Understanding Nocturnal Enuresis in Children: When to Seek Help
Children's nocturnal enuresis issues? Hello Doctor: My child is 8 years old and does not need to wear diapers during the day and does not wet his pants. However, we have not been able to completely eliminate the use of diapers at night. I would like to ask if the following s...
Dr. Xiao Kaiwen Reply:
Children over the age of five who experience involuntary bedwetting at least twice a week for more than six consecutive months can be diagnosed with nocturnal enuresis. If behavioral treatments have shown limited effectiveness, it is recommended to seek evaluation and management ...[Read More] Understanding Nocturnal Enuresis in Children: When to Seek Help
Timing for Measles and Chickenpox Vaccines After Flu Shot
Preventive vaccination Hello, doctor. I would like to ask how long after my son received his second dose of the flu vaccine on February 20 can he receive the measles, mumps, and rubella (MMR) vaccine and the varicella (chickenpox) vaccine, considering he will be 12 months old? Th...
Dr. Ma Zhihao Reply:
Basically, if the child is not feeling unwell, vaccinations can be administered at any interval. I recommend spacing them one to two weeks apart. Fengyuan Hospital Pediatrics cares about you and your baby. ☺☺[Read More] Timing for Measles and Chickenpox Vaccines After Flu Shot
How to Help Your Baby Sleep Through the Night: Tips for Parents
How to help babies sleep through the night? At what age can babies start consuming algae oil (BHK’s DHA algae oil) and lutein? My baby is 10 months old and still cannot sleep through the night; she wakes up for breastfeeding. How can I wean her off night feedings? Should I let he...
Dr. Ma Zhihao Reply:
1. It is recommended to use nutritional supplements according to the product instructions. Generally, it is safer to use formulations specifically designed for children. Appropriate supplementation of related nutritional products is sufficient; a balanced diet, regular exercise, ...[Read More] How to Help Your Baby Sleep Through the Night: Tips for Parents
Understanding Lumps Near the Jaw and Neck in Children: Causes and Concerns
There is a hard lump near the masseter muscle in the neck and lower jaw area? There are hard lumps near the neck and the lower jaw close to the masseter muscle. They are smooth and movable, and pressing on them is somewhat uncomfortable. Upon self-examination, the lump in the nec...
Dr. Zhong Ruixian Reply:
It is more likely to be lymph nodes. If there is any enlargement or hardening, it is recommended that you seek medical evaluation![Read More] Understanding Lumps Near the Jaw and Neck in Children: Causes and Concerns
Understanding a Child's Groin Indentation: Is It Spina Bifida?
The child has a depression in the groin area? Hello doctor, my child is currently three years old and has a small circular indentation about one centimeter in diameter at the top of the gluteal cleft (which has been present since a very young age). There is no hair growth. Could ...
Dr. Xiao Kaiwen Reply:
Most infants and young children with a small indentation above the buttocks are normal and healthy, and there is usually no cause for concern. However, in very rare cases, there may be a hidden neural tube defect at the depth of this sacral dimple. Warning signs include delayed o...[Read More] Understanding a Child's Groin Indentation: Is It Spina Bifida?
Persistent Cough in Children: Causes and When to Seek Help
Persistent cough in children (approximately twelve years old) Hello, doctor. I have a 12-year-old boy who coughs several dozen times a day. He does not have any runny nose, fever, or phlegm; it’s just a sensation of clearing his throat. This has been ongoing for more than six mon...
Dr. Xiao Kaiwen Reply:
There are many possible causes. Common reasons in children include allergic bronchitis, post-nasal drip, gastroesophageal reflux, bacterial infections such as mycoplasma, and it could also be due to neurogenic conditions like Tourette syndrome. It is recommended to first consult ...[Read More] Persistent Cough in Children: Causes and When to Seek Help
Understanding Hypothyroidism in Children: Growth Concerns and Treatment
Hypothyroidism Hello Doctor, my son had normal results during the newborn screening at birth. His growth curve has consistently been around the 3rd percentile, and all other growth assessments have been normal. However, over the past two to three years, I have noticed that his he...
Dr. Pei Rensheng Reply:
Hello: 1. An 8-year-old was diagnosed with hypothyroidism; newborn screening was normal. The most common cause is autoimmune disease leading to acquired hypothyroidism. 2. The standard treatment for hypothyroidism is thyroid hormone replacement, not iodine supplementation. 3. A c...[Read More] Understanding Hypothyroidism in Children: Growth Concerns and Treatment
Understanding Hypothyroidism in Children: Growth Concerns and Treatment
Hypothyroidism Hello Doctor, my son had normal results during the newborn screening at birth. His growth curve has consistently been around the 3rd percentile, and all other growth assessments have been normal. However, over the past two to three years, I have noticed that his he...
Dr. Pei Rensheng Reply:
Hello: Estimating adult height should also take into account the heights of the parents, generally calculated as the average of the parents' heights +/- 6.5 cm. If a child's height is significantly below the estimated value based on the parents' heights, it is impo...[Read More] Understanding Hypothyroidism in Children: Growth Concerns and Treatment
6-Year-Old Boy with Prominent Left Chest: What to Know?
A 6-year-old boy has a protrusion on the left side of his chest compared to the right side? The physician recently discovered that the 6-year-old boy at home has a protrusion on the left side of his chest that is more prominent than the right. Upon palpation, it feels like a more...
Dr. Pei Rensheng Reply:
Hello: In the outpatient clinic, I have encountered numerous cases of asymmetric thorax, some of which include pectus carinatum, pectus excavatum, asymmetric ribs on both sides, and scoliosis. I recommend an X-ray examination; however, there is no need to worry too much. In most ...[Read More] 6-Year-Old Boy with Prominent Left Chest: What to Know?
Understanding Pediatric Lymph Node Issues and Tonsillectomy Concerns
Cervical lymphadenopathy? Hello, Doctor: My child is 7 years old and had swollen lymph nodes two years ago. We went to the hospital for an ultrasound and blood tests, and the doctor said they were benign lymph nodes. They are still present now, sometimes getting larger and someti...
Dr. Pei Rensheng Reply:
Hello: 1. In children, lymphadenopathy is most commonly caused by infections. There are rare cases where it may be due to malignant tumors, autoimmune diseases, Kawasaki disease, drug reactions, or post-vaccination responses. 2. If the lymph nodes are less than 2 cm, there is usu...[Read More] Understanding Pediatric Lymph Node Issues and Tonsillectomy Concerns
Understanding Blood Test Results for a 5-Year-Old Boy with Suspected IgA Nephropathy
Blood report of a 5-year-old boy? Dear Doctor, a 5-year-old boy is suspected of having IgA nephropathy. After a blood test conducted by the physician, the nephrologist only mentioned that kidney function is normal. However, upon reviewing the report, there are several values that...
Dr. Xiao Kaiwen Reply:
This blood test should be a CBC/DC (Complete Blood Count/Differential Count). Based on this report, the results are generally normal. However, this blood test is only a very basic examination at the hospital. If there are any significant discomforting symptoms, please go to the h...[Read More] Understanding Blood Test Results for a 5-Year-Old Boy with Suspected IgA Nephropathy
Antibiotics and Drug Interactions: Pediatric Considerations for Parents
Antibiotics, drug interactions Hello, Doctor Pei. Two days ago, after my visit to the doctor, I was told that I might have bronchopneumonia (an X-ray was taken). I was prescribed Zithromax 250 mg tablets, and since I weigh 17 kg, which exceeds the original dosage, the doctor advi...
Dr. Pei Rensheng Reply:
Hello! 1. Some individuals may experience gastrointestinal discomfort as a side effect after taking the oral antibiotic ZITHROMAX. 2. If gastrointestinal discomfort occurs, it is acceptable to take antacids directly; it is not necessary to take them simultaneously with the antibi...[Read More] Antibiotics and Drug Interactions: Pediatric Considerations for Parents
Is Your Baby Experiencing Diarrhea After Formula? Possible Lactose Intolerance
Bowel movement occurs within half an hour after consuming hydrolyzed milk formula? My baby is currently seven months old and has been exclusively bottle-fed with breast milk. However, due to work commitments, we have started trying formula milk. Generally, after consuming Abbott ...
Dr. Pei Rensheng Reply:
Hello: Breast milk also contains lactose, so your situation is likely not lactose intolerance. I suggest trying a different brand of formula. There is no need to specifically choose a lactose-free formula. Best regards, Rensheng.[Read More] Is Your Baby Experiencing Diarrhea After Formula? Possible Lactose Intolerance
Why Your Baby Can't Close Their Mouth: Causes and Solutions
The infant is unable to close their mouth tightly? My child is currently 7 months old, but he/she is unable to keep his/her mouth closed and often has it open. Could a tight frenulum be causing this condition, or are there other possible causes? Additionally, if the frenulum is t...
Dr. Pei Rensheng Reply:
Hello: Sleeping with the mouth open is a habit and is not related to the lingual frenulum. When the frenulum is too short, the tongue may protrude forward, causing a phenomenon where the tip of the tongue is pulled back in the middle. It is advisable to have a doctor examine it f...[Read More] Why Your Baby Can't Close Their Mouth: Causes and Solutions
How Many Vaccines Can Be Administered Together for Infants?
Vaccination Hello Doctor, I would like to inquire about the maximum number of vaccines that can be administered simultaneously. I am currently scheduled to receive the second dose of the Enterovirus 71 vaccine, the second dose of the rotavirus vaccine, the second dose of the pneu...
Dr. Ma Zhihao Reply:
There are generally no contraindications to administering vaccines simultaneously or at any interval. My recommendation is to administer the DTaP-Hib-IPV-HepB combination vaccine, the pneumococcal vaccine, and the rotavirus oral vaccine at two months and four months of age as per...[Read More] How Many Vaccines Can Be Administered Together for Infants?
Understanding Mild Sleep Movements in Seven-Year-Olds: When to Seek Help
A seven-year-old child experiences slight body twitching during sleep? Hello, I would like to ask if it's normal for a seven-year-old child to experience mild, alternating limb twitching during sleep. If it's not normal, which medical specialty should be consulted? Than...
Dr. Pei Rensheng Reply:
Hello: The possible reasons are the following four: postural compression; electrolyte imbalance; neurological issues; normal conditions. You may consider visiting a pediatric neurologist and arranging for tests such as blood work or an EEG. Wishing you health and peace! Sincerely...[Read More] Understanding Mild Sleep Movements in Seven-Year-Olds: When to Seek Help
Understanding Microcephaly Diagnosis in Newborns: A Pediatric Perspective
Diagnosis of Microcephaly in Newborns Hello, the child experienced intrauterine growth restriction due to fetal distress and underwent an emergency cesarean section at 37 weeks and 3 days. After birth, the length, head circumference, and chest circumference were approximately at ...
Dr. Pei Rensheng Reply:
Hello: According to the WHO diagnostic criteria, a head circumference less than 2 standard deviations (SD) below the mean is required for a diagnosis of microcephaly. However, if both length and weight are proportionally small, we would not diagnose microcephaly but rather classi...[Read More] Understanding Microcephaly Diagnosis in Newborns: A Pediatric Perspective
Height Growth Concerns for a 14-Year-Old: What to Expect?
I would like to inquire about height-related issues? I am currently 14 years and 10 months old and have not had my bone age assessed. I have been staying up late for about a year (going to bed around midnight). My height is currently 168 cm. In the second semester of sixth grade,...
Dr. Pei Rensheng Reply:
Hello: The average height for adult males in Taiwan is between 170-172 cm. Genetics is the most significant determining factor; the expected average adult height can be calculated as (FATHER + MOTHER)/2 plus 6.5 cm. Exercise, nutrition, and overall health can also contribute posi...[Read More] Height Growth Concerns for a 14-Year-Old: What to Expect?
Understanding Premature Infants: Key Concerns for 20-Week Old Babies
Issues Related to Premature Infants I would like to ask about a premature infant born at approximately 20 weeks gestation but weighing 3 kilograms. Should we be concerned about the incomplete development of the child's organs? Are there any specific considerations we should ...
Dr. Ma Zhihao Reply:
Continuous outpatient follow-up for complications related to previous preterm birth, such as those affecting the heart, eyes, and brain. Other aspects should be monitored according to corrected age, including growth and developmental milestones such as sitting, crawling, and stan...[Read More] Understanding Premature Infants: Key Concerns for 20-Week Old Babies
How Soon Can Kids Share Meals After Hand, Foot, and Mouth Disease?
How long does communal eating last? Hello Doctor: My child has been diagnosed with enterovirus, but the throat ulcer has healed (it took exactly 8 days from the onset of the illness to healing). I would like to ask how long we should wait before sharing meals at the table and als...
Dr. Xiao Kaiwen Reply:
The infectiousness of enterovirus through respiratory droplets typically lasts for about 7 days, and it does not exceed 10 days. However, the virus can be shed in feces for up to a month, so patients should wash their hands thoroughly after using the restroom.[Read More] How Soon Can Kids Share Meals After Hand, Foot, and Mouth Disease?