Can Pediatricians Detect Excess Amniotic Fluid in Newborns?
Is it possible to detect if a newborn has inhaled a significant amount of amniotic fluid? Hello Doctor: May I ask if a newborn delivered by cesarean section inhales a large amount of amniotic fluid, can a pediatrician detect this during the examination? Thank you.
Dr. He Shenglong reply Pediatrics
Hello: In cases of minimal amniotic fluid aspiration, newborns may be asymptomatic or exhibit mild symptoms, as the amniotic fluid can be reabsorbed and heal on its own. However, in cases of significant amniotic fluid aspiration, symptoms of respiratory distress or even respirato...[Read More] Can Pediatricians Detect Excess Amniotic Fluid in Newborns?
Understanding Lumps on Your Child's Head: When to Worry
Small hard lump on the head? Hello, Doctor He: I have a daughter who is currently 1 year and 6 months old. When she was a newborn, we accidentally discovered multiple small lumps at the back of her head, located about 1 to 2 centimeters above her neck. At that time, we consulted ...
Dr. He Shenglong reply Pediatrics
Hello: After a child contracts a respiratory infection, it is common to find painless, movable small hard nodules (lymph nodes) in the neck, posterior neck, or behind the ears. Generally, these can be monitored as they will gradually decrease in size. However, if there is localiz...[Read More] Understanding Lumps on Your Child's Head: When to Worry
Can Breastfeeding with Hepatitis B Risk Infection in Infants?
Breastfeeding with Hepatitis B? Hello Doctor: I would like to ask you... I have a positive Hepatitis B infection and recently breastfed a relative's child, but the child only consumed less than 10ml of breast milk. I later realized that I should not breastfeed due to my Hepa...
Dr. He Shenglong reply Pediatrics
Hello: Currently, there is no evidence that hepatitis B can be transmitted to infants through breast milk, so mothers who are carriers of hepatitis B can still breastfeed. For mothers who are positive for both hepatitis B surface antigen and e-antigen, the infant will receive hep...[Read More] Can Breastfeeding with Hepatitis B Risk Infection in Infants?
Understanding Urine Output in Infants: Concerns for Parents
For a five-month-old infant, the typical urine output is about 6 to 8 wet diapers per day, which generally indicates adequate hydration? Hello, I would like to ask about my child who has been suffering from a cold for two weeks without improvement. Yesterday, we visited the docto...
Dr. He Shenglong reply Pediatrics
Hello: A five-month-old exclusively breastfed baby not urinating for most of the night may be due to increased sweating or not being fed during the night. It’s advisable to monitor the situation; if there is no urination throughout the entire day, a visit to the doctor is recomme...[Read More] Understanding Urine Output in Infants: Concerns for Parents
Understanding Infant Colic: Remedies and Medication for Newborns
Infant colic Hello, I would like to ask about my younger brother who is about 45 days old. Recently, he has been crying inconsolably at night when it's time to sleep. I looked online and it seems to be a problem related to colic, but I'm not sure if he can take medicati...
Dr. He Shenglong reply Pediatrics
Hello: A 45-day-old infant may cry inconsolably at night, but it is usually possible to soothe them. If the crying cannot be calmed, it is important to see a doctor to rule out other potential illnesses. If it is colic, it typically lessens as the child grows older. Simethicone (...[Read More] Understanding Infant Colic: Remedies and Medication for Newborns
Understanding Pediatric Bowel Issues: What to Do When Your Baby Doesn't Poop
Bowel issues A baby boy, 60 days old, has not had a bowel movement for two days but is urinating normally.
Dr. He Shenglong reply Pediatrics
Hello: Infants often experience delayed bowel movements due to the immature development of their gastrointestinal nervous system. If they are fed formula instead of breast milk, this can lead to harder stools and constipation. Simple physical methods, such as warm water compresse...[Read More] Understanding Pediatric Bowel Issues: What to Do When Your Baby Doesn't Poop
Understanding Knee Issues in Toddlers: A Parent's Guide
Knee issues in two-year-old children? Hello Doctor, my daughter has just turned two years old (in the United States). Last Wednesday (3/7), I received a call from her preschool teacher, saying that she refused to stand up after her nap and asked us to take her home for care. We n...
Dr. He Shenglong reply Pediatrics
Hello: Your daughter has no medical history, and her hip X-ray is normal. There is swelling in the soft tissue of her right knee, which was previously unable to fully extend, but now she can flex it to about 120 degrees. As the swelling in her right knee gradually subsides, her r...[Read More] Understanding Knee Issues in Toddlers: A Parent's Guide
Understanding Patent Ductus Arteriosus in Newborns: What Parents Should Know
Patent Ductus Arteriosus (PDA) I had a cesarean section on February 24 and gave birth to a daughter. On the 29th, a neonatal echocardiogram was performed, and the report was sent on March 8, concluding that there is a patent ductus arteriosus (PDA). Under normal circumstances, it...
Dr. He Shenglong reply Pediatrics
Hello: After a newborn is born, the ductus arteriosus typically closes. If it remains open, it is referred to as a patent ductus arteriosus (PDA). Under normal circumstances, it usually closes on its own within a few weeks, and once closed, there are no heart issues. It is recomm...[Read More] Understanding Patent Ductus Arteriosus in Newborns: What Parents Should Know
Do Kids Need General Anesthesia for Umbilical Polyp Removal?
Is general anesthesia required for the treatment of umbilical polyps? Dr. He, I saw you mention that electrosurgery for umbilical polyps can be done without anesthesia. Why did the doctors say my child needs general anesthesia? Can you tell me which hospital can perform this proc...
Dr. He Shenglong reply Pediatrics
Hello: Generally, electrosurgery for umbilical polyps does not require general anesthesia; perhaps the physician is concerned about the child moving too much or other issues? I recommend taking the child to a nearby hospital to consult with a surgeon and hear their opinion. Thank...[Read More] Do Kids Need General Anesthesia for Umbilical Polyp Removal?
Understanding Growth and Development in Children: When to Seek Help
Pediatric Growth and Development My child (a boy) will turn five years old this September, and his height and weight are around the 15th percentile on the growth chart. Should he undergo any relevant examinations? If so, which specialty should we consult? What is the definition o...
Dr. He Shenglong reply Pediatrics
Hello: The height and weight of children are closely related to genetic factors. Generally speaking, if a child's growth percentile is below the 3rd percentile, or if there is a drop of two or more percentile curves compared to previous measurements (for example, originally ...[Read More] Understanding Growth and Development in Children: When to Seek Help
Assessing Renal Development Issues in Newborns: Ultrasound and Further Testing
Pediatric renal hypoplasia If a newborn's renal ultrasound reveals that one kidney is not developed, can we confirm that the affected side has no kidney? What further examinations are needed for confirmation (such as nuclear medicine or CT scans)? Additionally, can newborns ...
Dr. He Shenglong reply Pediatrics
Hello: A self-paid renal ultrasound examination for a newborn revealed underdevelopment of one kidney. You may inquire with the hospital regarding whether to continue monitoring or refer to a pediatric nephrologist. If necessary, nuclear medicine or computed tomography scans can ...[Read More] Assessing Renal Development Issues in Newborns: Ultrasound and Further Testing
Is My 8-Month-Old Baby's Facial Injury Serious? Expert Advice Needed
An 8-month-old baby bumped their cheek? Hello, Doctor He. I have a question. On October 9th, my 8-month-old baby accidentally fell while crawling and hit the corner of a (metal) chair. There is bruising and swelling under the eye on the cheek, and there was a little bit of bleedi...
Dr. He Shenglong reply Pediatrics
Hello: Generally, you can use Xylitol to reduce swelling and bruising; however, the actual effectiveness is questionable, as the body will naturally absorb it over time, leading to a reduction in swelling and bruising. Your initial management after the impact was good, as you app...[Read More] Is My 8-Month-Old Baby's Facial Injury Serious? Expert Advice Needed
Can Breast Milk and Formula Be Mixed in the Same Bottle?
Can breast milk and formula milk be mixed in the same bottle for feeding? Hello, Doctor: I have a baby who just turned three months old and has recently started to refuse breastfeeding. She used to drink breast milk exclusively, but now seems to be tired of its taste. I tried add...
Dr. He Shenglong reply Pediatrics
Hello: Formula milk should be prepared according to the concentration indicated on the label and should not be too concentrated. In principle, it is acceptable to mix it with breast milk. If there are gastrointestinal discomforts, please have a doctor evaluate and treat the condi...[Read More] Can Breast Milk and Formula Be Mixed in the Same Bottle?
When Do Newborns Open Their Eyes? Understanding Eye Development Issues
Newborn Eyes Hello Doctor: My nephew was born on June 4th, and he still hasn't opened his eyes. The hospital doctors mentioned that it could be due to thick eyelids or small eyes. Is this a condition that can occur in newborns? When do newborns typically open their eyes? If ...
Dr. He Shenglong reply Pediatrics
Hello: A newborn typically sleeps about 20 hours out of the 24-hour day, and they may occasionally open their eyes slightly (but not focus on objects). We may not always observe this. Around two months of age, they begin to track moving objects with their gaze. Regarding your con...[Read More] When Do Newborns Open Their Eyes? Understanding Eye Development Issues
Understanding Yellow Palms and Soles in Healthy 4-Year-Olds
A 4-year-old child has yellowish discoloration on the palms and soles? Hello, I have a question: My 4-year-old child has yellowish palms and soles, but is otherwise healthy. The child is just lighter than peers (under 14 kg) and doesn't like eating vegetables, preferring whi...
Dr. He Shenglong reply Pediatrics
Hello: If a boy is 4 years old and weighs 14 kilograms, he is at the third percentile; if he is 3 years old and weighs 14 kilograms, he is close to the fiftieth percentile. Please refer to the growth charts in the children's health manual. Generally, it is important to culti...[Read More] Understanding Yellow Palms and Soles in Healthy 4-Year-Olds
Understanding Redness in Infant's Eyes: Causes and Concerns
Blood vessels in the sclera of infants? Hello, my younger brother was born at 34 weeks weighing 2465 grams. He is currently 6 months and 10 days old, weighing 8000 grams and measuring 64 cm. Is his development normal? I noticed that there are blood vessels visible in half of his ...
Dr. He Shenglong reply Pediatrics
Hello: The child is currently 6 months and 10 days old, but was born prematurely at 34 weeks. If we calculate based on a full-term birth, the child would be between 4 and 5 months old. To assess whether development is on track, you can refer to the section for 4-5 months in the c...[Read More] Understanding Redness in Infant's Eyes: Causes and Concerns
Is Your Baby's Joint Clicking Normal? Pediatric Concerns Explained
Hearing popping or cracking sounds in a baby's joints while holding them? Hello, I am a new mom. My daughter is now over 4 months old. Sometimes she twists around, so whenever I hold her, I often need to hold her tightly to prevent her from accidentally falling. However, som...
Dr. He Shenglong reply Pediatrics
Hello: If there is an injury to the bones or joints, in addition to swelling and pain, movement may be restricted. If it affects one side, there may be asymmetry between both sides. The so-called popping or cracking sound may be due to joint movement. If you have any questions, i...[Read More] Is Your Baby's Joint Clicking Normal? Pediatric Concerns Explained
Understanding Intraventricular Hemorrhage in Preterm Infants: Risks and Outcomes
Intraventricular hemorrhage in premature infants? Born at 34 weeks with a weight of 2465 grams. There is mild intracranial hemorrhage. Currently, the child is over 5 months old. Two weeks ago, an ultrasound was performed, and the doctor said there should be no issues. Will there ...
Dr. He Shenglong reply Pediatrics
Hello: If there is severe intracranial hemorrhage, the hospitalization process for the newborn is likely to be complicated, such as a prolonged stay in the neonatal intensive care unit, recurrent apnea, seizures, and the need for respiratory support, often requiring blood transfu...[Read More] Understanding Intraventricular Hemorrhage in Preterm Infants: Risks and Outcomes
Understanding Language Delay: Is It Asperger's or Just Developmental?
Language delay?? Asperger's syndrome I currently have three children, and I am particularly concerned about my youngest, who is 1 year and 6 months old. She still does not say basic words like "daddy" or "mommy." She is very agile with her hands and feet,...
Dr. He Shenglong reply Pediatrics
Hello: Based on the described situation, a 1 year and 6 months old child who does not call "dad" or "mom" and does not say meaningful words is experiencing a language delay. It is recommended that you take the child to a Developmental Assessment Center for eva...[Read More] Understanding Language Delay: Is It Asperger's or Just Developmental?
Can Infants Use Crab Strollers? Impact on Sensory Development Explained
Can I take a crab car? Can infants use a crab stroller? Is it detrimental to their sensory development? If so, at what age is it appropriate?
Dr. He Shenglong reply Pediatrics
Hello: Infant development typically progresses from rolling over to sitting, crawling, and then walking around the age of one. If there are no safety concerns, using a baby walker can be beneficial, and there is no evidence suggesting it negatively affects sensory development. Ea...[Read More] Can Infants Use Crab Strollers? Impact on Sensory Development Explained