Stool, Pediatrics FAQ

Concerns About Foreign Object Ingestion in Infants: When to Seek Medical Help

Follow-up on the issue of infants swallowing foreign objects? Hello, Doctor. Yesterday, I consulted you about my two-and-a-half-month-old baby swallowing a foreign object (https://sp1.hso.mohw.gov.tw/doctor/All/ShowDetail.php?sat=1&q_no=169721). I apologize for not thoroughly...

Dr. Xiao Kaiwen Reply:
If there are no symptoms of gastrointestinal obstruction such as difficulty swallowing, abdominal distension, vomiting, or excessive crying and restlessness, it is unlikely to have any impact on the body, and observation should suffice.

Child's Fever: Understanding Causes and When to Seek Help

The child started having a fever on the night of June 16th? Hello, doctor. My child is 1 year and 2 months old. On the night of the 16th, around 9 PM, I noticed that my child's temperature was slightly elevated, around 38 degrees Celsius. At 1 AM on the 17th, it measured 38....

Dr. Xiao Kaiwen Reply:
Teething typically does not cause a fever lasting for many days. If a fever persists for more than three days, it is important to pay attention. If the child is active and the highest temperature has started to decrease without continuous use of antipyretics, and if the intervals...

Understanding Infant Constipation: Causes and Solutions for Parents

Bowel issues Currently, at 3 months old, there is frequent bloating. Sometimes shortly after drinking milk, there is a strong urge to push, but often it only results in passing gas. In the past few days, there has only been one bowel movement, with the first part being pellet-lik...

Dr. Xiao Kaiwen Reply:
It is normal for infants to have bowel movements two to three times a day or every two to three days, as long as the stool is not grayish-white, watery, contains blood, or is hard and pellet-like. Whether the formula is the issue is not certain; it can only be determined if the i...

Understanding Salmonella Infection in Children: Symptoms and Recovery Insights

Salmonella infection Hello Doctor: My child had diarrhea and we took him to the clinic. After reviewing the stool photos, the doctor informed us that it was a Salmonella infection. He has been on medication for 7 days, and the diarrhea is gradually improving (the frequency is sta...

Dr. Lin Yishou Reply:
Dear Parent, Generally, if symptoms are improving, there should not be any blood present. It is advisable to return to the hospital for follow-up. Thank you for your message.

Understanding Fecal Occult Blood Tests in Pediatric Patients

Fecal occult blood test (FOBT) Recently, a child had blood streaks in their stool. After a consultation, a stool sample was collected, and an immunochemical fecal occult blood test was performed specifically on the areas with blood streaks. The results came back positive, but it ...

Dr. Xiao Kaiwen Reply:
Fecal occult blood testing means that if there is blood in the stool, it can be detected even in very small amounts that are not visible to the naked eye. If the amount of blood is large enough to be seen, the fecal occult blood test will certainly be positive. Therefore, there i...

Essential Hydration and Feeding Tips for Your 5-Month-Old Baby

Issues related to hydration, feeding, and bowel movements? Hello, my precious daughter is five months old and has started eating solid foods. I would like to ask: 1. If she is eating solid foods, does she need additional hydration? 2. My baby is going through a nursing strike, dr...

Dr. Xiao Kaiwen Reply:
1. Infants under six months do not require excessive additional hydration (a few sips of water after milk and solid foods is acceptable). As long as they urinate five to six times a day with a sufficient volume and the urine is not dark or concentrated, it indicates adequate hydr...

Understanding Blood in Stool: Pediatric Concerns and Diagnosis

Bowel movement issues A 2-year-old child had a significant amount of dark red blood in the stool two weeks ago (on the surface). The night before the bloody stool, the child experienced constipation and strained during a bowel movement. Over the next two weeks, there were instanc...

Dr. Xiao Kaiwen Reply:
Meckel's diverticulum bleeding is usually more significant and can occur with or without abdominal pain. Most of the bleeding originates from the small intestine, so it is often mixed throughout the stool (though this is not always the case). Anal fissures typically involve ...

Understanding Blood in Baby's Stool: When to Seek Medical Attention

Blood in an infant's stool? Hello, Dr. Hsiao. My daughter is exclusively breastfed, and I have been avoiding dairy and eggs in my diet. She is currently 4 months and 21 days old. Previously, she occasionally had a drop of blood or 2mm of blood in her stool, but since last mo...

Dr. Xiao Kaiwen Reply:
The presence of blood streaks in an infant's stool can range from mild to severe. If this condition was observed before the introduction of solid foods, it is likely not caused by food intolerance. It is advisable to consult a pediatrician at a major hospital for further eva...

Is My Child's Yellow Watery Stool Normal? Pediatric Concerns Explained

Diarrhea? My son is four months old and has been on hydrolyzed protein formula. He has now started drinking regular formula and eating complementary foods (porridge). He has bowel movements once or twice a day, and sometimes he doesn't have a bowel movement at all. Currently...

Dr. Xiao Kaiwen Reply:
If the water content of the stool is significantly increased compared to the normal stool, it can be defined as diarrhea.

How to Restore Appetite in a 1.5-Year-Old After Salmonella Infection?

The child, aged 1.5 years, has been experiencing a Salmonella infection for 2 weeks and is showing a lack of appetite? My daughter is 18 months old. On the morning of November 16, she had a fever without any cold symptoms, and experienced her first febrile seizure, which led us t...

Dr. Xiao Kaiwen Reply:
Although antibiotic treatment is not always necessary for Salmonella enteritis (as it may prolong the duration of bacterial shedding), it is still recommended for more severe infections. Given that your child is younger and has significantly elevated white blood cell counts, anti...

Is My Baby Constipated? Understanding Pediatric Bowel Movements

Is this considered constipation? My baby has been refusing to drink milk severely. He used to have a normal intake and would have a bowel movement every 3-4 days (normal green stool, formed). However, due to reduced milk intake, it took until the fifth day for him to have a bowel...

Dr. Xiao Kaiwen Reply:
The stool is somewhat dry and hard, but it has only occurred once, so it does not yet qualify as constipation. A three-month-old infant's bowel muscles are not yet coordinated or strong, so occasional difficulty with bowel movements is considered normal and will generally im...

Understanding Baby's Bowel Issues: Causes and Solutions for Parents

Infant bowel movement issues? Hello, my baby is currently 2 months and 17 days old. Recently, I have noticed that there are occasionally formed stools during bowel movements. Could this be due to insufficient fluid intake, or could there be other reasons? Since the baby is almost...

Dr. Pei Rensheng Reply:
Hello! For an infant over two months old, the average daily milk intake is about 150 cc/kg. If the baby can reach 800-900 cc per day, that would be considered a good amount. Generally, there is no need for the baby to have additional water. After the baby turns one month old, the...

Understanding Low Platelet Counts in Children: Causes and Concerns

Low platelet count? Hello, doctor. My child has been hospitalized a few times in the past. In 2018, the platelet counts were normal, with the first hospitalization showing a count of 191 and the second hospitalization showing a count of 163 (both occurred one month apart and were...

Dr. Xiao Kaiwen Reply:
Generally, common illnesses do not cause thrombocytopenia unless they are specific, rare, and severe diseases. A platelet count above 100,000 is considered normal, while thrombocytopenia (purpura) is defined as a platelet count below 20,000. It is important to monitor for any unu...

Understanding Soft Stools in 1-Year-Olds: When to Seek Help

Diarrhea in a 1-year-old child? Hello, Doctor. I apologize for the interruption! My son is currently just over 1 year old and started experiencing soft stools/watery diarrhea last Wednesday (August 12) afternoon, which has continued for about 5 days now. * The stool color is norm...

Dr. Pei Rensheng Reply:
Hello! Based on your daughter's condition, it is likely toddler's diarrhea. The characteristics include eating a lot, growing well, and having mild diarrhea. This is often caused by a high intake of fructose-containing foods, such as fruit juices. If you switch to a hig...

Severe Constipation in Toddlers: Causes and Solutions for Parents

Bowel issues Hello Doctor: My daughter is currently over 3 years old and has been experiencing severe constipation lately, unable to have bowel movements on her own. When I palpate her abdomen, I can feel hard masses (likely stool). Recently, she took a stool softener prescribed ...

Dr. Zhang Yingwen Reply:
1. Simple probiotics and enzyme powders do not contain dietary fiber, thus their effectiveness in aiding bowel movements is limited. However, they can help alleviate abdominal pain caused by constipation. 2. To ensure smooth bowel movements in children, there are three essentia...

Managing Diarrhea in Children: Tips for Parents on Lactose-Free Formula

Bowel issues Hello, doctor. I would like to ask about my son, who has had diarrhea for the past couple of days. I have switched to lactose-free formula, and although the frequency is not as high as it was a couple of days ago, he is still having some loose stools. What should I d...

Dr. Lin Yishou Reply:
Hello. This issue cannot be addressed online. Please seek treatment at the nearest pediatric clinic or hospital. Thank you.

Understanding Constipation in Toddlers: Causes and Solutions

Bowel issues My daughter is 1 year and 11 months old and has been training herself to use the toilet. Recently, she has been having bowel movements only about every two days, with the initial stools being hard and pellet-like, followed by diarrhea. She cries in pain every time sh...

Dr. Xiao Kaiwen Reply:
Younger children have not yet developed strong muscles for bowel movements, making it more difficult for them to defecate compared to adults. To improve constipation, it is essential to enhance dietary and bowel habits. Dietary improvements include: increasing the intake of fiber...

Understanding Constipation in Infants on Formula Milk: A Guide for Parents

Formula milk and bowel movement issues? The child is currently 4 months and 15 days old, weighing 6 kg, measuring 61 cm in height, and having a head circumference of 39 cm. They have been drinking Enfamil A+ formula and are on their third can. The milk intake is 150 ml, approxima...

Dr. Pei Rensheng Reply:
Hello! For a baby over four months old, the daily food intake is approximately 100-200 gm/kg/day. Currently weighing 6 kg, this translates to a daily intake of 600-1200 gm of food. Formula milk accounts for about 600-750 mL, and along with other complementary foods, it seems the ...

Understanding Infant Formula Issues: A Guide for New Parents

Formula milk issues Hello, Doctor: My baby is currently two and a half months old. During the postpartum period, my wife initially breastfed and used partially hydrolyzed formula for about 1 to 2 weeks, not knowing the functional benefits of partially hydrolyzed formula. Later, w...

Dr. Zhang Yingwen Reply:
Breast milk is the best source of nutrition for infants, and if possible, it is encouraged for mothers to exclusively breastfeed. If there is a need for formula, hydrolyzed protein formula is generally easier to digest and absorb than regular formula. Therefore, regular formula c...

Understanding Frequent Bowel Movements in Infants: When to Seek Help

Frequent bowel movements? Hello, Dr. Hsiao. Thank you very much for taking the time to read my question. My daughter is currently 1 month and 21 days old and is exclusively on Meiji formula milk. At one month old, due to gastroenteritis, we switched to lactose-free formula, which...

Dr. Xiao Kaiwen Reply:
If you switch back to regular formula and the stool frequency increases again with a watery consistency, it indicates that the gastroenteritis has not fully resolved. You can revert to lactose-free anti-diarrheal formula; in fact, it is fine to use anti-diarrheal formula for one ...

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