Understanding Childhood Diabetes: Causes, Management, and Future Implications
Pediatric Diabetes Hello, Dr. Pei. I would like to ask you about my 3-year-old sister, who has experienced a decrease in activity and weight loss over the past two weeks. After being taken to the hospital, she was diagnosed with pediatric diabetes and is currently under observati...
Dr. Pei Rensheng reply Pediatrics
Hello! I have compiled information on pediatric diabetes as attached for your reference. Pediatric diabetes can only be treated with injections and cannot be managed with oral medications. Wishing you health and happiness. Sincerely, Dr. Pei Ren-Sheng, Director of Pediatrics, Tao...[Read More] Understanding Childhood Diabetes: Causes, Management, and Future Implications
Understanding Respiratory Distress in Infants: Long-Term Effects and Prevention
Respiratory distress Dr. Pei: As per your previous question, the child is now 1 year old and experienced respiratory distress at birth, requiring 13 days of hospitalization. You mentioned that if there was brain hypoxia at birth or pulmonary hypertension during the treatment, the...
Dr. Pei Rensheng reply Pediatrics
Dear Xiao Qiu, The manifestations of cerebral hypoxia include cognitive impairment, movement disorders, myocarditis, hepatitis, and renal failure. Pulmonary hypertension may present with cyanosis, limited mobility, and a susceptibility to pneumonia. These symptoms typically appe...[Read More] Understanding Respiratory Distress in Infants: Long-Term Effects and Prevention
Impact of Sacral Dimple on Child's Neurological Development and Health
There is a depression in the epidermis at the sacral area? Hello, Dr. Pei: I have a question regarding my one-year-old child. There is a small indentation or pit on the skin over the sacral area. Will this have any impact on his future neurological or functional development? Addi...
Dr. Pei Rensheng reply Pediatrics
Hello: 1. A sacral dimple is a small indentation in the skin over the sacral area, the cause of which is unknown. Most cases are harmless, but a small percentage may be associated with spina bifida or tethered cord syndrome, which can present with neurological symptoms. Notably...[Read More] Impact of Sacral Dimple on Child's Neurological Development and Health
Can Children Inherit Mental Health Issues from Drug-Addicted Parents?
Genetic issues Hello, Dr. Pei! Regarding the previous question: My father has a history of drug abuse that has led to mental illness. Is there a possibility that the child may inherit mental health issues in the future? Last time you mentioned that the type and dosage of addictiv...
Dr. Pei Rensheng reply Pediatrics
Dear Min-Chen, 1. Numerous genetic and twin studies have confirmed that mental disorders such as bipolar disorder and schizophrenia are hereditary. 2. Mental abnormalities caused by drug use are not hereditary. 3. The child is currently 2 years and 10 months old, and there are n...[Read More] Can Children Inherit Mental Health Issues from Drug-Addicted Parents?
Impact of Parental Substance Abuse on Children's Developmental Issues
Genetic issues If a father has a history of drug abuse that has led to mental health disorders, the children born to him may be at a higher risk for several issues, including: 1. **Mental Health Disorders**: Children may be more susceptible to developing anxiety, depression, or ...
Dr. Pei Rensheng reply Pediatrics
Dear Min-Chen, Hello! 1. Newborns may be affected by maternal substance use, but there is limited literature on the impact of paternal drug use on the fetus. 2. Factors influencing newborns include: the presence of other infections, low birth weight, the type and dosage of a...[Read More] Impact of Parental Substance Abuse on Children's Developmental Issues
Can Group B Streptococcus Be Transmitted to Infants Through Sneezing?
Transmission routes of Group B Streptococcus? Hello, doctor. I am a mother who carries Group B Streptococcus (GBS). While holding my baby, I accidentally sneezed, and at that moment, my baby had their mouth open. Can Group B Streptococcus be transmitted through saliva? Is there a...
Dr. Pei Rensheng reply Pediatrics
1. Group B Streptococcus is primarily located in the gastrointestinal tract and the birth canal, and it is rarely found in the oral cavity, making transmission through saliva unlikely. 2. Monitor the infant's temperature, breathing, and activity level; if there are any abnor...[Read More] Can Group B Streptococcus Be Transmitted to Infants Through Sneezing?
Long-Term Antibiotic Use in Children: Risks and Effectiveness Explained
Long-term use of antibiotics? Hello, my 13-year-old daughter has a history of asthma and lung collapse. Recently, she had a severe cold that led to coughing up blood. The doctor diagnosed her with bronchiectasis and noted low blood oxygen levels (92-95). The treating physician ha...
Dr. Pei Rensheng reply Pediatrics
Dear Jack, Hello! 1. The treatment for bronchiectasis in children includes chest physiotherapy and antibiotic therapy. 2. Potential underlying causes need to be ruled out, including immunodeficiency, foreign body aspiration, and other conditions such as congenital structural ...[Read More] Long-Term Antibiotic Use in Children: Risks and Effectiveness Explained
Is Your Baby's Decreased Milk Intake Normal at Two Months?
Baby's milk intake My baby is currently over two months old. Previously, he/she consumed 120-150 ml per feeding, with a total daily intake of around 700-800 ml. This week, he/she has started sleeping longer, but the milk intake has decreased to about 600 ml per day. Is this ...
Dr. Pei Rensheng reply Pediatrics
Hello! 1. As newborns grow older, their total sleep duration throughout the day should decrease. 2. For a 2-month-old baby, an ideal daily intake should be 150-200 CC/KG/DAY. Wishing you safety and health. Sincerely, Dr. Pei Ren-Sheng, Director of Pediatrics, Taoyuan General Hosp...[Read More] Is Your Baby's Decreased Milk Intake Normal at Two Months?
Understanding Constipation in 5-Month-Old Infants: Causes and Solutions
Five-month-old infant bowel movement issues? My baby is five and a half months old and is exclusively breastfed. She often strains very hard to have a bowel movement but is unable to do so, sometimes even vomiting up her milk from the effort. I've noticed that her anus is so...
Dr. Pei Rensheng reply Pediatrics
Hello: To address constipation issues, you can first try massaging the child's abdomen in a clockwise direction (around the navel as the center). For infants and young children, you may use a rectal thermometer or a finger to stimulate the anus. Ensure adequate hydration and...[Read More] Understanding Constipation in 5-Month-Old Infants: Causes and Solutions
Safe Use of PONSTAN in Infants Under 6 Months and Children Under 3
Medication Administration Methods PONSTAN (mefenamic acid) is generally not recommended for use in infants under 6 months of age. For children aged 6 months to 3 years, the dosage should be carefully determined by a healthcare professional based on the child's weight and spe...
Dr. Pei Rensheng reply Pediatrics
Dear Nicole, Mefenamic acid is a non-steroidal anti-inflammatory drug (NSAID) used for pain relief, anti-inflammatory purposes, and fever reduction. The therapeutic dosage is 4 to 10 mg/kg/dose, administered every 6 to 8 hours. Literature suggests limited use in infants under 6 ...[Read More] Safe Use of PONSTAN in Infants Under 6 Months and Children Under 3
Timing Concerns for Hepatitis B Vaccination in Preterm Infants
Issues Regarding the Timing of Hepatitis B Vaccination My daughter was born prematurely on October 4th. She received the first dose of the hepatitis B vaccine on October 22nd. On November 6th, she was supposed to go to the health center for the BCG vaccine, but since her weight w...
Dr. Pei Rensheng reply Pediatrics
Dear Mommy Tingting, Hello! The "Vaccination Group of the Infectious Disease Control Advisory Committee of the Department of Health, Executive Yuan" has provided recommendations regarding vaccinations for young children, including the hepatitis B vaccine, combination v...[Read More] Timing Concerns for Hepatitis B Vaccination in Preterm Infants
Child Falls and Hits Testicles: Concerns About Pain and Future Health
The child fell and hit their testicles? If a child falls and hits their testicles, and there is some bruising that is not very noticeable, along with intermittent complaints of pain and crying, it is important to monitor the situation closely. The child may express that they are ...
Dr. Pei Rensheng reply Pediatrics
Hello: If there is pain and visible bruising, it is still recommended to undergo an ultrasound examination to check for any bleeding or other associated issues. You are welcome to continue your treatment at the Urology outpatient clinic. Wishing you health and happiness! Sincerel...[Read More] Child Falls and Hits Testicles: Concerns About Pain and Future Health
Understanding Pediatric Intestinal Parasite Infections: Diagnosis and Treatment
Intestinal parasitic infection Dear Dr. Pei, I apologize for bothering you again. During the hospitalization, the doctors conducted tests for IgE allergens and immune system evaluations, and the reports came back normal. Therefore, the attending physician ruled out allergic gast...
Dr. Pei Rensheng reply Pediatrics
Hello: Patients with elevated eosinophils and protein loss can still undergo gastrointestinal endoscopy and pathology sampling. Elevated eosinophils may indicate not only allergies and parasitic infections but also certain forms of malignancies, such as Hodgkin's lymphoma an...[Read More] Understanding Pediatric Intestinal Parasite Infections: Diagnosis and Treatment
Understanding Chronic Gastric Ulcers in Young Children: A Case Study
Chronic gastric ulcer Hello Dr. Fei, my child is 2 years and 10 months old. On October 4th, he was hospitalized due to edema in the limbs and was found to have low albumin levels. After an ultrasound examination, both the kidneys and liver were normal. After receiving six high-pr...
Dr. Pei Rensheng reply Pediatrics
Hello: Based on your description, the low albumin and elevated eosinophils may indicate conditions other than parasites, such as eosinophilic gastroenteritis. Patients with eosinophilic gastroenteritis can also be tested for IgE and allergens. It is advisable to avoid foods that ...[Read More] Understanding Chronic Gastric Ulcers in Young Children: A Case Study
Can Children with Allergies Receive the Flu Vaccine?
Influenza vaccine Hello, doctor! My 2-year-old child has been taking medication for nasal and bronchial allergies recently. Is it safe to administer the flu vaccine?
Dr. Pei Rensheng reply Pediatrics
Dear Mom, Hello! The contraindications for the influenza vaccine include: allergy to egg protein, fever, or other serious illnesses. Allergy medications do not affect the administration of the influenza vaccine. The physician will reassess before the vaccination. Wishing you ...[Read More] Can Children with Allergies Receive the Flu Vaccine?
Understanding Blood in Stool: What Parents Should Know
Blood in the stool in children? Dear Doctor, my child is currently 4 years old and has had bright red blood in his stool for two consecutive days. The stool has been formed and brown in color, without any black coloration. He has a bowel movement at least once every two days, las...
Dr. Pei Rensheng reply Pediatrics
Dear Klein, Hello, the most common cause of blood in the stool in a 4-year-old child is constipation combined with anal fissures. Other possible causes include bacterial enteritis, diverticulitis, polyps, coagulopathy, and other gastrointestinal tumors. The physician will perfor...[Read More] Understanding Blood in Stool: What Parents Should Know
Understanding Persistent Low-Grade Fever in Children: When to Seek Help
Chronic low-grade fever Hello, I would like to ask about a 4-year-old child whose ear temperature has been consistently between 37.5°C and 37.7°C for the past three months, while sleeping it ranges from 37°C to 36.8°C. The child's appetite and activity levels are good, but t...
Dr. Pei Rensheng reply Pediatrics
Dear Xin Xin, Hello, an ear temperature below 37.8 degrees Celsius is not considered a fever. If your appetite and activity levels are good, there is no need for any tests. Wishing you health and happiness! Sincerely, Dr. Pei Ren-Sheng Director, Pediatrics Department, Taoyu...[Read More] Understanding Persistent Low-Grade Fever in Children: When to Seek Help
Understanding Breast Pain in Young Girls: When to Seek Medical Advice
The chest of my younger daughter? Hello Dr. Pei, My 8-year-old daughter has been complaining of pain in her left breast for the past week, and it hurts when pressed. Upon examination, I found a hard lump smaller than a one-dollar coin on the left side, while the right side appea...
Dr. Pei Rensheng reply Pediatrics
Hello: Breast development generally begins during puberty (typically between ages 10 to 14), classified by Tanner stages: I: Development has not yet started, the areola is less than 2 cm, and breast tissue cannot be palpated. II: The breasts begin to protrude, the areola graduall...[Read More] Understanding Breast Pain in Young Girls: When to Seek Medical Advice
Understanding Blue Sclera in Infants: Causes and Concerns
The baby's sclera appears bluish? Dear Dr. Chen, My daughter is currently about 82 days old. Around the time she was 2 months old, I suddenly noticed that her sclera appears bluish. She was born weighing 3432g and measuring 51 cm. Her current weight is approximately 5.7 kg,...
Dr. Pei Rensheng reply Pediatrics
Hello: The causes of blue sclera include: 1. Normal newborns. 2. Anemia. 3. Osteogenesis imperfecta, also known as brittle bone disease. 4. Ehlers-Danlos syndrome or Marfan syndrome (also referred to as rubber man syndrome). 5. Waardenburg syndrome: also known as "blue-eyed ...[Read More] Understanding Blue Sclera in Infants: Causes and Concerns
Understanding Adrenal Issues in Infants: Causes and Concerns
Adrenal issues in infants? Hello Doctor: My daughter is just over two months old. She was hospitalized for four days due to a urinary tract infection when she was less than a month old, and a bacterial culture confirmed the presence of Escherichia coli. A renal ultrasound was per...
Dr. Pei Rensheng reply Pediatrics
Hello: The presence of white spots on the adrenal glands is most likely due to a previous adrenal hemorrhage that has subsequently calcified, resulting in the appearance of these white spots. Of course, the possibility of a tumor must also be ruled out. Observational statistics i...[Read More] Understanding Adrenal Issues in Infants: Causes and Concerns