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Common problems of digestive tract in children
Do you know the difference between a baby's digestive system and an adult's? What are the common gastrointestinal diseases in children? What is chronic diarrhea in children? In this paper, we specially invite professional experts in children's gastroenterology and pediatricians of traditional Chinese medicine to explain the baby's digestive structure and the wonderful methods of baby's family gastrointestinal health care, inform parents of the correct preventive measures and solve common health care misunderstandings! Western medicine: dialysis of children's digestive system What is "digestion" and "absorption"? Attending surgeon Lai Mingwei, a pediatric gastroenterologist at Linkou Chang Gung Hospital, said that "digestion" and "absorption" seem to be the same thing, but there are differences. Generally speaking, the "digestion" function of human intestine is decomposition function, that is to say, the food properties of macromolecules, such as protein, fat and starch. , will be divided into smaller molecules (meat, milk, etc. ) through digestive enzymes (digestive enzymes: protease, amylase, lipase) to absorb and absorb nutrients. As for "absorption", it is to absorb small molecules of nutrients through intestinal villi and transport them from blood circulation to the liver for metabolism.

Therefore, Dr. Lai briefly compared the operation process of the intestine, just as we must first disassemble and analyze (digest) a large amount of information we hear and see, and then we can truly internalize (absorb) it, and finally transform it into the knowledge memory of the brain. In addition, only a few cases, such as etiology, need to directly ingest the small molecular amino acid diet, because this diet that is decomposed at the beginning is small but has high osmotic pressure and is not easily absorbed by the intestine, so only a few patients need to ingest this decomposed small molecular diet!

What's the difference between a newborn's stomach and an adult's? The gastrointestinal system of newborns and adults is very different. Dr Lai Mingwei pointed out that the biggest differences include: the capacity, length and structure of stomach and intestine are different. Besides the main digestive organs, digestive enzymes play a very important role in the digestive system. The maturity of digestive enzymes in children and adults is also different.

* Stomach acid: The main function of digesting protein, such as stomach acid, is to help digest protein food. When the baby is born, the acidity and secretion of gastric acid are not as sufficient as those of adults, and usually mature in about four months.

* The pancreas secretes lipase to digest fat. Secondly, lipase is needed when digesting fat, and the main source of lipase is the pancreas, which secretes lipase into the intestine to digest fat. However, many newborn babies lack pancreatic lipase, so most newborns' stools look a little shiny, but this is not abnormal, but because the pancreas is not fully mature. This is also the main reason why babies are just born and cannot digest adult food.

What role does digestive organs play in common problems in children's digestive tract? What are the digestive organs? What are their different functions and roles? Dr. Lai Mingwei pointed out that the general structure of the gastrointestinal tract starts from the bile produced by the mouth, esophagus, stomach, duodenum, pancreas and liver, and ends in * * *. From the oral cavity, the main function is chewing and swallowing. Of course, saliva also contains some digestive enzymes, but the food stays in the mouth for a short time after chewing, and the chewed food mixed with saliva must be pushed into the stomach through peristalsis.

There are gastric juice, gastric acid and pepsin in the stomach. The stomach is responsible for mixing food with gastric acid and digestive enzymes and breaking it down into chylous substances. Then, the chylous substance is sent to the duodenum until the small intestine. The duodenum contains enzymes secreted by the pancreas (lipase) and bile (containing bile salts) produced by the liver, which is transported to the duodenum through the bile duct to help the digestion of fat. Amylase secreted by the pancreas is responsible for breaking down starchy foods in the intestine into monosaccharides. Protease secreted by pancreas is responsible for the digestion of food in protein.

In addition, both the small intestine and the large intestine contain water and electrolytes as solvents, so in the process of digestion, we must also rely on these solutions to digest and decompose the intestine smoothly. Even in the large intestine, water and electrolyte will still be absorbed by the large intestine and continue to return to the human body for use. Furthermore, Dr. Lai said that there are many intestinal flora in the large intestine. After the digestive system of newborn comes into contact with the environment and diet, it will gradually establish its own intestinal flora. More and more studies show that these flora deeply affect intestinal function and even individual health.

When does the gastrointestinal system of newborns mature? Dr. Lai Mingwei said that the digestive tract of full-term newborns is actually basically mature. Usually it is enough to digest and absorb breast milk or formula milk and get enough nutrition. However, for premature infants born within 34 weeks, lactase in the intestinal wall is not yet mature, so the breast milk or formula milk of premature infants contains low lactose, but high non-lactose content, which is beneficial to the digestion and absorption of premature infants.

Because the newborn baby has no teeth to chew food, and the stomach capacity is only about 60 C. C, so the baby's food intake is gradually increasing. The type of food will also affect digestion and absorption, so it is necessary to start feeding from breast milk and formula milk (four months ago), and the intake of milk is about one month (30-60℃) to six months (200-240℃). When the baby is about four to six months old, the pancreas is mature and can secrete amylase to digest starchy food, then the non-staple food can be gradually brought into the baby's diet. Including starch rice paste, malt extract and other semi-liquid (4 ~ 6 months) and semi-solid (7 ~ 12 months), solid food close to adults will be given to the baby for nearly one year!

Children's common digestive tract problems Children's common digestive tract diseases VS protection * Lactose intolerance Dr. Lai Mingwei said that although Asians' primary lactose intolerance is as high as 90%, in fact, infants before the age of two usually still need to rely on milk as their staple food, and lactase in the intestine is usually sufficient, and lactose intolerance is rare. However, if the intestine is inflamed, lactase in the intestinal mucosa will also disintegrate to form temporary deficiency, which will easily cause symptoms of lactose indigestion and absorption.

However, Dr. Lai said that enteritis does not mean that every segment of the intestine is inflamed, and the inflamed intestine is only temporarily unable to absorb lactose. Generally speaking, the disease generally does not last for a long time. After acute gastroenteritis subsides, most of them can return to their original normal digestion. Can't enteritis drink breast milk or formula milk? Dr. Lai said that if it is only acute diarrhea, it is usually short-lived. If diarrhea is not serious, there is no need to switch to lactose-free milk powder.

However, if the baby continues to have severe diarrhea, you can feed the baby slowly with less milk and a small amount of meals. If the baby is fed formula milk, diarrhea lasts for more than 2 weeks; Or the original weight is insufficient, and the diarrhea exceeds 1 week, you can consider temporarily switching to lactose-free formula milk until the diarrhea is cured, and then gradually returning to ordinary formula milk.

* Infant colic Dr. Lai said that colic is a symptom, not a single cause. Because the baby can't talk, it is usually expressed by crying. Of course, whether the cause of the baby crying in the middle of the night is colic may still need to be ruled out, such as fever, otitis media and other possible reasons. In addition, the causes of colic in each baby may be different.

Secondly, both breast milk and formula milk contain nutrient-rich protein, which is also a larger molecule. Therefore, some people speculate whether the allergic reaction to protein leads to intestinal discomfort, so some people think that it may be improved to give the baby water to dissolve milk powder. Some people speculate that it is lactose intolerance, so try to give the baby some probiotics and flatulence drugs. , it may have an improvement effect. However, Dr. Lai still reminds parents that sometimes baby colic is also a growth process of baby's intestinal maturity.

Secondly, many parents will use mint and flatulence cream to help their baby relieve. However, Dr. Lai appealed that babies under two years old should not use balm containing menthol, because the Taiwan Province Pediatric Medical Association also solemnly warned that menthol can inhibit the nerves of infants and children, cause bronchial contraction and cause adverse reactions such as shortness of breath. If you are a baby with silkworm bean disease, you will be allergic to essential oil containing menthol and even have hemolytic anemia.

* Bacterial and viral gastroenteritis: The typical symptom of enteritis is diarrhea, others are accompanied by vomiting and fever. However, whether enteritis is caused by bacteria or viruses, it is usually necessary to take stool for further testing. In addition, the symptoms of the two causes are quite similar. Viral enteritis occurs all year round, such as rotavirus, but the most common season is autumn and winter. Feces usually do not contain mucus or bloodshot, mainly watery diarrhea, often accompanied by vomiting. Diarrhea after vomiting, that is, vomiting and diarrhea.

Secondly, bacterial enteritis mostly occurs in summer. Common food, drinking water, utensils, bottles and cans are unclean, food processing is not fully cooked, raw water is not boiled, raw and cooked food with sauce is polluted, lettuce salad is not fresh for a long time, and eggshells are contaminated by bacteria, which leads to the risk of oral illness, such as common salmonella, which has been seen for many times recently; Feces often contain mucus and bloodshot blood. Before defecation, it is often accompanied by severe abdominal pain and sometimes high fever. How to take care of the baby during gastroenteritis? Dr. Lai said that the way to improve is to eat more rice, pay attention to the intake of water and electrolytes, and have a light diet.

Common problems of children's digestive tract Parents' common problems and misunderstandings! * * Can I be forced to feed if I am tired of milk for less than four months? Regarding the baby's refusal to eat, Dr. Lai said that the baby's growth curve should be observed first. If the growth curve falls within the standard range (5% ~ 95%), it is normal to follow the baby's original percentile, so don't worry too much. Usually, the baby is about four to six months old, mostly at the peak of milk aversion. This is just the stage of non-staple food intervention, which is usually a natural phenomenon.

As long as the baby's psychological activity is normal, there is no necessary absolute relationship between how much he eats and how much he grows. Especially for babies aged four to six months, it is also the stage when activities begin to flourish. Especially when babies are attracted by foreign things, they are often more easily distracted by drinking milk. But as long as the child's growth curve is not abnormal, it is actually a transitional stage and phenomenon acceptable to parents.

According to the normal standard of baby's growth curve, the first three months belong to the rising trend of rapid growth. If the baby is four months old, the growth curve will obviously become a gentle slope, but everyone's growth rate is different, which is also related to genes. Of course, there may be obesity and emaciation, but as long as the baby is still within the normal range of growth curve, parents should actually accept it.

Secondly, even if the baby's milk quantity is not the quantity and standard recognized by parents, there are non-staple foods added and supplemented, which usually does not lead to insufficient nutrition. However, it is common for many parents to make milk for their baby when they see that he is hungry. I didn't expect the child to be distracted after drinking a few mouthfuls. The rest of the nursing parents feel pity and dare not throw them away. Can they continue to eat?

Dr. Lai suggested that if a child really has a lot of milk left every time, one way is simply not to help the baby brew so much, but to drink it first and then brew it for him when the baby is hungry. Try not to feed the rest of the milk every meal. On the one hand, the temperature drop may induce bacterial growth, on the other hand, the taste is not good at intervals, and it is more difficult to arouse the baby's interest in drinking milk!

Usually, there are many adverse effects of forcibly feeding your baby. Children usually have an adjustment period of self-growth and don't need to compare with other babies. Parents must also cooperate with their patience and don't lose heart too easily. Especially forced feeding, it is easy to lead to the connection between baby drinking milk and disgust, so that the baby will have more resistance to eating in the future!

* * More than four months, anorexia, refusal to eat, inattention, what should I do? Dr. Lai said that if the difference between the baby's growth curve and the curve record of the same age is not really great, there is no need to worry. In addition, the child's refusal to eat is also related to the degree to which he accepts new food. Because milk was an important staple food for babies in the past, it is usually not excluded. On the contrary, when the baby enters the non-staple food stage and begins to try many new food types, it is likely that the first time will not adapt.

Therefore, parents should master a principle, that is, don't be discouraged because the baby refuses to eat for the first time. 1 ~ 2 weeks later, let the baby try again; In addition, sometimes even the baby is not necessarily because the taste is uncomfortable, but because the cooking changes are not enough, which of course includes whether the dishes cooked by Mommy are soft enough. Moreover, parents of preschool children should try to make them accustomed to eating at the same time and in the same space. Watching cartoons while eating is the most taboo. Once this habit is formed, it is often more difficult for babies to concentrate on eating!

The baby's health reminds Dr. Lai that growth is a dynamic process, so every child will have some differences. Therefore, parents can only observe and refer to the growth curve of the Children's Health Handbook and overcome it patiently. If necessary, they can also refer to the process of their elders taking care of their childhood in the past. Maybe there are the same similarities, don't make a fuss! Of course, if the baby really has any growth doubts, parents can also take the initiative to consult a pediatrician and seek help, so that the child will grow up happily!

Children's Digestive Tract Frequently Asked Questions: Children's Digestive System Health Care Talking about Baby's Chronic Diarrhea Fan Zhiyu, the attending physician of Pediatrics in the Affiliated Hospital of China Medical University, said that the so-called children's chronic diarrhea is usually different from the acute gastroenteritis referred to by western medicine. Acute gastroenteritis diagnosed by western medicine is mostly caused by bacteria and viruses, such as rotavirus and norovirus.

Secondly, through bacterial detection, Shigella or Salmonella are common. The main symptom is that the baby is crying because of abdominal pain and abdominal pressure. Usually bacterial gastroenteritis diarrhea dozens of times a day. I can't eat any food, but I keep pulling. Even if it is bacterial gastroenteritis, parents will find that the baby's stool has red blood, so parents are often at a loss.

According to the definition of western medicine, chronic diarrhea can be divided into congenital and acquired. Congenital chronic diarrhea, with rare symptoms, usually occurs before the baby is one year old, mostly due to abnormal intestinal structure (chronic intestinal obstruction or partial necrosis caused by intestinal volvulus); Acquired chronic diarrhea is caused by viral diarrhea, bacterial diarrhea and parasitic diarrhea.

Therefore, part of the immune system is related to food allergy and gluten intestinal lesions. Dr. Fan Zhiyu said that in the past, there were many prescriptions for treating acute diarrhea in Chinese medicine, but with the development of western medicine and the prevalence of infusion therapy, the treatment and disposal of chronic diarrhea in Chinese medicine can consolidate the spleen and stomach and improve physical conditioning.

Can chronic diarrhea affect the growth curve? Dr. Fan Zhiyu said that "diarrhea" is a common digestive tract disease in children, which is defined as dysfunction of the spleen and stomach in Chinese medicine, resulting in watery stools and increased defecation times. According to the pediatrics of traditional Chinese medicine, the most common age is infants under 2 years old, also known as infantile diarrhea. Whether it is mild chronic diarrhea or severe chronic diarrhea, the water in the body will be continuously lost, so the baby is prone to the symptoms of wasting qi, blood and body fluid, and more seriously, it will lead to the symptoms of "hurting yin", "hurting yang" or "hurting both yin and yang".

If it has not been treated, it will even affect the growth and development, so that the baby can not grow according to the established growth and development curve. Diarrhea was first recorded and discussed in Huangdi Neijing, and its names included diarrhea, diarrhea and diarrhea. From the interpretation of ancient hieroglyphics in China, we can see that the causes of chronic diarrhea can be improper diet, irregular living and the influence of external environment.

However, how does TCM differentiate syndromes? Dr. Fan pointed out that human excrement can directly and truly reflect the changes of internal organs, which is normal, and it is "yellow and old" and stinks. However, if the shape and nature change and the taste is too sour, it is a pathological state. How to investigate the characteristics of stool from the perspective of traditional Chinese medicine? Dr. Fan can be roughly classified as follows:

1. If the stool is loose, yellowish brown, smelly, hot or flushed, it is damp-heat type.

2. The stool is thin and yellow, with milk lumps or food residues, and it is as rotten as eggs, which is food accumulation heat.

3. If diarrhea is thin and bubbly, yellowish and smelly, or accompanied by bowel sounds, it is mostly a cold.

4. Diarrhea after eating, lack of Shui Gu, pale color and unpleasant smell, mostly due to spleen deficiency.

5. Long-term diarrhea, clear and thin, no granules, tasteless, is for spleen and kidney yang deficiency.

Many people think that as long as the stool smells sour, it means that the stomach is hot, or parents always think that the child is getting angry. However, Chinese medicine will make a detailed analysis by asking questions and smelling incense, and judge whether it is normal or wind, cold, wet, heat and deficiency according to color and smell. Therefore, in the treatment, Chinese medicine generally looks for reasons according to symptoms, and then gives different treatments according to different syndromes. Something like this:

* Accidental diarrhea: This type is the most common among children, because of diarrhea caused by partial eclipse, or because of eating a certain kind of food, overeating or bloated. This type of abdominal pain will recur throughout the day, and it is good to finish pulling your stomach when you feel pain. The smell of feces is sour and smelly, and children are prone to hiccups. Parents can smell the taste or sour taste of food when their children burp, and some children often feel vomiting. Most of the rice can't be eaten, only chocolate, a favorite snack, is willing to eat.

The treatment direction of traditional Chinese medicine will be "digestion and accumulation", that is, overnight food in the stomach can be digested more thoroughly through the action of traditional Chinese medicine, so that these overnight food will not accumulate in the human body and cause harm. For example, Baohe Pill, a traditional Chinese medicine, is the first choice for this kind of disease, and its main function is to regulate qi and relieve depression, eliminate dampness and regulate stomach. Secondly, hawthorn, divine comedy and radish seeds can also help digestion and eliminate accumulation; Pericarpium Citri Reticulatae and Rhizoma Pinelliae, regulating qi, relieving bloating, lowering adverse flow and stopping vomiting; Poria cocos, dampness and spleen; Forsythia suspensa, clearing away heat stagnation, all have improvement effects.

* Wind-cold diarrhea: This type of children often eat too many iced drinks and popsicles in summer, leading to diarrhea. Parents can usually observe that children with diarrhea often feel abdominal pain immediately after drinking cold drinks in the refrigerator or eating very cold fruits, so they run to have loose bowels.

Generally speaking, this kind of feces will be very thin and soft, and the toilet water will disperse as soon as it is washed, and sometimes it will be mixed with foam, but the taste is not fishy. The treatment of traditional Chinese medicine is mainly to dispel the wind and cold, that is, to disperse the wind trapped on the body surface and then warm up the cold and dampness trapped in the stomach. Generally, Huoxiang Zhengqi Powder is the main prescription, which contains: Huoxiang, perilla leaf, angelica dahurica, ginger, dispelling wind and cold, regulating qi and eliminating dampness; Pericarpium Arecae, Cortex Magnolia Officinalis, Pericarpium Citri Tangerinae, Radix Platycodi, and Rhizoma Pinelliae can regulate qi, dissipate stagnation, and eliminate food stagnation; Atractylodes macrocephala, Poria, Glycyrrhiza uralensis Fisch and Jujube can strengthen the spleen, regulate the stomach, eliminate dampness and regulate the middle warmer.

* Spleen-deficiency diarrhea: This kind of diarrhea is characterized by observing the baby's appearance and mental state. Because of this type of diarrhea, most of the feces are sparse, light in color and odorless, which is not much different from ordinary feces, but the baby's appearance may be sallow, his muscles are emaciated, and he is not in good spirits every day, and he has no strength to cry and suck milk. At this time, the treatment of traditional Chinese medicine is mainly to strengthen the spleen and replenish qi. However, the so-called spleen tonic is not to eat a bunch of tonics like the traditional way, but to improve the "healthy exercise of the spleen." Generally, Shen Ling Baizhu Powder is the main prescription, and Codonopsis pilosula, Atractylodes macrocephala, Poria cocos and Glycyrrhiza uralensis Fisch are used to strengthen the spleen and replenish qi. Yam, lotus seeds, coix seed and lentils can strengthen the spleen and eliminate dampness; Dried tangerine peel, Amomum villosum and Platycodon grandiflorum can regulate qi, help transport and smooth qi.

Common problems in children's digestive tract: diarrhea due to excessive internal heat? Colic, lactose intolerance? Dr. Fan Zhiyu said that the most common infantile diarrhea is infantile colic and lactose intolerance, because infantile colic is manifested by crying dozens of times a night, and crying is manifested in the form of sudden screaming and crying at night, which often makes novice parents or family elders feel helpless and often takes them to the doctor's office, always feeling that the child is "angry" or "scared".

Chronic diarrhea in infants can also be divided into eating disorder diarrhea, wind-cold diarrhea and spleen deficiency diarrhea, while lactose intolerance can be classified as eating disorder diarrhea, and the cause of colic is more complicated. From the point of view of western medicine, it is because the nerve development of the intestinal wall is not complete four months after the baby is born, so the peristalsis function will be hindered at some time, resulting in the symptoms of colic. However, in most infants, the frequency and degree of colic will gradually fade after the nerve of intestinal wall matures.

In home care, most novice parents will be nervous or blame themselves, thinking that they have given their baby something they shouldn't eat, but this is actually closely related to the baby's physique. As long as they don't give the baby too greasy or indigestible food, part of the baby's colic can be improved by traditional Chinese medicine. In terms of prevention, you can cultivate your baby's regular and quantitative eating habits. Don't try your best to feed your baby just because you are crying. Only by developing good eating habits, the baby's gastrointestinal peristalsis will be more regular and the chance of poor peristalsis will be reduced!

Colic in children belongs to the category of abdominal pain in Chinese medicine. In traditional Chinese medicine prescriptions, Wei Ping powder, Amomum villosum, Rhizoma Cyperi and other drugs can be given physical qi to relieve pain. However, most of the symptoms of lactose intolerance are attributed to children's allergy to milk protein, but milk is usually the most common allergen in children (2.5%). Milk protein allergy is the most common symptom of food allergy in infants before 2 years old, and about 50% is caused by IgE as the medium.

More than four months baby anorexia, refusing to eat, how to improve Chinese medicine? Facing the beloved grandchildren, modern elders always have the myth of "how to eat only like this", thinking that children must finish all the food on the table before they can eat enough, which will help their growth and development. Or always feel that babies must drink enough breast milk or milk to avoid hunger. In fact, in the past, the ancients said that "three points are hungry and seven points are full" can be described as a wise saying, that is, when the baby eats a reasonable amount of food, parents should stop forcing their children to eat again.

When the baby is about four months old, there will be a short period of breast fatigue. In fact, it's time for the baby to tell his parents to add non-staple food. Parents can prepare non-staple food for their babies. For example, babies aged 0-6 months can eat wheat flour or refined wheat flakes, Liu Ding juice, orange juice or tomato juice. 7 ~ 9 months can supply egg yolk paste, vegetable paste, fruit paste, dry bread, meat paste or liver paste; Steamed whole eggs can be served after one year old.

Non-staple food can not only supplement the baby's nutrition, but also train the baby's chewing ability and get used to solid food. At this time, you can choose some traditional Chinese medicine ingredients suitable for your baby. On the one hand, you can achieve the effect of "opening the spleen"; For example, yam can be boiled into paste and added to the baby's non-staple food, or Chinese medicine practitioners can prescribe appropriate amount of Poria cocos and Atractylodes macrocephala (about 1 ~ 2 yuan) and add some vegetable paste and egg yolk paste to take. On the one hand, food can mask the taste of traditional Chinese medicine, on the other hand, it can also achieve the effect of conditioning the spleen and stomach. However, if the baby has a bad appetite and has symptoms such as diarrhea or fever, parents should be asked to take him to a medical institution quickly.

Misunderstanding of common problems in children's digestive tract: Are the folk remedies circulating on the street credible? Q: Can garlic treat enteritis and diarrhea in children? Dietary suggestions, improvements and precautions for infantile diarrhea. A: Dr. Fan Zhiyu pointed out that garlic is the dry bulb of Liliaceae. Harvest in spring and summer. Pungent in nature and warm in nature. Has effects of warming middle warmer, invigorating stomach, promoting digestion, regulating qi, invigorating stomach, and killing insects. Garlic is a kind of food planted in the western regions. The content recorded in ancient books is to stimulate appetite, strengthen the spleen, dredge the five internal organs and achieve enlightenment. Eliminate cold and dampness, relieve summer heat, etc. In other words, if it is a gastrointestinal disease caused by "infectious" or "cold-dampness" diarrhea, it will be helpful to some extent.

However, garlic is also a strong food. If you need it, you can give it to me or consult with Chinese medicine. The dietary advice for infantile diarrhea is to keep a light diet first, such as cooking rice porridge without any seasoning, or steaming eggs without seasoning. When the baby's physical function slowly recovers, the demand for food will gradually increase. At this time, parents can wait patiently, and there is no need to force their children to eat too much when they are sick.

Q: Can applying ginger slices to your baby's navel or Yunnan Baiyao and eating steamed apple puree cure your baby's diarrhea? A: The ginger slices circulating in the market belong to the principle of pungent warming and dispelling cold, and treat the so-called cold-dampness diarrhea. The ingredients of Yunnan Baiyao are classified as a secret in Chinese mainland, which belongs to the asset protection of * * *, so the prescriptions that can be found at present are written on American Wikipedia: Tianqi, Borneolum Syntheticum, Sangyucao, White Cow Gallbladder, Dioscorea nipponica Thunb, Rhizoma Dioscoreae, Kuliangjiang and Geranium geranium, but Chinese mainland does not recognize this prescription, but most of them are inseparable from the so-called drugs of warming meridians and dredging collaterals, promoting blood circulation and removing blood stasis.

As for the steamed apple puree, when the baby has diarrhea, the electrolyte and water may be easily lost because of frequent diarrhea. Apple puree contains water and sodium and potassium plasma, which can replenish the human body in time, and the harm of apples to the human body is also the lowest. If you switch to other fruits, the baby's diarrhea may be more serious because of the high concentration, which may lead to the change of osmotic pressure in the stomach.

Q: My baby has mild diarrhea and constipation. Can he recover quickly after acupuncture treatment? Can babies have acupuncture? A: The basic principle of acupuncture is to use acupuncture to penetrate deep into the skin, and to study the distribution of meridians on the body surface and in the body by the Institute of Traditional Chinese Medicine, so as to treat diseases or increase blood circulation through nerve conduction. Therefore, as long as the baby grows well in all aspects, it can generally be treated with acupuncture. However, it is generally recommended that after the baby has finished the vaccination and health examination, the baby will feel more at ease to receive acupuncture treatment.

Baby's skin is characterized by thinner cuticle and dermis than adults, lower water content, and may increase its sensitivity to acupuncture. Therefore, Li Yuchen, director of the Department of Acupuncture and Moxibustion of China Affiliated Hospital, suggested that the principle of acupuncture and moxibustion treatment for infants and young children should be "shallow needling without leaving needles", so as to minimize the pain, and it is not necessary to strengthen it by lifting, inserting and twisting. At present, there is no limit to the age at which children are suitable for acupuncture.

Therefore, Dr. Fan suggested that if acupuncture is replaced by acupoints, it will increase the acceptance of infants. Using gentle * * * manipulation on some spleen-stomach related acupoints, such as Zhongwan, Shenque and Shangwan, can not only increase parent-child interaction, but also enable the baby to achieve gastrointestinal health care through gentle and comfortable * * *. If acupuncture is absolutely necessary, you can also choose a skin needle in the form of ear acupuncture. On the one hand, it reduces the pain, on the other hand, it can be worn for a long time to make the purpose of blood circulation more thorough.