Understanding Low White Blood Cell Count in Teens: When to Seek Help
Leukopenia Hello doctor, I am 17 years old. Two weeks ago, I noticed a hard lump in my armpit. After taking antibiotics for two to three weeks, it seems to have improved. However, during my last visit to the doctor, I had blood drawn, and I found that three values in the report a...
Dr. Xie Wanghu Reply:
Hello! It is advisable to consult a pediatric hematology/oncology specialist. Thank you.[Read More] Understanding Low White Blood Cell Count in Teens: When to Seek Help
Understanding Tongue Coating in Children: Causes and Concerns
Tongue papillae The tongue coating is noticeably granular. It's unclear whether this is due to brushing the tongue too vigorously or if it is a sign of an underlying health issue.
Dr. Xiao Kaiwen Reply:
The presence of prominent papillae on the tongue, unless accompanied by a high fever indicative of strawberry tongue, does not have significant clinical implications. The reasons for this phenomenon are unclear, but it does not affect health, so there is no need for excessive con...[Read More] Understanding Tongue Coating in Children: Causes and Concerns
Severe Gas Issues in Newborns: Causes and Solutions for Parents
Severe gas in newborns? Hello, Doctor. My baby is currently one and a half months old. She was doing well with both breast milk and formula at the postpartum care center, without any issues of gas. However, after leaving the center, I’m not sure if it’s due to my diet not being b...
Dr. Xiao Kaiwen Reply:
Breast milk is the best and most natural form of nutrition for newborns and does not adversely affect their health, so breastfeeding is still recommended. Your baby's condition may simply be infantile colic, which is quite common in infants under two to three months of age a...[Read More] Severe Gas Issues in Newborns: Causes and Solutions for Parents
Understanding Delayed Bleeding Risks After a Child's Fall
Delayed bleeding after a fall in children? Hello, doctor. My son, who is one year and ten months old, fell from his high chair onto the tile floor last night. He fell from a height of about 120 centimeters and cried immediately after the fall. We took him to a nearby surgical cli...
Dr. Pei Rensheng Reply:
Hello! In children with mild blunt head injury, there are several factors that can affect prognosis: 1. The younger the child, the more severe the injury. 2. The higher the fall, the more severe the injury; statistically, falls from heights greater than 90 cm should be monitored,...[Read More] Understanding Delayed Bleeding Risks After a Child's Fall
Can I Breastfeed While Taking MEQUITAZINE, LICOLONE, TAGEMENT, and LORATADINE?
Breastfeeding issues Hello Dr. Hsiao, I would like to ask if it is safe to breastfeed while currently taking MEQUITAZINE, LICOLONE, TAGEMENT, and LORATADINE. If it is not suitable, how long should I wait after stopping the medication before breastfeeding? Thank you.
Dr. Xiao Kaiwen Reply:
Tagamet is less suitable for breastfeeding, but I believe that stopping the medication after half a day will have minimal effects. The general principle is to take a single dose of medication during the time when the baby will sleep for an extended period (usually after feeding b...[Read More] Can I Breastfeed While Taking MEQUITAZINE, LICOLONE, TAGEMENT, and LORATADINE?
Can I Mix Pediatric Gastrointestinal Medications for My Child?
Pediatric gastrointestinal medication issues? For a 4-year-old child with gastroenteritis, the doctor prescribed Federated Gastrointestinal Suspension and Magnesium Oxide (laxative powder) to be taken after each meal. Is it possible to mix the laxative powder into the Federated G...
Dr. Zhang Yingwen Reply:
Hello, mother of the baby! It is acceptable to take magnesium oxide and Gaviscon suspension together with water. Since magnesium oxide is insoluble in water, it is normal for the mixture to appear cloudy rather than clear. May I ask if your baby has diarrhea due to gastroenteriti...[Read More] Can I Mix Pediatric Gastrointestinal Medications for My Child?
Medication Safety During Breastfeeding: Impact on Infants
Medication consultation Hello, doctor. I am currently breastfeeding and have been diagnosed with urticaria. After visiting a dermatologist, I was prescribed oral medications including Demine, Decadron 0.5mg, Tagamet, Loratadine, and Methylprednisolone. I would like to know if the...
Dr. Xiao Kaiwen Reply:
According to verified information: breastfeeding mothers can use Demine, while there is no research on the use of Loratadine and Decadron 0.5mg in breastfeeding mothers. Tagamet and METHYL-PREDNISOLONE may be excreted in breast milk, so breastfeeding mothers should avoid using th...[Read More] Medication Safety During Breastfeeding: Impact on Infants
Managing Baby's Milk Allergy: Transitioning Between Formula Options
Milk consumption issues? My baby has been experiencing severe gas, and the doctor recommended switching formula. I changed from Enfamil Hydrolyzed to Linbeier Hydrolyzed as the doctor advised a complete switch at once. However, after just two days, my baby showed signs of intoler...
Dr. Zhang Yingwen Reply:
1. Returning to the original formula requires careful observation of the child's reactions, especially for sensitive infants. Symptoms such as abdominal pain and facial redness or rashes should be monitored for two weeks to see if they resolve. 2. Severe gas in infants can...[Read More] Managing Baby's Milk Allergy: Transitioning Between Formula Options
Understanding Pediatric Skin and Genetic Disorders: A Parent's Guide
Pediatric Skin and Genetic Disorders Hello Doctor, we have a newborn at home, and there are slight skin protrusions on the left thigh, calf, and the side of the foot. We have consulted a pediatrician, but the response was to wait and observe, which makes us very worried that it c...
Dr. Xiao Kaiwen Reply:
I apologize for not being able to provide a photo, but I have consulted with several physicians (including experienced pediatricians from a reputable medical center). It seems to be a relatively rare situation. I believe it would be best to continue follow-up with a more experien...[Read More] Understanding Pediatric Skin and Genetic Disorders: A Parent's Guide
Should You Pause Low-Dose Aspirin After a Child's Head Injury?
I would like to ask if I should stop taking low-dose aspirin after hitting my head? The child was diagnosed with Kawasaki disease in mid-November and has received intravenous immunoglobulin treatment and is currently taking low-dose aspirin. A follow-up echocardiogram has shown n...
Dr. He Zongxian Reply:
Hello, there is currently no consensus in the medical community regarding the risk of intracranial hemorrhage associated with low-dose aspirin in cases of mild head trauma; it should be considered on an individual basis. If you have concerns, it is advisable to discuss with your ...[Read More] Should You Pause Low-Dose Aspirin After a Child's Head Injury?
Understanding Bilateral Basal Ganglia Hyperintensity in Children: Symptoms and Prognosis
Pediatric brain Hello, doctor. My child underwent a brain ultrasound examination at birth, which showed bilateral basal ganglia hyperintensity. 1) What effects could this have? What symptoms might arise? What is the prognosis like? Until what age should we monitor this to feel ...
Dr. Xiao Kaiwen Reply:
1. This is a very common report for neonatal cranial ultrasound examinations, and the vast majority are insignificant and not abnormal. Follow-up should be conducted according to the recommendations of the pediatrician. 2 & 3. There should be no correlation; monitor the head ...[Read More] Understanding Bilateral Basal Ganglia Hyperintensity in Children: Symptoms and Prognosis
Concerns About Newborn Eyelid Issues: Should We Worry?
Inquire about newborn eyelid issues? Hello doctor, my daughter is currently 2 months and 5 days old. A few days ago, I noticed a spot near the inner corner of her left eyelid that looks like a burst blood vessel. I'm not sure if it is a hemangioma. Does she need surgery, or ...
Dr. Xie Wanghu Reply:
Hello, Mom! I'm sorry, but I cannot make a judgment based solely on your description. I recommend taking your child to an ophthalmologist or pediatrician for a proper evaluation. Thank you.[Read More] Concerns About Newborn Eyelid Issues: Should We Worry?
Understanding Open Fontanelle at Age Two: What Parents Should Know
The anterior fontanelle has not closed by the age of two? It is common for some children to have an open anterior fontanelle at the age of two. The anterior fontanelle typically closes between 9 to 18 months, but in some cases, it may remain open until the child is 24 months or o...
Dr. Xiao Kaiwen Reply:
Aside from the head circumference not being excessively large (>97%), it is important to monitor whether the head circumference growth curve has remained stable without significant deviations. If both conditions are met and neurological development is normal, it may simply be ...[Read More] Understanding Open Fontanelle at Age Two: What Parents Should Know
COVID-19 in Infants: When to Seek Medical Advice for Your Baby
Infant COVID-19 I would like to ask about my baby, who is currently 4 months old. On November 29, my baby tested positive and had a fever reaching nearly 38 degrees Celsius. However, after taking fever-reducing medication, the fever subsided. My baby occasionally sneezes and coug...
Dr. Xiao Kaiwen Reply:
COVID-19 may not always test negative quickly on rapid tests, and a persistent positive result does not necessarily indicate more severe symptoms or a higher risk of progression to critical illness. The primary approach to managing COVID-19 is symptomatic treatment and monitoring...[Read More] COVID-19 in Infants: When to Seek Medical Advice for Your Baby
Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Infants avoiding eye contact? At just over five weeks old, the infant was observed to avoid eye contact, noticeably looking away to the right or left immediately after making eye contact. Now at six weeks and two days, the situation remains the same. During feeding, the baby does...
Dr. He Zongxian Reply:
Hello, based on your description, it is necessary to rule out any special conditions such as nystagmus or involuntary eye movements. I recommend taking your child to a medical center for further evaluation in the pediatric ophthalmology and pediatric neurology departments. Sincer...[Read More] Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Infants avoiding eye contact? At just over five weeks old, the infant was observed to avoid eye contact, clearly looking away to the right or left immediately after making eye contact. Now at six weeks and two days, the situation remains the same. During feeding, the baby does ma...
Dr. He Zongxian Reply:
Hello, based on your description, it is necessary to rule out any special conditions such as nystagmus or involuntary eye movements. I recommend taking your child to a medical center's pediatric ophthalmology and pediatric neurology departments for further evaluation. Sincer...[Read More] Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Infants avoiding eye contact? At just over five weeks old, the infant was observed to avoid eye contact, noticeably looking away to the right or left immediately after making eye contact. Now at six weeks and two days, the behavior remains the same. During feeding, the baby does ...
Dr. He Zongxian Reply:
Hello, based on your description, it is necessary to rule out any special conditions such as nystagmus or involuntary eye movements. I recommend that you take your child to a medical center's pediatric ophthalmology and pediatric neurology departments for further evaluation....[Read More] Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Infants avoiding eye contact? At just over five weeks old, the infant was observed to avoid eye contact, noticeably looking away to the right or left immediately after making eye contact. Now at six weeks and two days, the behavior remains the same. During feeding, the baby does ...
Dr. He Zongxian Reply:
Hello, based on your description, it is necessary to rule out any special conditions such as nystagmus or involuntary eye movements. I recommend taking your child to a medical center's pediatric ophthalmology and pediatric neurology departments for further evaluation. Sincer...[Read More] Understanding Eye Contact Avoidance in Infants: What Parents Should Know
COVID-19 Vaccination for Toddlers: Insights on Moderna and China Vaccines
COVID-19 vaccine Hello, doctor. My child is currently two years and seven months old and is in mainland China. Would you recommend getting vaccinated there before returning to Taiwan, or should we get the Moderna vaccine in Taiwan, or not vaccinate at all? My child has been hospi...
Dr. Xiao Kaiwen Reply:
The COVID-19 vaccines from mainland China have not been legally granted emergency authorization in Taiwan, and the assessment of their efficacy is not very clear. Therefore, we do not have a thorough understanding of the COVID-19 vaccines produced in mainland China. However, the ...[Read More] COVID-19 Vaccination for Toddlers: Insights on Moderna and China Vaccines
Impact of Incomplete BCG Vaccination on Infant Immunity: What Parents Should Know
What are the issues related to incomplete administration of the BCG vaccine? Hello Doctor, my baby turned five months old last week and received the BCG vaccine. During the vaccination, the nurse inserted the needle into my baby's arm, but when she pushed the plunger to inje...
Dr. Xiao Kaiwen Reply:
Principles for handling suspected insufficient doses of the BCG vaccine: 1. Check for the presence of a BCG scar three months after vaccination; if a scar is present, no booster is needed. 2. If no scar is present, a tuberculin skin test can be performed. 3. For those with a nega...[Read More] Impact of Incomplete BCG Vaccination on Infant Immunity: What Parents Should Know