Question 1: If a baby is exclusively breastfed, does he need to burp after feeding? The way to burp is from top to bottom, right? Also, what should I do if my baby has nasal congestion? Dr. Wang Yanli answered: No. Burping the baby after drinking milk can eliminate excess gas in the stomach and reduce the chance of bloating. However, burping is very important. Parents must not make mistakes in the following two misunderstandings about burping: ❶ Burping is done from bottom to top; ❷ Do not burp below the ribs. Otherwise, the effect will not be good and the baby will be very uncomfortable. It is necessary to distinguish whether the nasal congestion is blocked by boogers or the nasal mucosa is edema due to cold. If it is boogers, you can put one or two drops of warm water into the nasal cavity. After the boogers soften, use a nasal aspirator or fine cotton swab to clean them. If you have a cold and stuffy nose, apply a hot towel to it and keep it warm. Question 2: Hello doctor, our baby is 2 months and 22 days old. He is full-term and exclusively breastfed. Recently, the baby has loose stools, 2-4 times a day, sometimes golden yellow, sometimes orange, sometimes yellow-green, with milk flaps and sticky strips. The tongue coating is white, and he doesn\’t eat much milk. When he eats milk, he can obviously hear his stomach gurgling. Sometimes the milk will overflow when exerting force. The overflowing milk will be like water and white milk petals will overflow. This symptom has lasted for almost a month, what should I do? Dr. Luo Zhen’s answer: For children under three months old, it is generally recommended to feed the baby on demand. Feed the baby whenever and as much as he wants. Do not force-feed. Feed the baby about once every 2-3 hours. In addition, the mother\’s diet should be careful not to eat foods with strong taste, otherwise it will affect the taste of breast milk. As long as the baby is in good spirits, there is generally no big problem. Give the baby passive exercises and exhaust exercises every day, and massage the belly in a timely manner with the navel as the center. Let the baby lie on his stomach for more time when he is fine to exercise his neck strength. Generally, by increasing the baby\’s consumption, the baby\’s milk intake will increase. If you have time, it is recommended to take your baby to the hospital to evaluate the overall development. Question 3: The baby had a high fever of 39 degrees repeatedly. He took oseltamivir 3 times and azithromycin 2 times. After taking Motrin, the temperature dropped to 38 degrees Celsius, and the fever reached 39 degrees Celsius within three or four hours. What should the doctor do? Dr. Cui Lixia answered: If your body temperature still does not improve after taking oseltamivir 4 times, it is recommended to have a routine blood test. If viral infection persists, antiviral treatment with intramuscular interferon can be considered.
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