Understanding Necrotizing Enterocolitis in Preterm Infants: Key Insights for Parents
Necrotizing enterocolitis (NEC) Hello, Dr. Liang. My baby was born weighing 1800 grams at 32 weeks and 2 days. After fasting from the first day, the physiological weight loss brought the weight down to 1640 grams. We started feeding with 1 cc, and now, after two weeks, the intake...
Dr. Liang Hongjian reply Pediatrics
Thank you for your letter, Mr. Alen. The issue you raised regarding necrotizing enterocolitis (NEC) generally occurs as a complication following hypoxia in premature infants. Premature infants have inherent deficiencies, and at birth, they may experience respiratory distress synd...[Read More] Understanding Necrotizing Enterocolitis in Preterm Infants: Key Insights for Parents
Is It Safe for My 3-Month-Old to Take Polaramine?
Can I take this medication? I have a three-month-old child who has a cold and saw an ENT doctor. The doctor prescribed Polaramine 0.9 mg, Bilastine 0.9 mg to be taken four times a day, and Lysozyme 100 mg. I checked and found that Polaramine is not recommended for children under ...
Dr. Liang Hongjian reply Pediatrics
Thank you, Ms. Lin, for your letter. In your message, you inquired about Polaramine 0.9, which is formally known as Dexchlorpheniramine maleate. We commonly refer to it as dexchlorpheniramine. CTM is an older medication that acts as an antihistamine, while dexchlorpheniramine is ...[Read More] Is It Safe for My 3-Month-Old to Take Polaramine?
Assessing the Accuracy of Tuberculin Skin Test in Children
What is the accuracy of the tuberculin skin test? A child was born abroad and has not received the BCG vaccine. They are now in the first grade of elementary school. Recently, the school conducted a tuberculin skin test, which resulted in a positive reaction. No family members ar...
Dr. Liang Hongjian reply Pediatrics
Thank you for your letter, Miss Casey. Generally, a positive tuberculin skin test indicates the following: 1. For HIV-positive patients with significant fibrosis on their chest X-ray, a test result greater than 5 mm, and a history of exposure to an active TB patient, they may be ...[Read More] Assessing the Accuracy of Tuberculin Skin Test in Children
Is It Normal for My Toddler to Snore While Sleeping?
I'm sorry, but I need specific content to translate. Please Doctor, may I ask: My child is a little over one year old, and she makes noises with her nose while sleeping, similar to the sounds made when experiencing nasal congestion. Is this considered normal, or could it ind...
Dr. Liang Hongjian reply Pediatrics
Thank you for your letter. Your little baby may be snoring, which could be related to airway narrowing, and there are several possible causes. 1. Obesity 2. Narrow airways: including tonsillar hypertrophy, turbinate hypertrophy, and a deviated septum 3. Colds Additionally, some l...[Read More] Is It Normal for My Toddler to Snore While Sleeping?
Is Using a Pacifier Safe for My 2-Month-Old Baby's Sleep?
Has Dr. Liang received this letter? It's a bit urgent? Hello Dr. Liang, my baby is now 2 months old. When he doesn't sleep, I use a pacifier to help him fall asleep easily, and sometimes he even sleeps while sucking on it. Is this okay? Could this lead to reduced air in...
Dr. Liang Hongjian reply Pediatrics
Thank you for your letter, Ms. Hsiao-Fen. Generally, infants from 6 months to 2 years old are in the oral fixation stage, which has a significant impact on their personality development. This period may lead to issues such as extremism, anxiety, and lack of patience. Therefore, w...[Read More] Is Using a Pacifier Safe for My 2-Month-Old Baby's Sleep?
How to Handle Baby's Acne-Like Rashes on Face and Scalp?
What should I do if I have rash-like bumps all over my face that resemble acne? Hello Dr. Liang, I have a few questions I would like to ask you. I appreciate your valuable time. Thank you. My baby is currently just one month and ten days old, but his face is covered with many r...
Dr. Liang Hongjian reply Pediatrics
Hello: If a one-month-old baby presents with this issue, the most common cause of white spots resembling prickles could be milia. If there are white pustules, it may be impetigo. Treatment will depend on the condition of the rash. For scalp flaking, if there is yellowish oily cru...[Read More] How to Handle Baby's Acne-Like Rashes on Face and Scalp?
Is Oat Milk Safe for Infants with Eczema? Expert Advice on Allergies
Addition of complementary foods Hello Dr. Liang: Recently, someone recommended organic high-calcium plant-based milk for my baby, as my son has atopic dermatitis. That person mentioned that many children are allergic to cow's milk, which can trigger allergic tendencies. I fo...
Dr. Liang Hongjian reply Pediatrics
Hello: Basically, the way you are handling your baby is correct. Currently, there are many products on the market that claim to contain organic substances, but it is unclear whether they have undergone long-term verification and controlled studies. At least the knowledge you have...[Read More] Is Oat Milk Safe for Infants with Eczema? Expert Advice on Allergies
Can Children with Allergies Eat Wheat Products Safely?
Can wheat flour products be consumed? Doctors generally advise that babies with allergic tendencies should avoid wheat flour. However, whether they can consume other flour-based products depends on the specific allergies and sensitivities of the individual child. It is essential ...
Dr. Liang Hongjian reply Pediatrics
Hello: For babies with a general allergic constitution, it is best to completely avoid allergenic foods before 6 months of age, such as milk, egg whites, and wheat flour. This is the rationale behind the theory of "delayed introduction of complementary foods." After 6 m...[Read More] Can Children with Allergies Eat Wheat Products Safely?
Understanding Dark Spots on Your Baby's Face: Causes and Solutions
Black spots on a baby's face? Hello Dr. Liang, my daughter is almost seven months old. For some unknown reason, over the past month or two, small dark spots resembling freckles have appeared under her left eye, which look like dirt on her face. Recently, it seems like they a...
Dr. Liang Hongjian reply Pediatrics
Hello: To determine similar issues, one must consider whether it is vascular or melanotic pigmentation. If it is vascular, applying pressure with your hand will make it disappear, and it will reappear once you release the pressure. In the case of melanotic pigmentation, applying ...[Read More] Understanding Dark Spots on Your Baby's Face: Causes and Solutions
Helping Your Child Focus: Strategies for Classroom Attention Issues
Restlessness The child has started kindergarten this year, but often intentionally touches other children to get their attention. They have difficulty sitting still in class, struggle to concentrate, and are easily distracted. I'm unsure how to help them calm down, and I...
Dr. Liang Hongjian reply Pediatrics
Hello: It is normal for children to be more active at this age during their growth and development, as long as it is not pathological. It is important to rule out the possibility of attention-deficit/hyperactivity disorder (ADHD). You may consult a family physician or seek an eva...[Read More] Helping Your Child Focus: Strategies for Classroom Attention Issues
Understanding Allergies in Children: Common Questions Answered
Unclear? Dear Dr. Liang, I apologize for taking up your valuable time amidst your busy schedule. My daughter is currently seven years old and was diagnosed as an allergic child at two and a half years old through a blood test. At that time, she was treated with medication and sp...
Dr. Liang Hongjian reply Pediatrics
Hello: Allergic rhinitis and urticaria are both allergic diseases caused by an allergic constitution. Urticaria is an allergic condition triggered by allergens, while lupus erythematosus is an autoimmune disease of unknown origin that affects multiple organs. The only similarity ...[Read More] Understanding Allergies in Children: Common Questions Answered
Managing Head Injuries in Infants: What Parents Should Know
Child falls down? Hello Doctor: My child, who is over 4 months old, rolled over for the first time and accidentally fell and hit the back of his head while getting vaccinated. The doctor advised us to observe at home, but we noticed swelling and bruising at the back of his head. ...
Dr. Liang Hongjian reply Pediatrics
Hello: For general head injuries, it is best to observe for a few days to assess any changes in mental status to determine if there is any brain injury. As for subcutaneous bleeding in the head, it occurs due to the rupture of blood vessels outside the skull. If there are no coag...[Read More] Managing Head Injuries in Infants: What Parents Should Know
Flu Vaccine and Chickenpox Vaccine: Safe Scheduling for Your Baby
Influenza vaccine and varicella vaccine? Hello, I would like to ask: My baby will turn one year old on the 27th and needs to receive the varicella vaccine, but I also received a notice that the flu vaccine is due on the 22nd. How should I proceed with the vaccinations? Additional...
Dr. Liang Hongjian reply Pediatrics
Hello: Vaccines can generally be administered simultaneously as long as they are two different, non-live vaccines given at different sites. Vaccines are typically categorized into live and inactivated vaccines. Currently, live vaccines include mumps, BCG (Bacillus Calmette-Guérin...[Read More] Flu Vaccine and Chickenpox Vaccine: Safe Scheduling for Your Baby
Using Nebulizers for Pediatric Nasal Care: When and How?
Regarding nebulizers? Hello, my daughter is four years old. Since November of last year, she has been experiencing a runny nose, which has been fluctuating between better and worse. The doctor said it is caused by nasal allergies, and she uses a nasal spray every night before bed...
Dr. Liang Hongjian reply Pediatrics
Hello: The therapeutic principle of a steam nebulizer is to mechanically produce extremely fine water vapor particles that reach the smallest bronchi and adhere to the respiratory tract. As air is inhaled through the trachea, it disperses throughout the smaller bronchi, making it...[Read More] Using Nebulizers for Pediatric Nasal Care: When and How?
Understanding Preterm Infants: Managing Respiratory Issues and Care
Premature infant Hello Dr. Liang, My son was born on January 25 of this year (weighing 1390 grams) and is currently over 4 months corrected age. All tests related to potential complications from being a premature infant have come back normal, and he currently weighs 7.8 kilogra...
Dr. Liang Hongjian reply Pediatrics
Hello: Thank you for your inquiry. Currently, your child's issues can be summarized as follows: 1. The relationship between bronchiolitis and allergic predisposition: Many studies indicate a certain relationship between bronchiolitis and allergies, but not all cases of bronc...[Read More] Understanding Preterm Infants: Managing Respiratory Issues and Care
Understanding Pediatric Fever: Symptoms, Treatments, and Rash Concerns
Fever Hello Dr. Liang, My child started having a fever on the night of July 25, accompanied by vomiting and leg pain. Despite continuous use of anti-nausea and antipyretic medications, there was no improvement. On the fifth day, we went to a large hospital for blood tests, which...
Dr. Liang Hongjian reply Pediatrics
Hello: Based on the description, your second child appears to have roseola. It is caused by infection with human herpesvirus type 6 and is most common in children aged two to three years, so older children may not exhibit typical symptoms. One characteristic of this condition is ...[Read More] Understanding Pediatric Fever: Symptoms, Treatments, and Rash Concerns
Understanding Fever in Children: Symptoms, Diagnosis, and Treatment
Fever Dear Dr. Liang, My child developed a fever on July 25, accompanied by leg pain, abdominal pain, and vomiting. Despite administering antiemetics and antipyretics, the fever did not subside. On the fifth day, we went to a large hospital where the doctor suspected typhoid fev...
Dr. Liang Hongjian reply Pediatrics
Hello: Thank you for your response to the previous question. Wishing you good health and happiness.[Read More] Understanding Fever in Children: Symptoms, Diagnosis, and Treatment
Why Do Babies Bang Their Heads While Sleeping?
Why do children hit their heads while sleeping at night? Since the child was born, they have developed a habit of tapping their forehead while sleeping. Now that they are seven months old, this habit persists, and it makes me quite worried. Is this phenomenon normal?
Dr. Liang Hongjian reply Pediatrics
Hello: During the developmental process of children, early motor development includes the ability to naturally lift the head while lying prone, so the action of head elevation is essential in a child's development. Your child may be performing some habitual actions with his ...[Read More] Why Do Babies Bang Their Heads While Sleeping?
Managing Gas and Eye Discharge in Infants: Expert Advice
Bloating and eye discharge? Hello Dr. Liang, 1. My son is currently 20 days old and has issues with gas. Besides applying medication, are there any other methods to help? 2. My baby has a lot of eye discharge. Is this a concern? How should I handle it? I kindly ask for your ...
Dr. Liang Hongjian reply Pediatrics
Hello: Neonatal abdominal distension is sometimes thought to be caused by the intake of air into the stomach during breastfeeding, leading to gastrointestinal bloating. Recent literature indicates that it may be related to allergic gastrointestinal conditions in infants. When add...[Read More] Managing Gas and Eye Discharge in Infants: Expert Advice
Concerns After 5-in-1 Vaccine: What Parents Should Know
The condition of the 5-in-1? My baby is now two months old, and when I took him to get the DTaP-Hib-IPV-HepB (5-in-1) vaccine, the nurse administered it. Afterward, while preparing to give the oral Sabin vaccine, I reminded her that it was the 5-in-1 vaccine that was given. She r...
Dr. Liang Hongjian reply Pediatrics
Hello: Every type of vaccine carries varying degrees of risk. The likelihood of developing complications from Japanese encephalitis after receiving the vaccine, according to the literature, is very low. Currently, your situation involves an excessive amount of vaccine, which may ...[Read More] Concerns After 5-in-1 Vaccine: What Parents Should Know