Dr. Pei Rensheng reply Pediatrics Question - Page 4

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Is Your Newborn Drinking Enough Milk? Common Feeding Concerns Explained

Milk consumption issues? An 8-day-old baby is feeding normally, waking up every four hours for a feeding. However, the baby does not finish each feeding, leaving behind 10-20 ml of milk. During the feeding process, the baby is burped intermittently, but it seems that after each f...


Dr. Pei Rensheng reply Pediatrics
Hello! The daily milk intake is approximately 100-200 cc/kg of body weight per day. If complementary foods are introduced, the milk intake is expected to slightly decrease, but the total amount should remain within this range. Having smaller meals is acceptable, especially the fi...

[Read More] Is Your Newborn Drinking Enough Milk? Common Feeding Concerns Explained


Managing Urinary Tract Infections in Infants: Cranberry Juice and Care Tips

Urinary tract infection (UTI) Hello, doctor. My baby is currently 9 months old and has had two urinary tract infections. Can she drink 100% cranberry juice? How much can she have in a day? What is the recommended way to dilute it? After urination, should I use wet wipes to clean ...


Dr. Pei Rensheng reply Pediatrics
Hello, regarding the latest literature as of September 14, 2021, there is no preventive effect of cranberry on urinary tract infections in children. This conclusion is based on a synthesis of 13 studies involving 2,462 children. Consuming more cranberries may even increase the ri...

[Read More] Managing Urinary Tract Infections in Infants: Cranberry Juice and Care Tips


Understanding and Treating Redness Around Baby's Mouth: Pediatric Insights

Medical issues Hello, Dr. Pei. I would like to ask you about my baby (9 months old) who has red patches on both sides of his mouth (similar to the character from "Anpanman"). After applying Gishu for two weeks, there has been no improvement. I took the liberty of applyi...


Dr. Pei Rensheng reply Pediatrics
Hello! The causes of perioral rashes in infants include: 1. Salivary dermatitis, caused by saliva irritation; 2. Food allergies; 3. Herpes virus infection; 4. Nutritional imbalance, such as a deficiency in B vitamins. Your baby seems to resemble salivary dermatitis; either a pedi...

[Read More] Understanding and Treating Redness Around Baby's Mouth: Pediatric Insights


Understanding Digestive Issues in Infants: Is Sour Stool Normal?

Gastrointestinal issues Recently, the nanny has been insisting that I buy Xinfang Feiming or Ruoyuan tablets for my daughter. She says that the sour smell of my daughter's stool indicates that undigested food is fermenting. However, I remember that my daughter has always had...


Dr. Pei Rensheng reply Pediatrics
Hello: 1. Typically, stool is alkaline or neutral (pH values ranging from 7.0 to 7.5). Newborn stool is slightly acidic, with a pH of 5.0 to 7.5. The pH of stool depends on the diet and bacterial fermentation in the small intestine. Carbohydrates tend to make the pH acidic, whi...

[Read More] Understanding Digestive Issues in Infants: Is Sour Stool Normal?


Understanding Red Spots on Infants' Tongues: Causes and Concerns

Red spots on a toddler's tongue? The child is currently 8 months old and has been observed to have small red spots on the tip or sides of the tongue that resemble petechiae or bruising. Sometimes these spots disappear, and at other times they reappear. It has been confirmed ...


Dr. Pei Rensheng reply Pediatrics
Hello! The causes of red spots on the tongue include: 1. Strawberry tongue (streptococcal infection, scarlet fever, etc.) 2. Herpes simplex; enterovirus 3. Traditional Chinese medicine refers to excessive liver fire; reduce staying up late, drink more water, and avoid hot and dry...

[Read More] Understanding Red Spots on Infants' Tongues: Causes and Concerns


Emergency Care for Children: What to Do If They Ingest Foreign Objects

Child accidental ingestion Hello. If a child accidentally ingests feces, insects, lotions, sand, or dirt, should they be taken to the hospital immediately? Are there any risks or potential complications?


Dr. Pei Rensheng reply Pediatrics
Hello: Principles for assessing accidental ingestion: 1. Is it toxic? For example, ingestion of cleaning agents, pesticides, or adult medications. 2. Where is it lodged? For instance, a coin stuck in the esophagus. 3. How long has it been? 4. What is the size of the object? 5. Ar...

[Read More] Emergency Care for Children: What to Do If They Ingest Foreign Objects


Understanding Rib Issues in Children: What to Know About Your Child's Symptoms

Rib issues Hello Dr. Pei, yesterday I noticed that my three-and-a-half-year-old daughter has a protrusion on one of her right ribs (about one to two centimeters below the nipple). It feels bony to the touch and is approximately one centimeter in size. It is noticeably different f...


Dr. Pei Rensheng reply Pediatrics
Hello: In children, prominent ribs are most likely due to benign bone tumors such as osteoid osteoma, osteochondroma, fibrous dysplasia, ossifying fibroma, or bone cysts. These conditions can generally be preliminarily diagnosed through X-rays. If there are no symptoms, regular m...

[Read More] Understanding Rib Issues in Children: What to Know About Your Child's Symptoms


Understanding Infant Head Circumference: What Parents Should Know

Infant head circumference Hello doctor, my child had a larger head circumference during pregnancy, measuring 37.5 cm at birth. Both the brain ultrasounds performed at birth and at two months were normal, and the head circumference has continued to grow normally each month without...


Dr. Pei Rensheng reply Pediatrics
Hello! 1. At 6 months, a head circumference of 47 cm has exceeded the 95th percentile, indicating macrocephaly. 2. The causes of macrocephaly include: a. Familial macrocephaly, which is related to genetics b. Hydrocephalus c. Brain tumor d. Intracranial hemorrhage/...

[Read More] Understanding Infant Head Circumference: What Parents Should Know


Impact of Early Pregnancy Flu and Fever on Baby's Development

The impact of fever due to influenza during early pregnancy on the baby? Hello doctor, I had the flu and a fever of 38 degrees Celsius during the early stages of my pregnancy at 6 weeks. I did not take any medication and recovered naturally. After my baby was born, I was very anx...


Dr. Pei Rensheng reply Pediatrics
Hello! There are research reports indicating that women hospitalized due to influenza are not only more likely to experience preterm labor and give birth to low birth weight infants, but their babies also have an eightfold increased risk of having low APGAR scores (indicating ins...

[Read More] Impact of Early Pregnancy Flu and Fever on Baby's Development


Is Your Newborn's Formula Intake Too High? Understanding Feeding Needs

Is the milk intake of the newborn excessive? Hello, doctor. My baby boy is just 12 days old and often needs to be soothed. He is exclusively formula-fed and frequently wakes up before the 3.5-hour mark. After feeding, he often requires a significant amount of time to be calmed do...


Dr. Pei Rensheng reply Pediatrics
Hello, it is normal for newborns to feed every 3-4 hours. Most infants will be able to sleep a bit longer at night after reaching one month of age before waking up for a feeding. The average daily milk intake is 100-200 cc/kg/day; if the baby currently weighs 3.6 kg, that would b...

[Read More] Is Your Newborn's Formula Intake Too High? Understanding Feeding Needs


Height Growth Concerns in Adolescents: Expert Insights and Guidance

Height growth issues Height concerns – Hello Doctor: A 13-year-old girl in the first year of junior high school has a bone age of 13 years, measuring 150.8 cm and weighing 44 kg (menstruation has started for 1 year, father is 172 cm, mother is 161 cm). I would like to ask: 1. Wil...


Dr. Pei Rensheng reply Pediatrics
Hello: According to genetics, the expected adult height is calculated as the average of the parents' heights minus 6. Therefore, (172 + 161) / 2 = 166.5, and 166.5 - 6 = 160.5 cm. However, the current height is 150.8 cm, and the bone age is already 13 years, which correspond...

[Read More] Height Growth Concerns in Adolescents: Expert Insights and Guidance


Understanding Respiratory Distress in Full-Term Newborns: Key Insights

Neonatal respiration In the case of a full-term newborn who exhibits respiratory distress immediately after birth and shows lung shadows on X-ray, based on past experience, one might suspect conditions such as neonatal pneumonia, meconium aspiration syndrome, or congenital pneumo...


Dr. Pei Rensheng reply Pediatrics
Hello: The possible causes of wheezing in newborns, along with pulmonary infiltrates, are as follows: 1. Pneumonia 2. Respiratory Distress Syndrome (RDS) 3. Transient Tachypnea of the Newborn (TTNB) 4. Meconium Aspiration 5. Pulmonary Cysts 6. Diaphragmatic Hernia 7. Others... Of...

[Read More] Understanding Respiratory Distress in Full-Term Newborns: Key Insights


Do Steroid Nasal Sprays Affect Child Growth? Expert Insights

Will steroid nasal sprays affect development? Hello Doctor: My son is six years old and has been experiencing long-term nasal congestion due to allergies, which has become more pronounced recently. Last winter, I gave him a steroid nasal spray, and the clinic physician said it wa...


Dr. Pei Rensheng reply Pediatrics
Hello: On November 14, 2020, I searched for information on "update": Older children and adults — For children aged 2 years and older, the approach to pharmacotherapy is essentially the same as that in adults and depends on the severity and persistence of symptoms. Mi...

[Read More] Do Steroid Nasal Sprays Affect Child Growth? Expert Insights


Understanding Baby's Bowel Issues: Causes and Solutions for Parents

Infant bowel movement issues? Hello, my baby is currently 2 months and 17 days old. Recently, I have noticed that there are occasionally formed stools during bowel movements. Could this be due to insufficient fluid intake, or could there be other reasons? Since the baby is almost...


Dr. Pei Rensheng reply Pediatrics
Hello! For an infant over two months old, the average daily milk intake is about 150 cc/kg. If the baby can reach 800-900 cc per day, that would be considered a good amount. Generally, there is no need for the baby to have additional water. After the baby turns one month old, the...

[Read More] Understanding Baby's Bowel Issues: Causes and Solutions for Parents


Understanding Shoulder Shrugging in 7-Month-Old Babies: When to Worry

A 7-month-old baby may shrug their shoulders? Recently, I noticed that my 7-month-old baby occasionally shrugs her shoulders, sometimes on one side and other times on both sides, but mostly it's one-sided. This happens when she wakes up, during meals, or while playing, but i...


Dr. Pei Rensheng reply Pediatrics
Hello, 1. Your baby seems to exhibit habitual movements. 2. Tourette syndrome typically occurs from preschool age to pre-adolescence, with very few cases presenting before the age of one. 3. Infantile spasms often accompany global developmental delay and usually appear betwee...

[Read More] Understanding Shoulder Shrugging in 7-Month-Old Babies: When to Worry


Concerns About Zinc Oxide Cream Ingestion in Toddlers: What Parents Should Know

Child accidental ingestion A one-year and three-month-old child accidentally ingested zinc oxide diaper cream, and although it was almost finished and not a large amount, it was also applied inside the mouth. Will there be any harm? Thank you!


Dr. Pei Rensheng reply Pediatrics
Hello: Zinc toxicity is rare because the safe dosage is quite high. Symptoms typically do not occur unless the intake exceeds 10 times the usual supplementation amount (1-2 mg/kg/day of elemental zinc). Initial symptoms may include gastrointestinal issues such as nausea and vomit...

[Read More] Concerns About Zinc Oxide Cream Ingestion in Toddlers: What Parents Should Know


Are X-Rays Safe for Kids? Understanding Radiation Risks in Pediatrics

Is it harmful for children to have X-rays? A 1.5-year-old child bumped their temple against a chair, resulting in a swelling. They were taken to the emergency room, where the doctor arranged for two head X-rays, but the neck was not protected with a lead apron. Later, a 3-year-ol...


Dr. Pei Rensheng reply Pediatrics
Hello! The International Commission on Radiological Protection (ICRP) recommends using the Sievert (Sv) to quantify the potential harm of radiation to the human body. The average background radiation dose in Taiwan is approximately 1 to 2 millisieverts (mSv) per year. The dose fr...

[Read More] Are X-Rays Safe for Kids? Understanding Radiation Risks in Pediatrics


Understanding Infant Feeding Aversion: Causes and Solutions

Lactose intolerance? Hello, doctor! My baby is currently 2 and a half months old. When it's time for feeding (every 3-4 hours), she wakes up and asks for milk, but when I offer her the bottle, she pushes it away with her hands. I thought she might prefer breastfeeding, so I ...


Dr. Pei Rensheng reply Pediatrics
Hello! The weaning phase often occurs between 2 to 6 months of age, possibly due to external environmental stimuli or the introduction of complementary foods, which may reduce interest in formula milk. The characteristics include decreased intake, but activity levels remain good,...

[Read More] Understanding Infant Feeding Aversion: Causes and Solutions


Is My Baby Experiencing Milk Aversion? Understanding Feeding Challenges

Lactose intolerance? Hello, doctor! My baby is currently 2 and a half months old. When it's time to feed (every 3-4 hours), she wakes up and asks for milk, but when I offer her the bottle, she pushes it away with her hands. I thought she might prefer breastfeeding, so I trie...


Dr. Pei Rensheng reply Pediatrics
Hello: The period of milk aversion often occurs between 2 to 6 months of age. This may be due to external environmental distractions or the introduction of complementary foods, leading to decreased interest in formula milk. The characteristics include reduced intake, but activity...

[Read More] Is My Baby Experiencing Milk Aversion? Understanding Feeding Challenges


Understanding Soft Stools in 1-Year-Olds: When to Seek Help

Diarrhea in a 1-year-old child? Hello, Doctor. I apologize for the interruption! My son is currently just over 1 year old and started experiencing soft stools/watery diarrhea last Wednesday (August 12) afternoon, which has continued for about 5 days now. * The stool color is norm...


Dr. Pei Rensheng reply Pediatrics
Hello! Based on your daughter's condition, it is likely toddler's diarrhea. The characteristics include eating a lot, growing well, and having mild diarrhea. This is often caused by a high intake of fructose-containing foods, such as fruit juices. If you switch to a hig...

[Read More] Understanding Soft Stools in 1-Year-Olds: When to Seek Help


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