Understanding Fever and Vomiting in Children with Tonsillitis
Fever due to tonsillitis? Hello doctor, my child has a fever due to tonsillitis. On June 10th, they vomited once in the early morning, which seemed normal. However, on June 11th at 3 PM, they vomited again, this time mixed with some phlegm and blood. Is this normal?
Dr. He Zongxian reply Pediatrics
Hello, since you did not provide age and other relevant information, the following response is for your reference. If a child has a fever, they may occasionally vomit due to discomfort. However, if there are blood streaks in the vomit, it may require further examination by a phys...[Read More] Understanding Fever and Vomiting in Children with Tonsillitis
Determining the Right Dosage for Pediatric Fever Relief
Medication dosage inquiry? Hello Doctor, I have a question about medication dosage. Recently, my child has been infected with a virus and has been experiencing high fevers, reaching 39.5 degrees Celsius or even above 40 degrees. Since my daughter had a high fever over the weekend...
Dr. He Zongxian reply Pediatrics
Hello, Zhixuan. The recommended dosages for antipyretics vary depending on the active ingredients. Before administering medication, you can refer to the drug leaflet (package insert) to ensure the dosage is correct. It is also important to remind you that if you have any doubts a...[Read More] Determining the Right Dosage for Pediatric Fever Relief
Understanding Adenovirus Symptoms in Children Before Air Travel
Adenovirus and Air Travel Hello Doctor, my child started having a high fever of 38.8°C on the evening of Sunday, May 21. After visiting the emergency room, it was confirmed that it is neither COVID-19 nor influenza. After returning home, the fever has been intermittent, reaching ...
Dr. He Zongxian reply Pediatrics
Dear Parent of the Little One, Based on the symptoms you described (without mentioning the child's age), your child's symptoms (high fever, loss of appetite, diarrhea, and red eyes) are indeed consistent with adenovirus infection. However, I would like to remind you th...[Read More] Understanding Adenovirus Symptoms in Children Before Air Travel
Should I Worry About Long-Term Effects After My Toddler Falls?
Is it likely for a 3-year-old child to have any long-term effects from falling while playing? Hello, doctor. As the title suggests, my daughter is almost 3 years old. Today, while playing with her cousin who is the same age, my daughter was about to sit on a baby chair when her c...
Dr. He Zongxian reply Pediatrics
Dear Apple Mom, First of all, I am very sorry to hear that your daughter experienced such an accident while playing. As parents, we all care about our children's safety and health, so your concerns are completely normal. Based on your description, your daughter fell to the ...[Read More] Should I Worry About Long-Term Effects After My Toddler Falls?
Adjusting Nap Times for Preschoolers: Tips for Parents
Sleep duration Hello, doctor. My child is not yet in preschool and usually wakes up at around 5:30-6:00 AM at home. They take a nap at 11:30 AM. Will they be able to adjust to a different nap schedule when they start preschool?
Dr. He Zongxian reply Pediatrics
Dear Parents, Thank you for raising the question regarding your child's adjustment to the kindergarten schedule. Rest assured, children typically possess excellent adaptability and can adjust to new routines over time. You mentioned that your child's current schedule m...[Read More] Adjusting Nap Times for Preschoolers: Tips for Parents
Emergency Braking and the Risk of Shaken Baby Syndrome
Emergency braking and shaken baby syndrome? Hello, I have read a lot about "Shaken Baby Syndrome," which I know has been renamed to Abusive Head Trauma. I understand that it typically requires a significant amount of force and repeated shaking in a short period to cause...
Dr. He Zongxian reply Pediatrics
Dear Parent, Thank you very much for your inquiry. From your description, we understand that your baby experienced an emergency brake situation while riding in the car. First of all, I am glad to hear that you have chosen an infant car seat and ensured it is installed in the rea...[Read More] Emergency Braking and the Risk of Shaken Baby Syndrome
Should You Pause Low-Dose Aspirin After a Child's Head Injury?
I would like to ask if I should stop taking low-dose aspirin after hitting my head? The child was diagnosed with Kawasaki disease in mid-November and has received intravenous immunoglobulin treatment and is currently taking low-dose aspirin. A follow-up echocardiogram has shown n...
Dr. He Zongxian reply Pediatrics
Hello, there is currently no consensus in the medical community regarding the risk of intracranial hemorrhage associated with low-dose aspirin in cases of mild head trauma; it should be considered on an individual basis. If you have concerns, it is advisable to discuss with your ...[Read More] Should You Pause Low-Dose Aspirin After a Child's Head Injury?
Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Infants avoiding eye contact? At just over five weeks old, the infant was observed to avoid eye contact, noticeably looking away to the right or left immediately after making eye contact. Now at six weeks and two days, the situation remains the same. During feeding, the baby does...
Dr. He Zongxian reply Pediatrics
Hello, based on your description, it is necessary to rule out any special conditions such as nystagmus or involuntary eye movements. I recommend taking your child to a medical center for further evaluation in the pediatric ophthalmology and pediatric neurology departments. Sincer...[Read More] Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Infants avoiding eye contact? At just over five weeks old, the infant was observed to avoid eye contact, clearly looking away to the right or left immediately after making eye contact. Now at six weeks and two days, the situation remains the same. During feeding, the baby does ma...
Dr. He Zongxian reply Pediatrics
Hello, based on your description, it is necessary to rule out any special conditions such as nystagmus or involuntary eye movements. I recommend taking your child to a medical center's pediatric ophthalmology and pediatric neurology departments for further evaluation. Sincer...[Read More] Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Infants avoiding eye contact? At just over five weeks old, the infant was observed to avoid eye contact, noticeably looking away to the right or left immediately after making eye contact. Now at six weeks and two days, the behavior remains the same. During feeding, the baby does ...
Dr. He Zongxian reply Pediatrics
Hello, based on your description, it is necessary to rule out any special conditions such as nystagmus or involuntary eye movements. I recommend that you take your child to a medical center's pediatric ophthalmology and pediatric neurology departments for further evaluation....[Read More] Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Infants avoiding eye contact? At just over five weeks old, the infant was observed to avoid eye contact, noticeably looking away to the right or left immediately after making eye contact. Now at six weeks and two days, the behavior remains the same. During feeding, the baby does ...
Dr. He Zongxian reply Pediatrics
Hello, based on your description, it is necessary to rule out any special conditions such as nystagmus or involuntary eye movements. I recommend taking your child to a medical center's pediatric ophthalmology and pediatric neurology departments for further evaluation. Sincer...[Read More] Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Understanding Mycoplasma Pneumonia in Children: Symptoms and Recovery
Mycoplasma pneumonia Hello, doctor. I would like to ask about a 5-year-old child who contracted mycoplasma pneumonia, resulting in right lung infiltration. The child was treated with medication for three days and discharged from the hospital. During the hospitalization, the child...
Dr. He Zongxian reply Pediatrics
Hello, generally speaking, mycoplasma infections initially present with symptoms similar to those of a cold. After three to five days of fever, a cough often develops, frequently manifesting as a dry cough. This cough can persist for about three to four weeks. As long as the body...[Read More] Understanding Mycoplasma Pneumonia in Children: Symptoms and Recovery
Understanding Infant Head Growth: When to Seek Further Evaluation
Infant Head Circumference Development Hello, my baby boy (5 months and 2 days old as of October 4) has been growing quite quickly. His weight is 7.3 kg, height is 65.1 cm, and head circumference is 44.2 cm. He is approaching the 97th percentile and will likely exceed it in a few ...
Dr. He Zongxian reply Pediatrics
Hello, from your description, it is evident that you are a caring and attentive mother, and your son's check-up results appear to be normal. According to the updated WHO growth charts for children, his height is between the 25th and 50th percentiles, his weight is also betwe...[Read More] Understanding Infant Head Growth: When to Seek Further Evaluation
Understanding Urine Culture Results in Infants: What Parents Need to Know
Urine culture Doctor, my baby is five months old. The urine culture report is as follows: Test Name: Aerobic Culture Results: Mixed flora of clinical insignificance Reference Value: None What does this result mean? Is there a urinary tract bacterial infection? Does my baby...
Dr. He Zongxian reply Pediatrics
Hello, based on the limited information you provided, no pathogenic bacteria were cultured from the urinary tract. However, the diagnosis of a urinary tract infection should be assessed in conjunction with clinical conditions and laboratory test results. It is recommended that yo...[Read More] Understanding Urine Culture Results in Infants: What Parents Need to Know
Understanding Infant Hydronephrosis: Diagnosis and Monitoring Insights
Infant hydronephrosis (renal pelvis dilation) Dear Dr. He, I apologize for the additional questions. I would like to provide further information regarding my son's abdominal ultrasound data from when he was one month old for your review. During the prenatal check-ups, the d...
Dr. He Zongxian reply Pediatrics
Hello, based on the current information, it appears to be mild. However, since the two ultrasound examinations were performed by different physicians at different institutions, there may be discrepancies. It is recommended that you continue to collaborate with your son's ped...[Read More] Understanding Infant Hydronephrosis: Diagnosis and Monitoring Insights
Understanding Hydronephrosis in Infants: Causes, Concerns, and Care
Infant hydronephrosis Your question: Hello Doctor, during my wife's prenatal check-ups, the doctor did not mention any kidney issues with the fetus, but after our baby was born and reached one month old, we discovered hydronephrosis (this was found during an ultrasound at a ...
Dr. He Zongxian reply Pediatrics
Hello, based on your description, there is no detailed information regarding the degree of hydronephrosis, so I can only estimate it to be mild from the limited data provided. Statistically, hydronephrosis is the most common abnormality found in newborn ultrasound examinations. M...[Read More] Understanding Hydronephrosis in Infants: Causes, Concerns, and Care
Concerns About Growth: Understanding Height Issues in Adolescents
Height issues Hello, doctor. My son is currently in 7th grade and is about to enter 8th grade. He is only 155 cm tall and has only grown 2 cm in the past six months. I am very worried, so I took him to see a doctor for an X-ray, and they said that his growth plates are almost fus...
Dr. He Zongxian reply Pediatrics
Dear concerned parents, One method to estimate your child's potential target height is to take the average of the father's and mother's heights, divide by 2, and for boys, add 6 cm to determine the target height at age 18. Based on the information you provided, y...[Read More] Concerns About Growth: Understanding Height Issues in Adolescents
Can Children Aged 4 to 5 Receive the BNT Vaccine?
Children's BNT vaccine issues? Hello doctor, I recently checked the latest news on pediatric vaccines and learned that Moderna can be administered to children aged 6 months to 5 years, while BNT is limited to ages 6 months to 4 years. I would like to ask if children who are ...
Dr. He Zongxian reply Pediatrics
Hello: The commonly known BNT pediatric vaccine can be further divided into two types: (1) Vaccine for children aged 5-11 years (orange cap packaging), with each dose being 0.2 ml (containing 10 μg of mRNA), requiring a primary series of 2 doses (currently available domestically)...[Read More] Can Children Aged 4 to 5 Receive the BNT Vaccine?
Child Experiences Altered Perception After Fever: What to Know
After a fever, the surrounding speed feels accelerated? Hello, doctor. Last week, my child was suspected to have gastroenteritis (with a fever ranging from 37.8 to 39.1°C, vomiting, and diarrhea). After medication and rest, the symptoms have alleviated. However, my child reports ...
Dr. He Zongxian reply Pediatrics
Please first visit a pediatrician or an otolaryngologist. Thank you.[Read More] Child Experiences Altered Perception After Fever: What to Know
High Inflammation Index at Birth: Should Parents Monitor Their Baby's Health?
High inflammatory index at birth? I would like to ask the doctor, when the baby was born, the inflammation index spiked to 31 and there was originally a plan to perform a lumbar puncture, but it was not successful. After that, the inflammation index decreased, and no definitive c...
Dr. He Zongxian reply Pediatrics
Hello, generally speaking, the tests commonly referred to as inflammatory markers include at least CRP (C-reactive protein) and PCT (Procalcitonin). It's unclear which one you are referring to, but typically, these two markers reflect the acute inflammatory status at the tim...[Read More] High Inflammation Index at Birth: Should Parents Monitor Their Baby's Health?