Understanding Vasculitis in Children: Concerns and Treatment Options
Vasculitis refers to a group of disorders characterized by inflammation of the blood vessels, which can lead to changes in the vessel wall Hello Doctor: My daughter developed a rash on the sole of her foot at the end of November last year. Initially, we thought it was allergic pu...
Dr. He Ciyuan reply Pediatrics
Vasculitis is an inflammation of the blood vessels that can lead to vessel lumen collapse and ischemia. The etiology may involve abnormal immune mechanisms, particularly the deposition of immune complexes. There are many types of vasculitis, and it is unclear which type your chil...[Read More] Understanding Vasculitis in Children: Concerns and Treatment Options
Understanding Tongue Issues and Excessive Sweating in Infants
Baby tongue issues For an 8-month-old baby with round or oval patches on the tongue that change daily and recur, previously assessed by an ENT doctor as similar to geographic tongue rather than a fungal infection, and now at 1 year and 3 months experiencing recurrent symptoms wit...
Dr. He Ciyuan reply Pediatrics
1. Tongue issues may require a visit to a pediatrician, as pain should be evaluated to rule out any oral ulcer problems. 2. For sweat gland issues, please consult a dermatologist. Nasal allergies can be assessed by a pediatrician through blood tests for allergens.[Read More] Understanding Tongue Issues and Excessive Sweating in Infants
Should You Worry If Your Child Occasionally Talks with a Twisted Mouth?
Regarding children occasionally speaking with a slant or tilt to one side? Regarding the child who occasionally has a crooked mouth after speaking, but seems to be doing better lately, although it still happens occasionally and is less noticeable, should this be evaluated by a do...
Dr. He Ciyuan reply Pediatrics
If a child frequently has a crooked mouth, it is best to take them to a pediatrician or a pediatric neurologist for an examination.[Read More] Should You Worry If Your Child Occasionally Talks with a Twisted Mouth?
Understanding Shaken Baby Syndrome: Risks of Jumping Activities in Infants
Shaken Baby Syndrome Hello Doctor: I would like to ask about Shaken Baby Syndrome. My puppy is currently over 7 months old, and my family often supports him under his armpits, allowing him to jump up and down on his tiptoes, similar to how adults jump rope. They keep doing this c...
Dr. He Ciyuan reply Pediatrics
Due to my absence, I am unaware of the force of the jumps at that time. If there are any further jumps, please intervene immediately. If there are concerns about Shaken Baby Syndrome, it is advisable to take the infant to a nearby hospital with a pediatric department for an exami...[Read More] Understanding Shaken Baby Syndrome: Risks of Jumping Activities in Infants
Understanding Hypothermia in Children: When to Seek Medical Attention
Hypothermia Hello doctor, I have noticed that my little one’s body temperature while sleeping has been quite low: 35.2°C the day before yesterday, 34.9°C yesterday, and 35.2°C today. However, they are still sweating. During the day, without air conditioning, the temperature is ar...
Dr. He Ciyuan reply Pediatrics
A normal body temperature for infants is around 36.5 degrees Celsius. A temperature of 34.9 degrees Celsius is too low, so it is advisable to visit a hospital for an examination.[Read More] Understanding Hypothermia in Children: When to Seek Medical Attention
Managing Nasal Allergies in Infants: Tips for Parents
Nasal allergies Dr. He: Hello, my child is almost 8 months old. During the winter, with temperature changes, he tends to sneeze, and in severe cases, he has a runny nose and nasal congestion. I would like to ask Dr. He the following questions: 1. Besides home cleaning to remove d...
Dr. He Ciyuan reply Pediatrics
1. It is important to maintain a balanced diet, engage in moderate exercise, and ensure adequate rest to support immune function. It is recommended to undergo blood tests to identify allergens to avoid them. Additionally, pay attention to weather changes, especially in cold and w...[Read More] Managing Nasal Allergies in Infants: Tips for Parents
Managing Allergic Rhinitis in Children: When to Stop Medication
Allergic rhinitis Hello, my child is four years old and has been experiencing a continuous runny nose since November 2010. I have consulted several doctors, all of whom have diagnosed it as allergies. I have been consistently administering the prescribed medications, but there ha...
Dr. He Ciyuan reply Pediatrics
If there are allergies, allergens such as dust mites, cockroaches, dust, dog dander, pollen, and cat dander can be tested. Some larger hospitals can test for IgE (Immunoglobulin E) and perform MAST (Multi-Allergen Simultaneous Testing), which can check for 36 types of allergens. ...[Read More] Managing Allergic Rhinitis in Children: When to Stop Medication
Understanding Kawasaki Disease: Long-Term Effects and Prevention Strategies
Kawasaki disease!!! My nephew was diagnosed with Kawasaki disease when he was young, and he has been undergoing regular check-ups once a year since then. I would like to ask Dr. He: What impact might Kawasaki disease have on a child's health in adulthood? How can we prevent ...
Dr. He Ciyuan reply Pediatrics
1. In pediatric cardiology, experiences from Japan have indicated that many patients develop early coronary artery disease 20 to 30 years after having Kawasaki disease, leading to symptoms such as angina, myocardial ischemia, myocardial infarction, and arrhythmias. Such experienc...[Read More] Understanding Kawasaki Disease: Long-Term Effects and Prevention Strategies
Understanding Nighttime Coughing in Young Children: Causes and Solutions
Nighttime cough in children? Hello Doctor: My child is one year and two months old. He caught a cold at the beginning of August, and although his cold symptoms have improved, he still has a nighttime cough that sometimes makes him vomit! I have consulted several doctors, but none...
Dr. He Ciyuan reply Pediatrics
Your child has been coughing for over two weeks since early August. In my opinion, it is important to consider the possibility of allergies or a lower respiratory tract infection. If necessary, you may want to visit a hospital for a white blood cell count and a chest X-ray to det...[Read More] Understanding Nighttime Coughing in Young Children: Causes and Solutions
Understanding Fever in Toddlers: Insights on Treatment and Care
About fever? My daughter is currently one and a half years old. In March, she contracted enterovirus, and her grandmother took her to see Dr. Li at the pediatric clinic. Dr. Li mentioned that infants should not frequently take antipyretics as excessive use is harmful, and he also...
Dr. He Ciyuan reply Pediatrics
1. Enterovirus: Most cases with mild symptoms can be managed with symptomatic treatment. (If there is a fever, appropriate antipyretics can be administered.) For the very few cases with complications, symptomatic therapy should be employed, such as in instances of persistent or r...[Read More] Understanding Fever in Toddlers: Insights on Treatment and Care
Understanding Dark Circles in Babies: When to Seek Medical Advice
Regarding dark circles in babies? Hello, doctor. My baby is a little over 1 year and 3 months old, and she has quite noticeable dark circles under her eyes. I've seen some other children with the same issue outside. Should I take her to the hospital for any examinations? Tha...
Dr. He Ciyuan reply Pediatrics
Dark circles can sometimes be caused by allergies in children. It is advisable to visit a pediatrician for allergy testing (through blood samples) and to check immunoglobulin E (IgE) levels to identify specific allergens, which should be avoided as much as possible.[Read More] Understanding Dark Circles in Babies: When to Seek Medical Advice
Understanding Floating Stool in Children: Causes and Concerns
Floating stools with oil? Hello, Doctor: My child is currently 3 years old, and I recently noticed that there is a layer of floating oil in the toilet after he has a bowel movement. What could be the cause of this? Is it due to eating oily foods? My child really enjoys eating bra...
Dr. He Ciyuan reply Pediatrics
Fecal oil may sometimes indicate poor fat absorption, so it is advisable to conduct a stool test to assess digestion. If abnormalities are found, it is recommended to seek further evaluation at a hospital.[Read More] Understanding Floating Stool in Children: Causes and Concerns
Understanding Redness Around Your Child's Eyes: Causes and Solutions
Redness around the eyes? I'm not sure. My 1-year-old son woke up this morning with redness around his eyes, and it has persisted all day. He keeps rubbing his eyes. Could this be related to the fever and anti-inflammatory medication he took for two days recently? Which speci...
Dr. He Ciyuan reply Pediatrics
If the eyes are itchy and the surrounding area is red, it may indicate inflammation or an allergic reaction. It is advisable to take the child to a pediatric allergist or an ophthalmologist, or to return to the original physician for further evaluation and examination. If necessa...[Read More] Understanding Redness Around Your Child's Eyes: Causes and Solutions
Introducing Solid Foods for Babies: Tips for Parents with Allergies
Baby complementary foods Hello, Doctor: 1. My baby is now over 10 months old and has had atopic dermatitis since 6 months. The skin looks pretty good, but occasionally there are some red spots on the cheeks. We usually provide the baby with complementary foods such as job'...
Dr. He Ciyuan reply Pediatrics
1. Foods that can cause allergies are mostly derived from proteins, including milk, eggs, soybeans, nuts, seafood, and fish, which are common allergens. Any food can potentially trigger an allergic reaction. If a specific food is identified as a trigger, it is advisable to avoid ...[Read More] Introducing Solid Foods for Babies: Tips for Parents with Allergies
Can I Administer BCG and Hepatitis B Vaccine Together for My Newborn?
Issues Regarding Vaccination in Newborns My child was born on January 4 and has not received the BCG vaccine. Can I administer it along with the second dose of the hepatitis B vaccine during the follow-up appointment on February 5? Thank you.
Dr. He Ciyuan reply Pediatrics
It is recommended to first receive the BCG vaccine, which can be administered at a nearby health center, followed by the hepatitis B vaccine.[Read More] Can I Administer BCG and Hepatitis B Vaccine Together for My Newborn?
Understanding Eye Puffiness in Infants: Causes and Concerns
Infant eyes Hello, my son is now over 7 months old. Every morning when he wakes up, his eyes are puffy. What could be the reason for this? Is it due to allergies? He still has a habit of drinking milk at night, doesn't like to drink water, and doesn't cry at night. Than...
Dr. He Ciyuan reply Pediatrics
If a child with allergies has more pronounced dark circles under their eyes and is prone to facial rashes, persistent eye swelling may warrant a visit to a pediatrician for further evaluation.[Read More] Understanding Eye Puffiness in Infants: Causes and Concerns
Understanding Oral Lesions in Children: Causes and Treatments
Foreign body in the oral cavity? Recently, I noticed a swollen area in my mouth that, when lightly pressed, has small blood vessels appearing. It looks like there are multiple small wounds, and the next day, the swollen area developed a condition similar to chickenpox. The swolle...
Dr. He Ciyuan reply Pediatrics
An abnormal growth in the oral cavity with gradually expanding swelling cannot be definitively diagnosed without a personal examination. Please visit an otolaryngology or pediatric clinic for further detailed evaluation.[Read More] Understanding Oral Lesions in Children: Causes and Treatments
Understanding Nail Peeling in Babies: Causes and Solutions
The edges of the baby's nails are peeling? The baby is now one year old and the edges of the nails are peeling. Only the pinky finger's nails are not as severe, while the nails on the other fingers are experiencing peeling. The baby tends to suck on the thumb, and initi...
Dr. He Ciyuan reply Pediatrics
1. Babies who consume iron-fortified formula and eat normally are unlikely to be iron deficient, unless they have a poor appetite and do not consume enough food. 2. Please try to prevent the baby from sucking on their fingers, as fingers can harbor bacteria that are harmful to ...[Read More] Understanding Nail Peeling in Babies: Causes and Solutions
Are Antibiophilus and Bifidobacterium Safe for Infants?
Adelbit capsules and Bifidobacterium? The baby is currently almost one year old and I would like to supplement with probiotics. The baby usually has hard stools, and based on a friend's suggestion, I would like to know if these two options are suitable for infants: 1. Chines...
Dr. He Ciyuan reply Pediatrics
Both of these belong to the Lactobacillus genus and can be used, but they are not the primary treatment methods. It is important to note that since the baby is approaching one year old, it is recommended to gradually reduce milk intake and increase the consumption of solid foods....[Read More] Are Antibiophilus and Bifidobacterium Safe for Infants?
Understanding Excessive Sweating in Infants: When to Seek Pediatric Care
Palmar hyperhidrosis Hello, my child is over 6 months old and his hands and feet are always sweating. What could be the reason for this? Is this situation normal? Should I take him to a pediatrician for an examination?
Dr. He Ciyuan reply Pediatrics
Excessive hand sweating may be due to hyperactivity of the sympathetic nervous system. If it significantly affects quality of life in adulthood, sympathetic chain ablation may be considered. However, this procedure has side effects, such as compensatory sweating in the back. It i...[Read More] Understanding Excessive Sweating in Infants: When to Seek Pediatric Care