Understanding Angular Cheilitis in Children: Causes and Treatments
Angular cheilitis My son just turned four years old in April. Recently, he has been experiencing angular cheilitis due to a cold. I consulted with doctors, and some suggested a vitamin B deficiency, while others mentioned it could be caused by dry weather. I bought Nincort oral g...
Dr. Gu Qingxian reply Pediatrics
Hello! During the acute phase, oral gel nystatin can be used, but it should be discontinued once the condition improves. Children often experience angular cheilitis, which can be triggered by hot weather and vitamin B deficiency. Thank you for your question, and I wish you good h...[Read More] Understanding Angular Cheilitis in Children: Causes and Treatments
Understanding Neurofibromatosis and Tuberous Sclerosis in Children
Neurofibroma I would like to ask if neurofibromatosis and tuberous sclerosis are the same disease. If not, what are the differences between the two? As parents of a child with such a condition, how should we care for our child? Will this disease automatically disappear as the chi...
Dr. Gu Qingxian reply Pediatrics
Hello! Both conditions are caused by genetic mutations that lead to defects in ectoderm development during the embryonic stage. Initially, they present with skin lesions in early childhood, as well as tumors in various organs, which can affect the child's developmental progr...[Read More] Understanding Neurofibromatosis and Tuberous Sclerosis in Children
Understanding Sudden Behavioral Changes in Children: A Case Study
Sudden onset of abnormal behavior in children? My niece is currently 6 years old. Ten days ago, one night she suddenly could not sleep at all, and the next morning she was unable to walk due to weakness in her legs, accompanied by vomiting, but without any fever. Her consciousnes...
Dr. Gu Qingxian reply Pediatrics
Hello, this case should first check if the symptoms are caused by encephalitis, as the recent temperature is a time when viruses are rampant. Thank you![Read More] Understanding Sudden Behavioral Changes in Children: A Case Study
Understanding Baby Blood Types: What to Expect from O and A Parents
Baby's blood type Hello, I have some questions to ask you. My relative has a baby; the mother is type O and the father is type A. What blood type will the baby have? Could it be type AB?
Dr. Gu Qingxian reply Pediatrics
Hello, please recheck the blood types, including those of the parents and the child. Kindly visit Mackay Memorial Hospital's pediatric department. Thank you![Read More] Understanding Baby Blood Types: What to Expect from O and A Parents
Understanding Sleepwalking in Children: Causes and When to Seek Help
Somnambulism Doctor: Hello! I have some questions regarding my child's somnambulism. He is currently in the fourth grade and has been experiencing episodes since he was about three years old, with 6 to 8 occurrences each month. During these episodes, he gets up, cries, runs ...
Dr. Gu Qingxian reply Pediatrics
Hello, please visit the Department of Child and Adolescent Psychiatry at National Taiwan University. Thank you![Read More] Understanding Sleepwalking in Children: Causes and When to Seek Help
Understanding Allergic Purpura in Children: Treatment Options and Side Effects
Allergic Purpura A 10-year-old child in the third grade experienced swelling and pain in the lower limbs, along with the appearance of purpura on February 8 of this year. After a doctor's diagnosis, it was determined to be a case of allergic purpura. After a month of medicat...
Dr. Gu Qingxian reply Pediatrics
Hello! Allergic purpura-induced nephritis is treated with immunosuppressants. The severity of nephritis can vary from mild to severe, which also affects the intensity of immunosuppressive treatment. Some patients respond well to corticosteroids, while others may be resistant; in ...[Read More] Understanding Allergic Purpura in Children: Treatment Options and Side Effects
Understanding Pediatric Hemorrhoids: Symptoms and Treatment Options
Pediatric hemorrhoids My daughter was born on July 26, 1993. Three weeks before her birth, she had very hard stools, so last week we switched her formula, which improved the stool consistency. However, in the past two days, there has been a slight amount of fresh blood after bowe...
Dr. Gu Qingxian reply Pediatrics
Hello! This is a fissure phenomenon, not hemorrhoids, but you can apply hemorrhoid ointment. Thank you for your question![Read More] Understanding Pediatric Hemorrhoids: Symptoms and Treatment Options
Understanding Cold Hands and Feet in Toddlers: Causes and Solutions
Cold hands and feet in children? Youzi is currently just over one year old and often feels cold in his hands and feet. The elders in the family always think he is not dressed warmly enough, but when we add more clothing, his back and head become sweaty while his hands remain cold...
Dr. Gu Qingxian reply Pediatrics
Hello~ Recently, Taiwan has been experiencing continuous cold weather, and hands and feet exposed outside of clothing can become cold. It is advisable to have children wear gloves and socks. Additionally, children's metabolism is higher than that of adults, so it is normal f...[Read More] Understanding Cold Hands and Feet in Toddlers: Causes and Solutions
Understanding Infant Hemangiomas: Treatment Options and Expert Recommendations
Infantile hemangioma Hello Dr. Gu: My baby was born with a hemangioma located at the back of her right armpit. She is now 9 months old, and the hemangioma has grown to about half the size of a ping pong ball. Her current weight is 8.2 kg, and she is a girl. I have a few questions...
Dr. Gu Qingxian reply Pediatrics
Hello! 1. Most hemangiomas will disappear by the age of three to five; however, if they are growing larger before that age, medical attention is necessary, and cryotherapy can be used. 2. Generally, the timeline for resolution varies. 3. Hemangiomas are not typically hereditary. ...[Read More] Understanding Infant Hemangiomas: Treatment Options and Expert Recommendations
Understanding My 2-Month-Old Daughter's Health Issues: Gas and Heart Condition
What is wrong with my 2-month-old daughter? How can I help her? My daughter is currently 2 months old and has a congenital heart defect (a small atrial septal defect). Recently, after a mild cold, she has been crying frequently due to gastrointestinal discomfort from gas. She is ...
Dr. Gu Qingxian reply Pediatrics
Hello! The child has chronic abdominal distension, and drinking hydrolyzed protein formula seems to improve the condition. This suggests the possibility of lactose intolerance, digestive dysfunction, or milk protein allergy. Therefore, it is recommended to continue with the hydro...[Read More] Understanding My 2-Month-Old Daughter's Health Issues: Gas and Heart Condition
Understanding Vomiting in Children: Causes and Connections to Home Environment
Causes of vomiting? My daughter is currently 3 years and 5 months old. 1. She rarely experiences symptoms such as colds, runny nose, fever, or cough on regular days. However, every 1 to 2 months, she has a severe vomiting episode (sometimes accompanied by fever) that requires a d...
Dr. Gu Qingxian reply Pediatrics
Hello! 1. Children with acute gastroenteritis, acute upper respiratory infections, other systemic diseases, acute urinary tract infections, or central nervous system disorders may experience severe vomiting. It is best to take them to a pediatrician for differential diagnosis. 2....[Read More] Understanding Vomiting in Children: Causes and Connections to Home Environment
Managing Low Complement Nephritis and Hypercalciuria in Children
Hypocomplementemic glomerulonephritis with hypercalciuria? Children with eyelid edema and diagnosed with low complement nephritis and hypercalciuria should be monitored for several important factors. 1. **Monitoring**: Regular follow-ups with a pediatric nephrologist are essent...
Dr. Gu Qingxian reply Pediatrics
Hello, does the child only exhibit eyelid swelling? Could you also provide the urine test or kidney ultrasound report to better understand the child's current condition? There are many causes of hypercalciuria, and the precautions required vary depending on the specific caus...[Read More] Managing Low Complement Nephritis and Hypercalciuria in Children
Understanding Changes in Baby's Stool Color: What Parents Should Know
On the 82nd day after birth, the baby's stool color changed to dark gray? Hello Doctor Gu: My baby is 85 days old and is currently drinking Nestlé Nan HA1 hydrolyzed protein formula. He is feeding about 7 to 8 times a day, with each feeding being 160 cc. His stools have cons...
Dr. Gu Qingxian reply Pediatrics
Hello! 1. From birth to the eighty-second day, the stool is golden yellow, so it is unlikely to be biliary atresia. 2. Hiccups are a normal phenomenon. 3. The presence or absence of a "crying sound" in normal children does not make a difference.[Read More] Understanding Changes in Baby's Stool Color: What Parents Should Know
Understanding Asymmetrical Leg Wrinkles in Infants: When to Worry
Regarding lower limb wrinkles? Hello, Doctor Gu! During my baby's one-month follow-up appointment, his lower limb wrinkles were symmetrical. Now that he is four months old, I suddenly noticed during bath time that his lower limb wrinkles are asymmetrical, with two more lines...
Dr. Gu Qingxian reply Pediatrics
Hello! Turning the body over and comparing the wrinkles on the buttocks and lower limbs, achieving symmetry is satisfactory, as symmetry indicates normalcy. Thank you![Read More] Understanding Asymmetrical Leg Wrinkles in Infants: When to Worry
Understanding Nighttime Fever in Toddlers: Causes and When to Worry
Nighttime fever Hello, Doctor Gu: My niece is 2 years old and has been experiencing frequent nighttime fevers over the past few months, reaching around 39 degrees Celsius. The doctor suspected a urinary tract infection, but after medication and tests, it was determined that this ...
Dr. Gu Qingxian reply Pediatrics
Hello, a two-year-old child has a fever reaching 39 degrees Celsius at night, along with headaches. This has been ongoing for several months, and since it is winter now, it is not likely to be a simple central nervous system temperature dysregulation. It would be best to admit th...[Read More] Understanding Nighttime Fever in Toddlers: Causes and When to Worry
Essential Guide to Chickenpox and Hepatitis A Vaccines for Infants
Varicella vaccine Doctor, I have a question: I have seen some self-paid vaccines in the outpatient clinic. Is it necessary for a one-year-old baby to receive the hepatitis A vaccine? What are the implications of getting it or not getting it? Can a baby who is one year and one mon...
Dr. Gu Qingxian reply Pediatrics
Hello! 1. Generally, the hepatitis A vaccine is recommended for individuals who are traveling to endemic areas or less developed countries where there is a concern about foodborne transmission of hepatitis A. However, the hepatitis A vaccination is still considered optional. If y...[Read More] Essential Guide to Chickenpox and Hepatitis A Vaccines for Infants
Understanding Pediatric Breathing Issues: Nocturnal Sounds and Exercise-Induced Symptoms
Pediatric respiratory issues A child experiences loud breathing sounds during sleep and occasionally has episodes of breathing cessation. During the day, when engaging in physical activity, the child also experiences significant shortness of breath and occasional mild chest pain....
Dr. Gu Qingxian reply Pediatrics
Hello, the symptoms you described may be related to lung disease or heart disease. Please come to our hospital for examination and treatment. Thank you![Read More] Understanding Pediatric Breathing Issues: Nocturnal Sounds and Exercise-Induced Symptoms
Top Hospitals in Taiwan for Treating Tuberous Sclerosis in Children
Please provide more specific information or questions regarding tuberous sclerosis complex? How many hospitals in Taiwan are authorities on this condition?
Dr. Gu Qingxian reply Pediatrics
Hello! Tuberous sclerosis is a symptom of autosomal dominant inheritance, presenting with various manifestations such as skin lesions, seizures, intellectual disability, retinal abnormalities, renal complications, and cardiac issues. Therefore, a medical team is required to care ...[Read More] Top Hospitals in Taiwan for Treating Tuberous Sclerosis in Children
Can a 2-Month-Old Baby Safely Take Digestive Medications?
Can a 2-month-old baby take the medication "Biafei Ming" for digestive health? Is it safe for a 2-month-old baby to take the medication "Biaofeiming" for digestive health? Can I purchase it at a pharmacy for long-term use for my baby? If used long-term, are th...
Dr. Gu Qingxian reply Pediatrics
Hello! Bifidobacterium is a type of lactic acid bacteria that has a beneficial effect on gut health. It can be particularly effective for children experiencing diarrhea, loose stools, and abdominal bloating. While long-term use may lead to constipation in some cases, I support th...[Read More] Can a 2-Month-Old Baby Safely Take Digestive Medications?
Managing Colds in Premature Infants: A Guide for Concerned Parents
Infant with a cold I would like to ask: My child was born prematurely at 35 weeks and 3 days! They did not require oxygen! Now they are about 50 days old! Due to too many visitors at home, they have caught a cold! They have throat inflammation! Their temperature ranges between 37...
Dr. Gu Qingxian reply Pediatrics
Hello! For a premature infant born at 50 days, a body temperature exceeding 37.5°C is considered a fever due to their low immunity. If there is a decrease in appetite, reduced activity level, or symptoms of a cold, please make sure to seek medical attention from a physician. Than...[Read More] Managing Colds in Premature Infants: A Guide for Concerned Parents