Managing Fever, Vomiting, and Diarrhea in Children During Flu Season
The child has recently been experiencing fever, diarrhea, and vomiting? Recently, the flu has been quite severe. We adults are experiencing coughing and fever, especially severe coughing. Not long after, my eldest child also developed a cough, fever, vomiting, and diarrhea. My yo...
Dr. Pei Rensheng reply Pediatrics
Dear Xiao Chen, Hello! 1. There has been a significant increase in influenza cases recently, and a rapid test can be performed for a definitive diagnosis. 2. Winter is also the peak season for rotavirus gastroenteritis. After the consultation, the physician may recommend a st...[Read More] Managing Fever, Vomiting, and Diarrhea in Children During Flu Season
Understanding Newborn Stool Patterns: Lactose Intolerance vs. Normal Changes
Newborn Stool II Hello Doctor, I previously consulted you about the issue of lactose intolerance in newborns. Currently, the milk intake is 100-120 CC every 3-4 hours. Since the night of December 20, I started adding 30 CC of breast milk, and the breast milk amount has now increa...
Dr. Pei Rensheng reply Pediatrics
Hello: 1. An increase in breast milk supply may lead to an increase in the frequency of bowel movements. You can observe if there is an increase in stool moisture, or if mucus or blood is present, as this may indicate diarrhea. If there are no such symptoms and only the frequen...[Read More] Understanding Newborn Stool Patterns: Lactose Intolerance vs. Normal Changes
Understanding Newborn Bowel Movements: Lactose Intolerance and Feeding Tips
Newborn stool Hello Doctor, my daughter was born on December 1st of this year, with a birth weight of 3454 grams. She has been drinking breast milk and hydrolyzed formula (initially there wasn't enough milk). Around 7 to 8 days after birth, I noticed that her stools were ver...
Dr. Pei Rensheng reply Pediatrics
Dear Tina, 1. Temporary lactose intolerance commonly occurs after gastroenteritis or chemotherapy. Congenital lactose intolerance is very rare and is more frequently seen in Finland. 2. Lactose-free formula is generally recommended for 6 to 8 weeks; if bowel movements are normal...[Read More] Understanding Newborn Bowel Movements: Lactose Intolerance and Feeding Tips
Understanding Oral Herpes and Stomatitis in Children: Symptoms and Care
Herpes Simplex Stomatitis, Herpetic Stomatitis Hello! My 4-year-old child has been diagnosed today with "oral and #30129; viral rash." The front part of the oral cavity has severe ulcers. The doctor has prescribed antiviral medication for treatment. My child has been le...
Dr. Pei Rensheng reply Pediatrics
Dear Ms. Wang, 1. Your child may have contracted an enterovirus infection. In addition to oral ulcers, enterovirus can also present with skin rashes. 2. Recently, we have observed several cases of enterovirus co-infection with herpes simplex virus, which can lead to gingival red...[Read More] Understanding Oral Herpes and Stomatitis in Children: Symptoms and Care
Understanding Ureteral Stricture and Hydronephrosis in Infants
Ureteral stenosis in infants, hydronephrosis? Hello, doctor! My sister's baby was born with unilateral hydronephrosis. Now that the baby is one month old, a check-up revealed ureteral stricture, and the affected kidney has become twice the size of a normal one. Can a one-mon...
Dr. Pei Rensheng reply Pediatrics
Dear Ms. Wang, Hello, 1. According to http://www.healthcommunities.com/ureteropelvic-junction-obstruction/children/treatment-for-upj-obstruction.shtml 2. Treatment for Ureteropelvic Junction Obstruction: Newborns with UPJ obstruction and hydronephrosis are placed on antibioti...[Read More] Understanding Ureteral Stricture and Hydronephrosis in Infants
Understanding Toe Walking in Children: When to Seek Medical Advice
Children walking on their tiptoes? Hello Doctor: My daughter is now 6 years old. Since she started walking, she has been walking on her tiptoes. I initially thought she was just having fun, but I have noticed that her balance is significantly worse than that of other children her...
Dr. Pei Rensheng reply Pediatrics
Dear Xiao Ai, Hello! After a child learns to walk, it is indeed concerning if they frequently walk on tiptoes, as this improper walking pattern can lead to conditions such as pes planus (flatfoot) and may affect their stability while walking, potentially causing spinal deformiti...[Read More] Understanding Toe Walking in Children: When to Seek Medical Advice
Understanding Sleep Issues in Toddlers: Causes and Solutions
Pediatric Sleep Issues The child is currently 1.5 years old and weighs 10 pounds. He was a preterm infant born at 33 weeks with a birth weight of 2450 grams. Since he was two months old, he has had poor sleep. He typically falls asleep around 8-9 PM, which is normal, but starts t...
Dr. Pei Rensheng reply Pediatrics
Dear Grandma, Hello! When calcium levels are low, neuromuscular excitability increases, which can lead to symptoms such as muscle spasms, tetany, seizures, and emotional disturbances like irritability and mood instability. Prolonged low calcium levels can cause impaired bone min...[Read More] Understanding Sleep Issues in Toddlers: Causes and Solutions
Understanding Pediatric Kidney Issues: Bedwetting and Urinary Concerns
Pediatric kidneys Hello Dr. Fei: My ten-year-old child was very underweight at birth and has a condition of ectopic kidney. He still experiences bedwetting, drinks a lot of water during the day, has a high frequency of urination, and his urine has a significant amount of bubbles ...
Dr. Pei Rensheng reply Pediatrics
Hello: "Nephroptosis" (also called floating kidney or renal ptosis) refers to a condition where the kidneys, located on either side of the spine in the abdominal cavity, become mobile. Normally, the kidneys are surrounded by a layer of fat that not only protects them bu...[Read More] Understanding Pediatric Kidney Issues: Bedwetting and Urinary Concerns
Is Thymic Hypertrophy Serious in Infants? Key Concerns and Insights
Is a protruding chest line serious? Hello Doctor, DD is now 5 months old. When he was a little over 1 month old, he was hospitalized for pneumonia with a fever of 39 degrees Celsius for a week at Chang Gung Memorial Hospital. He had a follow-up appointment a week after discharge,...
Dr. Pei Rensheng reply Pediatrics
Dear Elaine, The thymus is one of the glands in the human body where some bone marrow cells mature. It is located at the upper part of the sternum, between the two lung lobes, and beneath the thyroid gland. As a person ages, the thymus gradually shrinks, but it still retains its...[Read More] Is Thymic Hypertrophy Serious in Infants? Key Concerns and Insights
Impact of Multiple CT Scans on Toddler's Brain Development and Health Risks
Repeated CT scans of the brain in young children? My 2-year and 7-month-old daughter had a car accident in mid-May, where her head hit the ground. She vomited once in the emergency room, and the doctor arranged for a CT scan of her head. She struggled a lot, so she ended up havin...
Dr. Pei Rensheng reply Pediatrics
Dear Zoe, Hello! The following article is for your reference. Reasons for the Popularity of Computed Tomography (CT) Scans The reason why computed tomography (CT) scanning technology is favored by both doctors and patients is that it can quickly provide diagnostic reports, is ...[Read More] Impact of Multiple CT Scans on Toddler's Brain Development and Health Risks
Understanding Cryptorchidism in Infants: When to Consider Surgery?
Cryptorchidism in children Hello Dr. Pei, I would like to ask you a question. When my child was born, the doctor mentioned that one of his testicles had not descended and was still in his abdomen. They said it might descend on its own as he grows older. Now my child is almost 11...
Dr. Pei Rensheng reply Pediatrics
Dear Xiao Fen, Hello! 1. If a child is diagnosed with cryptorchidism and remains undescended by the age of 6 months, treatment is recommended. 2. Hormonal therapy or surgical intervention can be considered, and I suggest you consult a urologist. Currently, surgical treatment ...[Read More] Understanding Cryptorchidism in Infants: When to Consider Surgery?
Do Children Need Blood Tests for Phthalate Exposure? Costs Explained
Phthalate issues Is it necessary to conduct a blood test to detect any issues if my child has consumed products containing phthalates? Will there be an additional charge at your hospital for this? Thank you.
Dr. Pei Rensheng reply Pediatrics
Hello, currently regarding the intake of food containing DEHP (di(2-ethylhexyl) phthalate), it is generally excreted quickly under normal liver and kidney function (approximately 24-48 hours), so the concentration of metabolites in the blood and urine is very low. There are curre...[Read More] Do Children Need Blood Tests for Phthalate Exposure? Costs Explained
Understanding Epidermoid Cysts in Infants: Symptoms and Nutritional Needs
The baby's lower gum - epidermoid inclusion cyst? Hello Doctor: My baby is 10 months and 21 days old, and she is a girl. I have a few questions: 1. The baby's lower gums have developed small white pearl-like round spots, which were diagnosed as epidermoid inclusion cy...
Dr. Pei Rensheng reply Pediatrics
Hello, 1. The baby's lower gums have developed small white pearl-like round spots, which I suspect are Epstein's pearls. This condition occurs in 65-85% of newborns and does not require treatment as it will resolve naturally. This condition does not affect the baby...[Read More] Understanding Epidermoid Cysts in Infants: Symptoms and Nutritional Needs
Understanding Multicystic Dysplastic Kidney in Children: Causes and Treatment Options
Pediatric Multicystic Dysplastic Kidney Hello, my son is currently 13 months old and had diarrhea a month ago. An ultrasound now shows multiple renal cysts. What type of condition could cause multiple renal cysts in such a young child? At what age would this start to affect his k...
Dr. Pei Rensheng reply Pediatrics
Dear Mother Tseng, Hello. Polycystic kidney disease (PKD), also known as cystic kidney disease, is a hereditary kidney disorder characterized by the growth of numerous cysts in the kidneys, leading to an increase in kidney size and a decline in kidney function. Polycystic kidney...[Read More] Understanding Multicystic Dysplastic Kidney in Children: Causes and Treatment Options
Can Children Safely Consume Royal Jelly for Immunity?
Can children consume royal jelly? My 3.5-year-old son has allergic rhinitis and is prone to catching colds. I am considering giving him royal jelly to boost his immune system. I found some information online stating that young children can consume it, but there are also sources t...
Dr. Pei Rensheng reply Pediatrics
Hello: According to the literature on honey, its medical benefits are as follows: Honey contains not only glucose and fructose but also various vitamins, minerals, and amino acids. Because honey is composed of simple sugars like glucose and fructose, it can be directly absorbed b...[Read More] Can Children Safely Consume Royal Jelly for Immunity?
Switching from Cow's Milk to Soy Milk: Pediatric Nutrition Concerns
Soy milk as a substitute for cow's milk? Dear Dr. Pei, My son is currently 1 year and 1 month old. Before he turned one, he was drinking hydrolyzed protein milk. He now has four meals a day, drinking milk (240cc) in the morning and before bed, while the other two meals cons...
Dr. Pei Rensheng reply Pediatrics
Dear Mom Zhuang, Hello! 1. After reaching one year of age, formula milk is only a supplementary food, and drinking any specific formula milk has little effect on preventing allergies. 2. Soy milk has good nutritional value; according to Wikipedia, it is rich in protein, calci...[Read More] Switching from Cow's Milk to Soy Milk: Pediatric Nutrition Concerns
Understanding Chest and Thigh Pain in Children: When to Seek Help
Chest and thigh pain in children? My child has recently been frequently complaining of pain in the triangular area of the chest and in the groin area near the buttocks. However, their activity level is normal. Initially, I didn't pay much attention, but they mention it every...
Dr. Pei Rensheng reply Pediatrics
Dear Sophie, Hello! 1. The most common cause is growing pains, as well as strains and sprains after exercise. Of course, viral infections and other factors are also possible. 2. If under 18 years old, please consult a pediatrician first. 3. The physician may arrange for blo...[Read More] Understanding Chest and Thigh Pain in Children: When to Seek Help
Impact of Group B Streptococcus on Newborns: Risks and Management
The impact of Group B Streptococcus on infants? Hello Doctor: My wife underwent Group B Streptococcus screening in obstetrics during her pregnancy, and she tested positive for Group B Streptococcus. The clinic informed us that treatment could be administered during delivery. Afte...
Dr. Pei Rensheng reply Pediatrics
Hello, A-Shu. One quarter of women of childbearing age carry Group B Streptococcus (GBS), and mothers typically do not show symptoms. About half of newborns can acquire this bacteria during the delivery process as they pass through the birth canal. The incidence of infection in n...[Read More] Impact of Group B Streptococcus on Newborns: Risks and Management
Can Newborns Contract Hepatitis B from Parental Contact?
Can newborns become infected with hepatitis B as a result of this? (Forwarded from the Director's mailbox) ● The baby was born on February 7 and received the first dose of the hepatitis B vaccine on February 9. My wife does not have hepatitis B, but I am a carrier of hepatit...
Dr. Pei Rensheng reply Pediatrics
Dear Mr. Cheng, Hello. Hepatitis B can be transmitted through bodily fluids and blood. If the baby has any cuts or sores in the mouth, there is a possibility of ingesting breast milk that contains the virus, although this risk is low, it is still advisable to take precautions. V...[Read More] Can Newborns Contract Hepatitis B from Parental Contact?
Managing Persistent Cough with Phlegm in Children: Effective Treatments
Cough with sputum? Hello doctor, my daughter is 5 years old and has a history of allergies and asthma. She has been coughing with phlegm for two months. Some doctors have said it is caused by post-nasal drip, while others have suggested it is due to recurrent infections. Since lo...
Dr. Pei Rensheng reply Pediatrics
Dear Ms. Chen, Hello. Given your history of allergies and asthma, and the presence of a productive cough for the past two months, I would recommend starting with a chest X-ray to rule out any pulmonary inflammation or other issues. If the X-ray results are normal, the likelihood...[Read More] Managing Persistent Cough with Phlegm in Children: Effective Treatments