Is It Safe to Use Supplements While Breastfeeding? Key Considerations
Is it safe to use dietary supplements containing the following ingredients while breastfeeding? Mothers who are breastfeeding may experience panic in certain situations and are advised to take the following supplements. Is it appropriate to use them while breastfeeding? If so, ho...
Dr. Xiao Kaiwen Reply:
Only a very small number of medications, such as immunosuppressants, radioactive drugs, cytotoxic drugs, narcotics, and alcohol, are considered unsafe for breastfeeding infants. The vast majority of medications are safe for breastfeeding, and dietary supplements should also be sa...[Read More] Is It Safe to Use Supplements While Breastfeeding? Key Considerations
Concerns About Height Growth in Adolescents: What You Need to Know
Height issues Hello doctor, I am currently in the second year of junior high school, 13 years and 8 months old. My menstrual cycle started a year ago, and my breast and pubic hair development are normal. However, I have always been quite short. In the first year of junior high, I...
Dr. Xiao Kaiwen Reply:
If a child grows less than 2-3 centimeters in a year and their height is already in the lowest three percent for their age, it is recommended to visit a pediatric endocrinology department at a major hospital for various examinations. This includes assessments of bone age and vari...[Read More] Concerns About Height Growth in Adolescents: What You Need to Know
Concerns About Height Growth in Adolescents: Seeking Solutions
Height issues Hello Doctor, I am currently in the second year of junior high school, 13 years and 8 months old. My menstruation started a year ago, and my breast and pubic hair development are normal. However, I have always been quite short; I was only 144.1 cm in the first year ...
Dr. Xiao Kaiwen Reply:
Growing less than 2-3 centimeters in a year and reaching the lowest three percent of height for your age indicates that it is advisable to visit a pediatric endocrinology department at a major hospital for various evaluations. This should include assessments of bone age and vario...[Read More] Concerns About Height Growth in Adolescents: Seeking Solutions
Understanding Sudden Weakness in Infants: A Guide for Parents
Pediatric neurology A 6-month-old baby, who usually has normal hand mobility, suddenly started crying intensely at 5 AM. Initially, I thought he was hungry, so I prepared a bottle for him, but he continued to cry. While trying to soothe him, I noticed that he did not want his rig...
Dr. Xiao Kaiwen Reply:
There is a high suspicion of neuromuscular or musculoskeletal issues in the right hand, and it is advisable to seek immediate evaluation at a pediatric emergency department in a medical center.[Read More] Understanding Sudden Weakness in Infants: A Guide for Parents
Addressing Milk Intake Issues in Infants: A Pediatric Guide
Milk consumption issues? Hello Doctor, I am a mother living in the Jinshan District of New Taipei City. I would like to ask you about my baby who is over 8 months old. He was born weighing 3800 grams and was drinking 100 ml of milk. Until he was 2 months old, his milk intake wa...
Dr. Xie Wanghu Reply:
Hello, Mom. 1. An 8-month-old weighing 8 kg is within the 50th to 85th percentile, which is very good. 2. After 4 months, milk can be consumed as desired, but solid foods become more important. A varied diet is essential, and milk can be given once a day. 3. Please do not for...[Read More] Addressing Milk Intake Issues in Infants: A Pediatric Guide
Is Your Baby's Ankle Bump Normal? Pediatric Concerns Explained
medial side of the ankle My baby is 2.5 months old, and I just noticed a small round bump on the inner side of both ankles. I'm not sure if this is normal. Should I seek medical attention? Thank you.
Dr. Xiao Kaiwen Reply:
It is difficult to explain without seeing the actual situation. If both sides could potentially be normal, it is uncertain whether it is a normal prominence of the medial malleolus. If there are concerns, it is advisable to take the child to a pediatrician for evaluation.[Read More] Is Your Baby's Ankle Bump Normal? Pediatric Concerns Explained
Is Your Baby Drinking Too Much Water? Pediatric Insights on Hydration
The issue of infants drinking water? Hello, doctor. My daughter is currently 7 months and 23 days old. She usually drinks water and even prefers it over milk compared to other children. When she's hungry, she drinks 120-150 ml of water at once, and she needs to drink 90-100 ...
Dr. Xiao Kaiwen Reply:
Infants under six months of age have immature kidneys and should not be given water. For infants over seven months, while their kidneys have developed the ability to excrete excess fluids, they are still relatively immature and should not be given excessive amounts of water. Adeq...[Read More] Is Your Baby Drinking Too Much Water? Pediatric Insights on Hydration
Pediatric Concerns: Understanding Light Yellow Diarrhea in Children
Pale yellow stool? A five-year-old girl has been experiencing diarrhea with very light yellow stools that float on the surface of the water. The color is quite different from her usual stools, and she reports having abdominal pain. This has been ongoing for four days. Initially, ...
Dr. Xiao Kaiwen Reply:
An increase in the frequency of bowel movements along with higher water content is defined as diarrhea. The most common cause of diarrhea is gastroenteritis, which can also cause intermittent abdominal pain. If the symptoms have persisted for several days, it is advisable to cons...[Read More] Pediatric Concerns: Understanding Light Yellow Diarrhea in Children
Understanding Mucopolysaccharidosis: Can Other Types Occur After Screening?
Questions related to mucopolysaccharidosis? I would like to ask the doctor, my child is already four years old. During birth, newborn screening for Mucopolysaccharidosis Type I (MPS I) and Mucopolysaccharidosis Type II (MPS II) showed "no abnormalities." However, after ...
Dr. Xie Wanghu Reply:
Dear Mr. Wu, 1. Other types of MPS are still possible. 2. If you would like to pursue further testing, you can have a blood test at the pediatric genetics department; both Veterans General Hospital, Mackay Memorial Hospital, and National Taiwan University Hospital offer this s...[Read More] Understanding Mucopolysaccharidosis: Can Other Types Occur After Screening?
Understanding Pediatric Urinary Tract Infections: Symptoms, Diagnosis, and Care
Urinary tract infection (UTI) Hello Doctor, My daughter had a fever of 38 degrees Celsius on the first day. After taking a bath, she remained in a low-grade fever for two days but was active and normal otherwise. On the fourth day, she was still uneasy, so I took her for a urin...
Dr. Xiao Kaiwen Reply:
The urine test shows a leukocyte count of 8-10, which is at the upper limit of normal. This suggests a urinary tract infection (UTI) may be present, and it is acceptable to start antibiotics while awaiting a more accurate urine culture report. The majority of urinary tract infect...[Read More] Understanding Pediatric Urinary Tract Infections: Symptoms, Diagnosis, and Care
Understanding Prolonged Fever in Children: When to Seek Medical Help
Child has had a fever for 4 days? Hello, doctor. My child is 3 years old and started having a fever of about 39-39.5°C on Saturday night. We visited a clinic on Sunday and were prescribed antipyretic syrup. After taking it, the temperature dropped to 38-39°C. On Monday morning, w...
Dr. Pei Rensheng Reply:
Hello! A 3-year-old has had a fever for 4 days. It is recommended to check for: COVID-19, influenza, adenovirus, urinary tract infection, chest X-ray, and even blood tests; it could also be roseola. It is advisable to go to the hospital for evaluation! Wishing for a speedy recove...[Read More] Understanding Prolonged Fever in Children: When to Seek Medical Help
Understanding ITP and Lymphadenopathy in Pediatric Patients
ITP with lymphadenopathy Hello Doctor, thank you for your prompt response to the previous question <a href="https://adoctor.tw/article/199203">#199203</a>. I would like to provide some additional information. The child in the family has had elevated infectio...
Dr. Xiao Kaiwen Reply:
An elevated CRP (C-reactive protein) level indicates a wide range of possibilities. While the likelihood of infection is highest in children, there are still other potential causes. It is difficult to specify which additional tests should be arranged at this point; however, it is...[Read More] Understanding ITP and Lymphadenopathy in Pediatric Patients
What Happens If a Newborn Swallows Cotton Fibers?
What are the effects of a newborn ingesting cotton fibers? Hello, for a newborn who is just 4 days old, ingesting a small amount of cotton fluff (approximately 0.2 to 0.3 centimeters) is unlikely to cause significant digestive issues. If you noticed the fluff in the baby's m...
Dr. Pei Rensheng Reply:
Hello: Gastrointestinal foreign bodies are occasionally encountered; coins, bedding/fibers, hair, medications/milk curds... all of these have been observed. Generally speaking, objects with a diameter greater than 2 cm and that are dense are more likely to become lodged and cause...[Read More] What Happens If a Newborn Swallows Cotton Fibers?
How Long Can a Two-Month-Old Baby Go Without Feeding?
How long can a two-month-old baby go without drinking milk? Hello Dr. Hsiao, my baby just turned two months old. Now, before bedtime at 9 PM, he drinks 150 ml of milk and can sleep until around 2 or 3 AM. He wakes up by himself, plays a bit in the crib, and then goes back to slee...
Dr. Xiao Kaiwen Reply:
As long as the infant's height and weight are increasing appropriately, and they urinate more than six times a day without the urine being yellow or concentrated, it indicates that the milk supply is sufficient and the baby is not dehydrated. Therefore, there is no need to f...[Read More] How Long Can a Two-Month-Old Baby Go Without Feeding?
Understanding Elevated Infection Index in Pediatric ITP Cases
The infection index is elevated? The child in the family has been diagnosed with ITP for over a year and currently has elevated infection markers (CRP), with normal values being less than 6, but the child's infection markers exceeding 30. What could be the causes of elevated...
Dr. Xiao Kaiwen Reply:
CRP is commonly referred to by physicians as an infection marker. An elevated level typically indicates that there is inflammation occurring somewhere in the body, which may commonly be due to viral or bacterial infections. Less frequently, there may be other potential causes of ...[Read More] Understanding Elevated Infection Index in Pediatric ITP Cases
Understanding Vaccine Reactions in Infants: A New Mom's Concerns
Vaccine issues Hello, doctor. I am a very anxious new mother. On July 1st, I took my baby to receive the 13-valent and pentavalent vaccines, with one injection in each leg (both of these were the third doses). On the first day after the vaccinations, there was redness and swellin...
Dr. Xiao Kaiwen Reply:
The pentavalent vaccine and the 13-valent pneumonia vaccine may have a higher likelihood of side effects in subsequent doses compared to the initial doses. This is because the immune system has already developed some memory, making reactions more pronounced later on. Localized lu...[Read More] Understanding Vaccine Reactions in Infants: A New Mom's Concerns
Concerns About Vaccine Reactions in Infants: A New Mom's Guide
Vaccine issues Hello, doctor. I am a very anxious new mother. On July 1st, I took my baby to receive the 13-valent and pentavalent vaccines, with one injection in each leg (both of these were the third doses). On the first day after the shots, there was redness and swelling, whic...
Dr. Xiao Kaiwen Reply:
The pentavalent vaccine and the 13-valent pneumonia vaccine may have a higher likelihood of side effects with subsequent doses compared to the initial doses. This is because the immune system has already developed some memory, making reactions more pronounced later on. Localized ...[Read More] Concerns About Vaccine Reactions in Infants: A New Mom's Guide
Understanding Pediatric Skin Issues: When to Seek Medical Advice
Skin issues Hello Doctor: My child is currently over 11 months old. Recently, I noticed a small red area on his little toe that looks like a bruise. It doesn't hurt when I press on it, but it hasn't gone away. I just learned from my mother-in-law that about a month ago,...
Dr. Xiao Kaiwen Reply:
If it is confirmed to be a bruise from a contusion, it should gradually be absorbed over time. Applying heat and massaging the area while taking a shower may help facilitate absorption.[Read More] Understanding Pediatric Skin Issues: When to Seek Medical Advice
Understanding Glycated Hemoglobin Levels in Children: Is It Prediabetes?
Glycated hemoglobin Hello Doctor: For a 15-year-old child, the fasting blood glucose level is 87 mg/dL, and the hemoglobin A1c is 5.7% (with a reference range of 4-6%). Does this indicate prediabetes?
Dr. Xiao Kaiwen Reply:
A hemoglobin A1c level between 5.7% and 6.4% is classified as prediabetes, even if fasting blood glucose levels are normal. It is recommended to seek evaluation and treatment from a pediatric endocrinology department at a major hospital.[Read More] Understanding Glycated Hemoglobin Levels in Children: Is It Prediabetes?
Understanding Chronic ITP and Prolonged Lymphadenopathy in Children
ITP with lymphadenopathy Hello, doctor. My three-year-old family member has been diagnosed with chronic ITP. They used a medication called Eltrombopag at the end of last year, and have just stopped taking steroids. They are currently taking 12 mg of Eltrombopag daily. About two m...
Dr. Pei Rensheng Reply:
Hello: 1. Chronic ITP is defined as lasting more than one year, and a bone marrow biopsy may be considered. 2. The causes of lymphadenopathy include infections, tumors, and congenital developmental remnants, which may persist for several months and could still be due to an infect...[Read More] Understanding Chronic ITP and Prolonged Lymphadenopathy in Children