Assessing Choking Risks in Infants During Feeding: A Pediatric Guide
Milk consumption issues? Hello Doctor: My baby is currently two and a half months old. I am using a round hole nipple (suitable for 0-3 months) for feeding. Sometimes, my baby chokes while feeding, and I am worried about whether this could cause lung problems, which adds a lot of...
Dr. Pei Rensheng reply Pediatrics
Hello: If a foreign object enters the trachea or lungs, it may cause severe coughing. If this foreign object cannot be expelled or absorbed, it may further lead to pneumonia or lung collapse, which can result in fever and decreased exercise tolerance (shortness of breath with min...[Read More] Assessing Choking Risks in Infants During Feeding: A Pediatric Guide
Understanding Dosage Errors in Pediatric Asthma Medication
Incorrect dosage of asthma medication? Hello Doctor: Thank you for your response regarding the issue of administering the incorrect dosage of the asthma medication. Since the child did not exhibit the complications you mentioned, I later gave the correct dosage for another day (I...
Dr. Pei Rensheng reply Pediatrics
Hello: The medication for asthma will be metabolized and eliminated quickly, so there is no need to worry about residual effects. If symptoms improve, you can stop the asthma medication and switch to oral Montelukast or maintenance medications like Seretide for asthma management....[Read More] Understanding Dosage Errors in Pediatric Asthma Medication
Potential Risks of Overdosing Asthma Medication in Young Children
Incorrect dosage of asthma medication? Hello: The child is currently 2 years old. When visiting the doctor due to illness, the doctor prescribed 3cc of Montelukast twice a day. However, the family mistakenly administered 4cc for three consecutive days. Will taking too much Montel...
Dr. Pei Rensheng reply Pediatrics
Hello: Meptin (滅喘淨) may cause side effects such as palpitations, vomiting, tremors, headaches, and rashes. If an overdose occurs, please be aware of the aforementioned complications. (In your case, serious complications are unlikely to occur.) Please discontinue the medication ...[Read More] Potential Risks of Overdosing Asthma Medication in Young Children
What to Do If Your 10-Month-Old Swallows a Fish Bone?
If a ten-month-old baby accidentally ingests a fishbone, here are the steps to take: 1. **Stay Calm**: Keep calm to avoid alarming the baby. 2. **Assess the Situation**: Check if the baby is in distress, coughing, or having difficulty breathing. 3. **Encourage Coughing**: If the...
Dr. Pei Rensheng reply Pediatrics
Hello: In the case of fish bone mis-swallowing, the first step is to confirm its location, whether in the stomach or below. Most of the time, it is safe and can be expelled harmlessly on its own. However, if it is lodged in the esophagus, an urgent endoscopy is required for remov...[Read More] What to Do If Your 10-Month-Old Swallows a Fish Bone?
Understanding Skin Issues in Toddlers: White Spots on the Abdomen
Skin issues The child is currently 2 years old. Previously, when he was over 6 months old, a white spot was noticed on his abdomen. Initially, it was thought to be a birthmark and was not given much attention, but now there are concerns that it may be a skin condition. The area i...
Dr. Pei Rensheng reply Pediatrics
Hello: It is most likely nevus anemicus, which is generally harmless and primarily a cosmetic concern. It can be evaluated by a physician during preventive vaccinations. Wishing you health, happiness, and safety! Sincerely, Ren Sheng.[Read More] Understanding Skin Issues in Toddlers: White Spots on the Abdomen
Essential Guide to Newborn Thyroid Screening and Symptoms
Neonatal thyroid issues Due to my hyperthyroidism, I continued to take medication during my pregnancy. My child was born on March 20th, weighing 3100 grams. When is the most appropriate time to arrange for a newborn thyroid function test to avoid delaying treatment? Additionally,...
Dr. Pei Rensheng reply Pediatrics
Hello: Pregnant women with hyperthyroidism who continue to take medication during pregnancy may have these drugs cross the placenta, potentially affecting the baby. Fortunately, these medications are metabolized in the infant's body within a few weeks. In Taiwan, normal newb...[Read More] Essential Guide to Newborn Thyroid Screening and Symptoms
Managing Egg Allergy in Infants: When to Pause and When to Continue
Food allergy Hello, doctor. My baby had an egg yolk allergy at 5 to 6 months, which caused hives. When he was 9 months old, we tried again, and he had severe vomiting. We consulted a doctor, who advised us to wait a week and then try giving him 1/3 of an egg yolk again, but he vo...
Dr. Pei Rensheng reply Pediatrics
Hello, 1. The causes of food allergies before the age of one include milk, egg whites, peanuts, and seafood. 2. Most allergies to milk and egg whites tend to resolve after the age of one; however, allergies to peanuts and seafood are more likely to persist into adulthood. 3. ...[Read More] Managing Egg Allergy in Infants: When to Pause and When to Continue
Understanding Kidney Atrophy in Infants: Causes, Risks, and Dietary Considerations
Renal atrophy Hello, doctor. My baby is currently 11 months old. Around 8 months, he experienced a urinary tract infection, and subsequent tests confirmed vesicoureteral reflux (grades 2 and 3). During the inflammation, an ultrasound showed that the kidney sizes were over 7 and o...
Dr. Pei Rensheng reply Pediatrics
Hello: According to statistics, the normal kidney size for infants aged 6-12 months is as follows: for females, the mean is 6.3 cm, with a standard deviation of 0.68 cm, and a range of 5.1-7.5 cm; for males, the mean is 6.4 cm, with a standard deviation of 0.78 cm, and a range of...[Read More] Understanding Kidney Atrophy in Infants: Causes, Risks, and Dietary Considerations
Understanding Your Baby's Sour Smelling Stool: When to Worry?
Feces have a sour smell? Hello, doctor. I would like to inquire about the smell of my baby's stool. My baby is 2 months and 22 days old, currently weighs 6.3 kg, and is on a full formula diet (Abbott Similac). He drinks 150 cc per feeding and can have 5 to 6 feedings a day. ...
Dr. Pei Rensheng reply Pediatrics
Hello: For infants fed with formula milk, if there is an excess of sugar, the baby’s stool may appear foamy, more liquid, yellow in color, and have a strong sour smell. In such cases, it is advisable to reduce the sugar content appropriately. I recommend trying formulas labeled a...[Read More] Understanding Your Baby's Sour Smelling Stool: When to Worry?
Treatment Options for Neonatal Hemangiomas: Duration and Considerations
Neonatal hemangioma What treatment options are available for a newborn who has a vascular tumor approximately 6x6 cm on the neck immediately after birth? How long is the treatment duration? The baby was born on December 10 and is currently stable at the hospital where the deliver...
Dr. Pei Rensheng reply Pediatrics
Management principles for infantile hemangiomas: 1. Consider factors such as age, whether the hemangioma is in the growth phase or involution phase, location, size, and complications to determine the treatment approach. 2. If there are complications (affecting respiration, swallo...[Read More] Treatment Options for Neonatal Hemangiomas: Duration and Considerations
Understanding Your Child's Medical Report: Key Insights for Parents
Inquiry about the child's examination report content? Hello Doctor: My child was hospitalized for examination at over one month old due to suspected infant apnea syndrome. After the hospitalization and examination, everything was reported as normal, and we were discharged ho...
Dr. Pei Rensheng reply Pediatrics
Hello! 1. The report of the X-ray for infants is for reference only and should be interpreted in conjunction with clinical findings for greater significance. (Mobile note: There is a slight infiltration suggestive of possible inflammation in the lungs.) 2. Electrocardiogram...[Read More] Understanding Your Child's Medical Report: Key Insights for Parents
Understanding Infant Vomiting: Is Formula Milk the Cause?
Issues with drinking milk and abdominal problems? Hello Doctor, my baby is now over two months old. Since birth, he has had a tendency to spit up formula milk. Currently, we have reduced the amount from 150ml to 90ml, but he still spits up immediately after feeding. In the past t...
Dr. Pei Rensheng reply Pediatrics
Hello, 1. If projectile vomiting occurs within three months, be cautious about the possibility of infant hypertrophic pyloric stenosis. 2. You can visit a pediatric gastroenterology clinic to arrange for abdominal X-rays and ultrasound examinations for diagnosis. 3. The recom...[Read More] Understanding Infant Vomiting: Is Formula Milk the Cause?
Understanding Infant Vomiting: Causes and Solutions for Formula-Fed Babies
Issues with drinking milk and abdominal problems? Hello doctor, my baby is now over two months old. Since birth, he has had a tendency to spit up formula milk, and now the amount has decreased from 150 ml to 90 ml, yet he still spits up immediately after feeding. In the past two ...
Dr. Pei Rensheng reply Pediatrics
Hello, 1. If there is projectile vomiting within three months, be cautious about the possibility of hypertrophic pyloric stenosis. 2. You can visit a pediatric gastroenterology clinic to arrange for abdominal X-rays and ultrasound examinations for diagnosis. 3. The daily milk...[Read More] Understanding Infant Vomiting: Causes and Solutions for Formula-Fed Babies
Understanding Involuntary Anal and Abdominal Contractions in Children
Anus, abdomen Hello, my 8-year-old child has been experiencing involuntary contractions of the anus and abdomen recently. What could this condition be? Which specialist should we consult? Thank you!
Dr. Pei Rensheng reply Pediatrics
Hello: If there is involuntary contraction of the anus/abdomen, and it is hypertonia, it may be indicative of upper motor neuron disease. I recommend that you visit a pediatric neurology clinic for further evaluation. Wishing you health and happiness! Sincerely, Ren Sheng.[Read More] Understanding Involuntary Anal and Abdominal Contractions in Children
Understanding Urination Issues in Toddlers After Cold Medication
Urinary problems Hello, doctor. I would like to inquire about my 1 year and 9-month-old son who recently had a mild cold. We visited the clinic, and he exhibited symptoms such as coughing, runny nose, and phlegm in his throat. The clinic prescribed cough suppressants, expectorant...
Dr. Pei Rensheng reply Pediatrics
Hello! Many cold medications contain antihistamines or anticholinergic agents, which can alleviate cold symptoms but may also cause side effects such as reduced sweating, decreased urination, drowsiness, and constipation. You may want to discuss with the prescribing physician to ...[Read More] Understanding Urination Issues in Toddlers After Cold Medication
Understanding Elevated Liver Enzymes in Young Children: What Parents Should Know
Liver function tests in infants? Hello, my 3-year and 8-month-old daughter recently had a blood test and urine analysis during a growth clinic visit, and everything was normal except for her GOT/GPT levels, which were 49 (reference value is below 42), and her lymphocyte count was...
Dr. Pei Rensheng reply Pediatrics
Hello, A 3-year and 8-month-old girl underwent a growth clinic visit with blood and urine tests. It was found that her GOT/GPT levels were 49 (reference value: below 42) and there was a slight elevation in lymphocytes. The GOT/GPT level of 49 indicates mild hepatitis, which cou...[Read More] Understanding Elevated Liver Enzymes in Young Children: What Parents Should Know
Understanding Infant Breathing Issues: When to Seek Medical Help
Neonatal respiratory issues Hello, doctor. My baby is currently one month and 7 days old. Sometimes he cries so hard that his face turns red and he becomes silent for about 10 seconds. Should we seek medical attention? When he is silent, we, as parents, become very anxious. Is th...
Dr. Pei Rensheng reply Pediatrics
Hello: Breath-holding spells are common in children aged 6 months to 6 years. 1. 20-35% have a family history. 2. Some may be associated with anemia. Generally, the prognosis is excellent, and there are no long-term sequelae. Administration of iron supplements or theophylline (a ...[Read More] Understanding Infant Breathing Issues: When to Seek Medical Help
Key Considerations for Boys During Puberty: A Pediatric Guide
Puberty Issues Doctor, what should boys pay attention to during puberty?
Dr. Pei Rensheng reply Pediatrics
Hello: 1. Most adolescent health issues are related to behavior and are preventable. 2. Hypertension, obesity, dietary problems, hyperlipidemia, tuberculosis, sexual behavior, sexually transmitted infections, learning issues, substance or alcohol abuse, depression, bullying... th...[Read More] Key Considerations for Boys During Puberty: A Pediatric Guide
Understanding Pediatric Urinary Tract Infections and Kidney Monitoring
Urinary tract infection (UTI) Hello, doctor. My daughter has had three urinary tract infections within three months, and imaging has revealed bilateral grade III vesicoureteral reflux. The nephrologist has scheduled a DMSA scan to check for kidney scarring. I would like to ask: 1...
Dr. Pei Rensheng reply Pediatrics
Hello! My daughter has had three urinary tract infections in the past three months, and imaging has revealed bilateral grade III vesicoureteral reflux. The nephrologist has ordered a DMSA scan to monitor for kidney scarring. 1) Is the radiation dose from this test high? Answer...[Read More] Understanding Pediatric Urinary Tract Infections and Kidney Monitoring
Common Concerns for 5-Month-Old Infants: Feeding, Development, and Health
5 months and 14 days old baby issues? Hello, doctor. I have the following questions: 1. My son, at this age, often experiences spit-up or small amounts of milk coming out when he burps. These symptoms occur at least once a day, but his activity level, height, and weight are all...
Dr. Pei Rensheng reply Pediatrics
Hello: 1. At my son's age, he often experiences spit-up or small amounts of milk coming out when he burps. These symptoms occur at least once a day, but his activity level and height and weight are fine. Is there a need for any examinations? ANS: You can discuss this with ...[Read More] Common Concerns for 5-Month-Old Infants: Feeding, Development, and Health