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Understanding Hepatitis B Transmission Risks in Newborns: A Parent's Concern

Hepatitis B immunoglobulin (HBIG) prophylaxis for newborns? Hello: During the prenatal check-up, the mother of the child was screened for Hepatitis B, and the e-antigen was negative. Doctor A indicated that the mother is a carrier but has normal liver function, and it would not a...


Dr. Lin Huizhen reply Pediatrics
Dear lukangsin, Hello, this is Dr. Lin Huizhen from the Pediatrics Department of Tainan Hospital, Ministry of Health and Welfare. 1. The presence or absence of Hepatitis B e-antigen (HBeAg) is currently used under the National Health Insurance regulations to determine eligibili...

[Read More] Understanding Hepatitis B Transmission Risks in Newborns: A Parent's Concern


Is Formula Milk Safe with Warm Water? Pediatrician's Advice for Parents

Infant formula Dear Dr. Lin: My daughter is currently one year and eight months old. Recently, she has not liked drinking hot milk and prefers milk that is warm or at a temperature similar to that of plain water. Could you please clarify if formula milk is already cooked? Is it a...


Dr. Lin Huizhen reply Pediatrics
Dear Dr. Lin Huizhen of the Pediatric Department at Tainan Hospital, Executive Yuan Health Department: The infant formula has already undergone high-temperature sterilization, so its safety is generally not a concern. It can also be mixed with water at a temperature of 30 degree...

[Read More] Is Formula Milk Safe with Warm Water? Pediatrician's Advice for Parents


Which Vaccine Causes Fewer Side Effects and Less Fever in Children?

Which vaccine is less likely to cause fever? Which vaccine combination has fewer side effects and is less likely to cause fever: the three-in-one, five-in-one, or six-in-one?


Dr. Lin Huizhen reply Pediatrics
Dear Dr. Lin Huizhen of the Pediatric Department, Tainan Hospital, Ministry of Health and Welfare: In my experience as a pediatrician, the older trivalent vaccine does indeed have a higher incidence of fever or localized redness (10-30%). The newer trivalent, quadrivalent, penta...

[Read More] Which Vaccine Causes Fewer Side Effects and Less Fever in Children?


Caring for Infants with Kawasaki Disease: Key Considerations and Concerns

How to care for a baby with Kawasaki disease? Hello, my daughter just turned 2 months old. After being hospitalized for a fever two weeks ago, she was diagnosed with Kawasaki disease. Currently, her echocardiogram is normal. I would like to know if this condition can lead to any ...


Dr. Lin Huizhen reply Pediatrics
Dear Dr. Lin Huizhen of the Pediatric Department at Tainan Hospital, Executive Yuan Health Department: The most significant potential long-term complication of Kawasaki disease is related to the heart. If there are no changes in cardiac follow-up, future medication and monitorin...

[Read More] Caring for Infants with Kawasaki Disease: Key Considerations and Concerns


Understanding Adenovirus: Symptoms, Risks, and Care for Your Child

Adenovirus Yesterday morning, my younger brother noticed that he had a slightly elevated body temperature (37.3°C) when he woke up, thinking it was due to wearing too many clothes. Throughout the day, his activity level did not decrease, so we didn't pay much attention to it...


Dr. Lin Huizhen reply Pediatrics
Dear Twin Mothers, This is Dr. Lin Huizhen, Director of Pediatrics at Tainan Hospital, Department of Health. If the bladder inflammation is indeed caused by adenovirus, the treatment differs from that of bacterial cystitis. Antibiotics are not required; instead, it is encourag...

[Read More] Understanding Adenovirus: Symptoms, Risks, and Care for Your Child


Understanding My Daughter's Unusual Eye and Breathing Symptoms: What to Do?

What is this condition? My daughter, who is 9 years old, has been exhibiting a symptom for about a month. She first widens her eyes, wrinkles her nose, takes a deep breath, then rapidly blinks 5 to 6 times, pauses for a second or two, and repeats the same actions. This occurs thr...


Dr. Lin Huizhen reply Pediatrics
Dear Liu, This is Dr. Lin Huizhen from the Pediatrics Department of Tainan Hospital, Ministry of Health and Welfare. Based on your description, it is possible that this could be habitual seizures; however, this is merely a speculation. To rule out other potential causes, I recom...

[Read More] Understanding My Daughter's Unusual Eye and Breathing Symptoms: What to Do?


Caring for Newborns: Addressing Ear Hygiene and Urine Exposure Concerns

Nursing-related issues for newborns? Hello Doctor: I would like to ask you some questions regarding the care of newborns. While changing the diaper of my six-day-old baby, urine accidentally sprayed onto the ear. We were only able to clean the urine residue from the outer ear wit...


Dr. Lin Huizhen reply Pediatrics
Dear Jeremy, 1. If an infant has an unfortunate urinary tract infection, it is best to have a pediatrician evaluate it for any adverse effects. 2. The ears have a self-cleaning mechanism. Sincerely, Dr. Tsai Yueh-Fu Department of Family Medicine, Tainan Hospital, Ministry o...

[Read More] Caring for Newborns: Addressing Ear Hygiene and Urine Exposure Concerns


Redness Under Baby's Eyes: Causes and When to Seek Help

The skin under the baby's eyes is red? The skin under the eyes of a 1-year-old infant, near the nose, is red in color, and both eyes are affected. Is this a symptom of a condition? If further diagnosis is needed, which type of specialist should be consulted?


Dr. Lin Huizhen reply Pediatrics
Dear bababa, Hello. The redness and swelling of the skin beneath the infant's eyelid may be caused by the baby rubbing their eyes, unclean hands of the caregiver, or unclean pillowcases. It is advisable to consult a pediatrician or dermatologist for further evaluation. Sin...

[Read More] Redness Under Baby's Eyes: Causes and When to Seek Help


Concerns About Hearing Issues in Infants: What Parents Should Know

Hearing problems My daughter is now over four months old, and when I make sounds near her ear or call her name, she does not turn towards the source of the sound and shows no response. I am a bit worried that there might be an issue with her hearing.


Dr. Lin Huizhen reply Pediatrics
Dear Dr. Lin Huizhen, Director of Pediatrics at Tainan Hospital, Department of Health, Executive Yuan: I recommend that you take your child to an otolaryngologist for a thorough examination to obtain an accurate diagnosis. Wishing you and your baby good health and all the best!

[Read More] Concerns About Hearing Issues in Infants: What Parents Should Know


Should I Replace My Baby's Finger Sucking with a Pacifier?

I'm sorry, but I need content to translate. Please provide My baby was born on December 10, 1994. Recently, I noticed that my baby loves to suck on their fingers. It seems that they are not just sucking on them, but rather enjoying putting their fingers in their mouth or und...


Dr. Lin Huizhen reply Pediatrics
Dear Dr. Lin Huizhen of the Pediatric Department at Tainan Hospital, Department of Health, Executive Yuan: It is common for children at this age to have habits such as thumb-sucking or using a pacifier. Mothers can use teething toys, playthings, or edible items to divert their a...

[Read More] Should I Replace My Baby's Finger Sucking with a Pacifier?


Is My Baby's Milk Intake Too Low? Understanding Urinary Tract Infections

Is the milk supply too low? Urinary tract infection? Hello Doctor, I would like to ask you about my son, who has just turned 5 months old. Since he was 2 months old, he hasn't been eating much. At 4 months, he weighed 5.5 kg, and now he is 6.5 kg. Is this growth too slow? C...


Dr. Lin Huizhen reply Pediatrics
Dear Dr. Lin Huizhen of the Pediatrics Department at Tainan Hospital, Ministry of Health and Welfare: 1. Based on your child's age and weight, they are approximately at the 25th percentile on the growth curve. Generally speaking, the milk intake is indeed slightly lower, bu...

[Read More] Is My Baby's Milk Intake Too Low? Understanding Urinary Tract Infections


Understanding Your Baby's 0.5 cm Bump: Is It Just Swollen Lymph Nodes?

Birth Hello, Doctor: I would like to ask about my baby, who turned 6 months old on February 18. There is a round protrusion about 0.5 cm in size near the back of the head close to the ear. It is not very hard, and when I gently move my hand over it, the baby does not seem to be i...


Dr. Lin Huizhen reply Pediatrics
Dear Mr. Tseng, Thank you for your description. It appears that your child has lymph nodes. In children aged 6 months to 3 years, it is common to find small, movable, and soft lymph nodes behind the ears or on the face. Generally, if they are less than 1 centimeter, observation ...

[Read More] Understanding Your Baby's 0.5 cm Bump: Is It Just Swollen Lymph Nodes?


Understanding Lactoferrin: Is Red Sediment Normal and Does It Boost Immunity?

Lactoferrin Does lactoferrin form red specks when dissolved in water? I noticed some sediment at the bottom of the bottle yesterday, with red and black dots. Is this normal? Also, does consuming lactoferrin really help boost immunity and reduce the frequency of colds?


Dr. Lin Huizhen reply Pediatrics
Dear Judy, Dr. Lin Huizhen from the Pediatrics Department of Tainan Hospital, Ministry of Health and Welfare, would like to address your inquiries: 1. Does lactoferrin dissolve in water and produce red specks? This phenomenon does not occur with regular cow's milk, so it i...

[Read More] Understanding Lactoferrin: Is Red Sediment Normal and Does It Boost Immunity?


Concerns About Child's Breath Smelling Like Disinfectant: What to Know

The exhalation has a disinfectant smell? 1. My son is three and a half years old. He drinks a bottle of sports drink every day and does not drink water. This has been the case for a year. Will this have any impact on his health? 2. Recently, he has had a disinfectant smell in h...


Dr. Lin Huizhen reply Pediatrics
Dear Dr. Lin Huizhen, Director of Pediatrics at Tainan Hospital, Department of Health, Executive Yuan: 1. Regular sports drinks have a higher ion content, which can increase the burden on the kidneys in the long term. If children are unable to make a sudden change, it is recomme...

[Read More] Concerns About Child's Breath Smelling Like Disinfectant: What to Know


Essential Pediatric Vaccination Questions Answered by Dr. Lin

Vaccine Hello Dr. Lin, I would like to ask you a few questions: 1. The nurse mentioned that after the oral polio vaccine, my child should not drink water or milk for half an hour. However, I read a report stating that even pacifiers should be avoided. Is this correct? If so, my...


Dr. Lin Huizhen reply Pediatrics
Dear Mom An-An, This is Dr. Lin Huizhen from the Pediatrics Department of Tainan Hospital, Ministry of Health and Welfare. 1. It is acceptable to use a pacifier; it does not have an impact. The main factors that can affect absorption are food (including water or milk) or if the...

[Read More] Essential Pediatric Vaccination Questions Answered by Dr. Lin


Understanding Involuntary Tremors in Infants: When to Seek Help

Involuntary tremors or shaking? The child is now ten months old, and overall development and diet should be normal. However, there is one peculiar situation: since he was three to four months old, he has experienced involuntary shaking or tremors one to three times a day. Initial...


Dr. Lin Huizhen reply Pediatrics
Dear Mom An, This is Dr. Lin Huizhen from the Pediatrics Department of Tainan Hospital, Ministry of Health and Welfare. If your child experiences episodes resembling shivering or head shaking, and if their gaze is normal or shows signs of absence, and these episodes are brief, i...

[Read More] Understanding Involuntary Tremors in Infants: When to Seek Help


Does Feeding a Sleeping Baby Affect Brain Development?

Will feeding a baby while they are asleep have any impact on their brain development? Hello Dr. Huizhen, Thank you for your previous explanation about pacifiers, which has put my mind at ease. My baby is now 11 months old and weighs about 10.3 kilograms, and is in good health. ...


Dr. Lin Huizhen reply Pediatrics
Tainan Hospital, Pediatrics Dear Xiao Fen, The period of milk refusal in children typically lasts about 2 to 6 weeks, although the duration can vary for each child. During this phase, some children may show a decreased interest in bottle feeding. However, we can try feeding ...

[Read More] Does Feeding a Sleeping Baby Affect Brain Development?


Understanding Ear Digging and Gum Issues in Toddlers

Ear cleaning Hello Dr. Lin, I would like to ask you a few questions: 1. My daughter is currently 1 year and 3 months old. Recently, over the past week or two, I've noticed that she sometimes uses her index finger to dig in her ears. I'm not sure if it's because...


Dr. Lin Huizhen reply Pediatrics
Tainan Hospital Pediatrics Dr. Lin Huizhen Dear Xiaofen, 1. Sometimes children dig their ears mainly because there is a buildup of earwax, which feels uncomfortable to them. Only a small portion of cases are due to foreign objects or inflammation. If you are concerned, you ca...

[Read More] Understanding Ear Digging and Gum Issues in Toddlers


Understanding Hoarseness in Children: When to See a Pediatrician or ENT

Hoarseness in children If a child is nearly four years old and has been experiencing hoarseness for over a month without fever or cough, should they see a pediatrician or an otolaryngologist (ENT specialist) for evaluation?


Dr. Lin Huizhen reply Pediatrics
Tainan Hospital Pediatrics Dr. Lin Huizhen responds to wkHuang: Hello, the issue of hoarseness is often related to the development of the vocal cords or nodules. If further examination is needed, it is advisable to consult an otolaryngologist. Tainan Hospital wishes you good heal...

[Read More] Understanding Hoarseness in Children: When to See a Pediatrician or ENT


Concerns About Vaccination Reactions in Young Children: A Parent's Dilemma

Vaccine Issues Dr. Lin: Hello, my child turned one and a half years old on the 15th of this month and needed to receive the diphtheria, tetanus, and pertussis (DTaP) combination vaccine. He had previously received the pentavalent vaccine for his first three doses, but when I took...


Dr. Lin Huizhen reply Pediatrics
Dear Mother of the Child, I hope this message finds you well. I wanted to check in to see if your child’s fever has subsided and how their overall condition is. It is important to note that the likelihood of developing a fever from the pentavalent vaccine is similar to that of...

[Read More] Concerns About Vaccination Reactions in Young Children: A Parent's Dilemma


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