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Understanding Developmental Delays in Toddlers: Key Signs to Watch For

Developmental delay Hello Doctor: I have a three-year-old son who is active and has good language development, but he often experiences peeling of the tongue coating and has poor appetite, primarily subsisting on milk (180cc each time, four times a day). His current weight is 11....


Dr. Liang Zhaoxuan reply Pediatrics
Based on your description, it seems that your child may have geographic tongue. Children with geographic tongue often prefer not to consume hot beverages and foods, as hot items can irritate the condition. However, there is no need to worry, as geographic tongue typically does no...

[Read More] Understanding Developmental Delays in Toddlers: Key Signs to Watch For


Understanding Limb Size Discrepancies in Premature Infants: Causes and Treatments

Premature infant Dear Dr. Liang, My child is three months old and was born prematurely, weighing 1800 grams. Recently, I noticed that my child's right hand and right foot are larger than the left hand and left foot, with a length difference of about 2 centimeters. Could you...


Dr. Liang Zhaoxuan reply Pediatrics
Some children with certain syndromes may exhibit unilateral limb hypertrophy. It is advisable to take the child to the hospital for an examination to check for any associated abnormalities in other organs.

[Read More] Understanding Limb Size Discrepancies in Premature Infants: Causes and Treatments


Understanding Teeth Grinding in Children: Causes and Solutions

Sleep bruxism? My son is currently three years old, and I recently noticed that he grinds his teeth very forcefully at night, making a loud noise. It usually occurs one to two times throughout the night. What could be the cause of this? Thank you.


Dr. Liang Zhaoxuan reply Pediatrics
Grinding teeth at night may be caused by sleep disorders, epilepsy, or other brain lesions. However, it is generally recommended that parents take their children to a pediatric neurology clinic for a thorough examination by a physician.

[Read More] Understanding Teeth Grinding in Children: Causes and Solutions


Understanding Unexplained Diarrhea in Children: Causes and Solutions

Unexplained diarrhea Hello, doctor. My child has had a common cold with a fever since February 10, which has led to unexplained diarrhea, occurring about four times a day and accompanied by mucus. This has lasted for 10 days. However, about six days after the cold started, my chi...


Dr. Liang Zhaoxuan reply Pediatrics
When a child has diarrhea, it is important to first assess for signs of dehydration. If the diarrhea is not severe, antidiarrheal medications are usually not necessary. If the child's appetite and overall condition are stable, they can be given some bland foods (such as rice...

[Read More] Understanding Unexplained Diarrhea in Children: Causes and Solutions


Understanding the Link Between Epilepsy and Asperger's in Young Children

Developmental issues in children? My child is 3 years and 8 months old and was diagnosed with epilepsy at 5 months of age. Before the age of 2, his condition was not well controlled, and although it has become more stable now, he still experiences seizures every month. The doctor...


Dr. Liang Zhaoxuan reply Pediatrics
The likelihood of a child with epilepsy having Asperger's syndrome is not very high; however, the incidence of epilepsy is higher in children with autism compared to typically developing children. I recommend that you take your child to see a pediatric psychiatrist for an ev...

[Read More] Understanding the Link Between Epilepsy and Asperger's in Young Children


Understanding Low Weight in Toddlers: Causes and Next Steps

Underweight baby Hello Doctor, my daughter is now 14 months old, but she only weighs 8 kilograms and is quite short in height. I remember she was 6 kilograms at 9 months old, and she has hardly grown since then. Every doctor has said she is too light, but none have provided detai...


Dr. Liang Zhaoxuan reply Pediatrics
If a child consistently has a low body weight, they should be taken to a pediatrician for a more detailed examination. It is advisable to first have a pediatric gastroenterologist assess their daily caloric intake and nutritional adequacy, as well as check for any digestive issue...

[Read More] Understanding Low Weight in Toddlers: Causes and Next Steps


Understanding Renal Tubular Acidosis in Pediatrics: Diagnosis and Treatment

What is renal tubular acidosis? 1. How to diagnose whether arterial blood sampling is necessary? 2. How to treat and whether long-term medication is required? 3. Will it affect kidney function and lead to dialysis?


Dr. Liang Zhaoxuan reply Pediatrics
Renal tubular acidosis (RTA) refers to a condition in which the renal tubules are unable to excrete or reabsorb certain ions, leading to an acidic state in the blood. A definitive diagnosis of renal tubular acidosis requires more detailed examinations to distinguish between the d...

[Read More] Understanding Renal Tubular Acidosis in Pediatrics: Diagnosis and Treatment