Question

A 14-month-old girl weighing about 17 pounds often refuses to eat, making feeding difficult. She also experiences restless sleep and red palms. A few days ago, she had a cold with a fever, but has now recovered. What could be the cause, and how should it be handled?

Answer

Mild cases can be improved by changing the feeding method, such as offering soft or easily digestible foods, eating small meals more frequently, and avoiding acidic or irritating foods. Between meals, mucosal protectants like aluminum sulfate (0.5～1.0g each time) or Mucosolvin (0.3g each time) can be given. If the pain is severe, anti-cholinergic drugs such as belladonna, propyphenazone, or atropine can be taken before meals and at night. For severe cases, H2 receptor blockers such as cimetidine (6mg/kg each time, twice daily, with double the dose at night) or ranitidine, lansoprazole, etc., can be added. The treatment course usually lasts for 4～6 weeks, with significant effects typically observed.

Question

A 14-month-old girl weighing approximately 17 pounds frequently refuses to eat and has difficulty during feeding sessions. She also exhibits restless sleep and red palms. A few days ago, she suffered from a cold with fever symptoms, but she has now fully recovered. What might be the cause of this behavior, and what treatment options are available?

Answer

For mild cases, improving feeding habits can be effective. This includes offering soft or easily digestible foods, adopting a strategy of small meals served more frequently, and steering clear of acidic or irritating foods. Mucosal protectants like aluminum sulfate (0.5～1.0g per dose) or Mucosolvin (0.3g per dose) can be administered between meals. In cases of severe pain, anti-cholinergic medications like belladonna, propyphenazone, or atropine can be taken before meals and at night. For more severe conditions, H2 receptor blockers such as cimetidine (6mg/kg per dose, taken twice daily with a double dose at night), ranitidine, lansoprazole, and others may be prescribed. The treatment typically spans 4～6 weeks and is usually quite effective.