Complementary foods, Pediatrics FAQ

Is It Time to Wean Your One-Year-Old Off Breastfeeding?

Can a one-year-old stop breastfeeding? Hello, doctor. My daughter is almost one year old (on July 26). Actually, about a month ago, my wife's breast milk decreased to only 30cc a day for our daughter (currently, she is having four bottles of formula milk, 180cc each, plus tw...

Dr. Xiao Kaiwen Reply:
Generally, breastfeeding is encouraged until the age of two, with a minimum recommendation of at least one year. Breast milk not only provides the benefits of antibodies but also offers other advantages, such as enhancing the parent-child bond. However, if breastfeeding significa...

Understanding Mediterranean Anemia in Infants: Key Insights and Testing

Mediterranean anemia (also known as thalassemia) My son is currently 10 months and 10 days old (he has been exclusively breastfed for four months and has a normal appetite and food intake for complementary foods). Two weeks ago, he went to the emergency room due to a cold and fev...

Dr. Xiao Kaiwen Reply:
The blood test report indicates microcytic anemia. In Taiwan, the most common causes of microcytic anemia are iron deficiency anemia and thalassemia. Based on the blood test results, it is certain that there is iron deficiency anemia, so oral iron supplementation is appropriate. ...

How to Ensure Nutritional Needs for an 8-Month-Old Baby Refusing Milk

Weaning an eight-month-old baby? The baby was born on July 4, 2016, and started refusing to drink milk on the evening of February 25, not taking even a sip from the bottle, only consuming solid foods. Initially, the baby experienced diarrhea after taking cold medicine, and after ...

Dr. Xiao Kaiwen Reply:
In principle, if the infant is not experiencing any illness (such as gastroenteritis with vomiting and diarrhea, or hand, foot, and mouth disease with oral ulcers preventing feeding, etc.), has normal activity levels, normal development, and weight gain without significant abnorm...

Understanding Infant Growth, Digestive Issues, and Formula Choices

Height and weight / Milk consumption issues / Bowel movement issues / Complementary food issues My baby is currently four months old, weighing 7 kg and measuring 62 cm. Is this height and weight considered short or light? Regarding bowel movements: My baby previously experience...

Dr. Xiao Kaiwen Reply:
At 4 months old, weighing 7 kg and measuring 62 cm is considered normal on the infant growth chart. The gastrocolic reflex in infants is still quite strong, so it is normal for them to eat and then have bowel movements. As long as the stool is not hard, pellet-like, or watery dia...

Probiotics for Infants: Managing Diarrhea and Digestive Health

Infant Diarrhea / Probiotics The baby is currently on a diet of 2/3 breast milk and 1/3 formula (if there is gastroenteritis, breast milk will be the main source). The primary caregiver has been a nanny since the baby was two months old. The baby has had issues with colic since t...

Dr. Xiao Kaiwen Reply:
At 4 months old, the baby has gained nearly 4 kilograms compared to their birth weight, which is more than double the birth weight, indicating that the birth weight is normal. At this age, the baby can only consume infant rice cereal and diluted fresh fruit juice, making it diffi...

Addressing Milk Refusal and Vaccination Concerns in Infants

Milk consumption issues + vaccinations Hello Doctor: My baby was born on July 4, 2016 (currently 3 months and 21 days old). Around September 23 (about two and a half months old), he started refusing to drink milk (at that time maintaining 3 hours/110cc), with a total intake of ab...

Dr. Xiao Kaiwen Reply:
If an infant refuses to eat not due to illness (such as gastroenteritis or hand, foot, and mouth disease), and is growing and developing normally (for example, your 3-month-old child has already doubled their birth weight, which is normal), and has normal activity levels, this is...

Understanding Infant Feeding Patterns: When to Seek Pediatric Advice

Milk consumption issues? Hello, Dr. Hsiao! My baby is currently four months old and will turn five months next week. His height and weight are 63 cm and 6 kg. Since birth, his milk intake has been inconsistent; occasionally he finishes the amount he needs for a feeding, but most ...

Dr. Xiao Kaiwen Reply:
Some infants have a limited stomach capacity, so they may still experience variations in feeding amounts. In principle, feeding should be based on the infant's needs, and parents should not force-feed. As long as the infant's growth and development are normal (for examp...

Juice vs. Puree: Pediatric Feeding Tips for Your 9-Month-Old

Juice and fruit puree? Hello Doctor: I would like to ask you a question. My child is about 9 months old, and my wife fed him papaya (which is soft) directly using a spoon. Is this a concern? Also, should I dilute homemade fruit juice with water before giving it to my child? Today...

Dr. Xiao Kaiwen Reply:
If the papaya is already very soft, it should be fine. At nine months old, fresh fruit juice can be given without diluting it with water. New complementary foods (including sugarcane juice) can be introduced as long as there are no adverse reactions (such as diarrhea or rashes) a...

Understanding Infant Feeding: Addressing Milk Refusal and Solid Food Introduction

Milk consumption issues. Infant complementary foods? Hello Dr. Hsiao, I would like to ask about my baby who is now over 4 months old and is drinking Abbott Similac infant formula. Recently, he has started to show signs of milk aversion. Since he was one month old, he has been dri...

Dr. Xiao Kaiwen Reply:
As long as the child's growth and development curve is normal and has not fluctuated significantly (please refer to the growth chart in the child health handbook), the amount of milk consumed is sufficient for nutrition. If the growth and development curve is normal, activit...

Why Does My 7-Month-Old Vomit After Morning Milk? Pediatric Insights

Vomiting milk after drinking it in the morning? Hello, my daughter is currently seven months old. Recently, I have been feeding her rice porridge for all three meals, and she drinks milk before bedtime. She doesn't wake up for milk during the night. A few days ago, my mother...

Dr. He Shenglong Reply:
Hello: As you mentioned, if the baby vomits after drinking milk and burping, it is recommended to try feeding in segments. This means feeding a portion, then burping and allowing for gas release before continuing to feed. Hydrolyzed formula is easier to digest and less likely to ...

Concerns About BCG Vaccine and Child's Accidental Tea Sip

BCG vaccine and drinking beverages? Hello Dr. Zhong, I apologize for bothering you, but I would like to ask a few questions. My child is over six months old, and during the last visit for the BCG vaccine, the nurse mentioned that because my child moved, some additional vaccine w...

Dr. Zhong Ruixian Reply:
1. The BCG vaccine is only 0.1 cc, and if it accidentally leaks out, it may result in an insufficient dosage. Re-administering it will leave an additional scar on the skin (unless it is given at the original site). 2. As long as the vaccination site is properly disinfected, takin...

Is My 6-Month-Old Getting Enough Nutrition from Rice Porridge?

Complementary food issues My daughter is currently six months old and is eating rice porridge for all three meals. Before bedtime, she drinks about 120cc of milk. I add some sweet potato or pumpkin to the rice porridge. Is this diet adequate for her growth? Could she be at risk o...

Dr. Pei Rensheng Reply:
Hello: The child weighs 7 kg and is 65 cm tall, both around the 45th percentile, indicating an average size. However, the milk intake is only 120 cc per day, which is too low. It should be around 180-210 cc per meal, with at least 3 to 4 meals. You can refer to the guidelines for...

Introducing Pureed Vegetables and Fruits for Your 5-Month-Old Baby

Pureed complementary foods Hello, doctor: My baby is almost five months old. May I start introducing vegetable puree and fruit puree?

Dr. Xiao Kaiwen Reply:
Vegetable and fruit purees should only be introduced after six months of age. At five months, complementary foods should be limited to infant rice cereal and freshly diluted fruit juice.

Understanding Mucus in Baby's Stool: When to Worry?

Mucus in stool? My baby is over four months old and has started trying solid foods. Recently, I have been giving him pumpkin puree mixed with vegetable puree. Since he is drinking hypoallergenic formula, his stool is dark green. Today, I noticed a bit of mucus in the stool, which...

Dr. Xiao Kaiwen Reply:
Typically, when babies try new complementary foods, any adverse reactions should occur within three days after consumption. Common symptoms include diarrhea or the appearance of rashes on the skin, so it is advisable to monitor the baby further.

Understanding and Managing Constipation in Infants: A Parent's Guide

Infant constipation Hello, doctor. My child started drinking a combination of formula and breast milk over a month ago, and after two months, formula became the main source. We have been using Nestlé NAN Hypoallergenic HA formula, and initially, my child would have at least one b...

Dr. Pei Rensheng Reply:
Hello: Most hydrolyzed protein formula milk tends to cause softer stools and is less likely to lead to constipation. Of course, you can try another type of hydrolyzed formula or switch to a different formula; S-26 is also fine. After 4 months, introducing fiber-rich complementary...

Addressing Feeding Challenges in 9-Month-Old Infants: Nutritional Concerns

Dietary Issues for 9-Month-Old Infants Hello Doctor: My baby is currently over 9 months old and is having difficulty with solid foods. The baby refuses to eat porridge, vegetables, noodles, etc., and often cries after a few bites or digs in their mouth, sometimes even to the poin...

Dr. Xiao Kaiwen Reply:
Feeding infants with complementary foods requires patience. If the baby does not accept it at the moment, you can try again after some time. It is fine to offer a variety of acceptable complementary foods. Your baby currently has enough complementary foods; as long as their heigh...

Is Acidified Formula Safe for Infants with Colic and Constipation?

Acidified formula milk? Hello Doctor: My baby experienced colic and constipation in the early stages after birth. However, after switching to acidified formula, there has been significant improvement, although the stools are still loose, occurring once a day. The growth is good. ...

Dr. Pei Rensheng Reply:
Hello: The nutritional content of the acidified formula is sufficient for infants up to 6 months old. After 6 months, it is necessary to introduce complementary foods, and you may also consider stage two (6-12 months) formula. Of course, if you wish to choose the stage two acidif...

Common Concerns for Your 9-Month-Old Baby: A Pediatric Guide

8-month-old baby issues? Hello Doctor, my baby is almost 9 months old, and I have a few questions to ask you. 1. After teething, my baby has shown a dislike for porridge and vegetables, but enjoys fruits. This was not the case before teething. Is there any problem with this? 2...

Dr. Xiao Kaiwen Reply:
1. The introduction of complementary foods can be met with varying degrees of acceptance from babies, so it is important to be patient and continue trying. 2. Infants can shiver just like adults; simply observe them. 3. It is advisable to have a pediatrician check for any abnorma...

Essential Tips for Newborn Care: Feeding, Allergies, and Development

Daily Routine for Newborns 1. Both parents have allergies, and the father also has asthma. Is it advisable to introduce complementary foods at four months to reduce the risk of allergies? 2. At what age is it best to start introducing complementary foods? 3. At what age can compl...

Dr. He Shenglong Reply:
Hello: If both parents have allergic tendencies, the child may have a higher chance of developing allergies compared to others. However, it is not as you mentioned that introducing complementary foods at four months can reduce the risk of allergies. Generally, it is recommended t...

How to Address Your Baby's Milk Intake Concerns at 3 Months

Baby's milk intake Hello, doctor. My baby is now over 3 months old and weighs 7.5 kg. Since two months, he has been drinking a total of over 500 to 600 ml of milk daily, but this amount hasn't increased. Recently, he has shown signs of milk aversion and sometimes only d...

Dr. He Shenglong Reply:
Hello: The letter mentions that the baby is showing signs of milk aversion and is currently not consuming enough milk. If the baby is drinking too much water, the milk intake may be even more insufficient. It is generally recommended to start introducing complementary foods after...

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