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Understanding and Addressing Childhood Masturbation: A Parent's Guide

Child masturbation My child is in first grade this year and often engages in masturbation, sometimes several times a day. Is this normal? How should I address this issue with him? He is already shy and afraid of others knowing. I am unsure how to guide him. I would like to know i...

Dr. Chen Qianyi reply Pediatrics
At the age of first grade, more precocious children may begin to develop curiosity about sex. Masturbation is a normal behavior for children in their developmental stage and is not a sign of a physical problem. However, current education on this topic is limited. Therefore, it is...

Understanding Delayed Vaccination: MMR and Other Pediatric Concerns

Vaccine postponement The child is currently one year and two months old and did not receive the measles vaccine at nine months. Recently, when visiting the doctor, the doctor stated that there is no need to administer it now and that the child can receive the MMR vaccine next mon...

Dr. Chen Qianyi reply Pediatrics
Hello: The measles vaccine is classified as a live attenuated vaccine. Since the immune response generated by live vaccines in infants under one year of age is insufficient, it is generally administered after the age of one. Typically, one dose is sufficient; however, due to an o...

Is Your Baby Crying Excessively? When to Seek Medical Advice

Crying and fussing? Hello: Our baby is 5 months old. This week, he/she has been crying continuously both day and night, and the amount of milk he/she drinks has decreased significantly. This has been going on for 3 days. Each time he/she cries, his/her body twists and turns. The ...

Dr. Chen Qianyi reply Pediatrics
Hello, Mom: When a baby cries continuously, it is often due to discomfort. Therefore, when your baby is crying and cannot be soothed, you should check for any sources of discomfort. There are many potential causes, including colds, bloating, abdominal pain, teething, diaper rash,...

Excessive Drooling in Infants: Causes and When to Worry

Saliva Hello: My child is already 5 months old, but he/she is still drooling continuously. Sometimes it seems like he/she is choking and coughs. Could you please tell me what the issue might be? Thank you!

Dr. Chen Qianyi reply Pediatrics
Hello, this mother: Starting from 3 to 4 months of age, babies experience increased saliva production, and since their swallowing function is not yet fully developed, they do not consider the appearance issue and may not continuously swallow saliva to prevent it from flowing out....

Concerns About Cold Medication Use in Early Pregnancy: A Father's Inquiry

Early pregnancy Hello, I have a question that I hope you can help me with. My wife is in the early stages of pregnancy, about one to two weeks along, and at that time, we were unaware of the pregnancy. She had a cold and visited a general clinic where she was prescribed cold medi...

Dr. Chen Qianyi reply Pediatrics
Using a small amount of steroids in the early stages of pregnancy does not have a significant impact on the fetus. In cases where there is a risk of preterm labor, we may even recommend the use of steroids to stimulate the maturation of the preterm infant's lungs, thereby in...

Concerns About Large Head Size in Infants: What Parents Should Know

The issue of an infant having an enlarged head? Hello Dr. Chen, When my child received the four-in-one vaccine, the doctor mentioned that his head circumference is larger than normal. If it continues to be above the normal range, an ultrasound examination will be necessary. Cou...

Dr. Chen Qianyi reply Pediatrics
If an infant experiences a rapid increase in head circumference after birth, it is essential to consider the possibility of hydrocephalus or other intracranial tumors. In such cases, in addition to an enlarged head, the fontanelle may also be larger, and the eyes may appear sunke...

Managing Choking and Nasal Issues in Infants During Feeding

Choking on milk? Hello Dr. Chen, I have a four-month-old infant who, when drinking milk, initially takes large and rapid gulps, accompanied by loud gulping sounds during swallowing. This causes the baby to turn red in the face, lean backward, and cry loudly. Sometimes, milk even...

Dr. Chen Qianyi reply Pediatrics
There are many reasons why young children may choke on milk, such as congenital gastrointestinal structural issues, a nipple hole that is too large, or a more impatient temperament. Based on the situation you described, since your child can successfully drink milk after a few mor...

Do Hydrolyzed Protein Formulas Strain Infants' Kidneys?

Does a hydrolyzed protein formula impose a burden on the kidneys? Thank you, doctor, for answering my questions last time. Regarding some hydrolyzed proteins on the market, can they cause infants to absorb too much protein, leading to kidney strain? The ingredient labels on infan...

Dr. Chen Qianyi reply Pediatrics
The human body has a certain regulation for protein absorption, and the use of hydrolyzed protein does not lead to excessive absorption or impose a burden on the kidneys. Current literature, both domestic and international, has never reported kidney issues related to this. As for...

High Copper Levels in Children: Health Risks and Dietary Tips

Excessive copper levels! Hello, doctor: We have a child at home who recently tested for elevated copper levels in the blood. What kind of diseases could this cause? What dietary considerations should we pay special attention to?

Dr. Chen Qianyi reply Pediatrics
Copper metabolism primarily occurs in the liver. If liver function or the ability to metabolize copper is impaired, it can lead to increased copper levels in the blood. In pediatrics, Wilson's disease is the most common condition associated with this issue. It is an autosoma...

Are Hydrolyzed Protein Formulas Nutritionally Insufficient for Infants?

It is commonly believed that hydrolyzed protein formulas are not nutritionally adequate? There is a common belief that hydrolyzed protein formulas are not nutritionally adequate. Are these formulas only suitable for allergic infants, and could other infants experience malnutritio...

Dr. Chen Qianyi reply Pediatrics
Protein is composed of amino acids, similar to a necklace made of many beads (amino acids). When humans consume protein, it is digested into amino acids for absorption and utilization. Allergic reactions occur only after exposure to intact proteins, so if protein molecules are fi...

When Can Infants Develop Cellulitis from Insect Bites?

Under what circumstances can infants contract cellulitis? My five-month-old baby was suddenly bitten by an unknown insect two days ago, resulting in a red, swollen area on the calf that even has some bruising. There are also small raised bumps around the area. We visited a pediat...

Dr. Chen Qianyi reply Pediatrics
Cellulitis is a bacterial skin infection characterized by localized redness, swelling, heat, and pain, and it may also be accompanied by fever. It commonly occurs in the lower limbs, arms, and face, but can appear on any part of the body. The infection typically remains confined ...

Understanding Left Leaning in Newborns: Concerns and Growth Impact

Left tilt of the newborn's body? Hello Dr. Chen: My baby was born on February 14 of this year. After a hospital examination, it was found that there is a left tilt phenomenon, which has caused me great anxiety and sleepless nights. I am very fearful and unsure if this will a...

Dr. Chen Qianyi reply Pediatrics
Hello, based on your description, it seems that your concern is about your baby appearing asymmetrical at birth, particularly in the facial area, where one side may appear larger than the other. If this is the case, it is important to first observe the baby's limb movements ...

Understanding Tearful Eyes and Gray Stool in Infants: A Guide for Parents

Diet My son is currently three months old, and his eyes often have tears. His stools are still pasty and grayish in color. Is this normal? How can I improve this? Thank you.

Dr. Chen Qianyi reply Pediatrics
Hello, a three-month-old baby often has watery eyes, which is mostly due to a narrower nasolacrimal duct. The nasolacrimal duct is a tube that drains tears from the inner corner of the eye to the nose. Infants often have a smaller duct, making it difficult for tears to drain, res...

Understanding Infant Vomiting: Causes and Concerns for Parents

Infant vomiting Hello Dr. Chen: My son is almost 11 months old and weighs less than 10 kg. He only wants to drink milk when he is sleeping, and when I feed him porridge while he is awake, he often vomits, even the milk that he managed to drink. Could this be pyloric stenosis? He ...

Dr. Chen Qianyi reply Pediatrics
Hello, there are many reasons why children may experience vomiting. First, it is important to determine whether it affects their growth and development. If there is a lack of weight gain or developmental delays, this could indicate a more serious issue, and a thorough examination...

Essential Vaccination Schedule and Tips for Your Baby's Health

Vaccination Schedule and Precautions for Infants Dear Dr. Chen, Hello. After birth and before entering elementary school, infants must receive a series of vaccinations, such as Hepatitis B and BCG (Bacillus Calmette-Guérin). I would appreciate it if you could provide information...

Dr. Chen Qianyi reply Pediatrics
Congratulations on becoming a new dad! Before your child starts elementary school, especially in the first two years, it is indeed necessary to administer several vaccines. The vaccination schedule is detailed in your child's health booklet, as follows: - Hepatitis B Immuno...

Post-Pneumonia Care: Essential Tips for Your Child's Health

Thank you for your attentive care of my daughter, Yi-Jun? Hello Dr. Chen, how can I prevent and maintain my health after being discharged from pneumonia?

Dr. Chen Qianyi reply Pediatrics
Most pneumonia patients continue to experience upper respiratory symptoms for some time after discharge, such as coughing and runny nose. This is especially true for infants, who have a poorer ability to clear mucus. Therefore, upon returning home after discharge, it is important...

Can Pediatric Atopic Dermatitis Be Cured Beyond Hydrocortisone?

Can pediatric atopic dermatitis be cured? In addition to using hydrocortisone ointment to relieve symptoms of pediatric atopic dermatitis, are there other medications or methods available for treatment?

Dr. Chen Qianyi reply Pediatrics
Children with atopic dermatitis are prone to itching and skin irritation due to their allergic constitution, making treatment generally more challenging because of the numerous and often unclear underlying causes. The primary goal of treatment is to alleviate symptoms, prevent it...

Understanding Heart Murmurs in Children: What Parents Should Know

Heart murmur Hello Doctor: My daughter is six years old and has received a notification from her first-grade health check-up indicating that she has a "heart murmur." How should we proceed? Should we schedule an appointment with a pediatrician or a cardiologist? Thank y...

Dr. Chen Qianyi reply Pediatrics
Asymptomatic heart murmurs are generally classified as functional murmurs; however, some may be associated with congenital heart defects. To differentiate between these two, an echocardiogram is necessary. Your child should see a pediatric cardiologist, who is a subspecialist wit...

Preventing Neonatal Hemolytic Disease: Essential Guidelines for Parents

Neonatal Hemolytic Disease How to prevent neonatal hemolytic disease?

Dr. Chen Qianyi reply Pediatrics
Neonatal hemolytic disease is primarily caused by blood type incompatibility between the mother and the infant, with ABO incompatibility being the most common, while Rh incompatibility is more severe. ABO incompatibility occurs when the mother has type O blood and the infant has ...