Question
The newborn is 13 days old and initially had normal breastfeeding. However, after the mother’s nipple cracked and the baby was fed with formula using a bottle for one day, the newborn began to cry and refuse to nurse. This could be due to nipple confusion or other reasons.
Answer
The newborn appeared normal in the first few days but switched to bottle feeding with formula after the mother’s nipple cracked. From yesterday morning, the newborn started crying and refusing to nurse, which might be caused by nipple confusion. Between 6 PM and 10 PM yesterday, the newborn had three bowel movements, and the hospital suspected newborn enterocolitis, treating with Chuanhuning and Aminoglycoside. This morning’s examination showed a slightly red tongue, suggesting possible inflammation. The doctor recommended applying crushed Compound Xinnomycin and Composite Vitamin B to the tongue, but noted that the Xinnomycin instructions prohibit giving it to infants under two months old. It is advised to continue breastfeeding and gently touch the baby’s lips with the nipple when the baby is awake; the situation usually improves after a few days. Do not give congee, as the newborn’s digestive function is not yet developed.