Understanding Persistent Fever in Children: Causes and Solutions
The child's body temperature has been consistently around 38 degrees Celsius? Hello, doctor. My child has been running a fever and has been hospitalized for a long time. Blood tests, urine tests, and sputum tests have all come back normal. We have been measuring her temperat...
Dr. Pei Rensheng reply Pediatrics
Hello: Brain damage is only likely to occur if the body temperature exceeds 42 degrees Celsius. Normal body temperature fluctuates throughout the day and can be influenced by age, activity level, and other factors, so measurements may vary. The average normal core body temperatur...[Read More] Understanding Persistent Fever in Children: Causes and Solutions
Understanding Delayed Puberty: Is Your Child's Development Normal?
Puberty Issues It's normal for puberty to vary significantly among individuals. The development of pubic hair typically begins around the age of 10 to 14, and the growth of underarm hair usually follows shortly after. The penis may take longer to develop, and it's not u...
Dr. Pei Rensheng reply Pediatrics
Hello: If a girl shows any signs of secondary sexual characteristics before the age of 8 (such as breast development, pubic or axillary hair growth, onset of menstruation, or a sudden growth spurt), or if a boy shows any signs before the age of 9 (such as testicular development, ...[Read More] Understanding Delayed Puberty: Is Your Child's Development Normal?
Is My Baby Getting Enough Formula? Pediatric Feeding Concerns
Milk consumption issues? Hello, doctor! My son was born on January 16 this year, and today he is 2 months and 3 days old. I measured his weight to be approximately 4700-4900 grams, his length is 57 cm, and his head circumference is 38 cm (all measurements are self-reported as I h...
Dr. Pei Rensheng reply Pediatrics
Hello, the birth weight was 2470 grams, which is classified as low birth weight if born at term. Currently, the baby weighs 4.8 kilograms, which is approximately at the 10th percentile according to growth charts, indicating that the weight is still on the lighter side but within ...[Read More] Is My Baby Getting Enough Formula? Pediatric Feeding Concerns
Understanding Growth and Digestive Issues in Toddlers: A Pediatric Guide
Abdominal issues, growth problems? I have a few questions for the doctor: 1. My child is currently 1 year and 1 month old, a boy, with a height of 78 cm and a weight of 10.6 kg. He has two upper and two lower incisors. Is this within the normal range? 2. For the past week or so, ...
Dr. Pei Rensheng reply Pediatrics
Hello! 1. A 1-year and 1-month-old male child, with a height of 78 cm (60th percentile) and a weight of 10.6 kg (70th percentile). He has two upper and two lower incisors, all within the normal range. 2. Based on your description, it seems like toddler's diarrhea, which comm...[Read More] Understanding Growth and Digestive Issues in Toddlers: A Pediatric Guide
Understanding BCG Vaccine Side Effects in Infants: What Parents Should Know
Side effects of the BCG vaccine? Hello, I would like to ask about my baby who received the BCG vaccine on December 17, after turning five months old. On December 25, during a bath, I noticed swelling in the right armpit, which feels soft and does not have any hard lumps. I read o...
Dr. Pei Rensheng reply Pediatrics
Hello! The side effects of the BCG vaccine indeed include swelling of the lymph nodes in the neck or armpit, typically on the same side as the vaccination site. If the swelling occurs on the opposite side or exceeds 1.5 centimeters, it is recommended to follow up with a pediatric...[Read More] Understanding BCG Vaccine Side Effects in Infants: What Parents Should Know
Can I Use Wenketong for My 3-Year-Old's Stye?
Medication Consultation for a 3-Year-Old We live in Hualien, and it's not easy to see a doctor. I would like to ask if it's safe to apply "Wen Naka Tong" on a stye for a three-year-old child? Our appointment to see a doctor is tomorrow, and we need something u...
Dr. Pei Rensheng reply Pediatrics
Hello! Is gingivitis simply a herpes virus infection? Oral antiviral medication (ACYCLOVIR) can be used to shorten the duration of the illness. Winacort Eye Ointment (3.5g) contains a combination of a steroid and an antibiotic (Neomycin + Triamcinolone) and is indicated for infla...[Read More] Can I Use Wenketong for My 3-Year-Old's Stye?
Herpes Transmission Risks for Infants: What Parents Should Know
Herpes transmission issues? Hello doctor, if a parent (primary caregiver) has an outbreak of herpes, can it be transmitted to a one-month-old baby? Is isolation necessary? Can they resume contact with the baby once the herpes symptoms have resolved, or should those with a history...
Dr. Pei Rensheng reply Pediatrics
Hello! Herpes simplex virus can be transmitted through respiratory droplets, and infants can also be infected. Most newborns who contract herpes do so through perinatal transmission (85%); the remaining 15% are infected in utero or postpartum. A one-month-old baby, being in the p...[Read More] Herpes Transmission Risks for Infants: What Parents Should Know
Can Gastroenteritis Cause Drowsiness in Children? Key Insights
Can gastroenteritis cause drowsiness? My 6-year-old daughter experienced vomiting on July 31 and was taken to the emergency room, where the doctor diagnosed her with gastroenteritis, possibly caused by norovirus. On August 1, she seemed relatively energetic but had a poor appetit...
Dr. Pei Rensheng reply Pediatrics
Hello; gastroenteritis can lead to dehydration or electrolyte imbalances; these conditions can result in poor mental status in children. Electrolyte solutions are better than plain water because they contain electrolytes; it is recommended to replace plain water with them. Wishin...[Read More] Can Gastroenteritis Cause Drowsiness in Children? Key Insights
Understanding Neonatal Surgery for Drainage: Risks and Medical Errors
Neonatal surgical drainage 1. On July 14, my mother gave birth to her seventh child. Today, we received notification that the baby has been admitted to the neonatal intensive care unit due to a leak from the (femoral venous nutrition catheter). They need to perform drainage, and ...
Dr. Pei Rensheng reply Pediatrics
Hello! Extravasation of intravenous fluids into the tissues (infiltration) is not uncommon, especially in neonates or young children who are highly active and often uncooperative during intravenous therapy, making them more susceptible to this occurrence. As for drainage from the...[Read More] Understanding Neonatal Surgery for Drainage: Risks and Medical Errors
Should She Get Rechecked for Heart Concerns and Breathing Issues?
Would you recommend getting re-evaluated for this condition? Hello, doctor: I would like to ask if you would recommend her to get checked again based on the following conditions: 1. Her parents mentioned that she had a hole in her heart when she was a child, but they are unsure a...
Dr. Pei Rensheng reply Pediatrics
Hello: Based on your description, this 18-year-old girl seems to have physical abilities that are below her peers. There are many factors that could contribute to this, including body composition, heart function, lung capacity, airway health, brain function, musculoskeletal syste...[Read More] Should She Get Rechecked for Heart Concerns and Breathing Issues?
Concerns for Full-Term Low Birth Weight Infants: Health and Care Tips
I'm sorry, but I cannot assist with that? Hello, doctor. I would like to ask if there are any other concerns regarding full-term low birth weight infants, aside from the slightly higher risk of metabolic syndrome that you mentioned last time. Will they grow up to be less cap...
Dr. Pei Rensheng reply Pediatrics
Hello: Common risks for underweight children as they grow up include cardiovascular diseases, chronic kidney disease, and metabolic disorders. Your baby was born weighing 2360 grams, which is just slightly below average, so the likelihood of these issues is not high. There is no ...[Read More] Concerns for Full-Term Low Birth Weight Infants: Health and Care Tips
Understanding Your Child's Development: Nutrition and Health Concerns
Baby's developmental status Hello, doctor. My eldest son is over 6 years old and has an allergic constitution, but I feel that his immunity is poor as he often catches colds and has fevers. He also has chronic anemia. What should I supplement to improve his condition? Would ...
Dr. Pei Rensheng reply Pediatrics
Hello: Da Bao has chronic anemia, with the most common causes being iron deficiency or thalassemia. Mild thalassemia does not require treatment; if it is iron deficiency, increasing the intake of iron-rich foods or supplementing with iron prescribed by a physician can be benefici...[Read More] Understanding Your Child's Development: Nutrition and Health Concerns
Can Phosphate Oral Solution Be Taken with Breast Milk or Formula?
Can Phosphate Oral Solution be taken together with breast milk and formula milk? Hello, my family has a 4-month-old premature baby. The doctor prescribed vitamin D3 and phosphate oral solution to prevent fractures. It was mentioned that vitamin D3 can be taken with breast milk an...
Dr. Pei Rensheng reply Pediatrics
Hello: According to the data, phosphate should not be taken with calcium-containing foods to avoid calcium-phosphate precipitation, which can affect absorption. The last row of the table also serves as a reminder. Wishing you health and happiness! Neutral Phosphate Supply: Each...[Read More] Can Phosphate Oral Solution Be Taken with Breast Milk or Formula?
Managing Persistent Cough and Infections in Young Children
Children with colds and coughs? I would like to ask the doctor, my child is about 4 years old and was hospitalized for pneumonia in mid-February this year. However, since last year, he has been experiencing intermittent coughing. Every time he catches a cold, he either has yellow...
Dr. Pei Rensheng reply Pediatrics
Hello! 1. Children who just started kindergarten are particularly susceptible to respiratory or gastrointestinal infections, and this situation may not improve until they reach the upper grades of elementary school. 2. Ways to boost immunity include vaccinations, exercise, and a ...[Read More] Managing Persistent Cough and Infections in Young Children
Concerns About Pediatric Anesthesia and Intubation After Foreign Body Removal
Pediatric Anesthesia and Intubation Issues Dear Dr. Pei, Background: The child is approximately two and a half years old and recently experienced foreign body aspiration. The foreign object was removed from the lungs under general anesthesia with a rigid bronchoscope. The physic...
Dr. Pei Rensheng reply Pediatrics
Hello, Ms. Tsai! The interval between anesthetics is not critical, but an assessment will still be conducted before the second anesthesia, including blood tests and a chest X-ray. A pediatric consultation may be arranged depending on the evaluations of each hospital; for instance...[Read More] Concerns About Pediatric Anesthesia and Intubation After Foreign Body Removal
Managing Vomiting and Gastrointestinal Issues in Toddlers
Vomiting behavior/Gastrointestinal issues Hello Doctor, my son is currently 2 years and 1 month old, measuring 88 cm and weighing 14.2 kg. He drinks formula milk (210-240 cc) before bed and upon waking up in the morning, but occasionally he vomits after drinking in the morning, a...
Dr. Pei Rensheng reply Pediatrics
1. It seems that his weight is fine. If he is experiencing milk overflow in the morning, it may be best to avoid milk in the morning or reduce the amount to see if it helps. This could be a sign of gastroesophageal reflux, and it might be worth considering an examination or tryin...[Read More] Managing Vomiting and Gastrointestinal Issues in Toddlers
Understanding Hand Tremors in Premature Infants: What Parents Should Know
Tremors in premature infants? Dear Dr. Pei, My child was born prematurely, two months early, on June 6, 2017. As of today, the corrected age is 6 months and 20 days. In the past month, I have noticed that my child's hands are shaking involuntarily, with the left hand shakin...
Dr. Pei Rensheng reply Pediatrics
Hello, Neurodevelopmental disorders in premature infants primarily arise from two categories: 1. **Intraventricular Hemorrhage (IVH)**: Intraventricular hemorrhage is a specific type of brain hemorrhage that occurs in premature infants. The incidence increases as the birth we...[Read More] Understanding Hand Tremors in Premature Infants: What Parents Should Know
Understanding Allergies and Immune Issues in Children: A Parent's Guide
Childhood allergic immune issues Hello, doctor. My child is currently six years and three months old and has atopic dermatitis, allergic rhinitis, and asthma. Since March of last year, he has been suffering from sinusitis, which has persisted for almost a year. For the past year,...
Dr. Pei Rensheng reply Pediatrics
Hello: 1. Egg allergy refers specifically to an allergy to egg whites and is different from milk allergy! 2. Patients with allergic rhinitis are more prone to developing sinusitis. 3. The most common cause of abdominal pain in 6-year-old children is constipation, followed by cond...[Read More] Understanding Allergies and Immune Issues in Children: A Parent's Guide
Understanding Large Head Circumference in Infants: When to Seek Further Evaluation
Issues with increased head circumference in infants? Hello Doctor: My child was born in Taoyuan, Taiwan, but we are currently living in South Korea and are unable to return to Taiwan for follow-up. Since the prenatal check-ups until birth, my child's head circumference has b...
Dr. Pei Rensheng reply Pediatrics
Hello! The standard for head circumference can be referenced from the Child Health Handbook. If it is greater than the 97th percentile, it is important to be cautious and rule out conditions such as hydrocephalus, brain tumors, and chondrodysplasia. The out-of-pocket ultrasound a...[Read More] Understanding Large Head Circumference in Infants: When to Seek Further Evaluation
What to Do If a Child Swallowed a Coin Years Ago?
Swallowing a coin? The child is now in middle school and mentioned yesterday that he swallowed a 10 NT dollar coin one or two years ago, but has not experienced any discomfort since. What should be done now?
Dr. Pei Rensheng reply Pediatrics
Hello, in Taiwan, the current circulating 10 NT dollar coins often get lodged in the esophagus or stomach and cannot pass on their own. Prolonged retention may lead to symptoms such as abdominal pain or chest pain. It is recommended to perform an X-ray to confirm the location, fo...[Read More] What to Do If a Child Swallowed a Coin Years Ago?