Patient: Hello, Director Yuan, I’m sorry to bother you. My baby is five months old and is 66 cm tall and weighs 6.5 kg. His appetite has been fluctuating, as if it were cyclical. He can eat 700-900ml a day when he is good, and only 50ml in 3-4 hours when he is bad. He has been introduced to complementary foods. He had diarrhea for more than two months, but after treatment, he has recovered and now has stools twice a day. He had a radical heart surgery two months ago. After the surgery, he woke up every morning with phlegm in his throat, a sharp wheezing sound, and occasionally a cough. I’m not sure if I’m going to be able to get the right lung infected, but I’m not sure if that’s why I don’t have an appetite. Patient: Hello Dr. Yuan, I’m sorry to bother you again in the middle of your busy schedule. My child’s lung infection has improved after treatment, but he still has a problem with loss of appetite. I think my child is anorexic, because I found a phenomenon in him, he just does not like to eat milk, and is not interested in the bottle. Everything else is fine. If you eat rice paste, fruit puree, vegetable puree and rice soup, etc. are good. Sometimes it’s five or six hours, bottle-feeding him milk, a big mouthful of 50 or 60 milliliters and then do not eat, if bottle-feeding him rice flour can drink up to 100, and then fed will turn their heads to the side, and even pretend to vomit. After another five or six hours, he will still eat 50 or 60 ml, as if he does not know that he is hungry. But if the rest of the formula or rice flour with a small spoon to feed him will accept and swallow. Because I have always used a small cup to serve him complementary food, such as juice, rice paste, egg yolk, etc., so every time he sees me with that small cup will be excited to dance, and eat very well. But if I take a bottle, he will be very reluctant. He will pretend to vomit when I spoon feed him, then grab the food when he finds it tastes good. He sleeps well and can sleep through the night. If he is hungry in the middle, he will go back to sleep after feeding him. Is your child anorexic? Is there anything I can do to improve it? If your child likes to use a spoon, you can use the way he likes it. You can use branded colostrum powder to mix into rice flour to ensure the essence of milk and increase immunity. Babies are often “afraid of new” foods, showing nausea and refusal to eat. If you are worried about insufficient protein intake, you can gradually add fish and other easily digestible high-protein foods, and if the stool is normal, add less cooked oil to the rice flour or vegetable puree to increase calories and promote weight gain. Patient: Thank you for your prompt answer, colostrum has been added to the child, it is separately mixed with water and fed, because I am worried that his milk or rice flour will not be eaten and will cause waste. In addition, our pediatrician here told me that adding the right amount of sugar to the formula will promote digestion and avoid fire, I do not know if this is correct. I don’t know if this is correct. When you say adding cooked oil, do you mean vegetable oil or lard? Children’s Health Center: The ratio of sugar in milk powder is already very scientific, and it is generally not necessary to add sugar. Shanghai Hua’s Pharmacy has liquid B vitamins,. Cooked oil refers to vegetable oil and can range from less to more, 5-15 grams per day. Patient: Should I add the vegetable oil directly or should I fry the vegetable oil first? Children’s Health Institute: cooked oil directly or later can eat pureed vegetables and vegetables can be fried in a frying pan, from 1-2 drops of a small amount to start mainly afraid of baby diarrhea, usually observe 4 days without discomfort gradually increase the amount. This is the same as the principle of adding supplementary food from less to more. Your baby’s current nutritional situation is good, but according to the age of the month weight length is almost, this is because of the impact of the previous growth, as long as the future growth rate is good is normal, after 6 months of age, the child’s natural growth rate than the former slow, generally monthly weight increased by 200-300 grams, length increased by 1-2 cm, I hope that your careful nurturing to make the baby grow better. Patient: Your advice was invaluable to me, I was a little confused and panicked as a first time mother, so I really appreciate Dr. Yuan’s unfailing answers to me. You must be a most welcome doctor and a loving mother in your life, I wish you good health!