Gastrointestinal, Pediatrics FAQ - Page 4

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Understanding Feeding and Sleep Patterns in a 42-Day-Old Newborn

The milk intake and sleep duration for a 42-day-old newborn? Hello Dr. Hsiao, Thank you for taking the time to answer my questions. My baby was born on November 17, 2016, currently weighs 4 kg and measures 53 cm. During the day, he typically feeds every 2 to 2.5 hours, exclusive...


Dr. Xiao Kaiwen Reply:
The stomach capacity of an infant is approximately 25 to 30 cc per kilogram of body weight, so this amount of milk is not excessive. For a baby over a month old, the stomach capacity is still quite small, making frequent small feedings common and acceptable. If an infant's s...

[Read More] Understanding Feeding and Sleep Patterns in a 42-Day-Old Newborn


Managing Iron Deficiency Anemia in Children: Dosage and Concerns

Iron deficiency anemia Hello doctor, when my son was one year old, he was diagnosed with iron deficiency anemia due to wheezing and had a ferritin level of 15.1. The doctor recommended iron supplements. At that time, he weighed about 10 kilograms and was prescribed a liquid iron ...


Dr. Xiao Kaiwen Reply:
The safety range of iron supplements is relatively broad, and such dosages are not excessive, so they will not have an adverse effect on the body. Generally, monitoring for iron deficiency anemia includes hemoglobin, total red blood cell count, mean corpuscular volume, total iron...

[Read More] Managing Iron Deficiency Anemia in Children: Dosage and Concerns


Understanding Your Baby's Frequent Loose Stools: Causes and Concerns

A child has five bowel movements a day? Hello, my baby just turned three months old. Last week, due to constipation for five days and a slight cold, I took him to see a doctor. The doctor prescribed an enema for the baby, and after using it at home, he was finally able to have a ...


Dr. Xiao Kaiwen Reply:
The frequency of bowel movements is higher than usual, and the stool has a higher water content, which, by definition, indicates a gastrointestinal inflammation. An enema should not cause such a condition. It is difficult to determine if this is caused by a cold. The key point is...

[Read More] Understanding Your Baby's Frequent Loose Stools: Causes and Concerns


Excessive Gas and Spitting Up in Infants: What Parents Should Know

Drinking milk can cause gas? Hello doctor, my son just turned three months and five days old. For the past couple of days, I've noticed that he has been passing gas in rapid succession, often producing 8 to 10 passes at a time. Today, he also vomited twice after being awake ...


Dr. Pei Rensheng Reply:
Hello, the causes of bloating may include indigestion, gastrointestinal infections, or dietary changes. If bloating or vomiting occurs due to switching formula, you might consider reverting to the previous formula. If there is still no improvement, it may be advisable to consult ...

[Read More] Excessive Gas and Spitting Up in Infants: What Parents Should Know


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...

[Read More] Probiotics for Infants: Managing Diarrhea and Digestive Health


Managing Gastrointestinal Issues in Infants: When to Change Formula

Gastrointestinal issues I would like to ask about my baby who is now five and a half months old. Previously, he often had rashes and quite a bit of seborrheic dermatitis. The pediatrician suspects an allergic constitution, so they recommended switching to Enfamil HA1. He has cons...


Dr. Xiao Kaiwen Reply:
If diarrhea occurs due to an intolerance to a formula change, it typically happens within three days after the switch. If you revert to the original brand of formula and the diarrhea resolves, it is more likely that the formula change was the cause, although this scenario is not ...

[Read More] Managing Gastrointestinal Issues in Infants: When to Change Formula


Understanding Hand, Foot, and Mouth Disease in Young Children

The doctor diagnosed the child with a possible enterovirus infection? Hello Doctor: My daughter will turn two years old on January 9th next year. A few days ago, she had a fever and we took her to see a doctor. The doctor said she had white spots in her mouth, which might indicat...


Dr. Xiao Kaiwen Reply:
Young children have a relatively small stomach capacity, so they can easily cough severely enough to vomit. If the diarrhea has a sour smell, it may indicate a gastrointestinal infection (some colds can present with gastrointestinal symptoms). Since your child's condition ha...

[Read More] Understanding Hand, Foot, and Mouth Disease in Young Children


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...

[Read More] Is There a Link Between Spitting Up and Colic in Premature Infants?


Understanding Baby's Bowel Movements: Is 8 Days Normal for 9-Month-Old?

For a 9-month-old baby who is breastfeeding and consuming solid foods, it is generally considered normal for bowel movements to occur anywhere from once a day to once every few days. As long as the baby is comfortable, feeding well, and the stools are soft, variations in frequenc...


Dr. Pei Rensheng Reply:
Dear Mr. Wang, Hello! After a child reaches one year of age, their bowel movement frequency will be closer to that of adults, with 3 times a day to once every 3 days being acceptable. Before the age of one, bowel movement frequency can vary greatly; it can exceed 10 times a day ...

[Read More] Understanding Baby's Bowel Movements: Is 8 Days Normal for 9-Month-Old?


Understanding Finger Peeling in Infants: Is It Kawasaki Disease?

Peeling skin on the fingers? Hello, doctor. My daughter is currently 9 months old. She had a fever of about 39-40 degrees Celsius from July 29 to August 1, and then her fever subsided. After that, she had diarrhea for one day, about 4-5 times. We visited the doctor on July 29 and...


Dr. Xiao Kaiwen Reply:
The absence of persistent fever means it is unlikely to be Kawasaki disease, as a sustained high fever lasting more than five days is a necessary criterion for Kawasaki disease. The age, duration of illness, and clinical symptoms suggest it could possibly be roseola, but without ...

[Read More] Understanding Finger Peeling in Infants: Is It Kawasaki Disease?


Feeding Concerns for Newborns: Formula Intake and Digestive Health

Milk consumption issues? Hello… My baby is 11 days old and is currently on formula milk. However, his feeding schedule varies from every 3 to 4 hours, and the amount he consumes ranges from 60 to 80 ml. Could this be harmful to his digestive system? Sometimes he falls asleep whil...


Dr. Xiao Kaiwen Reply:
An 11-day-old newborn has a relatively small stomach capacity, so it's normal for the feeding amounts to vary between meals without causing gastrointestinal issues. Generally, if the newborn is asleep, there is no need to wake them for feeding; they will naturally compensate...

[Read More] Feeding Concerns for Newborns: Formula Intake and Digestive Health


Understanding Gastroenteritis in Children: Symptoms and Concerns

Gastroenteritis Yesterday around noon, my child suddenly experienced severe abdominal pain and was unable to stand. We took him to see a doctor who diagnosed him with gastroenteritis. An abdominal examination revealed a buildup of stool and undigested food from the morning. The d...


Dr. Xiao Kaiwen Reply:
Gastroenteritis does not always present with vomiting and diarrhea; it can manifest with abdominal pain alone. Conversely, abdominal pain is not solely caused by gastroenteritis and may be due to other abdominal conditions. It is advisable to seek examination at a major hospital ...

[Read More] Understanding Gastroenteritis in Children: Symptoms and Concerns


Understanding Green Stool in Children After Gastroenteritis Recovery

Green stools after gastroenteritis? Hello, doctor. My daughter was taken to the emergency room on May 8 due to fever and vomiting, and she was diagnosed with gastroenteritis. She experienced dehydration and vomiting, so she received IV fluids. Upon discharge, the doctor advised t...


Dr. Xiao Kaiwen Reply:
As long as the stool is not watery diarrhea, contains mucus or blood, is gray, black, or hard, it is generally considered normal. Greenish stool can sometimes be caused by a higher iron content in formula milk, which does not have significant effects and can be monitored.

[Read More] Understanding Green Stool in Children After Gastroenteritis Recovery


Understanding Blood-Streaked Stool in Infants: When to Seek Help

Blood-streaked stool Hello Doctor, my sister is currently over 2 months old. Her usual diet consists of breast milk and formula, and her stools are typically green or yellow and loose, with a protein-like or sour odor. Recently, I noticed mucus and streaks of blood in her stool, ...


Dr. Pei Rensheng Reply:
Hello: 1. How should suspected gastrointestinal bleeding be managed? --> First, check if the baby shows any warning signs, such as tachycardia (without crying or during movement), hypotension (weaker pulse), pallor (indicative of anemia or significant bleeding), decreased ac...

[Read More] Understanding Blood-Streaked Stool in Infants: When to Seek Help


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...

[Read More] Is It Normal for Breastfed Babies to Poop While Feeding?


Understanding Gastrointestinal Issues in Infants: What Parents Should Know

Gastrointestinal issues My baby turned 8 months old on May 9th. Since birth, he has typically had a bowel movement every 2-3 days, and the amount has always been substantial. However, recently he has been having 3-4 bowel movements a day, and they are more watery than before. Pre...


Dr. Xiao Kaiwen Reply:
Increased frequency of bowel movements and higher water content in the stool are, by definition, criteria for diarrhea, which may indicate gastroenteritis. It is recommended to seek evaluation and treatment from a pediatrician.

[Read More] Understanding Gastrointestinal Issues in Infants: What Parents Should Know


Understanding Food Allergies in Children: Egg and Dust Mite Sensitivities

Food allergy Hello, doctor... My child has atopic dermatitis. Recently, blood tests revealed an allergy index of 3 for eggs and 4 for dust mites. Since many foods contain egg ingredients, does this mean that any food with egg components should be avoided?


Dr. Xiao Kaiwen Reply:
The gastrointestinal immune system of the human body tends to develop "tolerance" towards food proteins, meaning that over time, it may not produce allergic reactions. However, test results may still show positive reactions. Therefore, it is essential to closely observe...

[Read More] Understanding Food Allergies in Children: Egg and Dust Mite Sensitivities


Is It Normal for My Baby to Poop Every Time After Feeding?

Drinking milk causes bowel movements? Hello, Doctor. My baby is 4 months old and for the past two weeks, he has been having bowel movements every time he drinks milk. Before this, his feeding and bowel movements were normal. About three weeks ago, he had diarrhea with a sour smel...


Dr. Zhang Yingwen Reply:
Normal bowel movement frequency ranges from three times a day to three times a week. Currently, having 3-4 bowel movements that are sticky in consistency suggests that you are in the recovery phase. It is recommended to follow up with your healthcare provider and consider adding ...

[Read More] Is It Normal for My Baby to Poop Every Time After Feeding?


Understanding Gastrointestinal Issues in Children: A Parent's Guide

Gastrointestinal issues Hello Doctor: My son is 6 years old. Recently, for the past two to three months, he has told me about 4 to 5 times that his bottom feels wet. When I check, I find that it is indeed slightly moist and has a bit of a stool color, just a little bit. Is this w...


Dr. Xiao Kaiwen Reply:
It appears to be encopresis, which is characterized by having more or harder stools that are not completely evacuated, leading to fecal retention in the rectum. This results in slightly loose stools that can only seep out in small amounts. A visit to a pediatric gastroenterology ...

[Read More] Understanding Gastrointestinal Issues in Children: A Parent's Guide


Managing Diarrhea in Infants on Levothyroxine: Alternatives and Insights

Infants taking Enterogermina may experience diarrhea? Hello, my son had a TSH level consistently between 10 and 15 from birth to two months. A bone age assessment during that time was normal. However, at two months during his sixth blood test, his TSH level rose to 20. The doctor...


Dr. Pei Rensheng Reply:
Hello! Eltroxin is a thyroid hormone, and an overdose may lead to increased metabolic rate, diarrhea, and increased appetite with difficulty in gaining weight. You might consider reducing the dosage. These issues should be manageable. Wishing you health and happiness! Best regard...

[Read More] Managing Diarrhea in Infants on Levothyroxine: Alternatives and Insights


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