Understanding Patent Foramen Ovale in Children: Is Closure Necessary?
Both of my children have a patent foramen ovale? The older child is 9 years old, with a height of 145 cm and a weight of 56 kg. There is a patent foramen ovale measuring 0.66 cm, mild mitral regurgitation, and right-sided peripheral pulmonary artery stenosis. The child has experi...
Dr. Xie Wanghu Reply:
Hello, Mom. The foramen ovale is a valvular structure located between the right atrium and left atrium at birth. It typically closes within five days after birth; if it remains open beyond six months, it is referred to as an "atrial septal defect." Generally, if it has ...[Read More] Understanding Patent Foramen Ovale in Children: Is Closure Necessary?
Understanding Skin Issues in Children's Fingers: Causes and Treatments
Children's finger skin Hello: A 7-year-old boy has recently developed darkening at the tips of all ten fingers (no pain or itching), accompanied by small bumps and rough skin. What is the best way to manage this? Additionally, there is a raised area between the little finger...
Dr. Xiao Kaiwen Reply:
It is not appropriate to provide an explanation without seeing the actual skin condition, and it is even less suitable to use ointments on your own. It is recommended to consult a dermatologist for proper diagnosis and treatment.[Read More] Understanding Skin Issues in Children's Fingers: Causes and Treatments
Understanding Mycoplasma Pneumonia in Children: Symptoms and Recovery
Mycoplasma pneumonia Hello, doctor. I would like to ask about a 5-year-old child who contracted mycoplasma pneumonia, resulting in right lung infiltration. The child was treated with medication for three days and discharged from the hospital. During the hospitalization, the child...
Dr. He Zongxian Reply:
Hello, generally speaking, mycoplasma infections initially present with symptoms similar to those of a cold. After three to five days of fever, a cough often develops, frequently manifesting as a dry cough. This cough can persist for about three to four weeks. As long as the body...[Read More] Understanding Mycoplasma Pneumonia in Children: Symptoms and Recovery
Understanding Infant Head Growth: When to Seek Further Evaluation
Infant Head Circumference Development Hello, my baby boy (5 months and 2 days old as of October 4) has been growing quite quickly. His weight is 7.3 kg, height is 65.1 cm, and head circumference is 44.2 cm. He is approaching the 97th percentile and will likely exceed it in a few ...
Dr. He Zongxian Reply:
Hello, from your description, it is evident that you are a caring and attentive mother, and your son's check-up results appear to be normal. According to the updated WHO growth charts for children, his height is between the 25th and 50th percentiles, his weight is also betwe...[Read More] Understanding Infant Head Growth: When to Seek Further Evaluation
Understanding Urine Culture Results in Infants: What Parents Need to Know
Urine culture Doctor, my baby is five months old. The urine culture report is as follows: Test Name: Aerobic Culture Results: Mixed flora of clinical insignificance Reference Value: None What does this result mean? Is there a urinary tract bacterial infection? Does my baby...
Dr. He Zongxian Reply:
Hello, based on the limited information you provided, no pathogenic bacteria were cultured from the urinary tract. However, the diagnosis of a urinary tract infection should be assessed in conjunction with clinical conditions and laboratory test results. It is recommended that yo...[Read More] Understanding Urine Culture Results in Infants: What Parents Need to Know
Safety of Medications During Breastfeeding: A Pediatric Perspective
Medication Issues During Breastfeeding Hello Doctor, I currently have a cold with a sore throat, phlegm, and a severe cough. I would like to ask about the safety of the following medications for my 11-month-old baby while I am breastfeeding. Will these medications affect my baby?...
Dr. Xiao Kaiwen Reply:
Generally speaking, except for immunosuppressive drugs, cytotoxic medications, and radioactive drugs, most medications only appear in trace amounts in breast milk and have minimal impact on the baby. Therefore, there is usually no need to stop breastfeeding. As a principle, it is...[Read More] Safety of Medications During Breastfeeding: A Pediatric Perspective
Understanding ITP in Young Children: Treatment Duration and Recovery Insights
Childhood thrombocytopenic purpura (ITP) Hello Dr. Hsiao: Regarding the issue mentioned in <a href="https://adoctor.tw/article/185662">#185662</a> https://adoctor.tw/article/185662, a young child was diagnosed with ITP in March of this year and just complete...
Dr. Xiao Kaiwen Reply:
1. Targeted therapy with the drug Mo Xu Liu shows an initial effectiveness of about 60% in patients, with 30% achieving a complete response within the following year; however, half of the patients may experience a relapse within the next four years. 2. A platelet count of at leas...[Read More] Understanding ITP in Young Children: Treatment Duration and Recovery Insights
Concerns About X-Ray Radiation Exposure in Infants: A Parent's Dilemma
X-ray radiation issues When my child was nine months old, she was taken to the emergency room due to crying, vomiting, and coughing. Since there was no pediatrician available, she underwent chest and abdominal X-rays without any shielding for her body. When I followed up with a p...
Dr. Xiao Kaiwen Reply:
Actually, modern X-ray machines have advanced significantly, and the radiation exposure dose is very low. Taking one or two X-rays is unlikely to have any adverse effects on the body, so you don't need to worry too much.[Read More] Concerns About X-Ray Radiation Exposure in Infants: A Parent's Dilemma
Can These Medications Be Used for Infants with Favism?
Can these medications be used for infants with G6PD deficiency? Today, I took my five-month-old son to the doctor. In my haste to ask about his condition, I forgot to mention that he has G6PD deficiency (but it was noted on the initial consultation form). The doctor prescribed co...
Dr. Xie Wanghu Reply:
1. The above-mentioned medications can be taken or used by patients with favism. 2. The drug used to treat Mycoplasma is Zithromax. 3. Fusidic acid ointment is used to treat skin infections caused by Staphylococcus and Streptococcus, and it can also be used by patients with f...[Read More] Can These Medications Be Used for Infants with Favism?
Understanding Pediatric Fever: When to Seek Emergency Care for Your Child
Pediatric Fever Hello, Doctor. I apologize for bothering you. I would like to confirm something with you. My daughter, who is currently 3 years old, started having a fever on Saturday, October 22nd. By Sunday night, her temperature reached nearly 40 degrees Celsius, and she has b...
Dr. Xiao Kaiwen Reply:
These three viruses do not have specific antiviral medications; however, the majority of children can gradually recover through their own immune response, so there is no need for excessive concern. However, if a high fever persists for more than three days or if any of the follow...[Read More] Understanding Pediatric Fever: When to Seek Emergency Care for Your Child
Understanding Changes in Your Toddler's Stool Color: What to Know
The color of a toddler's stool? Hello, doctor. For the past two weeks, my 4.5-year-old daughter has been having light yellow stools (previously, she would have a bowel movement every three days with darker color). Recently, she has been going every other day, and the color i...
Dr. Xiao Kaiwen Reply:
Monitor for any signs of jaundice (yellowing of the sclera) or if the stool gradually turns grayish-white; otherwise, observation is sufficient.[Read More] Understanding Changes in Your Toddler's Stool Color: What to Know
Managing Infant Reflux After Medication: What Parents Should Know
Infants may experience milk spillage after taking medication and then drinking milk? Hello Doctor: My son is currently three months old and generally does not have any issues with spitting up. Recently, he has had a cold and we took him to see a doctor. For the past two days, he ...
Dr. Xiao Kaiwen Reply:
I believe that cold medications are primarily symptomatic treatments, so temporarily stopping the medication for testing purposes is not a concern. There are many reasons why gastrointestinal symptoms may occur, such as a cold virus affecting the gastrointestinal tract, the taste...[Read More] Managing Infant Reflux After Medication: What Parents Should Know
Sirolimus for Treating Pediatric ITP: Case Studies and Insights
Medications for pediatric thrombocytopenic purpura (ITP) include corticosteroids, intravenous immunoglobulin (IVIG), anti-D immunoglobulin, and in some cases, thrombopoietin receptor agonists Is there any case of sirolimus being used in the treatment of thrombocytopenic purpura i...
Dr. Xiao Kaiwen Reply:
Sirolimus is an immunosuppressive medication that can be used for treating pediatric immune thrombocytopenia (ITP) caused by autoimmune antibodies destroying platelets. However, it is generally considered a second-line therapy, typically used after first-line treatments have prov...[Read More] Sirolimus for Treating Pediatric ITP: Case Studies and Insights
Improving Appetite and Preventing Bone Loss in Pediatric Steroid Treatment
Decreased corticosteroid levels can lead to loss of appetite? The family’s daughter is nearly 3 years old and is undergoing treatment for ITP (Immune Thrombocytopenic Purpura) with corticosteroids, which she has been taking for 7 months. Currently, due to a reduction in the corti...
Dr. Xiao Kaiwen Reply:
It is recommended to prepare a variety of meals or consult a nutritionist for alternative food options. Additionally, incorporating higher-calorie pediatric nutritional formulas can be beneficial. Avoid providing snacks with poor nutritional value. Furthermore, you may consult a ...[Read More] Improving Appetite and Preventing Bone Loss in Pediatric Steroid Treatment
Understanding Chromosome Testing in Pediatrics: Frequency and Immune Disease Prediction
Chromosomal analysis Is chromosome testing only needed once? Can chromosome testing predict autoimmune diseases?
Dr. Xiao Kaiwen Reply:
Chromosomal testing should provide results regarding abnormalities in one go, unless further detailed genetic testing is required. There are many types of autoimmune diseases, and not all autoimmune diseases can be identified through chromosomal testing.[Read More] Understanding Chromosome Testing in Pediatrics: Frequency and Immune Disease Prediction
Understanding Preauricular Sinus in Infants: What Parents Should Know
Preauricular sinus Hello Doctor, my son is now 3 weeks old and I noticed a small pit in front of his ear. When I asked the physician during a follow-up visit, they said it is a preauricular sinus and that it doesn't require any treatment. However, as a new parent, I tend to ...
Dr. Pei Rensheng Reply:
Hello! The prevalence of preauricular sinuses is as follows: Caucasians: 1%; African Americans: 5%; Asians: 10%. There is a familial tendency. The likelihood of hearing loss associated with preauricular sinuses is five times that of the general population. A hearing assessment is...[Read More] Understanding Preauricular Sinus in Infants: What Parents Should Know
Understanding Pediatric Urinary Tract Infections and Fever: Key Insights
Fever and urinary tract infection? Thank you, Dr. Hsiao, for your response. I have a few questions to ask you: 1. Is it true that a urinary tract infection (UTI) always causes a fever? 2. If there is no fever and the urinalysis results are normal, can we rule out a urinary trac...
Dr. Xiao Kaiwen Reply:
1. Not necessarily. 2. It cannot be completely ruled out, but the chances are indeed low. The standard sterile collection method for urine culture is through a catheter or suprapubic aspiration; however, these methods are very invasive and can cause significant discomfort for chi...[Read More] Understanding Pediatric Urinary Tract Infections and Fever: Key Insights
Understanding Urine Culture Results in Infants: Is There a UTI?
Urine culture Hello, doctor. I apologize for asking you again. My baby boy is 5 months old and has mild hydronephrosis, with a left kidney measurement of 0.6 cm and a right kidney measurement of 0.3 cm. He had a fever of 38.4 degrees Celsius and was taken to see a pediatrician, w...
Dr. Xiao Kaiwen Reply:
1. The fever resolved without the use of antibiotics, and the urine test showed no evidence of a urinary tract infection, so antibiotics are not necessary. 2. Urine ultimately passes through the mucous membranes and skin before reaching the urine bag, so it is still possible to c...[Read More] Understanding Urine Culture Results in Infants: Is There a UTI?
Understanding Mixed Flora of Clinical Insignificance in Pediatric Urine Cultures
Urine culture Hello doctor, my baby (5 months old) had a urine culture test in the hospital, and the report states "Mixed flora of clinical insignificance." What does this mean? Does it indicate a urinary tract infection? Does my baby need to take antibiotics?
Dr. Xiao Kaiwen Reply:
This report indicates the cultivation of several types of bacteria, which we clinically consider to be contaminants of no clinical significance. For example, harmless bacteria that are inadvertently collected from the skin or mucous membranes during urine sampling, rather than pa...[Read More] Understanding Mixed Flora of Clinical Insignificance in Pediatric Urine Cultures
Black Spot at Vaccine Injection Site: Is It Normal for Kids?
The injection site of the COVID-19 vaccine developed black spots? Hello doctor, my baby received the first dose of the Moderna vaccine at the beginning of September. Recently, I noticed that the injection site has developed a small black dot (it is not a scab and cannot be remove...
Dr. Xiao Kaiwen Reply:
It may be what is referred to as post-inflammatory hyperpigmentation, which is a reaction of the skin following injury and inflammation. Melanocytes are stimulated by external factors to produce an excess of melanin. Once the inflammatory symptoms subside, the excess melanin rema...[Read More] Black Spot at Vaccine Injection Site: Is It Normal for Kids?