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Persistent Eye Itching in Children: Causes and Treatment Options

Itchy eyes persistently? Hello, my child experiences itchy eyes every night when going to sleep and needs to use eye drops frequently. They rub their eyes until they become red and it looks quite alarming. In severe cases, the under-eye area swells up, resembling dark circles fro...


Dr. Hong Shuokun reply Pediatrics
Dear Mother, Your child's symptoms are indicative of allergies. The persistent itching and rubbing of the eyes suggest allergic conjunctivitis. Eye drops can help alleviate these symptoms, but the presence of dark circles and nose rubbing are typical features of allergic rh...

[Read More] Persistent Eye Itching in Children: Causes and Treatment Options


Is the Pneumococcal Vaccine Free for Young Children in Taipei?

Streptococcus pneumoniae Is the pneumococcal vaccine free for children registered in Taipei County? Are there any other special conditions? My younger brother is about to turn 2 years old, and I noticed that your hospital offers this vaccine. Until when will this service be avail...


Dr. Hong Shuokun reply Pediatrics
Dear Parents, Our hospital is collaborating with the Taipei County Health Bureau to provide free 7-valent pneumococcal vaccines for children aged 2 to under 5 years who are registered in Taipei County and have not previously received the vaccine. Please bring the original househ...

[Read More] Is the Pneumococcal Vaccine Free for Young Children in Taipei?


Preventing Ant Invasion: Safety Tips for Infants and Young Children

Pest infestation Hello Dr. Hong, I would like to ask you about something. My child is now over 2 months old. There are always some small ants in the house, and although we are very careful to keep things clean, there are still some around. I am worried that they might crawl into ...


Dr. Hong Shuokun reply Pediatrics
Hello, Jia Yi: The chances of small insects entering the ears or nose are quite low. Since such small children cannot express themselves, the crawling of an insect may cause hearing impairment, leading to symptoms such as tinnitus, ear pain, dizziness, and reflex coughing. The ch...

[Read More] Preventing Ant Invasion: Safety Tips for Infants and Young Children


Watery Eyes and Excessive Eye Discharge in Infants: When to See a Doctor?

Watery eyes with excessive eye discharge? My son is now over 3 months old, and for the past two days, he has had watery eyes and increased eye discharge. Should I take him to a pediatrician or an ophthalmologist?


Dr. Hong Shuokun reply Pediatrics
Hello, Apple: Both pediatricians and ophthalmologists can evaluate this. For a 2- to 3-month-old child with excessive eye discharge, there are two causes to differentiate. One type is characterized by thick yellow discharge that causes the eyes to stick together in the morning, a...

[Read More] Watery Eyes and Excessive Eye Discharge in Infants: When to See a Doctor?


Understanding Scalp Scratching and Rashes in Infants: A Pediatric Guide

Frequently scratching the head? Hello Doctor: Our little boy is currently nine months old and often has small rashes on his neck. Each time it flares up, it becomes a large red area, and some people even mistake it for a birthmark. He also frequently pulls his hair. I heard that ...


Dr. Hong Shuokun reply Pediatrics
Hello Meimei: If a child over six months old has thick red patches in specific areas such as the neck, behind the ears, on the cheeks, at the elbow joints, or knee joints, and these patches are itchy, it is more indicative of atopic dermatitis. Allergy testing is only helpful in ...

[Read More] Understanding Scalp Scratching and Rashes in Infants: A Pediatric Guide


Can Babies with Eczema Drink Goat Milk Formula? Expert Advice Inside

Can babies with atopic dermatitis drink goat milk formula? Hello Doctor: My younger brother has just turned 1 year old, and I would like to know if it is suitable to switch him to goat's milk. He has atopic dermatitis, but it has improved significantly. Could you also recomm...


Dr. Hong Shuokun reply Pediatrics
Hello, CSM: Your baby is one year old now. Atopic dermatitis tends to improve gradually as children grow older, but it is still important to pursue active treatment. Regarding formula milk recommendations: if the atopic dermatitis is severe, it is advisable to switch to hydrolyze...

[Read More] Can Babies with Eczema Drink Goat Milk Formula? Expert Advice Inside


Is Free Chickenpox Vaccine Still Available for Kids in Taiwan?

Is there still a free varicella vaccine available? 1. Is there still a free varicella (chickenpox) vaccine available? If so, where can I inquire about it? (I live in Changhua.) 2. My baby turned one year old on September 28, but we are scheduled to administer the measles, mumps,...


Dr. Hong Shuokun reply Pediatrics
1. Yes, every pediatric department in hospitals has it. However, sometimes the free varicella vaccine provided by health clinics may be out of stock, but they have recently restocked. 2. It can be administered more than one month apart. 3. There is not much difference; I am r...

[Read More] Is Free Chickenpox Vaccine Still Available for Kids in Taiwan?


Finding Allergy Testing Covered by Insurance for Pediatric Patients

Which hospitals offer health insurance coverage for allergy testing? The doctor has a few questions for you: 1. Which hospitals provide health insurance coverage for allergy testing? 2. Which department should I consult at the hospital? Should I directly tell the doctor that I wa...


Dr. Hong Shuokun reply Pediatrics
1. Hospitals provide health insurance coverage for allergen testing. 2. You can consult with a pediatrician, pediatric allergist, or dermatologist to determine if allergen testing is necessary. The physician will assess the condition, and if it is severe, health insurance may c...

[Read More] Finding Allergy Testing Covered by Insurance for Pediatric Patients


Understanding Vaccination Guidelines for Infants: Key Considerations

Vaccination Issues Hello Doctor: Thank you for your professional response to my previous inquiry. I have another question that has been troubling me. Could you please help me with this? I would be very grateful. Regarding the previous question: Question 1: (What I found online,...


Dr. Hong Shuokun reply Pediatrics
Hello MIN: You are already well aware that the oral polio vaccine should be administered at least six months apart from immunoglobulin. For the third dose of vaccines, you can choose either 1. the DTaP-IPV-Hib + pneumococcal vaccine or 2. the Pentacel + pneumococcal vaccine. In f...

[Read More] Understanding Vaccination Guidelines for Infants: Key Considerations


Understanding Red Spots on Your Toddler's Legs: Causes and Concerns

Small red spots appear on the skin of the legs? Hello, I would like to ask about my little son (age: 18 months). For the past four to five days, he has developed small red spots on his legs, quite a few of them, both small and large. There are also some on his face, and only a fe...


Dr. Hong Shuokun reply Pediatrics
Hello Clintia: There are many possible causes for red spots on the skin of the legs, and it's best to see them in person for a proper diagnosis. If there are both large and small round lesions, it could be urticaria (hives), or it might be due to insect bites. It is importan...

[Read More] Understanding Red Spots on Your Toddler's Legs: Causes and Concerns


Managing Allergies and Attention Issues in Pediatric Patients

Difficulty concentrating, allergic constitution? Hello Dr. Hong, I have a young child at home who has had an allergic constitution since birth. Every time we have a blood test, the total concentration of Immunoglobulin E (IgE) is greater than 2000 KU/I. For the past two years, t...


Dr. Hong Shuokun reply Pediatrics
Hello Ah-Hui: Indeed, his allergy index for Immunoglobulin E is very high. Generally, desensitization therapy is suitable for allergic patients for whom medications are not very effective. Therefore, while undergoing desensitization therapy, it is also important to use medication...

[Read More] Managing Allergies and Attention Issues in Pediatric Patients


Understanding Hand, Foot, and Mouth Disease Symptoms in Children

Enterovirus I would like to ask if red spots in a child's mouth are a sign of enterovirus. Additionally, how likely is it for a child to have enterovirus with symptoms like subtle blisters? Furthermore, my child has an allergic constitution and often coughs noticeably in the...


Dr. Hong Shuokun reply Pediatrics
Hello, Xiaoling: 1. The characteristic of enterovirus is the presence of ulcers in the oral cavity, which is usually accompanied by fever, mouth pain, and loss of appetite. The presence of red spots in the mouth does not necessarily indicate enterovirus; it is important to see i...

[Read More] Understanding Hand, Foot, and Mouth Disease Symptoms in Children


Vaccination Concerns After Immunoglobulin Treatment in Children

Vaccination injection issues? Hello, Doctor: I would like to ask you a few questions. My daughter received immunoglobulin treatment at the beginning of this month due to enterovirus infection and has now recovered. I have some questions regarding vaccination: Question 1: I read...


Dr. Hong Shuokun reply Pediatrics
Hello, Question 1: When administering immunoglobulin for enterovirus, it should be given intravenously. Live vaccines, including measles, mumps, rubella (MMR) vaccine, varicella (chickenpox) vaccine, and oral polio vaccine, should not be administered for 6 to 9 months after the...

[Read More] Vaccination Concerns After Immunoglobulin Treatment in Children


How to Help Your 2-Year-Old with Nighttime Itching and Allergies

A 2-year-old child is scratching their head continuously while sleeping at night? Dear: My child has an allergic disposition to eggs and nuts, with a sensitivity index of 4, and a sensitivity index of 2 to milk. Additionally, they have atopic dermatitis and often complain of itch...


Dr. Hong Shuokun reply Pediatrics
Hello Vivian: A 2-year-old child has atopic dermatitis, which is typically most itchy at night during sleep. The common areas affected by atopic dermatitis include the scalp, behind the ears, the bends of the elbows, wrists, knees, and ankles. Therefore, it is essential to focus ...

[Read More] How to Help Your 2-Year-Old with Nighttime Itching and Allergies


Managing Persistent Cough in Infants: Causes and Solutions

Coughing Hello Doctor: My 5-and-a-half-month-old baby has had three colds already. The last cold hasn't completely resolved, and now there are new symptoms. This time, he has a persistent cough that sometimes sounds like he's choking, and at times he coughs so much that...


Dr. Hong Shuokun reply Pediatrics
Hello, Yang Ma: Your little one is only five and a half months old and has caught a cold three times, which is quite a lot. Are there other children at home? For children of this age, if they have a cough, it is essential to perform chest physiotherapy to help clear mucus. There ...

[Read More] Managing Persistent Cough in Infants: Causes and Solutions


Understanding Persistent Headaches in an 11-Year-Old: Causes and Solutions

An 11-year-old child experiencing persistent headaches? I am Mrs. Wu, and I have an 11-year-old child who frequently experiences headaches in the morning (mostly on sunny days). Sometimes, they feel nauseous while riding in a car and need to gag, but it improves afterward. We hav...


Dr. Hong Shuokun reply Pediatrics
Approximately 7% of middle school students aged 13 to 15 experience migraine issues. When it comes to headaches, it is essential to rule out the possibility of secondary headaches, which in childhood can often be caused by conditions such as colds, fever, cavities, sinusitis, vis...

[Read More] Understanding Persistent Headaches in an 11-Year-Old: Causes and Solutions


Understanding High Fever and Heart Rate in Children with VSD

High fever with tachycardia? Your daughter's fever of 38.4 degrees Celsius and heart rate of 136 beats per minute, while concerning, may not necessarily be related to her ventricular septal defect (VSD), especially since she is not experiencing significant distress. VSDs can...


Dr. Hong Shuokun reply Pediatrics
Dear David, Your daughter had a high fever accompanied by tachycardia. Tachycardia (rapid heart rate) is likely a physiological response to the fever itself, so there is no need to worry! However, the important issue is the underlying cause of the fever. It could be due to a com...

[Read More] Understanding High Fever and Heart Rate in Children with VSD


Understanding Lip Rash in Toddlers: Causes and Care Tips

Rash around the lips? Hello Doctor: My baby is currently over one year old. About four or five days ago, I noticed two or three very small rashes around his lips. The rashes are red and appear to have a little bit of a blister. They improved a bit the next day, but then one or tw...


Dr. Hong Shuokun reply Pediatrics
Hello: The appearance of water-filled blisters around the lips is likely due to herpetic gingivostomatitis, which may take about a week to resolve and can be accompanied by pain and fever. However, if the lesions are not water-filled, it could be perioral eczema; in that case, ma...

[Read More] Understanding Lip Rash in Toddlers: Causes and Care Tips


Does G6PD Deficiency Affect Growth and Development in Children?

Will children with G6PD deficiency be affected in their growth and development? My child was born via cesarean section on October 31, 2006, and the newborn screening test indicated the presence of G6PD deficiency (favism). This is my third child, and since I am an advanced matern...


Dr. Hong Shuokun reply Pediatrics
Hello, Mom: Favism is a common congenital metabolic disorder among Chinese people, with an incidence rate of 3% in Taiwan, meaning that out of every 100 newborns, there are three cases, particularly higher among Hakka individuals. It is an X-linked genetic disorder, so it only oc...

[Read More] Does G6PD Deficiency Affect Growth and Development in Children?


Understanding Allergies in Toddlers: Eczema, Pets, and Dietary Changes

Allergy My son just turned 14 months old. Since he was six months old, he has often developed many red spots on his body that are itchy; sometimes they go away, but they get worse at night. I've also noticed that whenever he plays and sweats a lot, more red spots appear. Cou...


Dr. Hong Shuokun reply Pediatrics
Hello, Xiao Ying: The characteristics of atopic dermatitis include the appearance of skin rashes after six months, which sounds quite similar to eczema. Now that the child is 14 months old, if the condition is severe, consider switching to a different formula. If it is a mild cas...

[Read More] Understanding Allergies in Toddlers: Eczema, Pets, and Dietary Changes


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