How to deal with delayed growth and development

Patient's question:

Twins, female, 37+4 weeks, birth weight 2.25 kg, admitted to the neonatal ward for 5 days due to frequent amniotic fluid leakage, undergoing gastric lavage and anti-infection treatment. Currently 4 months and 5 days old, weight 4.2 kg, height 58 cm, motor development at approximately 3 months. In the first 2 months, there was significant stridor, weak sucking ability, mixed feeding, and small milk intake (about 200-300 ml/day). Now on exclusive breastfeeding + breast milk fortifier, milk intake about 500 ml/day. Breast milk fortifier was used for about 2 weeks, with diarrhea during that period, and it was discontinued during the diarrhea.
The baby cried a lot after birth, and there has been slight improvement now. However, the crying is still sharp, and the baby is easily agitated.
Complete blood count showed high white blood cell count since birth.
The other twin is larger, breastfed, with a birth weight of 3.2 kg, and now weighs 8 kg. The two babies have a significant weight difference.
What feeding and treatment should be done in this case? Can the baby catch up to normal developmental milestones?

Doctor's answer:

You can achieve certain effects by actively giving your baby appropriate abdominal massage. When necessary, oral administration of Jian'er pills or Qizhen Dan for treatment can also be considered. Suppositories like Kaisai can help alleviate symptoms. During this period, pay attention to providing your baby with adequate fluids.
Children suffering from neonatal diseases should be taken to a doctor for timely medical treatment to avoid the use of small advertisements drugs. It is essential to use medications reasonably. For parents, it is important to closely monitor the child's condition and provide timely support for their treatment.

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