Whenever I hold her, her face rubs against my clothes, and it seems like she is sc...

Dr. Zhang Guozhen Reply:
Dear Dr. Chang Kuo-Chen in Pediatrics, Response to Q1: Skin issues require direct observation for a more accurate diagnosis. However, if a 45-day-old baby presents with itchy red rashes, atopic dermatitis should be considered. For a definitive diagnosis, please consult a pediatr...

Concerns About Baby's Feeding Issues After Hepatitis B Vaccination

After receiving the second dose of the hepatitis B vaccine, the baby is not feeding and is lethargic? Hello Dr. Chang, my daughter was born on July 9, 2005. She received her first dose of the Hepatitis B vaccine at the hospital on July 11. When she was one month old, she returned...

Dr. Zhang Guozhen Reply:
Dear Dr. Chang Kuo-Chen from Pediatrics, 1. First of all, I would like to express my respect for the diligent mother; I believe you are truly a dedicated mom. 2. Generally speaking, the hepatitis B vaccine is a very safe vaccine and has minimal side effects. 3. I also do not ...

Impact of Excessive Meat Intake on Children's Kidney Health

Once again, I would like to consult Dr. Tsai? Thank you for the information! However, I have another question to ask you. If I consume too much meat, will it put a burden on my child's kidneys? In the case where she is breastfeeding, what could be the reason for her urine ha...

Dr. Cai Zhengxian Reply:
Dear Shanshan's Mom, We recommend that you consume a variety of foods daily, including rice, wheat, fruits, vegetables, and animal-based foods. Adding iron-fortified cereals and meats can provide adequate iron. Legumes, small fish, cheese, and yogurt can supply calcium. You...

Is Your Baby's Soft Muscle a Concern? Pediatric Insights and Tips

The baby's muscles are soft? My baby is exclusively breastfed and is now ten and a half months old. Since there are no breastfeeding mothers around to consult, I started introducing solid foods when he was six months old, using various types of porridge and rice cereal. Howe...

Dr. Cai Zhengxian Reply:
Dear Mom Long, Congratulations on your commitment to breastfeeding exclusively for such a long time, and for introducing complementary foods at six months. It seems your baby is encountering some difficulties with the introduction of solid foods. Attached are the principles for ...

Addressing Infant Feeding Concerns: Breast Milk Intake and Health Tips

Issues with milk intake? Dear Doctor (I apologize for the interruption, and thank you for taking the time to read this letter): My baby was born on April 4th weighing 3440 grams, and she will be 3 months old on July 4th. She is currently exclusively breastfed, and I have a few qu...

Dr. Cai Zhengxian Reply:
Dear Mom of Shanshan, Congratulations on your baby reaching three months of age! With a weight of 5.4 kg, your baby is at the 25th percentile according to the Taiwanese growth chart in the child health handbook. This is within the normal range, although slightly below the averag...

Understanding Bowel Movements in One-Month-Old Babies: What Parents Should Know

Bowel movements in a one-month-old baby? Dear Doctor, my daughter is just over a month old. At four weeks, she had a bowel movement every 2-3 days, but now at over five weeks, she hasn't had a bowel movement for five days. However, I often hear her passing gas, just not havi...

Dr. Cai Zhengxian Reply:
Dear Concerned Mom: For a one-month-old baby, the focus of bowel movements should be on the shape and color rather than the frequency. It is commendable that your baby is exclusively breastfeeding, as breast milk is low in residue. Some babies may have several bowel movements a...

Why Is My Baby Sleeping More Than Eating? Pediatric Concerns Explained

The baby is constantly sleeping and not eating? Dear Doctor: My baby is one month and one week old, currently weighing 4 kg. During the postpartum period, I have been exclusively breastfeeding, but the feeding sessions are not very long, lasting about 5-10 minutes before she fall...

Dr. Cai Zhengxian Reply:
Dear Ms. Shan Shan's Mother, Your baby was hospitalized for 8-9 days due to umbilical cord inflammation, which indicates that it is not a common condition. I recommend that you have a thorough examination by the attending physician during your next visit to ensure a clear ...

Best Practices for Introducing Solid Foods and Milk for Infants

Complementary foods My baby is over 4 months old and drinks very little breast milk, usually about 500-700 ml a day in 4-5 feedings. He seems to be less interested in breastfeeding lately, especially after introducing juice and rice cereal as complementary foods. I would like to ...

Dr. Zhang Peixin Reply:
Hello: Some young children may not eat much but can still grow normally, so please regularly plot their growth curve on a monthly basis. If there are any issues, medical attention should be sought. If there is no history of allergies, rice cereal can be introduced after four mont...

Should You Switch Baby Formula? Expert Advice on Nutrition and Digestive Health

Regarding whether to switch formula? Doctor: 1. I am asking because I cannot find the answers to my questions, and I appreciate your understanding. My daughter, Xiao Zhen, is nearly 3 months old and is currently using Meiji formula. We have compared different formulas and found t...

Dr. Cai Zhengxian Reply:
Dear Mr. Chen, I apologize for the wait. All brands of infant formula use the composition of breast milk as the gold standard. With advancements in science, the components of breast milk have become better understood, leading to the addition of various trace elements to closely ...

Addressing Tongue Rolling Issues in Children: What Parents Should Know

Cannot roll the tongue? Hello, doctor. My son is now 5 years old and is in preschool. Two years ago, he underwent a frenectomy at Taipei Medical University Hospital. However, he still cannot produce the rolled "r" sound. Because he cannot roll his tongue, his pronunciat...

Dr. Cai Zhengxian Reply:
Hello, Xiaoke's mother: A tight or thick frenulum can restrict tongue movement, potentially causing difficulties for infants in breastfeeding, licking their lips, and certain speech sounds. The speech issues primarily affect sounds that require tongue curling or flapping, su...

Understanding Milk Aversion in Infants: Causes and Solutions

What is milk aversion? Hello, Doctor: My baby DD is currently over 2 months old. For the past few days, he has been very fussy, especially when it's time to drink milk. He clearly wants to drink, but when I switch to milk, he just cries and sometimes spits it back out (he dr...

Dr. Lin Wenxian Reply:
Dear Mother of Little Fish, Greetings. Regarding the issue of decreased milk intake, this is a common concern that many mothers bring up during outpatient visits, and your baby's situation is not unique. Generally, parents expect that as their baby grows older and gains wei...

Managing Diarrhea in Infants: Tips for Parents of 6-Month-Olds

Diarrhea Hello, my daughter is six months old and has been experiencing diarrhea, having six bowel movements a day for the past 12 days. She is on both formula and breast milk, and her mental state is normal. Her weight has not increased from four to six months. How can we improv...

Dr. Lin Wenxian Reply:
Dear Mom of Zhen Zhen, Hello! I would like to address your questions in order: 1. Regarding diarrhea, I would like to clarify whether you mean that Zhen Zhen's bowel movements have simply increased in frequency, or if there has been a significant change in the consistency ...

Understanding Pediatric Concerns: Mouth Breathing, Black Specks, and Red Dots

Mouth breathing -- black specks resembling half a grain of rice -- red spots? (1) A one-month-old infant often sleeps with their mouth open and breathes through their mouth. Could this indicate a respiratory issue? Is medication necessary for treatment? (2) The infant is breastf...

Dr. Lin Huizhen Reply:
Dear Dr. Lin Huizhen of the Pediatric Department at Tainan Hospital, Department of Health, Executive Yuan: 1. If a child frequently breathes through the mouth, there are very few cases of nasal obstruction, but the most common cause is nasal congestion due to mucus. Therefore, t...

Understanding Cold Hands and Feet in Toddlers: Causes and Solutions

Cold hands and feet in children? Youzi is currently just over one year old and often feels cold in his hands and feet. The elders in the family always think he is not dressed warmly enough, but when we add more clothing, his back and head become sweaty while his hands remain cold...

Dr. Gu Qingxian Reply:
Hello~ Recently, Taiwan has been experiencing continuous cold weather, and hands and feet exposed outside of clothing can become cold. It is advisable to have children wear gloves and socks. Additionally, children's metabolism is higher than that of adults, so it is normal f...

Why Your Baby Refuses Solid Foods: Tips for Parents

Children refuse to eat complementary foods? My child (male) started with breastfeeding and is now 9 months old, but his weight is only 8 kilograms. Is this normal? Since he was 6 months old, I have been feeding him complementary foods (such as rice porridge and cereal), but for t...

Dr. Lin Wenxian Reply:
Dear Xiaoxian, I am pleased to hear about mothers who are able to breastfeed for up to 9 months. Keep up the good work! The nutrition provided by breast milk is superior to any formula, and the World Health Organization recommends breastfeeding for up to two years, so there is n...

Managing Baby's Gas and Formula Feeding Concerns: A Guide for Parents

Baby's gas and formula issues? Hello, my baby is now over 4 months old. He started having gas problems since he was over 1 month old, and we have to massage his belly to help him pass gas before he can sleep soundly; otherwise, he cries continuously. The doctor prescribed so...

Dr. Lin Wenxian Reply:
Dear Janty, The issue of your baby's abdominal bloating is a common concern raised by mothers in pediatric clinics. In fact, the abdominal wall muscles of infants are not as strong as those of adults, so it is normal for their bellies to appear larger. As long as there are ...

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