Dr. Pei Rensheng reply Pediatrics Question - Page 18

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Understanding Pneumococcal and Rotavirus Vaccines for Your Baby

Regarding the pneumococcal vaccine vs. the rotavirus vaccine? Hello: My baby has just turned one month old, and I would like to have him vaccinated with the hexavalent vaccine, which will change the traditional schedule to 1.5, 3, and 6 months. 1. If I also want my baby to rece...


Dr. Pei Rensheng reply Pediatrics
Hello: ▲ The pneumococcal vaccine (Prevnar) should be administered starting at one month of age: a total of four doses are required, with the first three doses spaced at least one month apart, preferably two months apart. The final dose should be given after the child turns one y...

[Read More] Understanding Pneumococcal and Rotavirus Vaccines for Your Baby


Allergy Concerns: Dietary Guidelines for Infants with Allergic Parents

Suspected allergic child, seeking advice on dietary issues? Hello, doctor~~ Both my husband and I have allergic tendencies, and my daughter is currently 7 and a half months old. The pediatrician advised us not to introduce any protein foods, including eggs, meat, and fish, before...


Dr. Pei Rensheng reply Pediatrics
Hello: (1) If both parents have allergic tendencies, the likelihood of their children having allergic conditions is between 60-100%. The later a child is introduced to protein-rich foods, the less likely they are to develop allergic diseases in the future, especially with seafood...

[Read More] Allergy Concerns: Dietary Guidelines for Infants with Allergic Parents


Nutrition Tips for Your 11-Month-Old: Addressing Weight and Growth Concerns

Abbott Similac Hello Doctor: My baby boy is currently over 11 months old and weighs 9 kilograms. He should be nearly 100 centimeters tall, and he is considered a tall and slim baby. His appetite is quite good, but he doesn't seem to gain much weight. I've heard that doc...


Dr. Pei Rensheng reply Pediatrics
Hello: (1) The average weight for a baby approaching one year old is about 10 kilograms and the average height is around 75 centimeters. Is it possible that your baby's height is not close to 100 centimeters? Could there have been a measurement error? (2) Abbott Similac Adva...

[Read More] Nutrition Tips for Your 11-Month-Old: Addressing Weight and Growth Concerns


Concerns About Low Milk Intake in Infants: What Parents Should Know

Low milk supply? Hello, doctor; my baby is already three months old. He drinks very little milk, only about 100 ml every four hours. Recently, due to possible gas and the change of seasons, his intake has decreased from 100 ml to 60 ml. I'm really worried! He also drinks a l...


Dr. Pei Rensheng reply Pediatrics
Hello: A normal baby weighs about three kilograms at birth, and by the fourth or fifth month, their weight will double to around six kilograms. By the age of one, they will weigh approximately three times their birth weight, which is about ten kilograms. After that, until puberty...

[Read More] Concerns About Low Milk Intake in Infants: What Parents Should Know


Why Is My Baby Sleeping So Much? Understanding Sudden Changes in Sleep Patterns

The baby suddenly loves to sleep? Hello, doctor: I would like to ask about my baby who will be three months old in four days. For the past two days, he has suddenly become very sleepy, which makes me quite worried. He doesn't have a fever, and his appetite is normal; he only...


Dr. Pei Rensheng reply Pediatrics
Hello! Average sleep duration for humans by age: - Newborns: 16-18 hours (including 5-6 hours of daytime sleep) - 1-2 months: 14-16 hours (including 4-5 hours of daytime sleep) - 3-5 months: 13-15 hours (including 2-3 hours of daytime sleep) - 6-12 months: 11-13 hours (including...

[Read More] Why Is My Baby Sleeping So Much? Understanding Sudden Changes in Sleep Patterns


Pediatric Medication Safety and Newborn Screening: What Parents Should Know

Medication consultation & neonatal ultrasound examination, hearing screening? Hello Doctor: My son is currently three months old (born on January 31). Last week, he had a severe cold with nasal congestion, so we took him to a nearby pediatric clinic for treatment. The doctor ...


Dr. Pei Rensheng reply Pediatrics
Hello! For a three-month-old baby weighing 6 kilograms, based on the principle of 40 kilograms per dose, the dosage should be approximately 1/6 to 1/7. Therefore, the dosages for Gascon (for gas relief) and Periactin (for appetite stimulation and treating runny nose) are appropri...

[Read More] Pediatric Medication Safety and Newborn Screening: What Parents Should Know


Understanding Thyroid Function Concerns in Infants: A Parent's Guide

Thyroid function concerns? Hello Doctor: Baby was born on January 1, 1996, and underwent newborn screening at birth. The screening report indicated an abnormal result, so blood was drawn again in the obstetrics and gynecology department (shouldn't the blood be drawn from the...


Dr. Pei Rensheng reply Pediatrics
Hello: The male infant was born weighing 4200 grams and measuring 57 cm; he is now 6.8 kg and 62.5 cm tall. His weight is at the 75th percentile according to the growth chart, and his height is also around the 75th percentile, both indicating above-average growth, so there is no ...

[Read More] Understanding Thyroid Function Concerns in Infants: A Parent's Guide


Switching from Lactose-Free to Regular Formula: Key Considerations for Parents

Switching from lactose-free formula to regular formula? Hello Doctor: My baby is currently ten months old. He had diarrhea for over a month, and after seeing a doctor, he has been drinking lactose-free formula for about eight weeks. Two weeks ago, we stopped medication, and now h...


Dr. Pei Rensheng reply Pediatrics
Hello, (1) Growth formula for children aged 1 to 3 years is not less nutritious than infant formula for those aged 6 to 12 months. Once a child turns one year old, they can start drinking the 1 to 3 years growth formula, which may even have a higher protein concentration compar...

[Read More] Switching from Lactose-Free to Regular Formula: Key Considerations for Parents


Managing Water Quality for Children with Kidney Issues: Essential Tips

If there are issues with kidney function, should the quality of drinking water be more strictly regulated? Hello Doctor: My daughter was diagnosed with "two sets of ureters = four kidneys" while still in the womb, but one of the kidneys has "cystic dysplasia" ...


Dr. Pei Rensheng reply Pediatrics
Hello: 1. Although there are congenital kidney malformations, most kidney functions are normal at birth. Of course, infants under one year old still have developing kidneys, and drinking water with high mineral content can increase the burden on their kidneys, making it unsuitab...

[Read More] Managing Water Quality for Children with Kidney Issues: Essential Tips


Can I Switch My Child's Vaccine from Four-in-One to Six-in-One?

Can the four-in-one vaccine be replaced with the six-in-one vaccine? Hello Dr. Pei, My daughter is currently six months old. She received the four-in-one vaccine at two and four months of age. For her next vaccination, can we switch to the five-in-one or six-in-one vaccine? Ple...


Dr. Pei Rensheng reply Pediatrics
Hello! Your daughter is currently six months old and has received the pentavalent vaccine at two and four months of age. For this vaccination (at six months) or the next one (at eighteen months), you can switch to the hexavalent vaccine. However, if your third dose is the hexaval...

[Read More] Can I Switch My Child's Vaccine from Four-in-One to Six-in-One?


Understanding Rotavirus: Prevention and Vaccination for Infants

About Rotavirus Hello, Dr. Pei: I would like to ask about rotavirus. Recently, our nine-month-old child was infected with rotavirus, experiencing severe vomiting and diarrhea, along with dehydration. It was quite serious, and we had to go to the hospital for intravenous fluids. A...


Dr. Pei Rensheng reply Pediatrics
Hello! 1. Children over six years old and adults rarely become ill due to rotavirus. 2. Currently, there are two types of rotavirus vaccines, summarized in the table below. Vaccine Name (Manufacturer) Doses First Dose Age Minimum Interval Recommended Schedule Rotarix ...

[Read More] Understanding Rotavirus: Prevention and Vaccination for Infants


Can I Introduce Solid Foods to My 4-Month-Old with Gas Issues?

Bloating My child is four months old. He is experiencing bloating and refuses to drink milk. Can I feed him some solid foods? Will it increase the burden on his stomach?


Dr. Pei Rensheng reply Pediatrics
Hello, Severe bloating can indeed affect appetite. At four months old, it is appropriate to start introducing complementary foods, beginning with rice cereal. If there are no more severe symptoms such as vomiting or diarrhea, it should be fine. However, if you are still concern...

[Read More] Can I Introduce Solid Foods to My 4-Month-Old with Gas Issues?


Understanding Rib Protrusion and Gas in Infants: What Parents Should Know

Rib protrusion My child is already four months old, and he often crosses his legs. He frequently experiences bloating. I would like to know if it's okay for a child to cross their legs and whether it is related to his bloating. Does this position make him feel more comfortab...


Dr. Pei Rensheng reply Pediatrics
Hello! It's fine for the feet to be crossed, but please pay attention to whether the growth and development of your 4-month-old child meet the standards outlined in the health booklet. Additionally, crossing the legs has little to do with stomach bloating; bloating is primar...

[Read More] Understanding Rib Protrusion and Gas in Infants: What Parents Should Know


Understanding White Stool in a 6-Month-Old: When to Worry?

Six-and-a-half-month-old baby with white stools? Dr. Pei: The child is currently six and a half months old. Two days ago, the stool was once white like formula, and another time it was white in the front, green in the middle, and yellow at the end. After that, for the next two da...


Dr. Pei Rensheng reply Pediatrics
Hello! Biliary atresia is indeed a serious condition that can be concerning. However, the symptoms of biliary atresia are not limited to pale stools; the skin and eyes may also appear yellow. It typically presents in infants aged 1 to 3 months, so the likelihood for your baby is ...

[Read More] Understanding White Stool in a 6-Month-Old: When to Worry?


Breastfeeding and Medication: Safe Guidelines for New Mothers

Medications for breastfeeding Doctor: Hello! I am currently breastfeeding. A few days ago, I had a cold that led to gastroenteritis. The doctor prescribed me two medications as follows: Roumin (Novamin) 5 mg/tablet and Trancolon (Chanpon) 15 mg. I have taken them for two days, an...


Dr. Pei Rensheng reply Pediatrics
Hello: The half-life of Novamin is approximately 6.8 to 9 hours. It is classified as Category C for use during pregnancy, indicating that animal studies have shown teratogenic effects, but there are no controlled studies in pregnant women or animals to confirm its risks. If you a...

[Read More] Breastfeeding and Medication: Safe Guidelines for New Mothers


Concerns About Overconsumption of Children's Vitamins: What Parents Should Know

Ingestion of a large amount of vitamins? Hello, my child recently consumed nearly 90 gummy vitamins (like Gummy Bears) at home when adults were not paying attention. Is there any concern regarding such a large intake of vitamins? Should we take her to a doctor for an examination?...


Dr. Pei Rensheng reply Pediatrics
Hello! Not only are the well-known fat-soluble vitamins (vitamins A, D, E, K) at risk of toxicity when taken in excess, but water-soluble vitamins can also lead to toxicity when consumed in large amounts, although this is more commonly seen in high-dose treatments for specific co...

[Read More] Concerns About Overconsumption of Children's Vitamins: What Parents Should Know


Understanding Your Baby's Diarrhea: Causes and Solutions

My baby's diarrhea issue! Hello Doctor: My baby was born in May 2006 and is now almost nine months old. Since December 11 of last year, due to a cold, I took him to see a doctor. The medication included the antibiotic Ulex (Keflex), and we also switched his formula (from 4 t...


Dr. Pei Rensheng reply Pediatrics
Hello: Yes, lactose-free formula does not require a reduction in scoops, because diarrhea from regular formula is primarily due to the inability to absorb lactose. Since lactose-free formula does not contain lactose, diluting it does not affect the severity of diarrhea. Questran ...

[Read More] Understanding Your Baby's Diarrhea: Causes and Solutions


Tips for Relieving Constipation in Toddlers: A Concerned Dad's Guide

My daughter has difficulty with bowel movements and experiences pain? My daughter is 1 year and 5 months old. Recently, she has been experiencing constipation. She has better bowel movements at her grandmother's house, but when she returns home on weekends, she often has dif...


Dr. Pei Rensheng reply Pediatrics
Hello: To address constipation issues, you can start by gently massaging the child's abdomen in a clockwise direction (around the navel). For infants and young children, you may use a rectal thermometer or a finger to stimulate the anus. Ensure they receive adequate hydratio...

[Read More] Tips for Relieving Constipation in Toddlers: A Concerned Dad's Guide


Understanding Painful Urination in Toddlers: Causes and Solutions

Dysuria Hello, doctor. My daughter is currently 16 months old and is still in diapers, not yet able to use the toilet by herself. She can only say a few words like "dad" and "mom." Recently, I've noticed that she seems uncomfortable when urinating, and th...


Dr. Pei Rensheng reply Pediatrics
Hello: Experiencing discomfort while urinating and noticing redness in the genital area may raise concerns about a urinary tract infection (UTI). A UTI does not always present with fever, and the best approach is to perform a urinalysis. You can use a urine collection bag or a ca...

[Read More] Understanding Painful Urination in Toddlers: Causes and Solutions


Understanding Umbilical Issues and Digestive Concerns in Infants

Umbilical issues Hello Dr. Pei: Thank you for your response to my previous question. I have a few more questions to ask you. Last time, you mentioned that the foul smell of a child's stool is due to excessive protein. Is this directly related to the formula milk? Should I co...


Dr. Pei Rensheng reply Pediatrics
Hello: 1. Infants who consume partially hydrolyzed formula (such as Enfamil HA1) may have stools that are more odorous. However, if the child is growing normally, there is no need to change the formula solely due to the odor of the stools. 2. Bloating in the stomach is mostly...

[Read More] Understanding Umbilical Issues and Digestive Concerns in Infants


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