Patient's question:
The child was born weighing 2770g, and the first feeding was formula milk. Around the 7th day, pure breastfeeding was achieved. Since birth, the child's stools have consistently contained curds, appearing yellow-green, with rarely any paste-like or golden color. At around 20 days, the first occurrence of extremely fine blood streaks in the stools was observed, after which they returned to normal. At 50 days, blood was detected again in the stools, and a hospital test was conducted for stool routine, occult blood, rotavirus, and adenovirus. Only the occult blood test showed positive results. The doctor prescribed bifidobacteria and Lysine Adenosine B12 oral liquid, along with an injection of vitamin K1. The mother was advised to avoid oily foods and refrain from consuming milk, eggs, and soy products. At 54 days, another stool test was conducted for stool routine, occult blood, and rotavirus, which showed 1+ white blood cells, 0-2 red blood cells, and a weakly positive occult blood result. At 76 days, a stool test for routine and occult blood showed 0-2 white blood cells, 4-6 red blood cells, and a positive occult blood result. The mother had consumed seafood for three consecutive days prior to this. The child has an average of about 10 bowel movements per day, mostly consisting of curds and water separation. Since the stools were collected from diapers for several instances, the doctor did not provide a specific diagnosis but suspected gastroenteritis.Doctor's answer:
Continue breastfeeding, but the mother must strictly avoid dairy products, eggs, and egg products. Although the mother had previously avoided milk, eggs, and beans for over 20 days, consuming products like cakes, crepes, or even beef jerky during that period could still cause the child to have an allergic reaction. Therefore, it cannot be called strict or complete avoidance, which also affects the judgment of the diagnosis and the observation of treatment effects.