Bleeding at Vaccine Injection Site in Children: What to Know
Bleeding at the vaccination site? Hello, a 7-year and 11-month-old child experienced a large blood stain (approximately 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 a...
Dr. Xiao Kaiwen Reply:
The current BNT COVID-19 vaccine for children aged 5-11 is administered via intramuscular injection in the deltoid muscle of the upper arm, rather than intravenously. The depth of this intramuscular injection does not involve major blood vessels, so the theoretical risk of the va...[Read More] Bleeding at Vaccine Injection Site in Children: What to Know
Understanding Abnormal Brain Ultrasound Results in Infants: What to Expect
Abnormal findings in the brain ultrasound examination report? Hello, the baby was born at 37 weeks and 2 days, weighing 2782 grams. At birth, there was a blister on the head that burst. Subsequent brain ultrasound showed abnormal results, indicating "slightly bright perivent...
Dr. Xie Wanghu Reply:
Dear Mommy, 1. The periventricular white matter appears slightly bright, and typically a follow-up brain ultrasound is performed after three months. Does "the cyst bursting" refer to the rupture of an internal cyst? 2. Changing daily habits does not lead to the disap...[Read More] Understanding Abnormal Brain Ultrasound Results in Infants: What to Expect
Understanding Fever in Your One-Year-Old: When to Worry
A baby who has just turned one year old? Yesterday afternoon, I noticed my baby felt a bit warm. I took his temperature and it was 37.5°C. An hour later, it was 37.6°C. Since he seemed a bit warm, I gave him some water. By around 5 PM, his temperature was 37.1°C, and at 8 PM, it ...
Dr. Xiao Kaiwen Reply:
If measuring ear temperature, a reading above 37.8 degrees Celsius indicates a slight elevation in temperature, while a reading above 38 degrees Celsius is considered a fever. Therefore, if the individual's activity level is normal, it is advisable to monitor their activity ...[Read More] Understanding Fever in Your One-Year-Old: When to Worry
Understanding Toe Bumps in Infants: Could They Be Viral Warts?
Toe hard lumps - viral warts? Dr. Hsiao, thank you very much for your response. I will first apply the Four Benefits ointment to the baby and observe the situation. If there is no improvement, I will take the baby to see a doctor! I would like to ask for further clarification; I ...
Dr. Xiao Kaiwen Reply:
Viral warts are possible, and if they are indeed viral warts, cryotherapy should be used. Generally, pediatric clinics may not have this equipment, so it is recommended to seek treatment from a dermatologist.[Read More] Understanding Toe Bumps in Infants: Could They Be Viral Warts?
Understanding Hard Bumps on Baby's Toes: Causes and Treatments
Toe callus The baby boy is currently 11 months old. In the past week or two, I have noticed peeling skin on his toes along with hard lumps. I have observed that there has been no improvement during this time. He usually stays at home, either on the bed or on the playmat, and he h...
Dr. Xiao Kaiwen Reply:
It is not located in areas with higher plantar pressure, so it does not resemble a corn. It appears to be a less common skin condition. You can apply Four Benefits Cream for one week; if there is no improvement, it is recommended to consult a dermatologist.[Read More] Understanding Hard Bumps on Baby's Toes: Causes and Treatments
Weight Loss in Children: Understanding Constipation and Health Concerns
Weight loss Hello: A 9-and-a-half-year-old girl frequently experiences constipation and sometimes has rectal bleeding due to anal fissures. Recently, it was noted that her weight has decreased by about 1 kilogram compared to four months ago (currently weighing 22.5 kilograms). He...
Dr. Xiao Kaiwen Reply:
According to the growth and development chart for children, a 9.5-year-old girl weighing 22.5 kg falls around the 3rd percentile, meaning she ranks among the lowest three out of 100 girls her age, indicating that she is underweight. This may be related to chronic constipation, an...[Read More] Weight Loss in Children: Understanding Constipation and Health Concerns
Understanding Constipation in Toddlers: What Parents Should Know
Baby bowel movement issues? Hello doctor, my child is 2 years and 4 months old. Previously, his bowel movements were normal, but he hasn't had a bowel movement for 7 days this time. What should I do? His activity level and appetite are normal.
Dr. Xiao Kaiwen Reply:
Having not had a bowel movement for 7 days is quite prolonged. You may first try using a cotton swab coated with petroleum jelly, inserting it about 2 centimeters into the rectum and rotating it to stimulate a bowel movement. If this is ineffective, you might need to use a glycer...[Read More] Understanding Constipation in Toddlers: What Parents Should Know
High Inflammation Index at Birth: Should Parents Monitor Their Baby's Health?
High inflammatory index at birth? I would like to ask the doctor, when the baby was born, the inflammation index spiked to 31 and there was originally a plan to perform a lumbar puncture, but it was not successful. After that, the inflammation index decreased, and no definitive c...
Dr. He Zongxian Reply:
Hello, generally speaking, the tests commonly referred to as inflammatory markers include at least CRP (C-reactive protein) and PCT (Procalcitonin). It's unclear which one you are referring to, but typically, these two markers reflect the acute inflammatory status at the tim...[Read More] High Inflammation Index at Birth: Should Parents Monitor Their Baby's Health?
High Inflammation Index at Birth: Should Parents Monitor Their Baby's Health?
High inflammatory index at birth? I would like to ask the doctor, when the baby was born, the inflammation index spiked to 31 and there was initially a plan to perform a spinal tap, but it was not successful. The inflammation index has since decreased, and no definitive cause has...
Dr. He Zongxian Reply:
Hello, generally speaking, the tests commonly referred to as inflammatory markers include at least CRP (C-reactive protein) and PCT (Procalcitonin). It is unclear which one you are referring to, but typically, these two markers reflect the acute inflammatory status at the time of...[Read More] High Inflammation Index at Birth: Should Parents Monitor Their Baby's Health?
Understanding Toddler Bowel Issues: Causes and Solutions
Toddler bowel issues? Hello Doctor, my child is currently 1 year and 2 months old. He had gastroenteritis around 5 months old and hasn't fully recovered for a month or two (he only doesn't have diarrhea for two to three days when taking medication, but starts again when...
Dr. Xiao Kaiwen Reply:
Diarrhea that lasts for more than two weeks is classified as chronic diarrhea. If a child aged one to two years experiences chronic diarrhea but has normal height and weight and exhibits normal vitality, the most common cause may be that the child is beginning to try various new ...[Read More] Understanding Toddler Bowel Issues: Causes and Solutions
Does Allergic Purpura in Childhood Increase Autoimmune Disease Risk?
Allergic purpura is an autoimmune disease? Hello, doctor. I would like to ask if having had allergic purpura as a child (around fifth grade) makes one more susceptible to other autoimmune diseases later in life, such as multiple sclerosis?
Dr. Xiao Kaiwen Reply:
There is no research indicating that having allergic purpura in childhood increases the likelihood of developing other autoimmune diseases later in life. However, some studies suggest that if a girl has this condition, she may be more likely to experience proteinuria and hyperten...[Read More] Does Allergic Purpura in Childhood Increase Autoimmune Disease Risk?
Understanding Gastrointestinal Issues in Children: Causes and Solutions
Gastrointestinal issues Hello doctor, since May of last year, I have been staying at home due to school closures and have encountered some issues that have left me feeling down. I started experiencing irregular bowel movements, occasional constipation, and abdominal bloating afte...
Dr. Xiao Kaiwen Reply:
It seems that your gastrointestinal issues have been ongoing for quite some time. It is difficult to determine whether factors such as staying up late and mood have had an impact. If you are concerned about potential gastrointestinal problems, it is advisable to visit a pediatric...[Read More] Understanding Gastrointestinal Issues in Children: Causes and Solutions
Vaccination Guidelines for Infants After COVID-19 Diagnosis
Vaccination A six-month-old baby tested positive for COVID-19 the day before receiving vaccinations! Currently, the baby is at home. How long should we wait before returning to get the originally scheduled vaccinations? The baby had a fever for three days, with a maximum temperat...
Dr. Pei Rensheng Reply:
Hello: After a confirmed diagnosis, you can receive the vaccine for six-month-olds at least 14 days later, provided there is no fever or discomfort (mild cough and runny nose are acceptable). If there is decreased activity after the fever subsides, it is likely due to the side ef...[Read More] Vaccination Guidelines for Infants After COVID-19 Diagnosis
Does COVID Vaccine Still Offer Protection After Positive Test in Kids?
COVID-19 vaccine Doctor, my child is 12 years old and received the first dose of the BNT vaccine, but tested positive for COVID-19 two days later through a rapid test and was confirmed positive during a telemedicine consultation. Does this mean the BNT vaccine was ineffective? Wi...
Dr. Pei Rensheng Reply:
Hello: After vaccination, it takes an average of two weeks to develop protective immunity. After contracting COVID-19, you must wait 90 days before receiving another COVID-19 vaccine. The previously administered vaccine still counts as the first dose, and you should start from th...[Read More] Does COVID Vaccine Still Offer Protection After Positive Test in Kids?
Should Your Baby Get the Second Flu Vaccine Now or Wait?
Second dose of the influenza vaccine? The baby is currently over eleven months old and received the first dose of the influenza vaccine when they turned six months old at the beginning of this year. Due to the pandemic, the second dose was not administered. I would like to ask wh...
Dr. Xiao Kaiwen Reply:
We are currently in the hot summer season, which is not the influenza epidemic period, and there is no significant influenza outbreak at the moment. I believe it would be sufficient to receive the new influenza vaccine this coming winter.[Read More] Should Your Baby Get the Second Flu Vaccine Now or Wait?
Is BNT Vaccine Safe for My Son with a History of Allergic Purpura?
Is it suitable for children who have a history of allergic purpura to receive the BNT vaccine? My son is currently in the first year of junior high school and just turned thirteen. He experienced allergic purpura at the age of six, which has not recurred since then. The diagnosin...
Dr. Xiao Kaiwen Reply:
Allergic purpura is an autoimmune vasculitis characterized by inflammation of the blood vessels. The cause of the production of autoimmune antibodies is unknown, but it is speculated that it may be triggered by previous viral infections. However, if there have been no recurrences...[Read More] Is BNT Vaccine Safe for My Son with a History of Allergic Purpura?
Guidelines for Administering BNT Vaccine to Children After COVID Exposure
Administration of the BNT vaccine for children? Hello, doctor. I would like to inquire about vaccination issues. Since I am unsure whether my 5-year-old child has been infected with COVID-19 (the mother, who lives with him, has tested positive), the child experienced a high tempe...
Dr. Xiao Kaiwen Reply:
Unless there is a "confirmed" case of COVID-19, a three-month interval is required before administering the COVID-19 vaccine. Since your child is not a confirmed case, as long as their current health status is suitable, they can receive the BNT COVID-19 vaccine.[Read More] Guidelines for Administering BNT Vaccine to Children After COVID Exposure
Understanding Your Baby's Sleep Patterns and Developmental Milestones
Baby Growth and Development Doctor, my baby has been tossing and turning a lot during sleep over the past week or two. They seem to be trying to find their pacifier, but their hands appear to be uncontrollable, knocking the pacifier away. When it falls, they cry. The caregiver ha...
Dr. Pei Rensheng Reply:
Hello: When an infant is difficult to soothe, the first considerations should be: hunger or a wet diaper. Other likely causes include infant colic, which is defined by the latest ROME IV criteria as excessive crying that is difficult to soothe in infants under five months of age,...[Read More] Understanding Your Baby's Sleep Patterns and Developmental Milestones
Challenges of Feeding Low Birth Weight Infants: A Pediatric Perspective
Milk consumption issues? Hello doctor, my child was born at 39 weeks as a late preterm low birth weight infant, weighing 1980 grams at birth. Now that he is one month old, he weighs 2655 grams. He is still in the hospital and is being fed through a nasogastric tube because his ox...
Dr. Xie Wanghu Reply:
The baby's sucking ability is not yet fully developed and should be approached gradually. It is recommended to feed on a schedule, providing 50cc every 3 hours. If the baby consumes 20cc and it has been more than half an hour, do not feed again until the next meal. Since the...[Read More] Challenges of Feeding Low Birth Weight Infants: A Pediatric Perspective
Assessing Choking Risks in Infants During Feeding: A Pediatric Guide
Milk consumption issues? Hello Doctor: My baby is currently two and a half months old. I am using a round hole nipple (suitable for 0-3 months) for feeding. Sometimes, my baby chokes while feeding, and I am worried about whether this could cause lung problems, which adds a lot of...
Dr. Pei Rensheng Reply:
Hello: If a foreign object enters the trachea or lungs, it may cause severe coughing. If this foreign object cannot be expelled or absorbed, it may further lead to pneumonia or lung collapse, which can result in fever and decreased exercise tolerance (shortness of breath with min...[Read More] Assessing Choking Risks in Infants During Feeding: A Pediatric Guide