Why is my four-month-old baby not sleeping well, straining, grunting, shaking his head, and crying?

(Image source: pexels.com) Question 1: My baby boy is now 43 days old. When he was ten days old, he was hospitalized for ten days due to cerebral hypoxia, and when he was just one month old, he was hospitalized for seven days due to pneumonia. I had symptoms of straining, choking, and shaking my head while sleeping before, but not too much. However, in the past two days, I strained, choked, and shook my head more frequently. I woke up soon after, and occasionally cried when I fell asleep. I couldn\’t be coaxed, and I farted a lot. I would like to ask the doctor, what are the reasons for frequent exertion, hiccups, shaking of the head, inability to sleep for long periods of time, and crying? Dr. Luo Zhen’s answer: For babies of this age to have this kind of situation, based on comprehensive judgment, the common reasons are as follows: ❶ Poor digestion and weak spleen and stomach function, leading to unstable sleep; ❷ Dreaming, which is easy to occur in light sleep. Waking up; ❸The surrounding environment is relatively hot and the sleeping position is uncomfortable; ❹Lack of vitamin D. For crying, if you cannot be comforted and cry at a specific location, consider it to be colic. This situation may be encountered frequently in the future. It is caused by intestinal flatulence due to immature intestinal development. It is a physiological phenomenon. Remission occurs after 4-6 months. It is recommended to insist on breastfeeding, and do not eat too full or too fast every time, otherwise eating too much air will aggravate the crying; stand up and burp every time after feeding; massage the baby\’s belly clockwise with the navel as the center every day for ten minutes each time ; You can let the baby lie on his stomach more often, or sleep on the parent\’s body, which can also alleviate the problem. You can also use the method of carrying the baby on an airplane, and taking probiotics or simethicone can also alleviate the problem. Question 2: A 5-year-old girl has itchy anus, and it always itch at night. There is no abnormality around the anus, but it is very itchy. What should I do? The village doctor said it was trichomonas. Dr. Cui Lixia’s answer: After going to bed at night, check whether there are thread-like pinworms around the anus. It is best to go to the hospital to check the stool for diagnosis. If there are pinworms, you can take intestinal insecticide. Trichomonas infection is vulvitis, you can go to the gynecologist to see it. Question 3: I am breastfeeding and my child is eight months old. This morning I started to feel pain under one breast and there was a hard lump to the touch. What is going on? Dr. Pan Guilan answered: The most common reason is milk accumulation. Apply hot towels to the lumps and let the baby suck more often. After each feeding, suck the milk until it is soft and not bloated, and it will get better slowly.