Do Frequent Head Bumps Affect Brain Development in Toddlers?
Frequent head injuries? Could you please tell me if a child who will turn 2 years old this May, who can walk and run, but has been in the crawling stage and has bumped their head several times, including a fall in the bathroom in February, which resulted in crying but no visible ...
Dr. Zhong Ruixian Reply:
Unless there is a significant impact, it generally will not affect brain development. The condition known as Shaken Baby Syndrome occurs when a caregiver violently shakes an infant's head, typically involving multiple rapid shakes, and does not necessarily require direct imp...[Read More] Do Frequent Head Bumps Affect Brain Development in Toddlers?
Understanding Pediatric Constipation: When to Seek Medical Help
Childhood constipation Hello Doctor, my son is seven years old. He hasn't had a bowel movement for the past two to three days, and after I gave him yogurt, he was able to go. His stool appeared soft and there was no blood (I'm not sure if the stool was hard at the begin...
Dr. Pei Rensheng Reply:
Hello! 1. The recovery time for anal fissures caused by constipation varies depending on the severity. I will prescribe antibiotic ointment to prevent infection, while also encouraging exercise, hydration, and fiber intake to prevent worsening of constipation and the fissure. 2. ...[Read More] Understanding Pediatric Constipation: When to Seek Medical Help
Understanding Enterovirus Diagnosis in Children: Key Symptoms to Watch For
Diagnosis of enterovirus? If a child has a small ulcer in the oropharynx, will a doctor diagnose it as hand, foot, and mouth disease, or does there need to be multiple ulcers for a diagnosis?
Dr. Zhong Ruixian Reply:
Oral ulcers can have many causes and are not necessarily due to enteroviruses; however, if a physician observes that the ulcer's appearance resembles that of an enterovirus infection, they may make that diagnosis even if there is only a small lesion. If there are more oral l...[Read More] Understanding Enterovirus Diagnosis in Children: Key Symptoms to Watch For
Safety Concerns of Rectal Fever Suppositories in Young Children
Antipyretic suppository A 3-year-old child has developed a fever of 38 degrees Celsius due to sinusitis. Medication has been administered, which reduced the fever, but it rose again to 39.1 degrees Celsius after two hours. The plan is to use a rectal suppository for fever reducti...
Dr. Xiao Kaiwen Reply:
The manufacturing of rectal suppositories is designed for absorption through the rectum, and the amount absorbed through the vagina should not be significantly high, so there should not be any major impact. There is no need for excessive concern.[Read More] Safety Concerns of Rectal Fever Suppositories in Young Children
Concerns About My 1-Year-Old's Development and Health Issues
The baby is currently 1 year and 7 months old, and there is a depression in his fontanelle? Hello doctor, my baby is currently one year and seven months old. He has a depression in his fontanelle that is about 10 centimeters long and one and a half fingers wide. He often has diar...
Dr. Xiao Kaiwen Reply:
Infants with abnormal head shapes and developmental delays, characterized by wide cranial sutures and a prominent forehead, may require an evaluation for potential brain abnormalities. It is recommended to consult a pediatric neurologist at a major hospital for further assessment...[Read More] Concerns About My 1-Year-Old's Development and Health Issues
Addressing Infant Constipation: Formula Changes and Dietary Solutions
Infant bowel movement issues? Hello Doctor, my baby is currently 4 months and 7 days old. He is drinking Karolotani goat milk formula. After birth, he was in the hospital for three days and was also given Karolotani. At that time, his meconium was normal. After being discharged, ...
Dr. Pei Rensheng Reply:
Hello: It appears there is a mild case of constipation. 1. If the baby is over 4 months old, you can introduce complementary foods, utilizing the fiber in these foods (such as fruit puree, vegetable puree, etc.); this can help with bowel movements. 2. Most hydrolyzed formulas hav...[Read More] Addressing Infant Constipation: Formula Changes and Dietary Solutions
Impact of Short-Term Exposure to Loud Noise on Toddler Hearing
The possibility of hearing impairment in a child who is 1 year and 2 months old? Hello, doctor. My child is currently over one year old. A few days ago, they were near an operating juicer for about 5-10 seconds. We don't have a measuring device at home, but I found online th...
Dr. Xiao Kaiwen Reply:
I want a sound level of 85 to 90 decibels for a short duration of 5 to 10 seconds, which should not cause any hearing damage to children, so there is no need to worry too much.[Read More] Impact of Short-Term Exposure to Loud Noise on Toddler Hearing
Understanding Recurrent Head Pressure and Vomiting in Children
Headache and vomiting? Hello Doctor, my 12-year-old child has recently experienced episodes of head swelling and vomiting as follows: Note: On January 18, he received an injection in the endocrinology department to suppress bone age growth for a duration of three months. 1. On ...
Dr. Xie Wanghu Reply:
Hello Ms. Wu, The side effects of Leuplin can include rash, wheezing, chest tightness, difficulty breathing, and difficulty swallowing or speaking, as well as gastrointestinal discomfort. Many cases of gastroenteritis can present with symptoms such as vomiting, diarrhea, and fe...[Read More] Understanding Recurrent Head Pressure and Vomiting in Children
Understanding Prolonged Fever in Children: When to Seek Medical Advice
Pediatric fever Hello, Doctor. I would like to inquire about my 6-year-old daughter. On the 24th, she had a fever of 38.8°C and we took her to see a doctor. The doctor diagnosed her with tonsillitis. She had a recurring fever for 3 days, approximately every 10-12 hours, reaching ...
Dr. Xiao Kaiwen Reply:
Some viral infections can cause a fever lasting up to a week, such as adenovirus, so adenovirus rapid testing can be performed. Additionally, if a high fever persists three days after the last blood test, it may be advisable to conduct another blood test to assess any changes in ...[Read More] Understanding Prolonged Fever in Children: When to Seek Medical Advice
Using Rebinin in Pediatric ITP: Is Bone Marrow Monitoring Required?
The use of Rebif (interferon beta-1a)? I would like to ask if the standard protocol for administering low-dose Rituximab to children for the treatment of ITP includes the requirement for regular bone marrow aspiration for monitoring.
Dr. Xiao Kaiwen Reply:
The use of intravenous immunoglobulin (IVIG) in the treatment of Immune Thrombocytopenic Purpura (ITP) is considered a later-line therapy, indicating a more complex condition. The chemotherapy protocols in pediatric hematology-oncology are very detailed, cautious, and highly prof...[Read More] Using Rebinin in Pediatric ITP: Is Bone Marrow Monitoring Required?
Understanding Bedwetting in Children with Epilepsy: Causes and Solutions
Children in preschool still need to wear diapers at night? Hello, doctor: I would like to ask about my 6-year-old child who has epilepsy. He goes to the bathroom before bed but still wets the bed. Sometimes he also wets the bed during nap time at school. He usually feels a strong...
Dr. Pei Rensheng Reply:
Hello: Enuresis refers to the involuntary loss of urine during sleep in children over the age of 5. The prevalence decreases from 15% in 5-year-old children to 1% to 2% in children aged 15 and older. Nocturnal enuresis may be caused by one or more related factors in children, suc...[Read More] Understanding Bedwetting in Children with Epilepsy: Causes and Solutions
Can Children Safely Combine Cough and Cold Medications?
Could you please clarify your question regarding pediatric medication? Hello Dr. Hsiao: My 4-year-old child is currently experiencing fever, a cough that sounds productive, yellow nasal discharge, and nasal congestion (the nasal discharge returns shortly after blowing the nose). ...
Dr. Xiao Kaiwen Reply:
The medication your child is taking contains ingredients for cough relief and treating rhinitis (nasal congestion, runny nose, and sneezing). Xike Ning is a combination cold medicine that also includes ingredients for runny nose, nasal congestion, sneezing, cough, and expectorati...[Read More] Can Children Safely Combine Cough and Cold Medications?
Understanding Baby's Digestive Changes After Switching Formula
Issues with infant formula and stool? The child is currently over 2 months old and has been assessed by a pediatrician as having an allergic constitution, leading to a switch from S-26 formula to Enfamil Nutramigen. Since starting the Nutramigen formula, the frequency of bowel mo...
Dr. Xiao Kaiwen Reply:
If the frequency of bowel movements has increased and the stool has a higher water content compared to when it was normal, this is defined as a form of diarrhea. It is recommended to temporarily switch back to the original formula. If the stool returns to normal, it may indicate ...[Read More] Understanding Baby's Digestive Changes After Switching Formula
Understanding and Managing Itchy Genital Area in Toddlers
Itching in the genital area? My daughter is currently 2 years and 3 months old. For the past few days, she has been constantly scratching her genital area. Despite frequent washing of her bottom and urethral area, it hasn't stopped her from scratching. I applied Meikang crea...
Dr. Xiao Kaiwen Reply:
It is difficult to make a diagnosis without actually seeing the skin condition. There are many possible causes for itching and rashes in the genital area, ranging from simple diaper rash to fungal infections, atopic dermatitis, or inflammation caused by pinworms leading to itchin...[Read More] Understanding and Managing Itchy Genital Area in Toddlers
Understanding Baby's Stool Changes After Switching Formula: Is It Normal?
Issues with infant formula and stool? The child is currently over 2 months old and has been assessed by a pediatrician as having an allergic constitution, leading to a change in formula from S-26 to Enfamil Hypoallergenic. Since switching to Enfamil Hypoallergenic, the frequency ...
Dr. Xiao Kaiwen Reply:
If the frequency of bowel movements has increased and the stool has a higher water content compared to when it was normal, this is defined as a mild case of diarrhea. It is recommended to temporarily switch back to the original formula. If the stool returns to normal, it may indi...[Read More] Understanding Baby's Stool Changes After Switching Formula: Is It Normal?
Managing Nutcracker Syndrome in Children: Concerns and Alternatives
Children's Nutcracker Syndrome Hello Doctor, my daughter is in the first grade and has a problem with protein in her urine. After undergoing a kidney ultrasound and a CT scan, it was found that she has Nutcracker Syndrome (NCS). The doctor prescribed Losartan, which is a med...
Dr. Pei Rensheng Reply:
Hello: The main manifestation of NUTCRACKER SYNDROME is hematuria; if there is persistent proteinuria, other kidney diseases should be considered. If blood/urine tests do not provide a clear answer, a kidney biopsy should be considered. You may discuss this with the pediatric nep...[Read More] Managing Nutcracker Syndrome in Children: Concerns and Alternatives
Effective Treatment Strategies for Thrush in Infants: A Guide for Parents
Treatment for oral thrush? Hello, doctor. I would like to ask some questions regarding the treatment of oral thrush. Thank you! 1. For a newborn (1 month old) with oral thrush, since the baby is breastfed, the hospital prescribed a powder for the mother to apply. Should the pow...
Dr. Xiao Kaiwen Reply:
After expressing milk, apply the medication. Continue using the medication for more than a week, and after the white patches disappear, use it for at least an additional 3 days to completely eradicate the bacteria. After use, you can boil it in hot water for 20 minutes and let it...[Read More] Effective Treatment Strategies for Thrush in Infants: A Guide for Parents
Understanding Nighttime Nasal Congestion and Cough in Children
Children experiencing nasal congestion and nighttime cough? Hello doctor, my daughter is currently 3 years old. During the day, she has some nasal congestion and a runny nose, and at night she snores while sleeping and has a cough. However, she is unable to clear her nasal mucus....
Dr. Xiao Kaiwen Reply:
Both possibilities exist. It is recommended to visit a pediatric department at a hospital for a physical examination, laboratory tests, and a thorough medical history inquiry to reach a more definitive conclusion.[Read More] Understanding Nighttime Nasal Congestion and Cough in Children
Understanding CRP Levels in Children: When is it Considered High?
What is considered a high level of the infection index (C-reactive protein)? I looked up the normal value for the CRP index (which should be less than 1 mg/dL). Typically, in autoimmune diseases, C-reactive protein (CRP) levels are elevated, categorized as moderate (1–10 mg/dL). ...
Dr. Xiao Kaiwen Reply:
The normal range for CRP can vary slightly between hospitals, but generally, a level below 6 mg/dL is considered normal (our hospital sets the threshold at below 5 mg/dL). Elevated CRP levels indicate that there is currently inflammation or infection in the body, which could be d...[Read More] Understanding CRP Levels in Children: When is it Considered High?
Flu in Infants: When to Seek Hospital Care for Your Baby
The baby has influenza? Hello, my four-year-old child caught an infection at preschool and transmitted it to my eight-month-old daughter and myself. Based on my condition, the doctor diagnosed it as influenza and prescribed Tamiflu. The older child has improved, but the baby has ...
Dr. Xiao Kaiwen Reply:
At only 8 months old, the child is in a high-risk group for influenza and has had a persistent high fever for 4 days despite taking antiviral medication. It is advisable to go to a major hospital's emergency department for evaluation.[Read More] Flu in Infants: When to Seek Hospital Care for Your Baby