Patient's question:
AgeMy son has always had one eyelid on each eye, but recently his left eye has become a double eyelid. He also doesn't eat on time and prefers snacks. Sometimes he complains of stomach discomfort. In the past, he would also experience stomach discomfort at intervals. When he couldn't speak, he would cry uncontrollably and roll around on the bed, but it would usually improve after a while. Additionally, he has rarely had diarrhea since he was a child. I want to know which aspect this could be related to? Please answer. Thank you.
Doctor's answer:
Discovering infant abdominal distension, the first step should be to check whether, in addition to the distension, there is vomiting. If vomiting occurs frequently, with food, even bile or fecal-like substances, constipation with bowel movements only every 3 to 5 days, very small amounts of stool, and visible gradual weight loss in the infant, it may be congenital megacolon. Immediate hospitalization for further examination and treatment is necessary.If the abdominal distension fluctuates and subsides intermittently, worsens significantly after feeding, without vomiting or occasional vomiting, and decreases after passing gas, with no fecal-like substances felt upon palpation of the abdomen, normal feeding, and no gradual weight loss, it may be due to improper feeding methods. The child may be swallowing excessive air while suckling, causing pneumatosis-related abdominal distension. In this case, Chinese herbal medicine can be administered: Radix Raphani 8g, Fructus Aurantii Immaturi 6g, Glycyrrhiza 3g, Magnoliae Officinalis 3g, and Tangerine Peel 3g. Add 150ml of water, decoct to 60ml, and divide into 3 doses for oral administration. Take once daily for 3 consecutive days.
Improve breastfeeding techniques, avoid letting the child suck empty, and after each feeding, hold the infant upright and gently pat their back. Breastfeeding mothers should consume less gas-producing foods such as sweet potatoes during lactation.