Should You Re-administer Oral Polio Vaccine After Baby Vomits?
Preventive vaccination If a baby vomits approximately twenty minutes after taking the third dose of the oral polio vaccine, is it necessary to administer the dose again? Thank you!
Dr. Liang Hongjian reply Pediatrics
Hello: The oral polio vaccine is primarily absorbed through the oral mucosa, with an absorption time of approximately 10 to 20 minutes. As a precaution, it is recommended not to eat for 30 minutes after administration to ensure that the vaccine is fully absorbed and does not get ...[Read More] Should You Re-administer Oral Polio Vaccine After Baby Vomits?
Understanding Unexplained Dark Spots on Baby's Face and Limbs
The baby has developed dark spots on the face (it looks like something dirty, but it's not)? Recently, my brother's child has developed dark shadows around the corners of the mouth, resembling dirt that cannot be wiped off. Additionally, the child's left thumb appe...
Dr. Liang Hongjian reply Pediatrics
Hello: Based on the current description, it is difficult to make a diagnosis. We need to determine whether the issue is in the epidermis or the subcutaneous layer. If the discoloration disappears upon light pressure, it may indicate a vascular issue, which includes hemangiomas an...[Read More] Understanding Unexplained Dark Spots on Baby's Face and Limbs
Essential Childhood Vaccinations for Adults Around 35 Years Old
Preventive vaccination Adults around the age of 35 who received vaccinations during elementary school typically received the following immunizations: 1. Diphtheria, Tetanus, and Pertussis (DTaP) 2. Measles, Mumps, and Rubella (MMR) 3. Polio (IPV) 4. Hepatitis B 5. Varicella (Ch...
Dr. Liang Hongjian reply Pediatrics
Hello: According to what you said, it may involve BCG vaccine, MMR (measles, mumps, rubella), vaccinia (cowpox), and Japanese encephalitis. Dr. Liang Hong-Jian from the Pediatrics Department of Miaoli Hospital.[Read More] Essential Childhood Vaccinations for Adults Around 35 Years Old
Understanding Eye Rubbing and Vomiting in Toddlers: When to Seek Help
Child scratching eyes and vomiting? Hello, doctor. My younger son just turned 2 years old. For the past week, he has been waking up with one of his eyes appearing to be a single eyelid (it looks swollen and his eye becomes very small) for the first couple of days. By the third an...
Dr. Liang Hongjian reply Pediatrics
Hello: To address your first point, as you mentioned, it could be an allergic reaction. In addition to nasal allergies, the eyes may also be affected, presenting as allergic conjunctivitis. If the nose is scratched, there is a risk of bacterial infection, so it is advisable to fi...[Read More] Understanding Eye Rubbing and Vomiting in Toddlers: When to Seek Help
Understanding Lack of Sweating in Children: Causes and Concerns
Anhidrosis My son is in the first year of junior high school, with a height of 145.5 cm and a weight of 32 kg. He has mild asthma and nasal allergies. This year, I've noticed that he doesn't sweat much and doesn't seem to be sensitive to heat. When the whole family...
Dr. Liang Hongjian reply Pediatrics
Hello: Body shape is largely determined by genetics, and sweating varies from person to person. As long as the sweat glands are functioning normally and hydration is adequate, sweating will occur naturally. It is important to consider whether water intake is sufficient, and since...[Read More] Understanding Lack of Sweating in Children: Causes and Concerns
Managing Allergic Rhinitis in Children: Causes and Solutions
Nasal allergies Dr. Liang: Hello, my young daughter had bronchitis when she was about six years old, and after experiencing a high fever, she has had abnormal sounds from her bronchial tubes every time the weather changes. She also suffers from nasal allergies, waking up every mo...
Dr. Liang Hongjian reply Pediatrics
Hello: According to current research, genes located in human chromosome regions 5 and 11 are responsible for the inheritance of allergies, which means that children may inherit this condition from their parents. As you mentioned, changes can be made in the environment and diet. I...[Read More] Managing Allergic Rhinitis in Children: Causes and Solutions
Understanding the 5-in-1 Vaccine: Schedule, Cost, and Benefits for Infants
Regarding the pentavalent vaccine? 1- What is the 5-in-1 vaccine? 2- When should newborns receive it? 3- How much does it typically cost out-of-pocket?
Dr. Liang Hongjian reply Pediatrics
Hello: The pentavalent vaccine combines the traditional trivalent vaccine (diphtheria, pertussis, tetanus) with the Haemophilus influenzae type b (Hib) vaccine and the polio vaccine. The American Academy of Pediatrics recommends that infants receive the inactivated polio vaccine ...[Read More] Understanding the 5-in-1 Vaccine: Schedule, Cost, and Benefits for Infants
Understanding Elevated Blood Uric Acid Levels in Young Children
Blood uric acid is a waste product formed from the breakdown of purines, which are substances found in certain foods and are also produced by the body. Elevated levels of uric acid in the blood can lead to conditions such I apologize for the inquiry. Our child (female) is 2 years...
Dr. Liang Hongjian reply Pediatrics
Hello: The term "acidemia" refers to a blood pH level of less than 7.4 ± 0.05, primarily due to an excess production of acids in the blood (commonly referring to HCO3) or inadequate elimination by the lungs due to dysfunction or insufficient capacity, leading to the acc...[Read More] Understanding Elevated Blood Uric Acid Levels in Young Children
Understanding Chromosomal Deficiency in Children: Causes and Solutions
What is chromosomal deficiency? Hello! My child is in the second grade this year, with a height of only 112 cm and a weight of 17 kg, which is considered very underweight. We previously took him to Chimei Medical Center for a physical examination, and the doctor mentioned a chrom...
Dr. Liang Hongjian reply Pediatrics
Hello: The causes of chromosomal abnormalities can be classified into numerical and structural abnormalities. Numerical abnormalities are further divided into euploid (2N or 3N) and aneuploid (such as Trisomy). If a chromosome is missing, it is referred to as monosomy (e.g., 45XY...[Read More] Understanding Chromosomal Deficiency in Children: Causes and Solutions
Understanding Precocious Puberty: Concerns for Your Daughters' Growth
Precocious puberty issues? Hello Dr. Liang, I am currently residing in Indonesia and have two daughters, one aged nine and the other aged six. My eldest daughter began breast development around seven and a half years old and started her first menstruation at nine years old. She h...
Dr. Liang Hongjian reply Pediatrics
Hello: Due to improved nutrition compared to the past, there is a trend of earlier onset of secondary sexual characteristics in children. However, your daughter's onset of menarche at the age of 9 is relatively early. You may want to consult a pediatric endocrinologist to as...[Read More] Understanding Precocious Puberty: Concerns for Your Daughters' Growth
Understanding Eye Discharge in Infants: Causes and Care Tips
Sister's eye discharge? Hello, doctor! My little sister is now over a month old. After her bath this afternoon, I noticed that she suddenly had an increase in eye discharge from her right eye. After wiping it away, more appeared, but she hasn't been unusually fussy or c...
Dr. Liang Hongjian reply Pediatrics
Hello, generally speaking, most cases are caused by nasolacrimal duct obstruction. You can massage the inner corner of the eye (near the nose) several times a day and observe if there are any changes. Most cases will improve on their own, while a few may require treatment. Of cou...[Read More] Understanding Eye Discharge in Infants: Causes and Care Tips
Is My 1-Year-Old Daughter's Speech Delay a Cause for Concern?
Language Doctor, I would like to ask you about my daughter who is now almost 1 year and 8 months old. She seems to be slower in her speech development; she can only say "daddy," "mommy," and a few basic words. All of my friends' children, who are older th...
Dr. Liang Hongjian reply Pediatrics
Hello: Based on what you said, since she understands what her parents are saying, we can first rule out hearing impairment. Next, we should check for any other developmental delays, such as gross motor skills, fine motor skills, and social adaptability. If there are no issues in ...[Read More] Is My 1-Year-Old Daughter's Speech Delay a Cause for Concern?
Can Propolis Boost Immunity in Toddlers Aged 1.5 to 3 Years?
Can children aged 1.5 to 3 years old really strengthen their immune system by consuming propolis? Hello, doctor: The pharmacy nutrition consultants often recommend purchasing propolis to enhance children's immunity. I have two children, one is 1.5 years old and the other is ...
Dr. Liang Hongjian reply Pediatrics
According to the National Health Promotion Administration of the Republic of China, propolis is a resin-like protective layer produced by plants when they sprout, which helps prevent damage from microorganisms and pests. Bees collect this substance, mix it with their saliva, and ...[Read More] Can Propolis Boost Immunity in Toddlers Aged 1.5 to 3 Years?
Understanding Gastroenteritis in Infants: Is It a Viral Infection?
Gastroenteritis? Enterovirus? Adenovirus? My daughter is currently 7 and a half months old and weighs 7.5 kg. She started experiencing mild diarrhea last Thursday (June 26), having three bowel movements a day (some formed, some semi-formed). The next day (June 27), she had two bo...
Dr. Liang Hongjian reply Pediatrics
Thank you, Miss Lan, for your letter. In response to your question, the term "cold" generally refers specifically to an illness caused by the influenza virus, with clinical symptoms typically including fever, cough, runny nose, body aches, and fatigue. On the other hand...[Read More] Understanding Gastroenteritis in Infants: Is It a Viral Infection?
Understanding Japanese Encephalitis Vaccination Schedule for Children
Japanese Encephalitis Vaccine Hello: According to the data from the Centers for Disease Control, children aged 15 months and older should receive the Japanese encephalitis vaccine, with the second dose administered two weeks later, followed by a booster dose the following year, a...
Dr. Liang Hongjian reply Pediatrics
Thank you for your letter. Your child's question is whether to receive an additional dose of the Japanese encephalitis vaccine this year. The Japanese encephalitis vaccination series begins at 15 months of age, with the second dose administered two weeks later, totaling two ...[Read More] Understanding Japanese Encephalitis Vaccination Schedule for Children
Understanding Newborn Screening for Congenital Adrenal Hyperplasia
Newborn screening Hello Doctor: During my son's newborn screening, the initial test indicated a high level for "congenital adrenal hyperplasia." We were notified to return to the hospital for a repeat blood test, and the results from National Taiwan University were...
Dr. Liang Hongjian reply Pediatrics
Hello, Miss Xiao Guan. Thank you for your letter. Regarding the questions you raised, we would like to provide you with the following answers: Currently, our neonatal screening program includes five conditions: congenital hypothyroidism, galactosemia, phenylketonuria, homocystinu...[Read More] Understanding Newborn Screening for Congenital Adrenal Hyperplasia
Understanding Thigh Crease Asymmetry in Infants: What Parents Should Know
Number of thigh creases in infants? Hello Dr. Liang, My son is currently three to four months old, and I have noticed that the number of skin folds on the inner thighs is different. The right leg has three folds, while the left leg has two folds. Compared to the right leg, the l...
Dr. Liang Hongjian reply Pediatrics
Hello Mr. Gary, thank you for your letter. You truly are a meticulous father. The creases on the inner thigh are primarily due to the accumulation of subcutaneous fat along each muscle of the thigh. When the muscles contract, they create flexion and extension movements, resulting...[Read More] Understanding Thigh Crease Asymmetry in Infants: What Parents Should Know
Managing Allergies in Infants: Tips for Parents of 5-Month-Olds
What should I do? Hello, my baby is currently five months old. Two weeks ago, we started introducing solid foods, and a large red patch appeared on her left thigh. It disappeared after a few days, so I stopped feeding her solids. Last week, when we tried again, a red patch appear...
Dr. Liang Hongjian reply Pediatrics
Hello, attentive mother. Your concerns are very common in our society and are a source of worry for many mothers. Based on your description, allergies are the most likely cause, but I'm unsure if there are any other accompanying symptoms. Generally, we consider a child to ha...[Read More] Managing Allergies in Infants: Tips for Parents of 5-Month-Olds
How to File a Complaint for Pediatric Medical Disputes?
I would like to know what channels are available for filing complaints? Hello Dr. Liang, I would like to ask you: if I have some medical disputes and want to sue the hospital, what channels can I use for complaints? What procedures are required? P.S. Since this is related to huma...
Dr. Liang Hongjian reply Pediatrics
Yes, every hospital has a channel for complaints. Issues raised by patients and the public can be addressed through the hospital director's mailbox or the administrative management department. Therefore, it is best to refer to the hospital you are affiliated with to submit y...[Read More] How to File a Complaint for Pediatric Medical Disputes?
Understanding Skin Changes in Infants: Allergies and Eczema Symptoms
Changes in Baby's Skin Hello Dr. Liang: My son is currently 4 months old. Over the past two days, his neck and face have become red and swollen, with small red bumps, especially on his neck, which is the most severe. I recently introduced complementary foods, including rice ...
Dr. Liang Hongjian reply Pediatrics
Hello, little mommy, thank you for your letter. Generally, when children reach three to four months of age, the salivary glands begin to develop, leading to increased saliva production. Therefore, the redness and swelling in your child's neck and face may be due to this, res...[Read More] Understanding Skin Changes in Infants: Allergies and Eczema Symptoms