Understanding Red Spots on Infant Skin: Causes and Concerns
Red spots on infant skin My daughter is over three months old, and I noticed three or four small red spots on her face in the past couple of days. They are flat and seem not to itch (she hasn't scratched them). I'm not sure if this is related to anything. Additionally, ...
Dr. Liang Hongjian reply Pediatrics
There are several possible causes for red spots on the face. The first is neonatal eczema, which is also the most common issue. It is important to assess the family history of allergies to determine if this is a possibility. Additionally, insect bites, particularly from mosquitoe...[Read More] Understanding Red Spots on Infant Skin: Causes and Concerns
Understanding Apple Disease: Red Rash in a 3-Year-Old Without Fever
A three-year-old female child presents with generalized erythematous patches, without fever, and mild localized pruritus? Dear Dr. Liang, I apologize for taking up your valuable time. My child experienced mild symptoms on September 26. On the evening of September 22, she had abd...
Dr. Liang Hongjian reply Pediatrics
The term "apple heat" you mentioned is not commonly found in standard textbooks, but many physicians simplify this term for better public understanding. "Apple heat" refers to a condition where many children experience flushing of the face or body due to fever...[Read More] Understanding Apple Disease: Red Rash in a 3-Year-Old Without Fever
Understanding Group B Streptococcus in Newborns: Causes, Treatment, and Risks
Group B Streptococcus is present in the blood? Hello, doctor. My child is three weeks old and started having a fever one night. We took him to the hospital for a blood test, and the doctor reported the presence of Group B Streptococcus (GBS) in the blood, which caused the fever. ...
Dr. Liang Hongjian reply Pediatrics
Group B Streptococcus (GBS) infection is the leading cause of bacterial infections in neonates, most commonly affecting infants aged 0 to 4 months. In newborns, infections can be classified into two types: A. Early-onset, which occurs within three days of birth and presents with ...[Read More] Understanding Group B Streptococcus in Newborns: Causes, Treatment, and Risks
Understanding Skin Darkening in Children: Causes and Prevention Tips
The skin may leave dark marks..? My daughter is currently 1 year and 6 months old, and she often gets bitten by mosquitoes. Regardless of whether she scratches the bites, there are always dark spots left at the site of the bites. When I purchased formula at the pharmacy, the phar...
Dr. Liang Hongjian reply Pediatrics
Thank you very much to cpus.family for raising this question. Based on your description, the dark spots left on your daughter's skin may be due to hyperpigmentation, which will gradually fade over time. This could be a result of a typical localized reaction or a side effect ...[Read More] Understanding Skin Darkening in Children: Causes and Prevention Tips
Safe Ear Cleaning Tips for Your 17-Month-Old Baby
Ear cleaning How should I clean the ears of a one-year-and-seven-month-old baby?
Dr. Liang Hongjian reply Pediatrics
Earwax can be classified into two types: dry and oily. Dry earwax can naturally fall out due to the motion of the jaw during chewing and does not require special treatment. Oily earwax, on the other hand, should be monitored, especially after bathing or washing hair, as water ent...[Read More] Safe Ear Cleaning Tips for Your 17-Month-Old Baby
Understanding Thalassemia: Risks and Symptoms for Children of Affected Parents
Mediterranean anemia, also known as thalassemia? Hello Dr. Liang, I have some questions from my colleague: 1. What is thalassemia? 2. If a couple has two sons (elementary school students), and the husband has recently been diagnosed with beta-thalassemia while the mother’s h...
Dr. Liang Hongjian reply Pediatrics
Mediterranean anemia, also known as thalassemia, is a recessive hereditary hemolytic disorder caused by genetic mutations affecting RNA. Due to these genetic changes, it presents in various forms, such as alpha-thalassemia and beta-thalassemia. Routine blood tests can typically d...[Read More] Understanding Thalassemia: Risks and Symptoms for Children of Affected Parents
Understanding Hib Vaccine Options for Your 6-Month-Old: Key Considerations
Regarding the Haemophilus influenzae type b (Hib) vaccine? My son just turned six months old. Today we went to the hospital for vaccinations, but the hospital informed us that the new combination vaccine was out of stock, so we went to a clinic to get vaccinated. Due to my oversi...
Dr. Liang Hongjian reply Pediatrics
Currently, there are three brands of Haemophilus influenzae type b (Hib) vaccines available on the market, and each manufacturer has different recommended dosing schedules. There is no need to worry about which one is the best, as all vaccines have been approved for use after und...[Read More] Understanding Hib Vaccine Options for Your 6-Month-Old: Key Considerations
Is My Baby Eating Too Much? Understanding Infant Feeding Patterns
My baby has an astonishing appetite! My baby just turned one month old and currently weighs about 4 kilograms. She is being fed formula milk. Her feeding amounts are not very consistent, usually around 90 to 150 cc. However, during the feeding close to midnight, she tends to cons...
Dr. Liang Hongjian reply Pediatrics
Thank you for your inquiry, iamberni. Your baby has just turned one month old and weighs 4 kilograms, which is quite good in terms of weight development. For a baby weighing 4 kilograms, the standard milk intake should be less than or equal to 800cc per day, which means approxima...[Read More] Is My Baby Eating Too Much? Understanding Infant Feeding Patterns
Understanding Your Child's Crying Episodes: A Pediatrician's Insight
The son is practicing turtle breathing techniques, and the mother is almost scared to death? Hello Dr. Wu: My child is currently one and a half years old and cries a lot. Since he turned one, at least once every one to two months, he has cried to the point where his lips turn pur...
Dr. Liang Hongjian reply Pediatrics
Thank you for your inquiry, Mini. It is common for infants and young children to cry excessively and hold their breath when they are upset, which can lead to cyanosis (bluish discoloration of the lips) and pallor. This phenomenon is known as "breath-holding spells" and ...[Read More] Understanding Your Child's Crying Episodes: A Pediatrician's Insight
Understanding Sleep Apnea in Children and Allergic Individuals
Temporary cessation of breathing? Hello, doctor! I have a severe allergic constitution (allergic rhinitis, asthma, drug allergies, and urticaria). When I sleep, I often unconsciously stop breathing (my husband says that after regular breathing, I suddenly stop for a few minutes a...
Dr. Liang Hongjian reply Pediatrics
Thank you, Vivian, for your inquiry regarding the related issues. Temporary cessation of breathing, known as apnea, is often observed in newborns and infants, particularly in premature infants. There are many underlying causes, with common reasons including underdeveloped brain m...[Read More] Understanding Sleep Apnea in Children and Allergic Individuals
Can My Child Get Vaccinated After Hand Foot Mouth Disease?
Vaccination is available? My son was born at 90/10/10. On the morning of April 10, he developed red rashes on the palms and backs of his hands. The doctor said it was hand, foot, and mouth disease (HFMD) caused by enterovirus. However, the rashes only increased slightly the next ...
Dr. Liang Hongjian reply Pediatrics
Thank you, Ms. Shih, for your inquiry. In addition to pharyngitis, enteroviruses commonly cause hand, foot, and mouth disease, both of which are caused by Coxsackievirus A. In clinical practice, there are some atypical cases, such as your child, where rashes may only appear on th...[Read More] Can My Child Get Vaccinated After Hand Foot Mouth Disease?
Understanding Red, Rough Skin in Children: Eczema or Allergies?
Redness of the skin? Hello Dr. Liang: My child was diagnosed with an allergic constitution through umbilical cord blood testing at birth. Now, their hands and feet have red, rough patches that resemble eczema, but I'm not sure if this is due to overheating and needing to wea...
Dr. Liang Hongjian reply Pediatrics
KITTY appreciates your online consultation. If your child’s cord blood test shows an IgE level higher than 0.9, it indicates an allergic constitution. According to statistical reports, infants under the age of two commonly exhibit allergic reactions, particularly allergic gastroe...[Read More] Understanding Red, Rough Skin in Children: Eczema or Allergies?