"Doctor Ke, my baby is looking at two main problems this time. One is that the stool is not smooth, and the other is that he has not gained weight at all in the past four months." This mother came to the doctor with questions and explained it very clearly.
"I have been one year and four months old now. I weighed 10 kilograms at one year old, which is basically normal, but after four months, I still weigh only 20 kilograms. In addition, I have defecation and noisy. I often see the stool at the anus, but I can't pull it out."
"I have seen many doctors, including old Chinese doctors, who say that they have indigestion, food accumulation, and have taken probiotics and Chinese patent medicines to aid digestion. The constipation has not improved and the weight has not increased. What should I do? I am also very anxious."
Common reasons why babies don't gain weight?
- Insufficient food heat card is caused by eating less or there is a problem with the nutritional structure of the food. For example, improper feeding, excessive drinking of juice, unreasonable formula milk, insufficient breast milk, and a partial and picky diet.
- too many nutrients are lost. For example, frequent vomiting, chronic diarrhea, etc.
- Pathological diseases lead to wasting diseases, such as hyperthyroidism, chronic infectious diseases, metabolic diseases, etc.
Any cause of insufficient nutritional intake or too much loss of the baby, or other pathological diseases may lead to weight loss.
I asked about the medical history. The rough reason was that the mother thought that her baby was indigestion because of her constipation. After the age of one, she suddenly reduced the intake of formula milk powder. Dad added, "The baby often cried and felt that she was not full. The mother was worried about eating too much food."
Of course, severe constipation will cause the baby to feel bloating and uncomfortable, and will also affect the baby's eating. In addition, mothers are worried that eating too much cellulose food with constipation will lead to an imbalance in nutritional structure and will not increase their weight.
Now from time to time, there are still many problems with baby food accumulation, some of which are completely imagined by mothers themselves. I really feel that the headache is too big, and the good kids are malnourished.
Is constipation related to malnutrition in children?
There is evidence that long-term chronic constipation leads to gastrointestinal peristalsis and less intestinal gas will affect children's appetite. Once the constipation symptoms are improved, most children's appetite can improve. In addition, children with long-term malnutrition also affect gastrointestinal function, so the two affect each other.
Of course, some blood tests should be done, such as trace elements, blood routine, liver function, blood sugar, thyroid function and other basic tests to rule out some pathological diseases.
Parents should not artificially control the amount of milk for babies. They should feed them as needed, increase the amount of milk for children, increase the number of feedings, and reduce the total cellulose intake. Otherwise, it will increase the feeling of fullness and will not be beneficial to the growth and development of normal babies.
In addition, it is necessary to actively treat severe constipation in children, which can also improve the baby's appetite. There is obvious insufficiency in the rectum of this baby (as shown below) that needs to be cleaned in time, otherwise even taking oral laxatives will not help.
Testing returns everything normal. After a week of treatment, a large amount of stool was excreted. Through oral lactulose oral liquid, the colon was motility and softened the stool. The baby's mood improved greatly and his appetite was also recovering.
Now, in clinical practice, we have encountered many parents who are always accustomed to saying that their children are suffering from food insemination, such as cough, fever, diarrhea, vomiting, and constipation. It seems that many children's symptoms seem to be explained by a food insemination disease. I believed in the short video content of infants and young children's food accumulation that came to market various children's health foods that strengthen the spleen and stomach. Therefore, some mothers restricted the intake of various high-quality proteins during the critical period of their babies' growth and development, and eventually led to malnutrition. It is worthy of parents' warning.
Through learning this clinical case, I hope it will be helpful to you and share it with your friends around you.
