Understanding Delayed Walking and Speech Development in Toddlers
The child is still hesitant to walk independently? Hello Doctor, my son will be 1 year and 3 months old in October. He is currently not walking independently but enjoys crawling very much. He climbs up and down stairs quite well. Regarding his speech, I’ve noticed that he only ca...
Dr. He Shenglong reply Pediatrics
Hello: The child has experienced febrile seizures, followed by convulsions, and the EEG shows epileptiform activity. Currently, they are under medication for control, right? It is recommended to continue follow-up with a pediatric neurologist. If the seizures are severe, recurren...[Read More] Understanding Delayed Walking and Speech Development in Toddlers
Understanding Seizures in Newborns: What Parents Need to Know
Epilepsy Inquiry Hello doctor, on July 13th in the early morning, my sister-in-law gave birth to a son via cesarean section. He was full-term and weighed 3000 grams. Initially, she planned for a natural delivery, but during labor induction, it was discovered that the baby's ...
Dr. He Shenglong reply Pediatrics
Hello: The emergency cesarean section was performed due to the baby's decreased heart rate. At birth, the baby had poor crying and difficulty breathing, and experienced a seizure the following day, which may be related. Fortunately, after treatment, the condition stabilized ...[Read More] Understanding Seizures in Newborns: What Parents Need to Know
Understanding Height Concerns in Young Adults: When to Seek Help
Height issues Hello, doctor. I will turn 20 years old this October, but my height is only 160 cm. Both of my parents are around 165 cm tall. Since the end of junior high school, I have not grown taller, and now I am about to enter my second year of college. I am unsure if there i...
Dr. He Shenglong reply Pediatrics
Hello: Your condition is suitable for consultation with an endocrinologist. Since you are about to turn 20, your height is likely to remain the same. I believe that height itself is not necessarily a disadvantage, and I suggest you leverage your own strengths. For further evaluat...[Read More] Understanding Height Concerns in Young Adults: When to Seek Help
Understanding Newborn Jaundice: Concerns and Follow-Up Care
Post-Jaundice Complications in Newborns I would like to ask about my baby who was born on June 10th. On June 13th (Saturday), the jaundice level at the clinic was 11.3. Our baby has G6PD deficiency and was very pale at birth. I noticed that while breastfeeding at the clinic, the ...
Dr. He Shenglong reply Pediatrics
Hello: The baby's jaundice reached 31, and after an emergency exchange transfusion, it is now around 7. Since there is a known case of G6PD deficiency, it is uncertain if there are other pathological causes, so I recommend consulting the physician who conducted the examinati...[Read More] Understanding Newborn Jaundice: Concerns and Follow-Up Care
Common Pediatric Concerns: Hand Redness and Bowel Issues in Infants
Hand rib marks & bowel issues Hello, Doctor He: I have three questions to ask you. Thank you for your help! 1. My baby is currently 3 months old, and I recently noticed a red line on the side of his hand, possibly caused by wearing gloves. This redness has not disappeared fo...
Dr. He Shenglong reply Pediatrics
Hello: According to the description, the red mark on the side of the hand caused by wearing gloves is not likely to fade naturally, so it is important to avoid further contact that could lead to dermatitis. It would be best to consult a physician. Regarding the color of the stool...[Read More] Common Pediatric Concerns: Hand Redness and Bowel Issues in Infants
Can Bathing with My Baby Expose Her to Group B Strep?
Questions about bathing infants? If a mother tested positive for Group B Streptococcus (GBS) during pregnancy, there is a possibility of transmitting the bacteria to the baby during labor and delivery. However, bathing together with a six-month-old baby using a swimming neck floa...
Dr. He Shenglong reply Pediatrics
Hello: If a mother is a carrier of Group B Streptococcus, the physician will administer antibiotics during delivery to prevent vertical transmission to the infant, which can lead to rapid onset of diseases such as pneumonia, sepsis, meningitis, and even death. Now that the baby i...[Read More] Can Bathing with My Baby Expose Her to Group B Strep?
Developmental Concerns for Preterm Twins: When to Seek Specialist Help
Development of Premature Infants The twins were born preterm at 30 weeks and 4 days and were hospitalized during which they underwent cranial ultrasound. The older brother had mild intraventricular hemorrhage (Grade I), while the younger brother showed periventricular echogenicit...
Dr. He Shenglong reply Pediatrics
Hello: Low birth weight preterm infants who experience pulmonary immaturity leading to respiratory distress, or complications such as intraventricular hemorrhage, may have a higher incidence of developmental delays compared to full-term infants, depending on the severity of their...[Read More] Developmental Concerns for Preterm Twins: When to Seek Specialist Help
How to Address Your Baby's Milk Intake Concerns at 3 Months
Baby's milk intake Hello, doctor. My baby is now over 3 months old and weighs 7.5 kg. Since two months, he has been drinking a total of over 500 to 600 ml of milk daily, but this amount hasn't increased. Recently, he has shown signs of milk aversion and sometimes only d...
Dr. He Shenglong reply Pediatrics
Hello: The letter mentions that the baby is showing signs of milk aversion and is currently not consuming enough milk. If the baby is drinking too much water, the milk intake may be even more insufficient. It is generally recommended to start introducing complementary foods after...[Read More] How to Address Your Baby's Milk Intake Concerns at 3 Months
Should You Swaddle Your Baby's Hands? Pediatrician Advice
Should the hands be restrained? Hello, doctor. My baby is under three months old. Should I swaddle their arms to keep them secure? They tend to wake up easily while sleeping and like to put their hands in their mouths, which makes me worried about germs. However, I feel like they...
Dr. He Shenglong reply Pediatrics
Hello: It is common for babies to wake up easily from sleep due to noise or light. It is not recommended to restrain their hands; however, it is acceptable to lightly swaddle them as long as they are not overheated. Please refer to page 47 of the new Children's Health Handbo...[Read More] Should You Swaddle Your Baby's Hands? Pediatrician Advice
Understanding Favism in Children: Risks and Age-Related Changes
Precautions for G6PD Deficiency (Favism) Is it true that babies with G6PD deficiency are less likely to experience hemolytic episodes triggered by camphor or fava beans as they grow older?
Dr. He Shenglong reply Pediatrics
Hello: Commonly known as Favism, this is a hereditary condition characterized by an abnormality in the glucose-6-phosphate dehydrogenase (G6PD) metabolism of red blood cells. Exposure to fava beans, camphor, gentian violet, or the use of sulfonamides and aspirin can easily lead t...[Read More] Understanding Favism in Children: Risks and Age-Related Changes
Understanding Late-Onset Group B Streptococcus Infections in Infants
Late-onset Group B Streptococcus (GBS) infection What are the transmission routes for late-onset Group B Streptococcus (GBS) infection? If Group B Streptococcus was detected during prenatal screening and my baby is now over a month old, I accidentally used my own bathtub while ba...
Dr. He Shenglong reply Pediatrics
Hello: Group B Streptococcus (GBS) is the primary strain of Gram-positive bacteria that can affect newborns. If GBS colonies are detected during your prenatal check-up, the hospital will implement preventive measures to avoid vertical transmission during delivery, as its symptoms...[Read More] Understanding Late-Onset Group B Streptococcus Infections in Infants
Understanding Why Jaundice Light Therapy Can Darken Skin in Infants
Phototherapy for jaundice Dear Dr. He, Why does the skin darken after exposure to phototherapy for jaundice? Thank you.
Dr. He Shenglong reply Pediatrics
Hello: Phototherapy for newborns is used to accelerate the metabolism of bilirubin. Once jaundice decreases to a certain level, phototherapy is no longer necessary. If it is pathological jaundice, treatment for the underlying condition should continue. Theoretically, the skin sho...[Read More] Understanding Why Jaundice Light Therapy Can Darken Skin in Infants
Concerns About Chewing Skills in a 2-Year-Old: What to Know
A 2-year-old who does not chew? If he refuses to eat any solid foods and only drinks milk, could this indicate a delay in some aspect of his development?
Dr. He Shenglong reply Pediatrics
Hello: It's important to try various methods for introducing complementary foods without forcing it; keep the atmosphere relaxed and enjoyable. I recommend referring to the Children's Health Handbook (new edition, pages 54-55, on introducing complementary foods) for mor...[Read More] Concerns About Chewing Skills in a 2-Year-Old: What to Know
Understanding Your Two-Month-Old's Stool Patterns: What’s Normal?
The stool patterns of a two-month-old baby? Hello doctor, my baby is almost three months old. He is primarily breastfed and only wakes up at night to have formula milk. His bowel movements are sometimes three to four times a day, and sometimes just once. They are usually loose an...
Dr. He Shenglong reply Pediatrics
Hello: The baby is primarily breastfed and has formula milk at night. Currently, the baby has bowel movements three to four times a day, which are pasty and sometimes watery; the frequency and consistency are considered normal. The bile secreted by the liver mixes with the stool,...[Read More] Understanding Your Two-Month-Old's Stool Patterns: What’s Normal?
How Much Sleep Does a Newborn Need? Addressing Sleep Issues in Infants
The baby is not getting enough sleep? Dear Doctor: My baby is a little over 2 weeks old and has very light sleep. Sometimes, even a slight noise or light will wake them up. Usually, they only sleep about 2 hours in total during the day. (At night, they are sent back to the matern...
Dr. He Shenglong reply Pediatrics
Hello: A 2-week-old baby still sleeps a lot, close to 20 hours a day. Of course, they may wake up with any noise or light, indicating a light sleep; however, this does not affect their development, just makes them a bit harder to manage. To improve this situation, it is important...[Read More] How Much Sleep Does a Newborn Need? Addressing Sleep Issues in Infants
Common Concerns for Newborns: Feeding, Soothing, and Health Queries
Neonatal issues Hello Doctor, I would like to ask you a few questions: 1. My baby is 10 days old and breastfed, having about 10 to 13 bowel movements a day. Is this normal? 2. Can a 10-day-old baby use a pacifier? 3. The pediatrician at the postpartum care center mentioned th...
Dr. He Shenglong reply Pediatrics
Hello: At 10 days old, breastfeeding, having bowel movements 10 to 13 times a day is a bit more frequent, but the main concern is whether the baby shows any signs of discomfort. It is permissible to use a pacifier in moderation. If you have questions about what is meant by a narr...[Read More] Common Concerns for Newborns: Feeding, Soothing, and Health Queries
Concerns About Baby Head Shaking and Safety: A Guide for New Moms
Infant head shaking Hello, doctor. My sister is currently 3 months old and is able to support her neck quite well. However, I've noticed that she seems to love shaking her head. Could this be a concern? Also, when I hold her, she sometimes kicks hard, causing her to lean for...
Dr. He Shenglong reply Pediatrics
Hello: A three-month-old infant can support their neck, but the brain tissue is still fragile, so it is important to avoid vigorous shaking or jostling. When holding the baby, the head must be supported to prevent sudden forward or backward movements or accidental falls. Shaken b...[Read More] Concerns About Baby Head Shaking and Safety: A Guide for New Moms
Understanding Thyroid Function Tests in Pediatric Patients: A Guide for Parents
Hypothyroidism Hello, Doctor: I would like to ask if different hospitals use different methods, instruments, or units for thyroid examinations. My son had his tests done at National Cheng Kung University, where the unit used was mU/L, but I found that most online sources use uIU/...
Dr. He Shenglong reply Pediatrics
Hello: Each hospital has its own reference ranges for tests, and it is recommended to consult your pediatric endocrinologist and metabolic specialist. For infants consuming formula milk, it is normal for them to have bowel movements every 4-5 days. You can apply warm water compre...[Read More] Understanding Thyroid Function Tests in Pediatric Patients: A Guide for Parents
Understanding Pediatric Thyroid Function: TSH and T4 Levels Explained
Hypothyroidism Hello doctor, I saw your reply! Thank you for your explanation, but I still have some questions. His TSH is 0.08, T4 is 16.37, and T3 is 120.38. You mentioned that his TSH is slightly low and T4 is high, but his attending physician said this is normal. This data wa...
Dr. He Shenglong reply Pediatrics
Hello: You have hypothyroidism, so you are supplementing with thyroid hormone. As a result, your thyroxine (T4) levels have increased, which has led to a slight decrease in thyroid-stimulating hormone (TSH) levels. This is, of course, a result of the medication. The main point is...[Read More] Understanding Pediatric Thyroid Function: TSH and T4 Levels Explained
Understanding Hypothyroidism in Children: TSH, T4, and T3 Levels Explained
Hypothyroidism I would like to ask about my son who has hypothyroidism. His blood test results are out, and I would like to know if these values are normal. His TSH is 0.08, T4 is 16.37, and T3 is 120.38. Thank you.
Dr. He Shenglong reply Pediatrics
Hello: Newborns are screened for hypothyroidism at birth. If the results are low, confirmatory tests are conducted. If hypothyroidism is confirmed, a pediatric endocrinologist will provide treatment as soon as possible. Your son is likely in this situation; currently, his T3 leve...[Read More] Understanding Hypothyroidism in Children: TSH, T4, and T3 Levels Explained