July 2024

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 Jul-Aug 2024 Reminder 

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Parents Zone

Do children need to take nutritional supplements?

Source: Senior Dietitian, Ng Yiu Fun

Many parents ask me, “Does my child need to take supplements?” For example, would fish oil or DHA be better for him? I have children myself, and I don’t let them take any supplements. But some parents say, “Is it really smarter to take supplements?”

In fact, if you have a balanced diet, you don’t need any supplements. Why? For example, if you take too much fish oil, it will have an excessive blood-thinning effect, and you will easily bleed out. So we say that if you take too much fish oil, it may not be good for your child.

We may have to figure out how to add a little bit of fish to our food. For example, if he doesn’t like eating fish, we can dip the fish in batter and bake it to make it feel crispy and tasty. Or when cooking spaghetti, you can add some crustaceans, such as clams, which are easy for children to absorb. Also, simple foods such as seaweed have ingredients that make them smarter.

As for the parents, they may think that if they take more calcium supplements, their children will grow taller. This is also not necessary, because if you take too many calcium tablets, it will be very easy to give him kidney stones. We can let children drink milk, tofu, or soy milk to help them absorb calcium without the need for special supplements.

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Parents Zone

Taking medicine: Bitterness before eating

Written by: Doctor Cheung Kit

If a child is seriously ill, I think the parents’ suffering is also significant. This is because, in addition to taking the child to see a doctor and taking time off to care for the child, they also worry about giving the child medication. Therefore, the real battle often begins after returning home from the doctor. There is a systematic approach to administering medication to children, and parents can learn how to do it.

First, the initial form of medication that children encounter is liquid. Liquid medication can be divided into two types: solution and suspension. The former is a watery preparation, often containing a small amount of alcohol, while the latter does not contain alcohol but has granular suspended particles, which can be felt in the throat. Both types are equally effective and have their supporters. Doctors generally have both types of medication available.

 

Due to the medicinal taste, children do not like it. If you plan to add the medicine to a flavored drink to mask the taste, it generally fails because children are very likely to notice. Furthermore, children have a natural aversion to nausea, so when they feel the discomfort of the medicine in their throat, they may vomit it out. There is no distinction between taking children’s medicine on an empty stomach or after a meal. However, some medicines may react with food, for example, tetracycline and erythromycin in antibiotics may interact with milk, affecting their effectiveness.

As for pills or capsule medication, it’s better to wait until the child is a little older to try them. In theory, both are equally effective compared to liquid medicine. However, generally, cough syrups contain a variety of functional ingredients, making them more effective. Therefore, adults also consider prescription cough syrups. As for the age at which prescription pills can be taken, it depends on the child’s acceptance, as some adults may not even swallow pills. So, as parents, how can we make the process of administering medication less of a chore?

● Try not to force the child to swallow the medicine.

● Involve the child in the process of taking the medicine as early as possible, such as getting the medicine, pouring the liquid, and eventually self-administering with a spoon.

● If the child vomits heavily within half an hour of taking the medicine, you can administer another dose.

● It’s best not to mix the medicine with milk, as if the child doesn’t finish the milk, they won’t get the full dose of the medicine.

● Encourage the child to try swallowing pills (no age limit), starting with a small one.

● Suppositories are indeed effective for certain oral medications. However, for many sensible children, this is a “painful” experience and can lead to negative associations, so it’s best to avoid it if possible.

● Parents should also have a positive attitude towards taking medicine: getting sick requires taking medicine, and taking medicine is not a chore.

 

We hope that all parents will not be troubled by their children taking medicine.