Gastrointestinal, Pediatrics FAQ

Addressing Weight Concerns in Infants: Tips for Parents

Baby weight issues? Hello, doctor. My baby boy was born at 36 weeks and weighs 1500g. His corrected age is one year, with a height of 68 cm and a weight of 7 kg. He drinks milk every 3 hours, and previously he drank a maximum of 120 cc. After he caught a cold at 10 months old and...

Dr. Xie Degui Reply:
1. According to the description, the baby's development is not delayed, but growth is insufficient and height is below normal, indicating a lack of nutrition for some time. 2. Besides being premature and having a low birth weight (SGA), the baby may also have intestinal sen...

Essential Vaccination Guidance for Your 1-Year-Old Child

Vaccination Hello Dr. Hsiao, I have the following questions regarding my baby who is currently 1 year and 2 months old: 1. Are the vaccines provided in hospitals, health centers, or clinics, whether self-paid or government-subsidized, standardized and safe? Do vaccines also dif...

Dr. Xiao Kaiwen Reply:
1. In principle, vaccination sites approved by local health bureaus are safe (the health bureau conducts regular inspections, including storage methods). Some vaccines have different brands, and some can be used interchangeably (in case of shortages), while others cannot. Please ...

Understanding Café-au-Lait Spots in Children: What Parents Should Know

Café au lait spots My child is currently 10 years old. A few days ago, during a medical visit, the doctor pointed out that he has café-au-lait spots on his body. I always thought they were birthmarks that just increased in number as he grew. The doctor mentioned that birthmarks d...

Dr. Pei Rensheng Reply:
Hello: I have organized the information as attached, hoping it will be helpful to you. Wishing you health and happiness! Sincerely, Pei Ren-Sheng.

Should You Give High Protein Powder to Your Picky Toddler?

High-protein powder My son is 2 years and 4 months old, and his height has not yet reached 90 cm. He tends to be picky with food and will spit out what he doesn't like, and he easily gets nervous, leading to poor gastrointestinal absorption. Someone suggested that we give hi...

Dr. He Shenglong Reply:
Hello; for a 2-year and 4-month-old boy with a height of 90 cm, he is exactly at the 50th percentile, which is not necessarily bad. Height is significantly influenced by genetic factors. If a child's height is below the 3rd percentile, or if there is a drop in height percent...

Understanding Persistent Diarrhea with Mucus and Blood in Infants

Persistent diarrhea with mucus and streaks of blood? The child is currently 8 months and 10 days old. Since May 19, he has been experiencing diarrhea with mucus and blood-streaked stools. At the clinic, the doctor diagnosed it as Salmonella infection. After two weeks of medicatio...

Dr. Pei Rensheng Reply:
Dear Dora, Hello! 1. If diarrhea lasts more than two weeks, it is classified as chronic diarrhea. Conditions such as enteritis, food allergies, genetic factors, and immune issues can all contribute to chronic diarrhea. Your baby is likely experiencing post-infectious diarrhea ...

Switching Baby Formula: When and How to Transition Safely

Switching formula issues Hello Doctor, my baby is almost 3 months old. I switched to Nestlé hydrolyzed protein formula after he turned one month old. I would like to ask: 1. Is it possible to switch to regular formula when he is 5-6 months old? Will this cause gastrointestinal di...

Dr. Xiao Kaiwen Reply:
Hydrolyzed protein formula simply breaks down larger protein molecules into smaller ones. Larger protein molecules can trigger allergic reactions in infants whose immune systems are not fully developed. However, its nutritional content is similar to that of regular formula, and i...

Boosting Your Baby's Immunity: Tips for Parents of Infants

Enhancing immunity Hello Dr. Chang... My baby is already eight months old. What methods can enhance his immune system? Currently, I am giving him child-specific probiotics, calcium powder, and vitamins. Do I need to supplement with additional multivitamins? My baby has been exper...

Dr. Zhang Yingwen Reply:
1. To enhance immunity, it is essential to maintain a balanced diet (breast milk, natural foods), a hygienic environment (reducing exposure to pathogens), moderate exercise, and a healthy, happy mindset. Adding child-specific nutritional supplements such as calcium powder and vit...

Understanding Pediatric Gastrointestinal Issues: Vomiting and Dietary Challenges

Gastrointestinal dyspepsia The little girl is currently 2 years and 6 months old, approximately 85 cm tall and weighs 12 kg. She frequently experiences vomiting and has been unable to tolerate meat and fish. Sometimes, about an hour after eating, she feels nauseous and vomits the...

Dr. Xiao Kaiwen Reply:
Nausea and vomiting are not solely indicative of gastrointestinal issues; other less common causes such as increased intracranial pressure, central nervous system problems, metabolic disorders, and cyclic vomiting syndrome can also be responsible. It is advisable to consult a ped...

Probiotics for Infants: Addressing Constipation and Formula Concerns

Lactic acid bacteria Hello, doctor. My child is 2 months old and has a bowel movement every two days. I would like to help him have daily bowel movements. Is it okay to supplement with probiotics? He is currently drinking a mixture of Nestlé hydrolyzed protein formula and Meiji f...

Dr. Xiao Kaiwen Reply:
Having a bowel movement every two days is considered normal, as long as the stool is not hard. There is no need to supplement with lactobacillus for this reason (especially since newborns already have a sufficient amount of beneficial bacteria in their intestines, and additional ...

Blood in Stool: What Parents Should Know About Pediatric Concerns

Blood in the stool? Hello Dr. Hsiao, My child is currently 2 years and 4 months old and is in the process of learning to use the toilet. Recently, I have noticed some bright red blood in the stool after bowel movements. It's not a lot, but it is fresh blood. Should I take ...

Dr. Xiao Kaiwen Reply:
Bright red blood in the stool is generally indicative of lower gastrointestinal bleeding (as blood from the upper gastrointestinal tract tends to be darker). In infants and young children, the most common cause is anal fissures, which occur due to the narrowness of the anal sphin...

Vaccination and Pediatric Health: Key Questions for Parents

Vaccine issues Hello Dr. Pei, I have two questions to ask you: (1) My child just turned two months old, and I am planning to take him for vaccinations next week. Can the first dose of the DTaP-Hib-IPV-HepB combination vaccine and the first dose of the pneumococcal vaccine be ...

Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! (1) The schedule for the pentavalent vaccine is at 2, 4, 6, and 18 months, while the pneumococcal vaccine is administered at 2, 4, 6 months and after the first year. The first dose of the pentavalent vaccine and the first dose of the pneumococcal vaccine c...

Understanding Gastrointestinal Issues in Infants: Causes and Remedies

Gastrointestinal issues Hello Doctor, I would like to ask you about my baby who is almost one year old. He often tosses and turns at night and only settles down after passing gas. During the day, his diaper often smells bad, and when I check, I find that he has only passed gas an...

Dr. Pei Rensheng Reply:
Hello, (1) The sources of air in a baby's gastrointestinal tract include crying, oversized nipple holes, frequent sucking on pacifiers, food fermentation, or gas produced by intestinal bacteria. If the baby has a normal appetite, is growing well, and has no abnormalities i...

Understanding Thrush in Infants: Causes, Symptoms, and Treatment Tips

Oral thrush (3) Dear Dr. Pei, I would like to ask you a few questions. (1) My child has not yet recovered from oral thrush and has returned for a second consultation (at a different hospital). The second pediatrician believes that the reason for the persistent condition may be t...

Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! (1) Oral thrush is a type of candidiasis infection. Infants and young children with normal or compromised health, those who have used antibiotics or corticosteroids, and individuals with congenital or acquired immunodeficiency are all at risk for developin...

Understanding Oral Thrush and Common Pediatric Concerns

Angular Cheilitis (2) Dear Dr. Pei, I have a few questions to ask you: (1) My child was diagnosed with oral thrush last Wednesday. The first three packets of medication were mixed with milk for drinking, but I later realized they should be applied topically, so I switched to t...

Dr. Pei Rensheng Reply:
Dear Xiaofen, (1) After medication, oral thrush usually disappears within about 3 days. If the white spots have not completely cleared after finishing the last dose of medication, it is advisable to consult a pediatrician. (2) Sources of air in the gastrointestinal tract includ...

Understanding Oral Thrush in Infants: Treatment and Care Tips

Oral thrush Dear Dr. Pei, I would like to ask you a few questions: (1) My child is currently over one month old and has developed oral thrush. The doctor at the hospital prescribed a five-day supply of medication (Mycostatin, to be taken three times a day, ground into powder)....

Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! (1) Oral thrush is a type of Candida infection. In healthy individuals, Candida can be present in the oral cavity and intestines. Infants with normal health or those with compromised health, such as those using antibiotics or corticosteroids, as well as th...

Understanding Pediatric Vaccination: Choosing the Right Schedule for Your Child

Vaccine issues Hello, Director Hsiao: I would like to ask you a few questions regarding my child's vaccination! My child was born on October 23. Initially, I was considering having my child receive the hexavalent vaccine at one and a half months to minimize the number of inj...

Dr. Xiao Kaiwen Reply:
The Health Department recently promoted the oral polio vaccine due to an outbreak of poliomyelitis in Southeast Asia, where we have close interactions. For preventive health considerations, it is recommended that infants receive at least two doses of the oral polio vaccine, as it...

Understanding Pediatric Bloating: Causes, Prevention, and Speech Concerns

Bloating Hello, doctor: (1) My son has been experiencing bloating for more than a week, and applying anti-bloating cream hasn't helped much. Could this indicate indigestion if it continues like this? How can we prevent it in the future? (2) My child is currently 2 years and ...

Dr. Pei Rensheng Reply:
Dear Xiao Min, Hello! (1) The condition of abdominal bloating is particularly noticeable in children after they eat, primarily due to the thinner abdominal wall muscles. Generally, this improves after the age of 5. However, one should be cautious of the following conditions: -...

Should My Child Switch Epilepsy Medications Based on EEG Results?

Please inquire about epilepsy medications? My daughter is 3 and a half years old and has been taking Lamotrigine for epilepsy for six months. Recently, we conducted a follow-up EEG after six months of medication and found that her entire brain starts to discharge as soon as she f...

Dr. Pei Rensheng Reply:
Hello! Although my specialty is pediatric gastroenterology and pulmonology, I will do my best to find answers for you. I hope this information is helpful! A. Tegretol (Carbamazepine) Indications: Generalized tonic-clonic seizures, complex partial seizures, mixed seizures, epil...

Managing Vomiting in Toddlers: Recovery Tips After Rotavirus

Pediatric vomiting Doctor: My child is currently 1 year and 8 months old. Last Thursday, he was hospitalized for vomiting and diarrhea, and he was diagnosed with rotavirus. He stayed in the hospital for 4 days and did not consume any milk during that time, relying on IV fluids fo...

Dr. Xiao Kaiwen Reply:
Dairy products are less easily absorbed during gastroenteritis. It is advisable to prioritize light foods such as water, plain toast, and porridge. At the age of one year and eight months, milk is no longer a staple food, so it can be gradually reintroduced once the condition imp...

Addressing Pediatric Digestive Issues: Tips for Improving Baby's Appetite

Bowel issues Hello Doctor: My baby just turned 8 months old, weighing 7 kg and measuring 69 cm. At six months, we switched to Jin Ke Bei Ke formula, giving 150 cc four times a day along with complementary foods, and bowel movements were normal. However, after turning seven months...

Dr. Pei Rensheng Reply:
Hello: It is reasonable for bowel movements to occur three times a day to once every three days, so there is no need to worry too much. At 8 months old and weighing 7 kg, it is indeed a bit slow in growth, especially since there has been no weight gain in the past month. Lactose-...

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