Understanding Recovery Time for Children with Hand, Foot, and Mouth Disease
Healing time Dear Dr. Pei, I would like to ask you three questions: (1) How many days should a child with enterovirus symptoms be isolated before they can have contact with others? (2) If a child has a common cold, how many days should they be isolated before they can have c...
Dr. Pei Rensheng reply Pediatrics
Dear Xiaofen, 1. Enteroviruses can be contagious 1 to 2 days before the onset of symptoms, with an incubation period of approximately 3 to 5 days. Enteroviruses can be isolated from the respiratory secretions of infected individuals for up to 1 month, and from feces for up to 2 ...[Read More] Understanding Recovery Time for Children with Hand, Foot, and Mouth Disease
Understanding Body Proportions from Fetus to Newborn to Adult
Proportions of Body Parts in Newborns, Fetuses, and Adults Proportional diagrams of body parts in newborns, fetuses, and adults.
Dr. Pei Rensheng reply Pediatrics
Dear Xiao Qing, 1. Proportional diagrams of various body parts during fetal development (as detailed in the attachment). 2. Proportional diagrams of various body parts during infancy and adulthood (as detailed in the attachment). Wishing you health and happiness! Sincerely, ...[Read More] Understanding Body Proportions from Fetus to Newborn to Adult
Understanding Antral Web in Children: Diagnosis, Treatment, and Resources
The physician diagnosed "antral web." My child, around 5 months old, was diagnosed with antral web due to the presence of blood in the stool. After being hospitalized, the diagnosis was confirmed, and I found online that it refers to "a membrane in the gastric antr...
Dr. Pei Rensheng reply Pediatrics
Dear Xiao Wu, Hello! 1. You can find a lot of information by searching "antral web" on Google. 2. The literature suggests that surgical intervention is recommended, as medical treatment is ineffective. Wishing you health and happiness! Sincerely, Dr. Pei Renshe...[Read More] Understanding Antral Web in Children: Diagnosis, Treatment, and Resources
Understanding Enterovirus Immunity and Infection in Children: Key Insights
Regarding immunity..? Hello Dr. Pei, I would like to ask you a few questions: (1) If a person recovers from an enterovirus infection, do they gain immunity against this virus and will they not be reinfected? (2) If an adult carries enterovirus pathogens, how long will these patho...
Dr. Pei Rensheng reply Pediatrics
Dear Xiao Fen, 1. If a person becomes infected with enterovirus and recovers, they will have immunity to that specific strain of enterovirus and will not be reinfected. However, there are over sixty types of enteroviruses, so it is still possible to contract other strains. 2. E...[Read More] Understanding Enterovirus Immunity and Infection in Children: Key Insights
Understanding Pediatric Health Insurance Coverage for Sinus Treatments
The reimbursement standards for Xinliu Health Insurance? Hello doctor, could you please tell me the criteria for prescribing Xinfliu at your hospital under the National Health Insurance? My baby has nasal allergies and coughs when the weather is cool in the morning and evening, b...
Dr. Pei Rensheng reply Pediatrics
Dear Penguin Mom, Hello: 1. Singulair (Montelukast) is primarily used for the prevention and long-term treatment of asthma in adults and children, including the prevention of daytime and nighttime asthma symptoms, as well as the prevention of exercise-induced bronchoconstrictio...[Read More] Understanding Pediatric Health Insurance Coverage for Sinus Treatments
Understanding Early Tooth Development and Chickenpox Vaccine Options for Infants
Teeth Hello Dr. Pei: I would like to ask you a few questions... (1) My niece was born less than a week ago, and it was discovered that she has a tooth already erupted in her lower jaw. Should this tooth be extracted? Why did this tooth erupt? Will it lead to early cavities? (2) W...
Dr. Pei Rensheng reply Pediatrics
Dear Xiao Fen, Hello! 1. A small number of infants are born with white teeth in their mouths (especially on the lower jaw) within days of birth. These are known as natal teeth or neonatal teeth, commonly referred to as "natal teeth." Most of these are premature decid...[Read More] Understanding Early Tooth Development and Chickenpox Vaccine Options for Infants
Essential Guide to Chickenpox and MMR Vaccines for Your Baby
Regarding the varicella vaccine and the MMR vaccine? Hello, my baby just turned one year old. I would like to ask: 1. Does your hospital provide free varicella (chickenpox) vaccinations? 2. If the free varicella vaccine is consistently out of stock, is it necessary to pay out of ...
Dr. Pei Rensheng reply Pediatrics
Hello: 1. The Taoyuan Health Department offers free varicella (chickenpox) vaccinations; however, like other vaccines, there is an additional registration fee of approximately NT$120. 2. Currently, the free varicella vaccine can only be administered to children who are at least 1...[Read More] Essential Guide to Chickenpox and MMR Vaccines for Your Baby
Understanding Yellowing Eyes and Skin in Preschoolers: When to Seek Help
The sclera of a child (around four years old) appears yellowish? Hello, doctor. My daughter is currently four years old, and I recently noticed that the whites of her eyes are yellowish, and her palms and soles are also yellowish (which I noticed since she was a baby). Could this...
Dr. Pei Rensheng reply Pediatrics
Dear WENDY: Hello! The yellowing of the sclera (the white part of the eyes) and the palms and soles may indicate liver or biliary diseases. It could also be due to the consumption of foods rich in pigments, such as papaya or carrots. If the stool is not grayish-white, the latter ...[Read More] Understanding Yellowing Eyes and Skin in Preschoolers: When to Seek Help
How to Manage Swelling and Hardness After Vaccination in Children?
If the vaccination site is swollen and hard, how should it be managed? If the vaccination site is swollen and hard, how should it be managed?
Dr. Pei Rensheng reply Pediatrics
Dear Xiao Bao's Mom, Hello. The injection site may exhibit swelling and hardness as side effects, which occasionally occurs with vaccines such as the Hepatitis B vaccine, the DTaP (diphtheria, tetanus, and pertussis) combination vaccine, the Japanese encephalitis vaccine, t...[Read More] How to Manage Swelling and Hardness After Vaccination in Children?
Addressing Milk Intake and Head Movement in Infants: Pediatric Insights
Milk consumption issues? Dear Dr. Pei, I would like to ask you two questions: (1) My baby is currently over two months old. During the first and second months, he primarily focused on sleeping, often waking up every three hours or less, and immediately showing signs of hunger ...
Dr. Pei Rensheng reply Pediatrics
Hello: (1) In the first and second months, feeding is prioritized over sleeping; in the third month, sleeping takes precedence over feeding. This is a common situation for every infant. (2) The standard feeding amount is 100-150 cc per kilogram of body weight per day. If there is...[Read More] Addressing Milk Intake and Head Movement in Infants: Pediatric Insights
Vaccination and Pediatric Health: Key Questions for Parents
Vaccine issues Hello Dr. Pei, I have two questions to ask you: (1) My child just turned two months old, and I am planning to take him for vaccinations next week. Can the first dose of the DTaP-Hib-IPV-HepB combination vaccine and the first dose of the pneumococcal vaccine be ...
Dr. Pei Rensheng reply Pediatrics
Dear Xiaofen, Hello! (1) The schedule for the pentavalent vaccine is at 2, 4, 6, and 18 months, while the pneumococcal vaccine is administered at 2, 4, 6 months and after the first year. The first dose of the pentavalent vaccine and the first dose of the pneumococcal vaccine c...[Read More] Vaccination and Pediatric Health: Key Questions for Parents
Understanding Gastrointestinal Issues in Infants: Causes and Remedies
Gastrointestinal issues Hello Doctor, I would like to ask you about my baby who is almost one year old. He often tosses and turns at night and only settles down after passing gas. During the day, his diaper often smells bad, and when I check, I find that he has only passed gas an...
Dr. Pei Rensheng reply Pediatrics
Hello, (1) The sources of air in a baby's gastrointestinal tract include crying, oversized nipple holes, frequent sucking on pacifiers, food fermentation, or gas produced by intestinal bacteria. If the baby has a normal appetite, is growing well, and has no abnormalities i...[Read More] Understanding Gastrointestinal Issues in Infants: Causes and Remedies
Understanding Thrush in Infants: Causes, Symptoms, and Treatment Tips
Oral thrush (3) Dear Dr. Pei, I would like to ask you a few questions. (1) My child has not yet recovered from oral thrush and has returned for a second consultation (at a different hospital). The second pediatrician believes that the reason for the persistent condition may be t...
Dr. Pei Rensheng reply Pediatrics
Dear Xiaofen, Hello! (1) Oral thrush is a type of candidiasis infection. Infants and young children with normal or compromised health, those who have used antibiotics or corticosteroids, and individuals with congenital or acquired immunodeficiency are all at risk for developin...[Read More] Understanding Thrush in Infants: Causes, Symptoms, and Treatment Tips
Understanding Oral Thrush and Common Pediatric Concerns
Angular Cheilitis (2) Dear Dr. Pei, I have a few questions to ask you: (1) My child was diagnosed with oral thrush last Wednesday. The first three packets of medication were mixed with milk for drinking, but I later realized they should be applied topically, so I switched to t...
Dr. Pei Rensheng reply Pediatrics
Dear Xiaofen, (1) After medication, oral thrush usually disappears within about 3 days. If the white spots have not completely cleared after finishing the last dose of medication, it is advisable to consult a pediatrician. (2) Sources of air in the gastrointestinal tract includ...[Read More] Understanding Oral Thrush and Common Pediatric Concerns
Understanding Oral Thrush in Infants: Treatment and Care Tips
Oral thrush Dear Dr. Pei, I would like to ask you a few questions: (1) My child is currently over one month old and has developed oral thrush. The doctor at the hospital prescribed a five-day supply of medication (Mycostatin, to be taken three times a day, ground into powder)....
Dr. Pei Rensheng reply Pediatrics
Dear Xiaofen, Hello! (1) Oral thrush is a type of Candida infection. In healthy individuals, Candida can be present in the oral cavity and intestines. Infants with normal health or those with compromised health, such as those using antibiotics or corticosteroids, as well as th...[Read More] Understanding Oral Thrush in Infants: Treatment and Care Tips
Is It Safe to Modify Baby Bottle Nipples for Better Feeding?
Nipple Hello, Dr. Pei: I have a question I would like to ask you, and I kindly request your time to answer it. My newborn baby is just over ten days old, and I usually feed him with either formula or breast milk from a bottle. I purchased the bottles and nipples from a pharmacy, ...
Dr. Pei Rensheng reply Pediatrics
Dear Xiaofen, Hello! The baby's sucking and swallowing coordination requires some time to develop and learn. Initially, it is recommended to use nipples with medium or small holes, with the principle that one drop should drip every second. Cross-cut or small round holes can...[Read More] Is It Safe to Modify Baby Bottle Nipples for Better Feeding?
Is It Safe for Newborns to Take Traditional Chinese Medicine Powder?
Chinese herbal powder Hello Dr. Pei, I would like to ask you a question. My baby was just born less than a week ago, and their face and body still appear a bit red. The elders in the family say this is "fetal heat" and that I should give them herbal powder to reduce i...
Dr. Pei Rensheng reply Pediatrics
Dear Xiaofen, The baby has some redness on the face and body, which could be due to several possibilities: 1. Erythema toxicum: This occurs in about 50% of newborns, presenting as small red spots that typically resolve on their own within two weeks. 2. Seborrheic dermatitis: Th...[Read More] Is It Safe for Newborns to Take Traditional Chinese Medicine Powder?
Flu Vaccine for Kids: Is the Second Dose Necessary?
Influenza second dose Doctor: Hello! May I ask if a 1-year and 4-month-old child received their first flu shot in October and is scheduled to receive the second dose this month, can they skip the second dose? What would be the implications? If they do not receive it, will they st...
Dr. Pei Rensheng reply Pediatrics
Dear Cynthia, 1. The influenza vaccine is used to prevent influenza, and studies from abroad indicate that its efficacy ranges from approximately 60% to 90%. According to international medical research recommendations, children under eight years old who have never received the i...[Read More] Flu Vaccine for Kids: Is the Second Dose Necessary?
Can Flu Vaccine Cause Rashes in Infants? Understanding Pediatric Reactions
Can getting a flu vaccine cause a rash? Hello Doctor, my baby was born on April 19, 2007. After reaching six months, on October 30, 2007, he received the first dose of the influenza vaccine (from Pasteur) and the third dose of the pneumococcal vaccine in the afternoon. However, t...
Dr. Pei Rensheng reply Pediatrics
Hello: The most common side effects of the influenza vaccine are localized pain and swelling at the injection site. There are also rare occurrences of systemic reactions, such as fever, myalgia, and fatigue. Allergic and neurological reactions are infrequent. According to a surve...[Read More] Can Flu Vaccine Cause Rashes in Infants? Understanding Pediatric Reactions
Timing for Flu Vaccine and Other Immunizations in Infants
How long should one wait to receive the flu vaccine after getting other vaccines? Hello, my baby was born on April 19, 2007, and is now six months old. Due to a cold, the hexavalent vaccine was administered on October 27. We plan to administer the pneumococcal vaccine on November...
Dr. Pei Rensheng reply Pediatrics
Dear Penguin Mama, 1. Both the influenza vaccine and the pneumococcal vaccine are inactivated vaccines, so they can be administered at the same time or at any interval without concern. The side effects will not be amplified. If you are worried that your child may feel more uncom...[Read More] Timing for Flu Vaccine and Other Immunizations in Infants