Patient's question:
Baby is 10 days old. After switching to formula milk, they always have loose stools and leakage. Every time they pass gas, there's poop. Even after taking Mimi Ai, the leakage continues. What should I do?Additionally, the baby cries and moves restlessly every few minutes while sleeping. They suddenly shake as if startled. When held, they fall asleep but wake up crying within 10 minutes of being placed on the bed. This happens both day and night, and they don't sleep well on the bed. Should this be considered a medical issue? How can it be improved?
Doctor's answer:
Analysis of the condition: Hello! The child's poor sleep is related to discomfort in the child's stomach. And the stomach discomfort is often related to poor digestion. Since the child is breastfed, it's also necessary to consider whether the lactating mother's diet may be inappropriate. If the child has a history of abnormal birth, such as asphyxia, three-degree amniotic fluid turbidity, nuchal cord, preterm birth, etc., it's also necessary to consider the possibility of increased nervous excitability.Advice:
1. Medications such as Lactobacillus, Lactase, and Pepsin Oral Solution can be used to promote digestion.
2. Smecta can be used to stop diarrhea and protect the intestinal mucosa.
3. Massage can be given to the child to relieve tension and discomfort.
4. The mother should avoid fatty and indigestible foods, such as pig trotters, potatoes, and soybeans, as well as cold foods like oranges, tangerines, oranges, grapes, and watermelons.
5. If the mother also has poor gastrointestinal function, she should take probiotics to promote intestinal flora balance, which will help the child recover.
6. Since frequent bowel movements will definitely cause discomfort to the buttocks, it is recommended to avoid wrapping the buttocks too tightly while ensuring the child does not get cold. When cleaning the buttocks, it is best to use water. If using a cloth, avoid rubbing—instead, gently press. It is important to be gentle to prevent the child's delicate skin from breaking, as this will cause the child to cry loudly. If the child cries uncontrollably, check if the buttocks are red, as this indicates discomfort. To prevent diaper rash, apply a layer of ointment, such as tetracycline ointment or eye ointment, after each cleaning. Also, change the diaper promptly and let the buttocks air out to prevent the ammonia released during decomposition from irritating the delicate skin.
Doctor's inquiry: