Understanding Chylothorax in Infants: Treatment and Prognosis Explained
Chylothorax in newborns Hello Doctor: We have a 2-month-old baby who has been hospitalized for two weeks. The doctor diagnosed him with chylothorax. Currently, the treatment involves fasting and draining the pleural effusion. Could you please explain the prognosis and management ...
Dr. He Shenglong reply Pediatrics
Hello: The accumulation of lymphatic fluid in the thoracic cavity can lead to chylothorax. Congenital malformations of the thoracic duct, as well as trauma, surgery, or tumors, can cause obstruction of the thoracic duct, which is one of the causes; however, many cases remain idio...[Read More] Understanding Chylothorax in Infants: Treatment and Prognosis Explained
Should I Worry If My One-Year-Old Hasn't Started Teething?
Teething usually begins around one year of age? Hello, Doctor: My younger sister is about to turn one year old on the 15th, but she hasn't shown any signs of teething yet. I noticed a couple of small spots on her lower front teeth a while ago, which seemed like they were abo...
Dr. He Shenglong reply Pediatrics
Hello: A one-year-old child has not yet developed teeth; I suggest you wait a little longer, as some children have a slower teething process. If you wish to consult someone, it would be best to see a dentist, but currently, no special intervention is needed. Your child is now abl...[Read More] Should I Worry If My One-Year-Old Hasn't Started Teething?
Understanding Retinopathy of Prematurity in Infants: Key Concerns and Insights
Issues Related to Premature Infants A child born at 27 weeks gestation on October 11 with a birth weight of 1000 grams was reported by the doctor on October 13 to have no response to light. Could this be classified as retinopathy of prematurity (ROP)? If so, what stage would it b...
Dr. He Shenglong reply Pediatrics
Low birth weight premature infants are prone to certain complications. The condition of intraventricular hemorrhage has resolved, which is a positive sign; the ventilator was used for only two days, indicating a milder degree of respiratory distress syndrome. However, these facto...[Read More] Understanding Retinopathy of Prematurity in Infants: Key Concerns and Insights
Understanding Fetal Hydronephrosis: Concerns and Next Steps for Parents
Fetal hydronephrosis Hello, my son is now 2.5 months old. During the prenatal check-up, the doctor mentioned that he has hydronephrosis, which was nearly 1 cm. An ultrasound of the kidneys was performed at birth, and it still showed nearly 1 cm. Later follow-up showed the right k...
Dr. He Shenglong reply Pediatrics
Hello: Generally speaking, if an infant has hydronephrosis, I would refer them to a pediatric nephrologist for follow-up examinations. A renal ultrasound showed that the left kidney increased from 0.6 cm to 1.3 cm, and I believe that performing a voiding cystourethrogram at that ...[Read More] Understanding Fetal Hydronephrosis: Concerns and Next Steps for Parents
Do Infants Need Heart Ultrasounds? Appointment or Walk-In Options?
excuse me? Is there a pediatric echocardiogram available? If so, do I need to make an appointment, or can it be done at any time?
Dr. He Shenglong reply Pediatrics
Hello: Pediatric echocardiograms are typically performed at regional hospitals that have a pediatric cardiology department. Please visit the outpatient clinic first to schedule an appointment; our hospital currently does not have a pediatric cardiology department. Thank you![Read More] Do Infants Need Heart Ultrasounds? Appointment or Walk-In Options?
Concerns About My 9-Month-Old Daughter's Weight and Growth
My sister is too thin? Hello, Doctor: My little daughter is currently 9 months and 18 days old. She weighed 2600 grams and was 49 cm long at birth. Today, during her vaccination, her height and weight were measured as follows: height: 65 cm, weight: 6.7 kg. She consumes about 700...
Dr. He Shenglong reply Pediatrics
Hello: A nine-month-old baby girl has a height of 65 cm and a weight of 6.7 kg, which is around the 3rd percentile according to the growth chart. Currently, her development is normal, but she is considered short and underweight. If the parents are of a smaller build, it is likely...[Read More] Concerns About My 9-Month-Old Daughter's Weight and Growth
Understanding Fetal Oxygen Levels: Concerns After a Prolonged Labor
Is the fetus experiencing hypoxia? Hello Doctor: I am 38 weeks pregnant and gave birth to a son on June 5 using induction methods. The labor process was as follows: I started taking the induction medication at 8:00 AM on June 4, but there was no progress. Subsequently, I was give...
Dr. He Shenglong reply Pediatrics
Hello: The child cried at birth, and the Apgar score was 9, indicating that there was no evidence of hypoxia during that stage. As for the complications during labor or any brief episodes of hypoxia, your concerns about potential long-term effects currently seem to have no defini...[Read More] Understanding Fetal Oxygen Levels: Concerns After a Prolonged Labor
Understanding Elevated White Blood Cell Counts in Newborns: What Parents Should Know
Neonatal leukocytosis Hello, Doctor He: What is the standard white blood cell count for newborns? Is a count of 31,200 significantly high? Does it affect the child's health? Will there be any long-term effects? If a newborn does not have a fever or other symptoms, is it advi...
Dr. He Shenglong reply Pediatrics
Hello: During prenatal check-ups, if a pregnant woman is found to be carrying Group B Streptococcus (GBS), antibiotics are administered to prevent vertical transmission of GBS to the newborn during delivery. If the newborn contracts GBS, symptoms may not appear immediately at bir...[Read More] Understanding Elevated White Blood Cell Counts in Newborns: What Parents Should Know
Is My 7-Month-Old Not Crawling a Cause for Concern?
Not crawling at 7 months? Hello Doctor: My daughter is already 7 months old, but she still cannot crawl and can only slightly kneel and move back and forth. It seems like she is trying to crawl, but as soon as she leans forward a bit, she falls down. I'm not sure if I should...
Dr. He Shenglong reply Pediatrics
Hello: A baby typically sits up at seven months, starts learning to crawl at eight months, and usually begins crawling by nine months, often starting with backward crawling. If the baby spends less time practicing, development may be slightly delayed. It is recommended that if yo...[Read More] Is My 7-Month-Old Not Crawling a Cause for Concern?
Understanding Newborn Temporal Bone Depression: Causes and Implications
Newborn temporal bone depression A pediatric patient, approximately three to four days old, has been observed to have a depression on the right temporal bone (currently nine days old, with the depression measuring about the size of two ten-dollar coins and a depth of approximatel...
Dr. He Shenglong reply Pediatrics
Hello: The baby was born via natural delivery without the use of any assistive devices. It was later discovered that there is a depression on the right temporal bone approximately the size of two ten-dollar coins, with a depth of 0.5 cm. I find it difficult to understand the poss...[Read More] Understanding Newborn Temporal Bone Depression: Causes and Implications
Understanding Newborn Constipation: Causes and Solutions
Newborn stool issues? Hello, my baby is 18 days old. I exclusively breastfeed during the day and give formula at night. A few days ago, I noticed that my baby only had a bowel movement every three days, and today it has been four days without a bowel movement. I am very worried. ...
Dr. He Shenglong reply Pediatrics
Hello: For infants who are breastfed, due to the complete digestion and absorption of breast milk, along with their gastrointestinal function not being fully developed, it is common for them to have bowel movements every three to four days or even five to six days. Applying warm ...[Read More] Understanding Newborn Constipation: Causes and Solutions
Managing High Cholesterol in Children: Dietary Tips and Next Steps
Childhood Hypercholesterolemia My sister-in-law's child is 5 years old and recently had a blood test that showed a cholesterol level of 200. My sister-in-law's family has a history of high cholesterol, and she believes it is genetic. What dietary and lifestyle considera...
Dr. He Shenglong reply Pediatrics
Hello: High cholesterol may be influenced by genetic factors, or it could result from excessive dietary intake of cholesterol. Foods that are high in cholesterol should be consumed in moderation, such as egg yolks, whole eggs, pork kidneys, pork liver, bacon, pork, hot dogs, beef...[Read More] Managing High Cholesterol in Children: Dietary Tips and Next Steps
Is It Normal for My Baby's Vaccination Site to Swell and Pus?
Newborn vaccinations Hello, Doctor. My baby is over 3 months old and has received vaccinations for more than a month now (5-in-1, rotavirus, pneumonia, etc.). There is still a sizable red, swollen lump at the injection site on his arm, and it appears to be pus-filled. Is this sit...
Dr. He Shenglong reply Pediatrics
Hello: If the BCG vaccine is administered, there may be purulent discharge and scabbing at the injection site. If your baby has received other vaccinations, redness, swelling, and purulence lasting for more than a month may indicate inflammation. It is recommended that you take y...[Read More] Is It Normal for My Baby's Vaccination Site to Swell and Pus?
Understanding Vaccine Reactions in Children: What Parents Should Know
Vaccination Hello, Doctor He. I would like to ask you about my child, who is a little over 2 months old. Today, we went to the hospital to receive the pentavalent vaccine, pneumococcal vaccine, rotavirus vaccine, and other preventive shots. After the vaccinations, I noticed one o...
Dr. He Shenglong reply Pediatrics
Hello: If a child has one or two red spots on their face, could it be an allergy? It is advisable to have a doctor examine it before drawing any conclusions. However, many children at this age often have red patches and scales on their faces, which are mostly caused by external f...[Read More] Understanding Vaccine Reactions in Children: What Parents Should Know
Understanding Newborn Bowel Movements: What’s Normal and What’s Not?
Newborn stool Hello, Doctor He. I would like to ask you about my child, who is currently one and a half months old. He is being fed a combination of breast milk and formula, and he has bowel movements twice a day, with a substantial amount each time. Is this considered normal? I ...
Dr. He Shenglong reply Pediatrics
Hello: If exclusively breastfeeding, breast milk is digested and absorbed more completely, which may result in bowel movements occurring every three to four days. However, the baby should not experience any discomfort (such as crying, vomiting, severe abdominal distension, or ref...[Read More] Understanding Newborn Bowel Movements: What’s Normal and What’s Not?
Understanding Laryngeal Cartilage Softening in Infants: Key Concerns and Care Tips
Laryngeal cartilage softening syndrome Hello Doctor: My sister is currently a little over two months old (she will be three months on the 15th). We took her to see the doctor yesterday, and the doctor mentioned that her laryngeal cartilage is underdeveloped and developing more sl...
Dr. He Shenglong reply Pediatrics
Hello: Neonatal laryngeal cartilage hypoplasia can cause a stridor during inhalation, which typically diminishes as the child grows older and usually resolves by three to four months of age. This condition is not related to overall growth and development, and your child's gr...[Read More] Understanding Laryngeal Cartilage Softening in Infants: Key Concerns and Care Tips
Keeping Your Baby Warm: When to Stop Swaddling and Its Effects
Infant thermal regulation? Hello, Doctor He. I would like to ask you about my child who has just turned one month old. When we brought him home from the hospital, he was wrapped in a large towel, which I assumed was for warmth. I understand that his immune system is still develop...
Dr. He Shenglong reply Pediatrics
Hello: Newborns are wrapped in towels for warmth, but it shouldn't be too tight to cause injury, right? Many people are afraid that newborns will get cold, so they wrap them up too much, which makes it difficult for them to dissipate heat. If their body temperature is slight...[Read More] Keeping Your Baby Warm: When to Stop Swaddling and Its Effects
Understanding Your Baby's Sleep Sounds: When to Worry and When to Relax
Is it normal for a baby to make strange noises while sleeping? Hello, Doctor: I would like to ask you a question. My baby is almost 2 months old (will be 2 months on the 15th). When my baby was about 2 weeks old, I noticed that she makes a certain sound while sleeping, and I have...
Dr. He Shenglong reply Pediatrics
Hello: When your baby is about two months old, it's normal for them to smile when you play with them, and the timing may vary, so there's no need to rush to have a doctor evaluate it. I recommend that during the vaccination visits, you have the doctor conduct a health c...[Read More] Understanding Your Baby's Sleep Sounds: When to Worry and When to Relax
Understanding Right Lateral Ventricular Cysts in Infants: What Parents Need to Know
Right lateral ventricle cyst? Hello: My baby was born on December 25, and a brain ultrasound examination revealed a "right lateral ventricle cyst." The doctor said there is currently no major concern, but follow-up examinations are needed after one month. Could you plea...
Dr. He Shenglong reply Pediatrics
Hello: For normal newborns without any special reasons, a cranial ultrasound screening should be considered a self-paid examination after birth. I recommend that you consult with the attending physician for more clarity. If there are any issues during follow-up, you can consult a...[Read More] Understanding Right Lateral Ventricular Cysts in Infants: What Parents Need to Know
Understanding Sudden Limb Weakness in Infants: Causes and When to Seek Help
Sudden limb weakness in infants? Hello: My grandson is about seven months old. Recently, he has been experiencing sudden episodes of weakness in his limbs (including the neck). His reactions are sluggish, occurring about 2-3 times a day. When the situation is mild, he recovers to...
Dr. He Shenglong reply Pediatrics
Hello: Based on the description, it is necessary to rule out the possibility of infantile spasms. At a medical center or regional hospital, there are pediatric neurology subspecialties. I recommend taking your grandchild for evaluation and treatment. Wishing you all the best. Tha...[Read More] Understanding Sudden Limb Weakness in Infants: Causes and When to Seek Help