Diet, Pediatrics FAQ

Essential Nutritional Guidance for Infants: Addressing Common Concerns

Pediatric Nutritional Supplementation Issues Hello, Dr. Yu. 1. My infant is over two months old and currently weighs 5.8 kg, consuming about 135 cc of formula (Yoshin A+) every 3-4 hours. A pharmacy that sells formula mentioned that Yoshin has a higher iron content, which can l...

Dr. Yu Meiling Reply:
1. If the baby is drinking the current formula smoothly, there is no need to switch, especially since the child is developing well. Around 4 months, you can gradually introduce fruit juice, vegetable juice, oatmeal, and rice cereal. After 7 months, you can add fruit puree, vegeta...

Is Your Baby Drinking Enough Milk? Pediatric Insights for Parents

Do not drink milk? Hello Doctor: My daughter is currently over nine months old and does not drink much milk. She breastfeeds about 3 to 4 times a day, with each session only about 90 to 120 cc. She weighs 8 kilograms and her other dietary intake is normal. Is this a concern? Than...

Dr. Zhang Peixin Reply:
Hello! 1. A 9-month-old child weighing 8 kilograms falls between the 10th and 25th percentiles on the growth chart, which is considered normal for a single point, but it is important to compare this with previous measurements to determine if there are any concerns regarding growt...

Understanding Kawasaki Disease: Recovery, Care, and Heart Health Concerns

Kawasaki disease Dear Doctor: My child has previously been diagnosed with Kawasaki disease and is currently taking aspirin. Will this condition heal completely? Are there any potential long-term effects? How should I care for my child? What specific precautions should I take? Wil...

Dr. Zhao Yongkang Reply:
Dear Mr. Ahua Tian, In the recovery phase of Kawasaki disease, children typically continue to take aspirin and are monitored for any cardiac issues, as a small number of children may experience coronary artery dilation. Generally, if there are no cardiac problems after 3 to 6 mo...

Is Your Child's Diarrhea Linked to Milk? Tips for Parents

The child has persistent diarrhea? My child is three years old and has been drinking fresh milk bought from 7-11. After drinking it, he often has diarrhea. Should he stop drinking it? Will it eventually be okay if he continues? Is it suitable for him to drink adult milk, or does ...

Dr. Zheng Peian Reply:
Chinese individuals often have difficulty digesting lactose in milk due to a lack of the enzyme needed to break it down, which can lead to diarrhea. If consumption continues for a period of time, diarrhea may improve slightly as the body adapts. Both fresh milk for adults and gro...

Choosing the Right Formula for Your One-Year-Old: Iron and Nutrient Considerations

Transitioning a one-year-old baby to a different milk? My sister is one year old, and I have been comparing the ingredients of various infant formulas. There are reports suggesting that those with higher iron content are better. The iron content in Kabrita is higher than that in ...

Dr. Zheng Peian Reply:
The differences in iron content among various infant formulas are actually not significant. Unless the baby has iron-deficiency anemia, it is not necessary to use high-iron formulas; excess iron that cannot be absorbed will simply be excreted in the stool. My personal recommendat...

Addressing Common Pediatric Concerns: Sweating and Constipation in Toddlers

Please educate about infant issues? Hello, Dr. Wu! 1. My daughter is currently one year and three months old. I am not sure if it is due to her constitution or some other reason, but since she turned one, she has been sweating excessively, especially on her head, often making h...

Dr. Wu Kunzhan Reply:
Hello: 1. It is common for young children to sweat easily. Sweating is a way for the body to regulate heat, so as long as the child is developing normally in other aspects, there is no need to worry too much about sweating. Moreover, as children grow and their organs gradually ...

Understanding Pediatric Tonsillitis: Fever, Blood in Stool, and Medication Concerns

Medical issues Hello Doctor, I have a question I would like to ask you. My son is currently 7 years old and has been experiencing tonsillitis with pus-filled white spots for the past few days, along with intermittent fever (usually every 4-6 hours; he spikes a high fever as soon...

Dr. Huang Zheming Reply:
Hello: The presence of blood clots in bowel movements may be caused by constipation or inflammation of the anal sphincter leading to anal fissures. Constipation can be triggered by factors such as a cold (tonsillitis), a diet low in fiber, and insufficient fluid intake. Additiona...

Understanding Mucus and Blood in Children's Stool: Causes and Concerns

Stool with mucus and blood? Hello Dr. Chang, about half a month ago, I noticed that my stools (either pellet-like or formed) have been mixed with some mucus (similar to egg white). Sometimes when I feel the urge to have a bowel movement, I only pass a significant amount of mucus....

Dr. Zhang Peixin Reply:
In general, the presence of mucus in stool should primarily rule out gastrointestinal infections or inflammation, especially if there is blood present. Therefore, it is recommended that you visit an outpatient clinic to have your stool sample tested for the presence of red blood ...

Effective Strategies to Manage Pediatric Constipation in Toddlers

Constipation My child is almost two years old and weighs only 10 kilograms. He has a history of habitual constipation and abdominal pain, along with poor appetite. X-rays and ultrasounds have shown slow intestinal motility and the presence of retained stool. I have tried using yo...

Dr. Huang Zheming Reply:
Hello: Constipation in babies, characterized by difficulty in bowel movements, can be attributed to the following causes: pathological factors such as megacolon, anal anomalies, hypothyroidism, or other intestinal obstructions. Functional constipation is often due to dietary habi...

Vaccines and Dietary Concerns for Infants: What Parents Should Know

Vaccines and Dietary Issues Dear Dr. Zhao, 1. I have a 2-month-old baby. Is it appropriate to administer the influenza vaccine and the varicella vaccine at this age? 2. Can a baby this age consume solid foods, such as liquid fruit juices? Besides formula milk and water, are ther...

Dr. Zhao Yongkang Reply:
1. This vaccine should be administered after the child reaches one year of age. 2. For children under four months, primarily use milk and water or glucose water; avoid other complementary foods. Gradually introduce complementary foods when the child is 4 to 6 months old.

Understanding Pediatric Hemorrhoids: Causes, Symptoms, and Care Tips

Pediatric hemorrhoids Hello Dr. Zhao, my child will turn three years old this July and currently weighs 21 kilograms. He has a robust physique, which may be the reason for his large appetite. His main diet consists of formula milk and nutritional supplements. Every day during bow...

Dr. Zhao Yongkang Reply:
1. If a pediatrician diagnoses hemorrhoids, it is a possibility; if there are concerns, a pediatric surgeon can be consulted for a re-evaluation. 2. The primary cause of hemorrhoids is venous dilation, mostly due to constipation, which creates excessive pressure on the anus durin...

Boosting Immunity in Young Children: Tips for Parents of Toddlers and Infants

Immunity I have two daughters, one is two years old and the other is six months old. I would like to ask how to boost children's immunity. Thank you!

Dr. Zhao Yongkang Reply:
If a child is developing normally and has a balanced diet with adequate nutrition, that is sufficient!

Essential Pediatric Care Tips for New Moms: Addressing Common Concerns

Regarding parenting issues? Hello, Dr. Huang! I am a new mother and have the following questions to ask you: 1. My baby was born with a metabolic disorder indicated by blood tests at a major hospital, which reported hypothyroidism. However, further tests showed that T3 and T4 l...

Dr. Huang Zheming Reply:
1. Congenital hypothyroidism is a condition that requires regular monitoring and ongoing medication. 2. Bowel movements are considered normal, and their odor may vary depending on symptoms or diet. 3. This is related to feeding times. For more detailed information, please con...

Managing Hypercalciuria in Infants: Dietary and Health Considerations

Hypercalciuria Dear Dr. Huang, My daughter is currently one year and one month old, and her urine test has diagnosed her with hypercalciuria. I would like to ask the following questions: 1. Is this condition related to her water intake or diet? We use a "Lady's Calciu...

Dr. Huang Zheming Reply:
The hypercalciuria that your daughter is experiencing is likely unrelated to the water dispenser, milk, or other dietary factors. This is an issue related to the kidneys and glomeruli. It is advisable to consult a specialist in urology or nephrology at a major hospital for furthe...

Understanding Infant Constipation: Causes, Solutions, and Dietary Tips

Infant constipation Hello, Doctor Huang. My daughter just turned seven months old today. Since she was five months old, she has had a severe aversion to milk. Following the doctor's advice, we switched her formula (S-2x), and starting from the third day after the switch, my ...

Dr. Huang Zheming Reply:
From four to six months of age, babies enter a phase known as the "milk refusal period." During this time, in addition to milk, it is important to introduce complementary foods to help them gradually adapt to solid foods, which will provide additional nutrition and prom...

Choosing the Right Formula for Babies with Maple Syrup Urine Disease

Maple syrup urine disease (MSUD) For infants with Maple Syrup Urine Disease (MSUD), it is crucial to use a specialized formula that is low in branched-chain amino acids (BCAAs). One recommended brand is "MSUD Special Formula," which is specifically designed for infants ...

Dr. Shi Zhongxian Reply:
These babies require a formula that is free of leucine due to abnormal amino acid metabolism. In Taiwan, the Johnson & Johnson formula company has supplies available at their Taipei headquarters. You can contact them at 0800-211752.

Understanding Infant Constipation: Causes and Dietary Impact

Infant constipation Hello, my daughter is currently 48 days old and hasn't had a bowel movement for 5 days. She finally had a bowel movement last night. During these days, she has been passing gas, and the smell is quite strong (similar to that of adults). However, I am brea...

Dr. Zhao Yongkang Reply:
1. The frequency of bowel movements in children is not as important as the consistency of their stools. Some children may have bowel movements 3-5 times a day, while others may go once every 3-5 days. As long as the stools are not watery or excessively hard, and the child is not ...

Should My 11-Month-Old Switch to Toddler Formula for Allergies?

Growing-up formula Hello Dr. Zhao, I have an 11-month-old little girl. Initially, due to both parents having allergic tendencies, she was given Nestlé HA1 and HA2 formula. She will be turning 12 months old next month. Should we switch to toddler formula, or continue with Nestlé...

Dr. Zhao Yongkang Reply:
Hello, Miss: 1. Nestlé HA2 can be used until the age of 3. 2. It is generally recommended that if both parents have allergies, complementary foods can be introduced at 6 to 8 months without causing nutritional issues. 3. The rate of dental development in children can vary; as lon...

Is It Okay If My Two-Year-Old Refuses Milk? Pediatric Insights

A two-year-old boy does not drink milk? Dear Doctor, my two-year-old son has a normal appetite for three meals a day, but he refuses to drink any milk. Is this a concern? Should I consider adding vitamins to his diet? Thank you!

Dr. Zhao Yongkang Reply:
Hello Mr. Yj: As children grow, their diet gradually shifts towards adult foods, and milk becomes just one of several sources of nutrition. Therefore, if they are consuming a balanced diet with other foods, there is no need to worry too much. Adding vitamins is generally not a pr...

Understanding Sudden Gastrointestinal Bleeding in Children: Causes and Concerns

Gastrointestinal bleeding Our second child, who is in the fourth grade this year (height 126 cm, weight 26 kg), usually does not complain of stomach pain, has a good appetite, and eats plenty of fruits and vegetables. However, he still occasionally experiences constipation. Last ...

Dr. Zhao Yongkang Reply:
Hello Ms. Hsiao: 1. It is important to first confirm whether there is a significant fecal occult blood reaction. 2. If there is indeed a positive result, and as you described, if you have melena (black, tarry stools), it could indicate a severe infection or ulcer causing gastr...

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