1. Breast milk intake has reduced from 35 ounces to 30 ounces, from 5 ounces per intake to 3-4 ounces. I understand that at 6 months, normally babies drink about 40 ounces. This has been going on since around February 1, 2011. We don’t know what caused this sudden change. She had to take antibiotics around early Feb to fight infection caused by bleeding and discharge on her face which was caused by scratching.
When she takes the bottle, she can stay still for like a few minutes. Then she starts to get fussy – either pushing away the bottle using her hands, or closing her mouth tightly, or crying.
In the past, she used to take 4-5 ounces every time. Nowadays, the intake is irregular, sometimes 3 ounces and sometimes 6 ounces. She still feeds about 8 times a day, including about 3 times at night.
What caused this change? How much is enough? What should we do?
2. Introducing solid food. We started rice cereal last week, but she doesn’t seem to be interested, also pushing the spoon out from her mouth. I have a feeling that she will not like solid food for some period. What should we do?
3. We started multivitamin with iron last week, as we are afraid she may be lack of iron or some type of vitamins which cause her to wake up frequently at night and shake her heads when falling asleep. Your view on multivitamin with iron? Did we start late?
4. She has been having green poops for over a month. The poops look mucous. I called the nurse once. She said it is not a problem. So I went on to do my own research. One source says green poop can be a sign of too much foremilk and no hind milk.
Symptoms that baby may exhibit:
• Fussiness and/or gassiness
• Frequent stools, often green, curdy and mucus
• Gulping, gasping and choking while nursing
• Excessive weight gain
• Apparent lack of "comfort" nursing
• Discomfort when breastfeeding, sometimes so intense that baby goes on strike
• Possible early weaning (often close to the first birthday, sometimes sooner)
My questions – the above seem to be related to oversupply. I don’t have over supply issues, just pump about enough every day.
5. Eczema – had bleeding and discharge about 3-4 weeks ago, but now under control. Have very dry skin. We applied Aquaphor ointment and Aveeno lotion on her face throughout the day. We applied Hydrocortisone when it appears very itchy. But we haven’t used it for a while given the side effect of the medicine.
We don’t use soap when we wash her. We wash her quickly. When will she outgrow Eczema? Could it be food allergy? Nobody in the family had Eczema.
Eczema has been causing lots of problems other than itching. We constantly have to keep an eye on her, so that when she scratches her face, we can stop her. Also at night, we have to move her to the big bed, so that when she wakes up in the middle of the night, we make sure she doesn’t scratch. It is very tiring for everybody.
6. Sleeping pattern has changed since the Eczema breakout. Night sleep – on a good night, wakes up every three hours. On a bad day, she has 30 minutes nap, waking up still feeling very sleepy. On a bad night, she keeps scratching her face or rubbing her eyes. Neither the parent nor the baby can sleep well. Sometimes, it is hard to tell whether the scratching/rubbing is due to the Eczema or sleepiness or something else. When she is sleepy, she tends to rub herself more frequently.
In addition, she shakes her head from side to side when trying to fall asleep.
7. Overall – she doesn’t seem to be as calm or peaceful as her sister when she was this age.
Then I followed up with a question on throwing up milk...
From: RF
Sent: Wednesday, February 23, 2011 05:57 AM
To: Carlo, Vanessa
Subject: quick question about Claire
Dr. Carlo,
I forgot to ask you one question during yesterday’s visit. Recently Claire has been throwing up the whole breast milk intake after the feeding (normally 5-6 ounces). For example, yesterday, she threw up the whole thing at the 4:30 pm feeding and 11:30 feeding. This never happened before she was 5 months old, but happened frequently during the past month (every 1-4 days, sometimes twice a day). Does her stomach feel irritated? We suspect this may have something to do with the reduction in milk intake.
Responses from Dr. Carlo:
It may be some reflux. Does she seem uncomfortable or in pain? Most babies with reflux do ok without treatment. We know she's gaining weight well so the only reason to intervene would be if she shows signs of pain and in that case she would need medication, like Zantac. Based on the visit yesterday I don't think she needs it but if you feel differently let me know.
儿科医生开给天的eczema management plan供你参考：
1. short bath
2. no soap
3. no woollen clothes
4. not to play on a woollen carpet
5. qv bath oil in the bath
6. qv wash instead of soap
7. novasone ointment daily to rash（据说这个药比较强，我用含hydrocotisone的
sigmacot就可以了）
8. glycerine 10% sorbolene cream twice a day to body and limbs
9. orabase protective paste to nappy area with each change of nappy for
nappy rash
现在天湿疹已经很轻，每天抹一两次sorbelene就可以了。
激素类：
氢化可的松
Advantan Fatty oint 0.1% 15g 4 for $36.9 (apply to the affected area in a thin layer when required as directed by the doctor. Methylprednisolone-aceponate)
保湿类：
cetaphil restor moist 295ml for eczema $21.99 @ChemistWarehouse
dermeze oint 500g 2 @$15.99, cetaphil body mst 295g 2 @$25.99, 40% off -$ 2*6.4+2*10.4 @priceline pharmacy作者: wukong 时间: 19-11-2014 17:04 本帖最后由 wukong 于 19-11-2014 16:06 编辑
贴一张 皇家儿童医院给的 湿疹婴儿日常维护的建议
仅供大家参考
包括2部分
Active Eczema 有湿疹的时候，如何用药
Everyday care 日常维护，如果用保湿作者: nisejob 时间: 19-11-2014 21:28
刚看了BBC的纪录片关于过敏的，湿疹也是过敏的一种
里面介绍，捕猎的部落1500人有一个过敏，英国三分之二的人过敏
确切原因不清楚，但是知道和人体体内菌群的多样性密切相关
建议，多接触自然，食物类型要丰富多样，在保持健康的前提下不要太干净，尽量不要用抗生素
对于年纪小的小孩免疫系统在发育，以上建议尤为重要尤为重要