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Understanding D-Dimer and Eosinophil Levels in Pediatric Bruising

D-dimer blood test & abnormal eosinophil count? A 5-year-old child has been experiencing spontaneous bruising of various sizes (on the calves, knees, inner thighs, arms, face, and even eyelids) since mid-March. After blood tests conducted by a hematologist, no abnormalities w...


Dr. Ma Zhihao reply Pediatrics
If there are suspected petechiae, it is important to have a physician evaluate them first. If the petechiae and bruising continue to appear, it is advisable to check for coagulation function, coagulation factors, platelet levels, and any abnormalities related to autoimmune condit...

[Read More] Understanding D-Dimer and Eosinophil Levels in Pediatric Bruising


Timing for Measles and Chickenpox Vaccines After Flu Shot

Preventive vaccination Hello, doctor. I would like to ask how long after my son received his second dose of the flu vaccine on February 20 can he receive the measles, mumps, and rubella (MMR) vaccine and the varicella (chickenpox) vaccine, considering he will be 12 months old? Th...


Dr. Ma Zhihao reply Pediatrics
Basically, if the child is not feeling unwell, vaccinations can be administered at any interval. I recommend spacing them one to two weeks apart. Fengyuan Hospital Pediatrics cares about you and your baby. ☺☺

[Read More] Timing for Measles and Chickenpox Vaccines After Flu Shot


How to Help Your Baby Sleep Through the Night: Tips for Parents

How to help babies sleep through the night? At what age can babies start consuming algae oil (BHK’s DHA algae oil) and lutein? My baby is 10 months old and still cannot sleep through the night; she wakes up for breastfeeding. How can I wean her off night feedings? Should I let he...


Dr. Ma Zhihao reply Pediatrics
1. It is recommended to use nutritional supplements according to the product instructions. Generally, it is safer to use formulations specifically designed for children. Appropriate supplementation of related nutritional products is sufficient; a balanced diet, regular exercise, ...

[Read More] How to Help Your Baby Sleep Through the Night: Tips for Parents


How Many Vaccines Can Be Administered Together for Infants?

Vaccination Hello Doctor, I would like to inquire about the maximum number of vaccines that can be administered simultaneously. I am currently scheduled to receive the second dose of the Enterovirus 71 vaccine, the second dose of the rotavirus vaccine, the second dose of the pneu...


Dr. Ma Zhihao reply Pediatrics
There are generally no contraindications to administering vaccines simultaneously or at any interval. My recommendation is to administer the DTaP-Hib-IPV-HepB combination vaccine, the pneumococcal vaccine, and the rotavirus oral vaccine at two months and four months of age as per...

[Read More] How Many Vaccines Can Be Administered Together for Infants?


Understanding Premature Infants: Key Concerns for 20-Week Old Babies

Issues Related to Premature Infants I would like to ask about a premature infant born at approximately 20 weeks gestation but weighing 3 kilograms. Should we be concerned about the incomplete development of the child's organs? Are there any specific considerations we should ...


Dr. Ma Zhihao reply Pediatrics
Continuous outpatient follow-up for complications related to previous preterm birth, such as those affecting the heart, eyes, and brain. Other aspects should be monitored according to corrected age, including growth and developmental milestones such as sitting, crawling, and stan...

[Read More] Understanding Premature Infants: Key Concerns for 20-Week Old Babies


Understanding Newborn Feeding Patterns: Is Your Baby Getting Enough?

Neonatal milk intake Hello Doctor, my daughter is currently 2 months and 22 days old. She is drinking formula every four hours, about 120-150 ml, and has been able to sleep through the night, occasionally reaching 180 ml. However, recently after feeding her at 7:00 PM, she wants ...


Dr. Ma Zhihao reply Pediatrics
Infant formula can sustain a baby for about four hours. If this is not sufficient, you may need to increase the amount of formula given at each feeding. Try to gently wake the baby if they fall asleep after drinking half of the bottle, in order to maintain a normal physiological ...

[Read More] Understanding Newborn Feeding Patterns: Is Your Baby Getting Enough?


Understanding Small Fontanelles in Infants: Impacts and Assessments

The baby's fontanelle is small? Hello, Doctor: When my son was born, the doctor told me that the baby's fontanelle was small and needed to be monitored. The baby's head circumference at birth was 36 cm. Will a small fontanelle at birth affect brain development? Wha...


Dr. Ma Zhihao reply Pediatrics
The anterior fontanelle measures approximately two centimeters and typically closes around 18 months after birth. The size can vary among individuals, and regular outpatient follow-up is sufficient. Height, weight, and head circumference can be referenced against the growth chart...

[Read More] Understanding Small Fontanelles in Infants: Impacts and Assessments