Gastrointestinal, Pediatrics FAQ

Understanding Growth Delays in Children: A Pediatric Perspective

Growth issues in children? Hello Dr. Wang, My daughter was born weighing 3850 grams (75th percentile), measuring 53 cm in length (75th percentile), and with a head circumference of 36.5 cm (90th percentile). She started experiencing chronic constipation around one month old, whi...

Dr. Wang Jiayi Reply:
Dear Concerned Mother, Please do not worry too much! If your child's teeth are developing normally, there is no need for excessive concern. Currently, your child's weight is in the 10th percentile and height is between the 10th and 25th percentiles, which falls within ...

Understanding Constipation and Hard Stools in Infants: Causes and Solutions

Constipation and hard stools? Hello Dr. Wang: My baby has been experiencing constipation and hard stools recently. Could this be a gastrointestinal issue, or is it related to the formula? I am using a combination of goat milk powder and rice cereal along with the formula. I prepa...

Dr. Wang Jiayi Reply:
1. How many months old is your child now? 2. I do not recommend the use of goat milk formula; however, if you prefer goat milk formula, please ensure it is specifically labeled as "infant formula." 3. Solid foods should be used according to the recommended amounts i...

Is Your Baby Constipated? When to Seek Help for Bowel Issues

Not having a bowel movement for a week? Hello, Director. My child has been exclusively breastfed since birth on May 12. However, from July 8 to July 16, the child did not have a bowel movement (previously, bowel movements were normal). During this period, the child experienced so...

Dr. He Shenglong Reply:
At two to three months old, infants may eat less, and if their activity level is normal and there are no other symptoms, it could be due to a nursing strike, which is not a cause for concern. Occasional spitting up does not indicate any special significance; however, it is import...

Managing Infant Constipation: Tips for Parents of Post-Surgery Babies

Infant constipation Hello Doctor, I am a father of a nine-month-old girl. My daughter underwent surgery for a ventricular septal defect on the 15th of last month. Everything was normal after the surgery, but after returning home for recovery, she started having difficulties with ...

Dr. Xiao Kaiwen Reply:
Dear Dad Zhou: 1. For infants, it is sufficient to change their diapers more than six times a day. Juice and breast milk also provide hydration, but juice contains higher sugar content and should be given in moderation, not as a complete substitute for water. 2. Fruit purees th...

Should You Add Supplements to Boost Your Baby's Immunity?

Should nutritional supplements be added to help boost immunity? Hello, doctor! My baby is almost 5 months old now! I breastfed for only 2 months, and after that, he has been drinking formula. Can I start adding nutritional supplements like probiotics? What are the functions of pr...

Dr. Xiao Kaiwen Reply:
Dear PP: In response to your questions, here are the answers: 1. Probiotics: These are a group of beneficial bacteria that do not cause disease and are advantageous to human health, such as Lactobacillus and Bifidobacterium. Probiotics can inhibit the growth of harmful bacteria...

Is Your Toddler's Bloated Belly Normal or a Sign of Digestive Issues?

Abdominal distension Hello, Doctor: My child is currently one year and four months old. Recently, over the past few days, their stomach has suddenly become very large. Is this normal, or could it indicate a gastrointestinal issue? Thank you for your response from a concerned moth...

Dr. Wang Jiayi Reply:
Dear Chiouya, Is your child’s feeding, bowel movement, urination, sleep, and energy level normal? Are there any other accompanying symptoms of discomfort? If everything is normal, you can observe for a while. However, if there are any other discomforts or if you are very concer...

Understanding Bacterial and Viral Infections in Young Children

Bacteria and viruses? Hello, doctor. I have a two-year and two-month-old son. He started showing some cold symptoms on May 7th, such as a mild fever (not exceeding 39 degrees Celsius), cough, and runny nose. By May 11th, he was almost recovered. However, two days later, on May 14...

Dr. Xiao Kaiwen Reply:
Dear YOYO Mom, In response to your questions, here are the details: 1. There are many reasons that can cause a child to have a fever (such as infections, autoimmune diseases, drug fever, summer fever, vaccinations, tumors, etc.). In pediatrics, over 90% of cases are due to infe...

Probiotics vs. Bifidobacterium: Which is Best for Your 2.5-Month-Old?

Probiotics and Bifidobacterium..? Thank you, Dr. Wang, for your previous answer. Today, I would like to ask about the differences between these two types of bacteria. If I were to give them to a two-and-a-half-month-old baby, which one would be more suitable? What are the effects...

Dr. Wang Jiayi Reply:
Hello, new mom: Probiotics refer to various beneficial bacteria that aid digestion within the normal flora of the human gastrointestinal tract. Bifidobacterium is one such type. It is recommended to consider introducing complementary foods around six months of age. A simple lifes...

Switching from Lactose-Free to Regular Formula: Key Considerations for Parents

Switching from lactose-free formula to regular formula? Hello Doctor: My baby is currently ten months old. He had diarrhea for over a month, and after seeing a doctor, he has been drinking lactose-free formula for about eight weeks. Two weeks ago, we stopped medication, and now h...

Dr. Pei Rensheng Reply:
Hello, (1) Growth formula for children aged 1 to 3 years is not less nutritious than infant formula for those aged 6 to 12 months. Once a child turns one year old, they can start drinking the 1 to 3 years growth formula, which may even have a higher protein concentration compar...

Can I Introduce Solid Foods to My 4-Month-Old with Gas Issues?

Bloating My child is four months old. He is experiencing bloating and refuses to drink milk. Can I feed him some solid foods? Will it increase the burden on his stomach?

Dr. Pei Rensheng Reply:
Hello, Severe bloating can indeed affect appetite. At four months old, it is appropriate to start introducing complementary foods, beginning with rice cereal. If there are no more severe symptoms such as vomiting or diarrhea, it should be fine. However, if you are still concern...

Understanding Umbilical Issues and Digestive Concerns in Infants

Umbilical issues Hello Dr. Pei: Thank you for your response to my previous question. I have a few more questions to ask you. Last time, you mentioned that the foul smell of a child's stool is due to excessive protein. Is this directly related to the formula milk? Should I co...

Dr. Pei Rensheng Reply:
Hello: 1. Infants who consume partially hydrolyzed formula (such as Enfamil HA1) may have stools that are more odorous. However, if the child is growing normally, there is no need to change the formula solely due to the odor of the stools. 2. Bloating in the stomach is mostly...

Addressing Digestive Issues and Asthma in Infants: A Parent's Guide

Digestive system and asthma issues? Hello, I have a few questions for Dr. Pei. My child is almost 3 months old, and his milk intake varies a lot; sometimes he only drinks 40cc. We have taken him to see a doctor and he has been given medication, but there hasn't been any impr...

Dr. Pei Rensheng Reply:
Hello: The standard feeding amount is 100 to 150 cc per kilogram of body weight per day. Sometimes, variations in meal sizes are acceptable, but the total amount should meet this requirement. However, if the baby's weight is within a good range (around the 25th to 75th perce...

Understanding Weight Issues in Infants: Common Concerns and Clarifications

Regarding issues related to infant weight? Dear Doctor, Thank you for the detailed information in the attached file. After reading it, I have a more concrete understanding of the causes of underweight in young children. However, I have a few questions that I hope you can clarify...

Dr. Pei Rensheng Reply:
Hello, You are a very dedicated mother. 1. The growth curve data provided by the Department of Health in June 1999 is now over seven years old and may not accurately reflect your baby's current situation. Theoretically, with advancements over time, babies tend to be tall...

Addressing Underweight Concerns in Infants: A Pediatric Guide

What should I do if I am underweight? Hello Doctor: My daughter has just turned one year old. She was born with a normal weight of 3100 grams, but since she was six months old, her weight has not increased for 3-4 months (5.5 kg). At that time, she was exclusively breastfed, and ...

Dr. Pei Rensheng Reply:
I'm sorry, but I cannot access or view attachments. Please provide the content you would like me to translate, and I'll be happy to

Understanding Baby Spit-Up: Causes, Concerns, and Care Tips

Babies who are prone to spitting up? My daughter is now over one month old, born on October 18. She is currently drinking Nestlé NAN formula. Since birth, she has had a tendency to spit up frequently, often doing so even two hours after feeding when lying down for a diaper change...

Dr. Pei Rensheng Reply:
Hello: The daily food intake for a child should be around 150 cc/kg/day. If your child weighs 3.7 kg, they should drink approximately 3.7 * 150 = 555 cc in a day. If you feed every 4 hours with 90 cc each time, that totals 540 cc for the day, which is close to the 555 cc mentione...

Understanding Vomiting and Diarrhea in Young Children: Causes and Concerns

Vomiting and diarrhea? Hello Doctor: My child is 1 year and 4 months old. Recently, he has been experiencing vomiting and diarrhea during the night, but his activity level during the day remains normal. The vomiting and diarrhea occurred only once or twice. He had previously show...

Dr. Zhang Yingwen Reply:
I. PHENOBARBITAL Side Effects: The side effects are dose-dependent. Nervous System: agitation, confusion, hyperactivity, ataxia, CNS depression, nightmares, nervousness, psychiatric disturbances, hallucinations, insomnia, anxiety, dizziness, abnormal thoughts. Respiratory Sys...

Is Your Baby's Gas Related to Milk or Digestive Issues?

Milk Hello, doctor: Is the baby's bloating related to milk, or is it related to the gastrointestinal system?

Dr. Wang Jiayi Reply:
Hello, Xiaoyi: First, please consult a pediatrician nearby to check for any signs of gas. Unless the doctor fully understands the baby's condition and recommends changing the formula, do not change the formula lightly. The pediatric department of Hualien Hospital cares about...

Can Traditional Chinese Medicine Powder Help My Toddler's Appetite?

Traditional Chinese Medicine (TCM) Hello Dr. Chen, I would like to ask you a question. My daughter is currently two years old. Is it safe for her to take Chinese herbal powder to improve her gastrointestinal health and constitution? She tends to eat very little and is a picky eat...

Dr. Chen Rongtai Reply:
Hello, Xiaofen's mother. If the prescription is issued by a qualified traditional Chinese medicine practitioner after a personal consultation, I have no objections.

Understanding Infant Feeding Challenges: Why Your Baby Refuses Milk

Not drinking milk? Hello, I would like to ask about my baby who is currently one month old and weighs around 3800 grams (born at 3400 grams). Last week, she was already around 3800 grams, and in the past week, she has not been eating well or normally. We are exclusively breastfee...

Dr. Chen Rongtai Reply:
Hello Kimi's dad, I am writing to address your concerns regarding your baby, who has had a poor appetite over the past week. Your baby is now one month old and has only gained about 400 grams since birth, which is indeed concerning. Additionally, you mentioned that your ba...

Understanding Eye and Lip Swelling in Newborns: Causes and Solutions

Baby's eyes The baby was born less than two weeks ago, but after being discharged from the hospital, we noticed that the baby's upper and lower eyelids are swollen and red, as well as the upper lip, which also has red, swollen spots. We are unsure if this is due to an i...

Dr. Chen Rongtai Reply:
Hello, I apologize for the delay in my response due to heavy work commitments and being on duty for two consecutive days. I am now able to reply to you. You mentioned that your baby is less than two weeks old and has redness and swelling of the eyelids, as well as a rash on the u...

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