Understanding Labial Adhesions in Young Girls: When to Seek Medical Advice
Pediatric genital organs Hello Doctor: My daughter is almost three years old, and I have recently noticed that her labia seem to be fused, making the vaginal opening not visible. Is this situation normal? Should I take her to the hospital for an examination? Thank you!
Dr. Pei Rensheng reply Pediatrics
Hello! This appears to be labial adhesion; you can consult a pediatrician or an obstetrician-gynecologist to prescribe an ointment for treatment. Wishing you health and safety! Sincerely, Dr. Pei Ren-Sheng, Attending Physician, Department of Pediatrics, Taoyuan Hospital, Ministry...[Read More] Understanding Labial Adhesions in Young Girls: When to Seek Medical Advice
Addressing Milk Aversion and Growth Concerns in Infants
Milk aversion and growth and development issues? Hello, Dr. Pei. My son is 11 months old, weighing 7.8 kg and measuring 67 cm. His weight has been stuck between 7.6 and 7.8 kg for a long time, approximately since he was 5 months old, and he hasn't gained weight for half a ye...
Dr. Pei Rensheng reply Pediatrics
Hello, it appears that your baby is experiencing delays in both weight and height, along with suboptimal food intake, which indeed necessitates a medical evaluation. This could potentially be related to nutritional or endocrine issues. It is advisable to consult a pediatric gastr...[Read More] Addressing Milk Aversion and Growth Concerns in Infants
Understanding Constipation in Infants on Formula Milk: A Guide for Parents
Formula milk and bowel movement issues? The child is currently 4 months and 15 days old, weighing 6 kg, measuring 61 cm in height, and having a head circumference of 39 cm. They have been drinking Enfamil A+ formula and are on their third can. The milk intake is 150 ml, approxima...
Dr. Pei Rensheng reply Pediatrics
Hello! For a baby over four months old, the daily food intake is approximately 100-200 gm/kg/day. Currently weighing 6 kg, this translates to a daily intake of 600-1200 gm of food. Formula milk accounts for about 600-750 mL, and along with other complementary foods, it seems the ...[Read More] Understanding Constipation in Infants on Formula Milk: A Guide for Parents
Should You Take Your Baby to the Hospital for a Swollen Fontanel?
Swelling and redness of the fontanelle? My baby is eleven months old, with a corrected age of ten months. While playing, he suddenly fell and hit his head against my teeth. My teeth are not aligned properly, and he hit the protruding part of my tooth with such force that it cause...
Dr. Pei Rensheng reply Pediatrics
Hello! The anterior fontanelle typically closes between 9 to 18 months of age. Before it closes, there are rich blood vessels beneath the fontanelle, which may bleed or swell due to severe trauma. A soft hematoma within the scalp should not be drained, as it usually resolves on i...[Read More] Should You Take Your Baby to the Hospital for a Swollen Fontanel?
Choosing the Right Formula for Your Baby: A Guide for Parents
How to choose formula milk? My child is currently over 3 months old and has been exclusively breastfed. For the first two months, the stools were yellow and watery, about 5 to 6 times a day. Since March 26, the bowel movements have changed to 1 to 2 times a day, sometimes just a ...
Dr. Pei Rensheng reply Pediatrics
Hello! 1. The priority for allergy prevention is breastfeeding first, followed by hydrolyzed formula. For example, Enfamil HA1 has been on the market for many years and has substantial evidence supporting its role in allergy prevention. 2. The average daily milk intake is 100...[Read More] Choosing the Right Formula for Your Baby: A Guide for Parents
Is Your Breastfed Baby's Diarrhea Normal? Understanding Stool Changes and Care
Is a exclusively breastfed newborn's stool considered normal or diarrhea? The baby is currently 2 months and 15 days old, weighing 6 kg. Since birth, the baby has been exclusively breastfed. Diapers are changed every 2 hours, with approximately 4 to 6 urinations per day, but...
Dr. Pei Rensheng reply Pediatrics
Hello! 1. This week, the baby has frequently had diapers without residue but with a large amount of yellow watery stool. Is this a normal stool condition? --> After one month, breastfed babies typically have fewer bowel movements. Based on your description, there is a possib...[Read More] Is Your Breastfed Baby's Diarrhea Normal? Understanding Stool Changes and Care
Understanding Childhood Asthma: Symptoms and Concerns for Parents
Pediatric Asthma Hello Doctor, my child is currently 17 years old. Recently, I have noticed that he has been coughing frequently in the morning and evening, and he also experiences wheezing and shortness of breath. It sounds a bit wheezy, and I have observed that sometimes he nee...
Dr. Pei Rensheng reply Pediatrics
Hello! During the spring season, with the changes in weather, individuals with respiratory allergies are indeed more prone to flare-ups. Your 17-year-old child is experiencing frequent coughing, especially in the morning and evening, and also has wheezing, which are indicative of...[Read More] Understanding Childhood Asthma: Symptoms and Concerns for Parents
Understanding Pediatric Tonsillitis: Symptoms, Diagnosis, and Treatment
Tonsillar suppuration, lymphadenopathy, upper abdominal swelling, fever? A six-year-old girl developed fever symptoms on March 2, which resolved on its own. However, she experienced another fever on March 4 and was taken to the hospital, where she was diagnosed with tonsillitis. ...
Dr. Pei Rensheng reply Pediatrics
Hello: You have a fever, tonsillitis, swollen cervical lymph nodes, and hepatitis; these symptoms are most likely indicative of an EB virus infection. Antibiotics should be targeted towards the possible pneumonia and tonsillitis. Wishing you safety and health. Sincerely, Dr. Pei ...[Read More] Understanding Pediatric Tonsillitis: Symptoms, Diagnosis, and Treatment
Do Children with Acute Sinusitis Need Follow-Up After Antibiotics?
Treatment for acute sinusitis and medication duration? Dr. Pei, if a 3-year-old child has been diagnosed with acute sinusitis and prescribed a 7-day course of antibiotics, should they return for a follow-up appointment after completing the antibiotic treatment?
Dr. Pei Rensheng reply Pediatrics
Hello: In principle, the total duration of antibiotic treatment should be 10 days. However, if symptoms do not improve after 2-3 days of antibiotic use, it is recommended to switch to a different antibiotic and restart the 10-day count. Wishing you health and happiness! Sincerely...[Read More] Do Children with Acute Sinusitis Need Follow-Up After Antibiotics?
Understanding Hydrolyzed Formula: When Is It Necessary for Infants?
Infant formula Hello, Doctor: My husband has nasal allergies and atopic dermatitis, and I have a tendency for seasonal urticaria. Therefore, for our first child, we used hydrolyzed formula until he was under one year old, and after that, we switched to regular formula (both accom...
Dr. Pei Rensheng reply Pediatrics
Hello! Current research shows that hydrolyzed protein formula can prevent allergies in infants, and its preventive effects are not limited to just protein allergies, but extend to general allergies as well. Wishing you health, happiness, and peace! Sincerely, Rensheng.[Read More] Understanding Hydrolyzed Formula: When Is It Necessary for Infants?
Do Symptoms of the Same Enterovirus Vary Among Different Individuals?
Can the manifestations of the same enterovirus differ among different individuals? Hello, doctor. Last week, my eldest child was diagnosed with enterovirus, experiencing only a sore throat and fever. However, I got infected as well, and in addition to a sore throat and fever, I h...
Dr. Pei Rensheng reply Pediatrics
Hello: Yes, the manifestations of the same enterovirus can vary among different individuals. Some people may be asymptomatic, while others may experience oral ulcers, rashes on the limbs, or even severe symptoms, making it difficult to predict. However, it is generally believed t...[Read More] Do Symptoms of the Same Enterovirus Vary Among Different Individuals?
Understanding Pediatric Lymph Nodes: What Parents Should Know
Cervical lymphadenopathy issues? Hello Doctor, I noticed a protruding lymph node in the area above my son's left clavicle, near the sternocleidomastoid muscle, when he was around one month old. It's about 0.3-0.5 cm, movable, and soft. Now my son is over three years old...
Dr. Pei Rensheng reply Pediatrics
Hello: Regarding neck lumps, I previously published an article in the media, and the content is as follows for your reference! When bathing a baby, parents may notice one or several hard lumps on the neck or back of the head. What should parents do? Most of these hard lumps are l...[Read More] Understanding Pediatric Lymph Nodes: What Parents Should Know
Is My 5-Year-Old's Heart Rate Too Fast? Understanding Pediatric Heart Health
Is a 5-year-old child's heart rate considered too fast? Hello Doctor: I accidentally measured my five-year-old daughter's heart rate and found that it was quite fast, even while she was quietly watching TV and not exercising. Her heart rate was around 114 to 120 beats p...
Dr. Pei Rensheng reply Pediatrics
Hello: Generally speaking, the normal heart rate range for children is as follows: for infants under 1 year old, 80-140 beats per minute; for children aged 1 to 6 years, 80-120 beats per minute; and for children over 6 years old, 60-100 beats per minute. These rates should be mea...[Read More] Is My 5-Year-Old's Heart Rate Too Fast? Understanding Pediatric Heart Health
Understanding Cryptorchidism in Children: Diagnosis and Treatment Options
Cryptorchidism in children Hello, doctor. I have a 10-year-old child whose left testicle is located at the upper part of the scrotum and has not descended to the bottom of the scrotum. It can be felt but is smaller in size, while the right testicle is normal and located at the bo...
Dr. Pei Rensheng reply Pediatrics
Hello: Based on your description, it does not appear to be cryptorchidism; it seems more like retractile testicles, which can be observed. If possible, you may also consider consulting a urologist or pediatric surgeon for a definitive diagnosis. Wishing you health and happiness! ...[Read More] Understanding Cryptorchidism in Children: Diagnosis and Treatment Options
At What Age Can Children Accurately Test Their Blood Type?
At what age can a blood type test be performed? Hello, doctor: At what age can children have their blood type tested for more accurate results? Thank you.
Dr. Pei Rensheng reply Pediatrics
Hello: Many hospitals test blood type at birth. If a blood transfusion is needed later, the blood type will be tested again. If the blood type was not tested at birth and the baby's jaundice rises significantly, the hospital will also test the blood type during phototherapy....[Read More] At What Age Can Children Accurately Test Their Blood Type?
Understanding Neonatal Brain Issues: Impact of Thalamic Bright Spots
Brain issues Hello, doctor. My daughter was born on March 20, 2019, at 36 weeks and 6 days. She experienced asphyxia and hypoxia at birth, along with seizures, and underwent hypothermia therapy. I would like to know if the bright spots observed in the neonatal EEG related to the ...
Dr. Pei Rensheng reply Pediatrics
Hello: 1. According to the 2010 Neonatal Resuscitation Guidelines, newborns born at or after 36 weeks of gestation who exhibit evidence of "moderate to severe hypoxic-ischemic encephalopathy" may receive therapeutic hypothermia within 6 hours of birth. Clinical trials...[Read More] Understanding Neonatal Brain Issues: Impact of Thalamic Bright Spots
Feeding vs. Sleeping: What Matters Most for Your 3-Month-Old Baby?
For a 3-month-old infant, both feeding and sleeping are crucial for their growth and development. However, if one must prioritize, feeding is essential for providing the necessary nutrients and energy for the baby's growth, while sleep is vital for their overall development ...
Dr. Pei Rensheng reply Pediatrics
Hello! Your valuable questions are concerns for many parents, thank you very much! 1. He often moves around and makes sounds with his eyes closed while sleeping at night. Does this mean he is actually sleeping? --> Making sounds and having closed eyes often indicate dreaming...[Read More] Feeding vs. Sleeping: What Matters Most for Your 3-Month-Old Baby?
Excessive Eye Discharge in Infants: Is It Normal or a Sign of Milk Aversion?
Excessive eye discharge, aversion to milk? Hello Doctor: My son is currently 2 months and 28 days old. Previously, he had a lot of eye discharge from both eyes, and I would massage them daily. One day, I noticed that the right eye stopped producing discharge, but the left eye sti...
Dr. Pei Rensheng reply Pediatrics
Hello! Infants under one year old are prone to nasolacrimal duct obstruction, which can lead to increased eye discharge. Gentle massage around the nasal wings can help. If there is still significant eye discharge after the first year, it is advisable to consult an ophthalmologist...[Read More] Excessive Eye Discharge in Infants: Is It Normal or a Sign of Milk Aversion?
Understanding Strawberry Tongue in Children: Causes and Concerns
Tongue issues? Starting from April 5th, three children began to develop fevers one after another. The youngest child had a fever on April 5th but it resolved quickly. The second child had a fever that ended on April 6th without any prolonged high fever. However, the eldest child ...
Dr. Pei Rensheng reply Pediatrics
Hello, unless the temperature exceeds 42 degrees Celsius, it is unlikely to cause brain damage. Normal body temperature fluctuates throughout the day and can be influenced by age, activity level, and other factors, so measurements may vary each time. The average normal core body ...[Read More] Understanding Strawberry Tongue in Children: Causes and Concerns
Understanding Roseola in Children: Causes of Skin Changes After Rash
Regarding roseola? Hello, I would like to ask about my child who is currently 1 year and 3 months old. Two weeks ago, they developed roseola, which started to fade after about 3 to 4 days. However, it seems like there is some pigmentation left, and their skin has developed a spec...
Dr. Pei Rensheng reply Pediatrics
Hello: Roseola generally resolves within 2 days; it rarely causes pigmentation similar to measles. A small number of roseola cases may be associated with thrombocytopenic purpura; if pigmentation becomes increasingly noticeable, please return for a follow-up visit and consider bl...[Read More] Understanding Roseola in Children: Causes of Skin Changes After Rash