Understanding Severe ITP in Toddlers: Treatment Challenges and Options
Pediatric Immune Thrombocytopenic Purpura (ITP) Dear Dr. Hsiao, I would like to inquire about my family member's daughter, who is over 2 years old. She was diagnosed with idiopathic thrombocytopenic purpura (ITP) after being found to have low platelet counts in mid-March. I...
Dr. Xiao Kaiwen Reply:
Most cases of ITP show improvement with high-dose corticosteroids and immunoglobulin treatment. However, there are a few cases where these treatments are not effective, and in such instances, chemotherapy (such as the one you mentioned, possibly referring to rituximab) and more i...[Read More] Understanding Severe ITP in Toddlers: Treatment Challenges and Options
Concerns About Low Appetite and Stagnant Weight in Toddlers
Reduced appetite and no progress in weight? Hello, doctor. My daughter is currently 1 year and 6 months old. Her weight has been around 9.2 to 9.4 kg since she turned 1 year old. Her eating habits have not been very good; whether she is given baby-specific solid foods or eats wit...
Dr. Xiao Kaiwen Reply:
A 1.5-year-old girl weighing 9.4 kilograms falls within the 25% to 30% percentile range, which does not indicate malnutrition at this stage. Additionally, if her height is growing normally, this situation can be considered acceptable. It is also important to take genetic factors ...[Read More] Concerns About Low Appetite and Stagnant Weight in Toddlers
Understanding Growth Hormone Treatment and Diabetes Risks in Adolescents
Growth hormone Hello Doctor: My daughter (currently in the second year of junior high) is slightly shorter than her classmates (currently about 145 cm tall and has started menstruating). We have consulted a pediatric endocrinologist and are considering self-paying for growth horm...
Dr. Xiao Kaiwen Reply:
Most research reports indicate that growth hormone therapy does not increase the incidence of diabetes, so there is no need for excessive concern. However, certain high-risk groups should be monitored for type 2 diabetes, such as those using high doses of steroids, those who are ...[Read More] Understanding Growth Hormone Treatment and Diabetes Risks in Adolescents
Understanding Weight Loss in Growing Children: When to Seek Medical Advice
Child Growth and Development Hello: My daughter is 10 years old. I have noticed that her weight has not increased in the past 5 to 6 months and has actually decreased by about 1 kilogram. (Her current weight fluctuates around 22.8 kilograms, down from approximately 23.7 kilograms...
Dr. Xiao Kaiwen Reply:
A 10-year-old girl with a height of 128 cm and a weight of 23 kg falls into the 5th percentile for both height and weight, meaning she ranks among the lowest 5 out of 100 girls her age, indicating that she is underweight. It is advisable to consult a pediatric growth and developm...[Read More] Understanding Weight Loss in Growing Children: When to Seek Medical Advice
Accidental Ingestion of Cholesterol Medication by Toddler: What to Know
A two-and-a-half-year-old child accidentally ingested clobetasol? Currently, I am taking a cholesterol-lowering medication called "Crestor." Previously, I accidentally dropped a pill on the sofa, but I didn't think much of it when I couldn't find it at the tim...
Dr. Xiao Kaiwen Reply:
The main function of Rosuvastatin is to lower cholesterol and triglycerides. It is metabolized by the kidneys after administration. Rare side effects include myopathy and liver function abnormalities. Therefore, if a young child accidentally ingests an overdose of Rosuvastatin, i...[Read More] Accidental Ingestion of Cholesterol Medication by Toddler: What to Know
Accidental Ingestion of Cholesterol Medication by Toddler: What to Know
A two-and-a-half-year-old child accidentally ingested clobetasol? Currently, I am taking a lipid-lowering medication called "Crestor." I accidentally dropped a pill on the sofa and didn't think much of it when I couldn't find it at the time. Today, my child wa...
Dr. Xiao Kaiwen Reply:
The main function of Rosuvastatin is to lower cholesterol and triglycerides. After administration, it is metabolized by the kidneys. Rare side effects include myositis, myalgia, and liver function abnormalities. Therefore, in the case of accidental overdose of Rosuvastatin in you...[Read More] Accidental Ingestion of Cholesterol Medication by Toddler: What to Know
Concerns About Growth: Understanding Height Issues in Adolescents
Height issues Hello, doctor. My son is currently in 7th grade and is about to enter 8th grade. He is only 155 cm tall and has only grown 2 cm in the past six months. I am very worried, so I took him to see a doctor for an X-ray, and they said that his growth plates are almost fus...
Dr. He Zongxian Reply:
Dear concerned parents, One method to estimate your child's potential target height is to take the average of the father's and mother's heights, divide by 2, and for boys, add 6 cm to determine the target height at age 18. Based on the information you provided, y...[Read More] Concerns About Growth: Understanding Height Issues in Adolescents
Understanding Skin Issues in Toddlers: White Spot Concerns
Skin issues The child is currently 2 years old. Previously, when he was over 6 months old, a white spot was noticed on his abdomen. Initially, it was thought to be a birthmark, so it wasn't given much attention. However, there is now some concern that it may be a skin condit...
Dr. Pei Rensheng Reply:
Hello: 1. Pityriasis alba (PA) 2. Vitiligo 3. Fungal infection are the three most likely conditions. You may consult a pediatrician or a dermatologist for diagnosis and treatment. Wishing you good health! Sincerely, Rensheng.[Read More] Understanding Skin Issues in Toddlers: White Spot Concerns
Post-Vaccine COVID-19 Diagnosis in Children: What Parents Should Know
Diagnosis of COVID-19 after receiving the varicella and measles vaccine? Hello Dr. Hsiao, I have twin babies who just turned one year old. They received the varicella and measles vaccine on July 14. Baby B had a fever from July 16 to July 18, and Baby A also developed a fever on ...
Dr. Xiao Kaiwen Reply:
A one-year-old infant is still very young, and their immune system is not fully developed. It is important to be cautious of the warning signs of severe illness in the case of a COVID-19 infection (though it is emphasized that the likelihood of severe illness is extremely low, so...[Read More] Post-Vaccine COVID-19 Diagnosis in Children: What Parents Should Know
Understanding Infant Constipation Issues After Formula Change
Issues Related to Formula Changes in Newborns' Stool Hello, Dr. Hsiao. A few days before my baby turned one month old, he experienced gas and fussiness due to an unsuitable formula, which led to a lack of appetite. We switched from Meiji to S-26 Sensitivity formula without a...
Dr. Xiao Kaiwen Reply:
If an infant is unsuitable for a newly switched formula, symptoms will typically appear within two to three days. This means that if the infant is not suitable for the new formula, there won't be an adjustment period. The determination of whether the new formula is unsuitabl...[Read More] Understanding Infant Constipation Issues After Formula Change
Understanding Infant Constipation Issues After Formula Change
Issues Related to Formula Changes in Newborns' Stool Hello, Dr. Hsiao. A few days before my baby turned one month old, he experienced gas and fussiness due to an unsuitable formula, which led to a loss of appetite. We switched from Meiji to S26 Sensitivity formula without a ...
Dr. Xiao Kaiwen Reply:
If an infant is not suitable for a newly switched formula, symptoms will typically appear within two to three days. This indicates that the formula is unsuitable, and there is no adaptation period. The determination of whether the new formula is inappropriate can only be made by ...[Read More] Understanding Infant Constipation Issues After Formula Change
Understanding Infant Digestive Health: Breast Milk and Formula Choices
Breast milk + standard infant formula or hydrolyzed formula? Doctor, my baby is currently a little over one month old (1 month and 11 days). Initially, I was feeding him 70cc of breast milk and 60cc of Abbott standard infant formula, along with additional probiotics, every three ...
Dr. Xiao Kaiwen Reply:
It is normal for infants to have bowel movements ranging from once or twice a day to once every two to three days. Abnormal stools in infants include hard, pellet-like stools, watery diarrhea, stools containing blood, and grayish-white stools. The odor of the stool is not conside...[Read More] Understanding Infant Digestive Health: Breast Milk and Formula Choices
Managing Salmonella Infection in Toddlers: Symptoms and Treatment Tips
Salmonella, diarrhea with blood and mucus? Hello, doctor. My daughter is currently 2 years old and started experiencing mild diarrhea two days ago, about four times a day, with both watery and soft, mushy stools. The total amount is roughly equivalent to her normal bowel movement...
Dr. Xiao Kaiwen Reply:
Blood-streaked mucus in diarrhea may indicate a Salmonella infection, which can be confirmed through stool culture. Salmonella enteritis is a self-limiting disease, meaning that most healthy children can recover on their own. The focus of treatment should be on monitoring and man...[Read More] Managing Salmonella Infection in Toddlers: Symptoms and Treatment Tips
Can Children Aged 4 to 5 Receive the BNT Vaccine?
Children's BNT vaccine issues? Hello doctor, I recently checked the latest news on pediatric vaccines and learned that Moderna can be administered to children aged 6 months to 5 years, while BNT is limited to ages 6 months to 4 years. I would like to ask if children who are ...
Dr. He Zongxian Reply:
Hello: The commonly known BNT pediatric vaccine can be further divided into two types: (1) Vaccine for children aged 5-11 years (orange cap packaging), with each dose being 0.2 ml (containing 10 μg of mRNA), requiring a primary series of 2 doses (currently available domestically)...[Read More] Can Children Aged 4 to 5 Receive the BNT Vaccine?
Child Experiences Altered Perception After Fever: What to Know
After a fever, the surrounding speed feels accelerated? Hello, doctor. Last week, my child was suspected to have gastroenteritis (with a fever ranging from 37.8 to 39.1°C, vomiting, and diarrhea). After medication and rest, the symptoms have alleviated. However, my child reports ...
Dr. He Zongxian Reply:
Please first visit a pediatrician or an otolaryngologist. Thank you.[Read More] Child Experiences Altered Perception After Fever: What to Know
Understanding Mediterranean Anemia in Children: Key Insights for Parents
Mediterranean anemia (also known as thalassemia) Hello Doctor: Both my husband and I have thalassemia. Before pregnancy, we underwent genetic testing for thalassemia, and the results showed that I have beta-thalassemia and my husband has alpha-thalassemia (Southeast Asian type). ...
Dr. Xiao Kaiwen Reply:
Question 1: RDW has relatively little clinical significance in the diagnosis of thalassemia. Question 2: The genetic variations of alpha thalassemia and beta thalassemia are completely different and theoretically do not influence each other, so there is no theory that a child wit...[Read More] Understanding Mediterranean Anemia in Children: Key Insights for Parents
How Long After COVID Recovery Can Kids Get the Flu Vaccine?
How long after recovering from COVID-19 can one receive the flu vaccine? Hello Dr. Chang, my 5-year-old son has recovered from COVID-19 (Omicron variant). How long should we wait before he can receive the influenza vaccine?
Dr. Zhang Yingwen Reply:
Hello! If the baby no longer has a fever or acute symptoms and is no longer in the self-health management period, they can receive routine vaccinations or the influenza vaccine.[Read More] How Long After COVID Recovery Can Kids Get the Flu Vaccine?
Understanding Infant Spitting Up: Causes and Solutions for Parents
Infant regurgitation? Hello, thank you for your response. My son is 1 month and 16 days old, consuming 160 ml per feeding, five times a day. He was born weighing 3.1 kg and now weighs 4.8 kg. He originally used an SS-sized round nipple but has now switched to an S-sized round nip...
Dr. Zhang Yingwen Reply:
1. A 1-month-old baby is consuming 160 cc of formula per feeding, with a total of 5 feedings per day. The baby weighed 3.1 kg at birth and now weighs 4.8 kg, indicating excellent weight gain. The cause of vomiting may be due to overfeeding, so it is recommended to adjust the feed...[Read More] Understanding Infant Spitting Up: Causes and Solutions for Parents
Managing Diarrhea and Hoarseness in Infants: A Parent's Guide
Diarrhea and hoarseness? Recently, my baby has had diarrhea for three days. He is currently over three months old, and every time he drinks milk, he has a bowel movement right after. The stools were thick and contained blood for the first two days, but today there is no blood, ye...
Dr. Xiao Kaiwen Reply:
Most cases of diarrhea are caused by viral infections leading to gastroenteritis, while less common causes include bacterial gastroenteritis, milk protein allergy, and megacolon, among others. If there are signs of dehydration (such as not urinating for 8 hours and decreased vita...[Read More] Managing Diarrhea and Hoarseness in Infants: A Parent's Guide
Bleeding at Vaccine Site in Children: What Parents Should Know
Bleeding at the vaccination site? Hello, a 7-year and 11-month-old child noticed a large bloodstain (about the size of a five-dollar coin) on the cotton ball at the injection site after receiving the second dose of the pediatric BNT vaccine. This has never happened with previous ...
Dr. Xiao Kaiwen Reply:
The current BNT COVID-19 vaccine for children aged 5-11 is administered via intramuscular injection into the deltoid muscle of the upper arm, rather than through intravenous injection. The depth of this intramuscular injection does not pass through major blood vessels, so the the...[Read More] Bleeding at Vaccine Site in Children: What Parents Should Know