When Should Children Start Speaking Normally? Understanding Speech Development
At what age do children typically start to speak normally? Hello Dr. Tsai: My child is two years and two months old, but he still cannot speak normally and only repeats two words, such as "daddy," "mommy," "car," etc. (although he still doesn't ...
Dr. Cai Zhengxian reply Pediatrics
Dear Mom, I apologize for the delay in responding due to my job transfer. The developmental assessment for a child who is two years old typically includes gross motor development, fine motor development, social interaction development, and language development. From your descrip...[Read More] When Should Children Start Speaking Normally? Understanding Speech Development
Managing Nasal Congestion and Post-Nasal Drip in Infants
Nasal congestion and post-nasal drip? Hello Dr. Tsai: My baby girl is currently six months old, measuring about 70 cm in height and weighing 7.5 kg. She consumes 150 cc every four hours and has sweet potato puree or porridge 1 to 2 times a day. For the past month, she has been ex...
Dr. Cai Zhengxian reply Pediatrics
Dear Mom, I apologize for the delay in responding due to my job transfer. May I ask if you or your husband have any allergic tendencies? When an infant under one year old presents with symptoms such as coughing and runny nose, the first consideration should be upper respiratory ...[Read More] Managing Nasal Congestion and Post-Nasal Drip in Infants
Understanding Baby's Hiccups After Feeding: Causes and Solutions
After feeding, the baby may have a series of small burps? Hello Dr. Tsai: My baby was born about two weeks ago. Due to insufficient breast milk, I mostly feed my baby formula. However, after each feeding, my baby tends to have continuous small burps, even though I have been burpi...
Dr. Cai Zhengxian reply Pediatrics
Dear Sir/Madam, This is Dr. Lin Huizhen, the Director of the Pediatrics Department at Tainan Hospital, Ministry of Health and Welfare. Due to personnel changes, I am responding on behalf of the department. It is common for newborns to experience hiccups after feeding due to a w...[Read More] Understanding Baby's Hiccups After Feeding: Causes and Solutions
Choosing the Right Formula for Your Toddler's Growth and Development
Infant growth formula Hello Dr. Tsai: My baby is currently 1 year and 5 months old and is drinking Abbott Similac HMO formula. A friend recommended that I switch to Abbott PediaSure. However, PediaSure does not contain DHA. Will this have any impact on my baby's growth and d...
Dr. Cai Zhengxian reply Pediatrics
Dear Ms. Chen, I am writing on behalf of Dr. Lin Huizhen, the Director of Pediatrics at Tainan Hospital, Department of Health. Thank you for your understanding regarding the personnel changes. Generally, the manufacturing and nutritional supplementation of major brand infant fo...[Read More] Choosing the Right Formula for Your Toddler's Growth and Development
Understanding Vaginal Discharge and Digestive Issues in Infants
Infant vaginal discharge Hello Doctor: I would like to ask you a few questions. 1. Recently, my baby has had some ear infections and inflammation. She has been taking ULEX four times a day, 3cc each time. By the next day, I noticed some blood streaks in her stool. A doctor mentio...
Dr. Cai Zhengxian reply Pediatrics
Dear Ms. Shan, I am Dr. Lin Huizhen, the Director of the Pediatrics Department at Tainan Hospital, Ministry of Health and Welfare. Due to personnel changes, I am responding on behalf of the department. Thank you for your understanding. I am not sure how old your child is, but i...[Read More] Understanding Vaginal Discharge and Digestive Issues in Infants
Is It Safe for Babies to Use a Walker for Leg Strength Training?
Can I let my baby use a walker for training if their legs are weak? My baby is currently 6 months old. I don't understand why whenever I hold the baby up to stand, the legs bend down, but when the baby is lying down, the legs are very strong and can kick hard enough to hurt....
Dr. Cai Zhengxian reply Pediatrics
No content.[Read More] Is It Safe for Babies to Use a Walker for Leg Strength Training?
Understanding Fainting in Infants During Crying: What Parents Should Know
Children may faint when they cry? My nephew is currently about one year old and has recently experienced two episodes where he cried, his lips turned purple, and then he closed his eyes and fainted. After patting him and performing CPR, he woke up (he didn't cry for very lon...
Dr. Cai Zhengxian reply Pediatrics
After a toddler cries and faints, common possible causes include seizures, breath-holding spells, and hyperventilation, among others. Please make sure to take them to a pediatric neurologist for an examination as soon as possible. If these episodes occur frequently, please go to ...[Read More] Understanding Fainting in Infants During Crying: What Parents Should Know
Is Your Baby's Weight a Concern? Understanding Pediatric Obesity
Overweight The baby is currently over eight months old, weighs 13 kilograms, and drinks 180 cc of milk every 2-3 hours. The baby has noticeable rolls of fat on the limbs and a large belly, resembling a Michelin figure. I have consulted a physician in the clinic, who suggested see...
Dr. Cai Zhengxian reply Pediatrics
Hello, Linlin's mom: Generally, an 8-month-old infant's weight ranges from a minimum of 7 kg to a maximum of 11 kg. Your baby seems to exceed the 97th percentile for normal weight. May I ask what your baby's height and head circumference are? What are your and your...[Read More] Is Your Baby's Weight a Concern? Understanding Pediatric Obesity
Understanding Your Baby's Growth: Weight, Health, and Apgar Scores
Baby's height and weight? Hello, doctor. I would like to ask you... My baby was born weighing only 2100 grams, and at 5 months and 20 days, after catching a cold, the weight measured at the hospital was 7.4 kilograms. I would like to know if this is too thin. I accidentally ...
Dr. Cai Zhengxian reply Pediatrics
Dear Mother of Little Fish, Congratulations! Your baby has successfully reached a normal height and weight. The typical birth weight for a full-term baby is between 2500-3500 grams. Your baby was born with a noticeably lower weight but has now caught up to the 50th percentile fo...[Read More] Understanding Your Baby's Growth: Weight, Health, and Apgar Scores
Understanding Severe Separation Anxiety and Potential Depression in Toddlers
Severe separation anxiety? Depression? Dear Dr. Tsai, My daughter is currently 13 months old and seems to be experiencing severe separation anxiety. I even suspect she may have depression. She cries as soon as she is away from her mother and cannot be cared for by anyone else, e...
Dr. Cai Zhengxian reply Pediatrics
Hello, Mr. Zhang: Have you heard of "infant temperament"? Every infant has their own "temperament." From the very first day of life, each child exhibits different characteristics; some children cry a lot, while others are always smiling; some are constantly ac...[Read More] Understanding Severe Separation Anxiety and Potential Depression in Toddlers
Should I Be Concerned About My Child's Early Breast Development?
Should I take my child to see a doctor for early development? Hello, my daughter is in the second grade and is over 8 years old. Recently, I noticed that her left breast has been experiencing some swelling and tenderness, and it hurts when touched. Is this too early for her age? ...
Dr. Cai Zhengxian reply Pediatrics
Dear Ms. Wang, Greetings from Dr. Tsai Cheng-Hsien, attending physician of the Pediatrics Department at Tainan Municipal Hospital. The process by which children undergo physiological changes and physical development to become reproductively capable adults is known as puberty. ...[Read More] Should I Be Concerned About My Child's Early Breast Development?
Understanding Early Closure of Fontanelles in Infants: Key Concerns
Premature closure of the fontanelle? Hello Doctor: My baby turned 4 months old on August 4th. Isn't it true that newborns typically have open fontanelles at birth? However, it seems that my baby's anterior fontanelle was closed at birth, or perhaps I just didn't no...
Dr. Cai Zhengxian reply Pediatrics
Hello, Shan Shan's mother: The soft spot on the top of the baby's head that feels like there are no bones is called a fontanelle. There are two fontanelles that can be felt along the midline of the skull, which provide flexibility and space between the bones of the skul...[Read More] Understanding Early Closure of Fontanelles in Infants: Key Concerns
Concerns About Pressing a Newborn's Fontanel: What Parents Should Know
Pressing on the baby's fontanelle? Today, while holding my newborn brother, I noticed the soft spot on his head pulsing slightly. I couldn't help but touch it. Suddenly, my older son, who was jumping on the bed, lost his balance and bumped into my hand that was touching...
Dr. Cai Zhengxian reply Pediatrics
Hello Mr. Yang: It is indeed concerning whether the baby's skull may have been injured. Generally speaking, in the emergency department, we encounter cases of infant fontanelle injuries typically caused by sharp objects, such as being poked by a pen. A finger, being a blunt ...[Read More] Concerns About Pressing a Newborn's Fontanel: What Parents Should Know
Understanding White Bumps on Gums in Infants: Causes and Concerns
There are white, tooth-like尖状物 growing around the gums? Hello, my puppy is 3 months and 4 days old. Yesterday, I noticed that she has developed some tooth-like growths on her gums, which are not in the area where teeth are coming in. Specifically, there are two granular formation...
Dr. Cai Zhengxian reply Pediatrics
Dear Pupu's mother, This is likely a type of gingival cyst, which we refer to as Bohn's Nodules in dentistry. It is quite common in newborns and does not require treatment, as it will resolve on its own. These nodules often appear white to light yellow and can sometime...[Read More] Understanding White Bumps on Gums in Infants: Causes and Concerns
Impact of Excessive Meat Intake on Children's Kidney Health
Once again, I would like to consult Dr. Tsai? Thank you for the information! However, I have another question to ask you. If I consume too much meat, will it put a burden on my child's kidneys? In the case where she is breastfeeding, what could be the reason for her urine ha...
Dr. Cai Zhengxian reply Pediatrics
Dear Shanshan's Mom, We recommend that you consume a variety of foods daily, including rice, wheat, fruits, vegetables, and animal-based foods. Adding iron-fortified cereals and meats can provide adequate iron. Legumes, small fish, cheese, and yogurt can supply calcium. You...[Read More] Impact of Excessive Meat Intake on Children's Kidney Health
Is Your Baby's Soft Muscle a Concern? Pediatric Insights and Tips
The baby's muscles are soft? My baby is exclusively breastfed and is now ten and a half months old. Since there are no breastfeeding mothers around to consult, I started introducing solid foods when he was six months old, using various types of porridge and rice cereal. Howe...
Dr. Cai Zhengxian reply Pediatrics
Dear Mom Long, Congratulations on your commitment to breastfeeding exclusively for such a long time, and for introducing complementary foods at six months. It seems your baby is encountering some difficulties with the introduction of solid foods. Attached are the principles for ...[Read More] Is Your Baby's Soft Muscle a Concern? Pediatric Insights and Tips
Understanding Low Birth Weight in Infants: Growth and Feeding Concerns
The Current Situation of Underweight Children My younger sister was born on January 29, 2005, weighing only 2400g (at 36 weeks). Before she was one month old, she was drinking 120cc of milk every four hours. Now, at five months and eleven days, her milk intake has not increased; ...
Dr. Cai Zhengxian reply Pediatrics
Dear Mom An, Congratulations on your baby reaching normal height and weight! Since your baby was born four weeks early, this is medically classified as late preterm birth, which means the corrected age will be one month less than the actual age. Generally, late preterm infants d...[Read More] Understanding Low Birth Weight in Infants: Growth and Feeding Concerns
Is a Hard Lump in One Breast Normal for a 10-Year-Old Girl?
Is it normal for a 10-year-old girl to have a hard lump in one breast as part of her development? Doctor: My daughter is 10 years old and she told me that she has a hard lump in her breast that hurts when pressed, but it is only on the left side; the right side is normal. Is this...
Dr. Cai Zhengxian reply Pediatrics
Dear Miss Chang, This is Dr. Tsai Cheng-Hsien, attending physician of the Pediatrics Department at Tainan Municipal Hospital. Regarding the breast lump, it is not uncommon for one side to develop earlier during puberty, and localized tenderness (or a feeling of fullness) may o...[Read More] Is a Hard Lump in One Breast Normal for a 10-Year-Old Girl?
Understanding Unusual Ear Odors in Infants: Causes and Care Tips
Odor from a newborn's ears? Hello, I apologize for bothering the doctor again. My three-month-old child sometimes has an unusual smell coming from her ears. Initially, she was diagnosed with eczema, and I have been applying a topical medication several times a day, which has...
Dr. Cai Zhengxian reply Pediatrics
Dear Mom Shan, This is Dr. Tsai Cheng-Hsien, attending physician in the Pediatrics Department at Tainan City Hospital. Ear conditions in children can be challenging to diagnose. It could potentially be a bacterial otitis media, or it might be related to skin eczema or individu...[Read More] Understanding Unusual Ear Odors in Infants: Causes and Care Tips
Understanding Head Control Milestones and Infant Care Concerns
The definition of "head elevation" and other related terms? Hello Dr. Tsai, 1. I see many people discussing at what age their children can lift their heads, and I noticed in the child development handbook that there are specific angles mentioned for head lifting at cer...
Dr. Cai Zhengxian reply Pediatrics
Dear Ms. Lin, I hope this message finds you well. As a dedicated pediatrician at Tainan Municipal Hospital, I would like to address your concerns one by one: 1. In the neurological examination of infants, I often need to assess the baby's muscle strength as well as their ...[Read More] Understanding Head Control Milestones and Infant Care Concerns