Stool, Pediatrics FAQ

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Understanding Pediatric Constipation: When to Seek Medical Help

Childhood constipation Hello Doctor, my son is seven years old. He hasn't had a bowel movement for the past two to three days, and after I gave him yogurt, he was able to go. His stool appeared soft and there was no blood (I'm not sure if the stool was hard at the begin...


Dr. Pei Rensheng Reply:
Hello! 1. The recovery time for anal fissures caused by constipation varies depending on the severity. I will prescribe antibiotic ointment to prevent infection, while also encouraging exercise, hydration, and fiber intake to prevent worsening of constipation and the fissure. 2. ...

[Read More] Understanding Pediatric Constipation: When to Seek Medical Help


Addressing Infant Constipation: Formula Changes and Dietary Solutions

Infant bowel movement issues? Hello Doctor, my baby is currently 4 months and 7 days old. He is drinking Karolotani goat milk formula. After birth, he was in the hospital for three days and was also given Karolotani. At that time, his meconium was normal. After being discharged, ...


Dr. Pei Rensheng Reply:
Hello: It appears there is a mild case of constipation. 1. If the baby is over 4 months old, you can introduce complementary foods, utilizing the fiber in these foods (such as fruit puree, vegetable puree, etc.); this can help with bowel movements. 2. Most hydrolyzed formulas hav...

[Read More] Addressing Infant Constipation: Formula Changes and Dietary Solutions


Understanding Baby's Digestive Changes After Switching Formula

Issues with infant formula and stool? The child is currently over 2 months old and has been assessed by a pediatrician as having an allergic constitution, leading to a switch from S-26 formula to Enfamil Nutramigen. Since starting the Nutramigen formula, the frequency of bowel mo...


Dr. Xiao Kaiwen Reply:
If the frequency of bowel movements has increased and the stool has a higher water content compared to when it was normal, this is defined as a form of diarrhea. It is recommended to temporarily switch back to the original formula. If the stool returns to normal, it may indicate ...

[Read More] Understanding Baby's Digestive Changes After Switching Formula


Understanding and Managing Itchy Genital Area in Toddlers

Itching in the genital area? My daughter is currently 2 years and 3 months old. For the past few days, she has been constantly scratching her genital area. Despite frequent washing of her bottom and urethral area, it hasn't stopped her from scratching. I applied Meikang crea...


Dr. Xiao Kaiwen Reply:
It is difficult to make a diagnosis without actually seeing the skin condition. There are many possible causes for itching and rashes in the genital area, ranging from simple diaper rash to fungal infections, atopic dermatitis, or inflammation caused by pinworms leading to itchin...

[Read More] Understanding and Managing Itchy Genital Area in Toddlers


Understanding Baby's Stool Changes After Switching Formula: Is It Normal?

Issues with infant formula and stool? The child is currently over 2 months old and has been assessed by a pediatrician as having an allergic constitution, leading to a change in formula from S-26 to Enfamil Hypoallergenic. Since switching to Enfamil Hypoallergenic, the frequency ...


Dr. Xiao Kaiwen Reply:
If the frequency of bowel movements has increased and the stool has a higher water content compared to when it was normal, this is defined as a mild case of diarrhea. It is recommended to temporarily switch back to the original formula. If the stool returns to normal, it may indi...

[Read More] Understanding Baby's Stool Changes After Switching Formula: Is It Normal?


Is Your Baby Experiencing Diarrhea After Formula? Possible Lactose Intolerance

Bowel movement occurs within half an hour after consuming hydrolyzed milk formula? My baby is currently seven months old and has been exclusively bottle-fed with breast milk. However, due to work commitments, we have started trying formula milk. Generally, after consuming Abbott ...


Dr. Pei Rensheng Reply:
Hello: Breast milk also contains lactose, so your situation is likely not lactose intolerance. I suggest trying a different brand of formula. There is no need to specifically choose a lactose-free formula. Best regards, Rensheng.

[Read More] Is Your Baby Experiencing Diarrhea After Formula? Possible Lactose Intolerance


Managing Infant Diarrhea: When to Use Medication and Care Tips

Infant diarrhea Hello, doctor. My baby is 6 months old and has diarrhea, which has led to a red diaper rash. We visited a doctor who prescribed Racecadotril and Loperamide, and we switched to lactose-free formula. The amount of stool has decreased, but the frequency is still high...


Dr. Xiao Kaiwen Reply:
The strength of antidiarrheal medications varies, and gastroenteritis can be classified as either viral or bacterial. If stronger antidiarrheal medications are used in cases of bacterial gastroenteritis or in very young children, there is a risk of serious side effects such as in...

[Read More] Managing Infant Diarrhea: When to Use Medication and Care Tips


Understanding Diarrhea in a 1-Year-Old: Causes and Solutions

The 1 year and 5 months old has inconsistent bowel movements? Hello Doctor, my child is currently 1 year and 5 months old. Around the age of 1, he started having watery and mushy stools, with a frequency of 1 to 3 times a day, and they have a slightly sour smell. This has been on...


Dr. Xiao Kaiwen Reply:
If a baby’s height and weight are within the normal range, has normal vitality, and shows no signs of fever or infection, the most likely diagnosis is chronic nonspecific diarrhea, also known as toddler diarrhea. This condition is common in toddlers aged 1 to 2 years who are begi...

[Read More] Understanding Diarrhea in a 1-Year-Old: Causes and Solutions


Understanding Iron Deficiency Anemia in Adolescent Boys: A Case Study

Anemia in Adolescents (Males) A 14-year-old boy was diagnosed with iron deficiency anemia three years ago, but the cause has not been determined. It is unclear whether this is related to his father's early-onset osteoporosis (which occurred in his twenties) or if there is a ...


Dr. Pei Rensheng Reply:
Hello: For iron deficiency anemia, we will refer to data such as IRON, FERRITIN, TIBC, Hb, MCV, and RDW. Based on the data you provided, it does indeed suggest iron deficiency. The causes of iron deficiency can be nutritional deficiency or blood loss (gastrointestinal, urinary tr...

[Read More] Understanding Iron Deficiency Anemia in Adolescent Boys: A Case Study


Managing Severe Constipation in 3-Year-Olds: Effective Strategies and Solutions

Severe constipation in a 3-year-old child? Hello Doctor: My child is currently 3 years old and weighs about 12 kilograms. His appetite (one bowl of rice and vegetables + one bowl of fruit) and activity level (we take him to the park to run and play for about 30 minutes after scho...


Dr. Xiao Kaiwen Reply:
Basically, all possible examinations and treatments have been thoroughly conducted, including the use of the potent laxative "Lactulose." It seems that the situation has progressed to severe constipation. At this point, I can only recommend that you follow up with a ped...

[Read More] Managing Severe Constipation in 3-Year-Olds: Effective Strategies and Solutions


Understanding Fever and Diarrhea in Children: When to Seek Hospital Care

Fever and diarrhea? The child has been experiencing recurrent fever for 3-4 days (38-39 degrees Celsius) and has been having diarrhea, with several watery stools daily, which are unformed. Every time the child eats, they have diarrhea, and there is a noticeable decrease in appeti...


Dr. Xiao Kaiwen Reply:
Here, I can only say that the best person to understand your child's condition is their attending physician. It is difficult to fully assess your child's situation with limited information. I recommend closely collaborating with your child's attending physician, wh...

[Read More] Understanding Fever and Diarrhea in Children: When to Seek Hospital Care


Is My Baby Constipated? Understanding Stool Patterns in Infants

Is it constipation? Hello, doctor. My baby is three and a half months old and is on a fully formula-fed diet (with hydrolyzed formula). Recently, he has been having bowel movements every 3-4 days. Previously, his stools were mushy, but today they were formed into sausage-shaped s...


Dr. Xiao Kaiwen Reply:
Infant constipation is defined as difficulty in bowel movements, the presence of hard or pellet-like stools, a decrease in the frequency of bowel movements, abdominal discomfort, or symptoms such as rectal mucosal bleeding caused by the passage of hard stools. Therefore, your chi...

[Read More] Is My Baby Constipated? Understanding Stool Patterns in Infants


Pediatric Concerns: Understanding Light Yellow Diarrhea in Children

Pale yellow stool? A five-year-old girl has been experiencing diarrhea with very light yellow stools that float on the surface of the water. The color is quite different from her usual stools, and she reports having abdominal pain. This has been ongoing for four days. Initially, ...


Dr. Xiao Kaiwen Reply:
An increase in the frequency of bowel movements along with higher water content is defined as diarrhea. The most common cause of diarrhea is gastroenteritis, which can also cause intermittent abdominal pain. If the symptoms have persisted for several days, it is advisable to cons...

[Read More] Pediatric Concerns: Understanding Light Yellow Diarrhea in Children


Understanding Adenovirus Symptoms in Children Before Air Travel

Adenovirus and Air Travel Hello Doctor, my child started having a high fever of 38.8°C on the evening of Sunday, May 21. After visiting the emergency room, it was confirmed that it is neither COVID-19 nor influenza. After returning home, the fever has been intermittent, reaching ...


Dr. He Zongxian Reply:
Dear Parent of the Little One, Based on the symptoms you described (without mentioning the child's age), your child's symptoms (high fever, loss of appetite, diarrhea, and red eyes) are indeed consistent with adenovirus infection. However, I would like to remind you th...

[Read More] Understanding Adenovirus Symptoms in Children Before Air Travel


Understanding Oil in Stool and Color Changes in Children

Could you please provide more details about the issues related to oily stools and color changes? My son is currently 8 years old. Since he was about 6, he has frequently experienced issues with oily stools or passing gas that results in a significant amount of oil, enough to stai...


Dr. Zhang Yingwen Reply:
1. Sometimes consuming excessively greasy foods can lead to the intestines being unable to absorb fats, which may result in oily stools. In such cases, it is advisable to start by improving the diet, reducing fat intake, and maintaining a light diet. 2. If a child frequently ha...

[Read More] Understanding Oil in Stool and Color Changes in Children


Understanding Gastrointestinal Issues in Infants: When to Worry?

Gastrointestinal issues The baby is currently 7 days old and has been discharged, receiving a combination of breast milk and formula (Abbott infant formula). The stool color has been normal these past few days, but the baby tends to have a bowel movement whenever passing gas. The...


Dr. Xiao Kaiwen Reply:
Newborns who are breastfed typically have more frequent and looser stools within the first month after birth. After one month, their bowel movements will gradually normalize. Therefore, your child's situation is considered normal, and there is no need to stop breastfeeding.

[Read More] Understanding Gastrointestinal Issues in Infants: When to Worry?


Severe Gas Issues in Newborns: Causes and Solutions for Parents

Severe gas in newborns? Hello, Doctor. My baby is currently one and a half months old. She was doing well with both breast milk and formula at the postpartum care center, without any issues of gas. However, after leaving the center, I’m not sure if it’s due to my diet not being b...


Dr. Xiao Kaiwen Reply:
Breast milk is the best and most natural form of nutrition for newborns and does not adversely affect their health, so breastfeeding is still recommended. Your baby's condition may simply be infantile colic, which is quite common in infants under two to three months of age a...

[Read More] Severe Gas Issues in Newborns: Causes and Solutions for Parents


Can I Mix Pediatric Gastrointestinal Medications for My Child?

Pediatric gastrointestinal medication issues? For a 4-year-old child with gastroenteritis, the doctor prescribed Federated Gastrointestinal Suspension and Magnesium Oxide (laxative powder) to be taken after each meal. Is it possible to mix the laxative powder into the Federated G...


Dr. Zhang Yingwen Reply:
Hello, mother of the baby! It is acceptable to take magnesium oxide and Gaviscon suspension together with water. Since magnesium oxide is insoluble in water, it is normal for the mixture to appear cloudy rather than clear. May I ask if your baby has diarrhea due to gastroenteriti...

[Read More] Can I Mix Pediatric Gastrointestinal Medications for My Child?


Understanding Changes in Your Toddler's Stool Color: What to Know

The color of a toddler's stool? Hello, doctor. For the past two weeks, my 4.5-year-old daughter has been having light yellow stools (previously, she would have a bowel movement every three days with darker color). Recently, she has been going every other day, and the color i...


Dr. Xiao Kaiwen Reply:
Monitor for any signs of jaundice (yellowing of the sclera) or if the stool gradually turns grayish-white; otherwise, observation is sufficient.

[Read More] Understanding Changes in Your Toddler's Stool Color: What to Know


Understanding Weight Loss in Growing Children: When to Seek Medical Advice

Child Growth and Development Hello: My daughter is 10 years old. I have noticed that her weight has not increased in the past 5 to 6 months and has actually decreased by about 1 kilogram. (Her current weight fluctuates around 22.8 kilograms, down from approximately 23.7 kilograms...


Dr. Xiao Kaiwen Reply:
A 10-year-old girl with a height of 128 cm and a weight of 23 kg falls into the 5th percentile for both height and weight, meaning she ranks among the lowest 5 out of 100 girls her age, indicating that she is underweight. It is advisable to consult a pediatric growth and developm...

[Read More] Understanding Weight Loss in Growing Children: When to Seek Medical Advice


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