Do 3-Year-Olds Need Preventive TB Medication After Positive Skin Test?
Skin test of 10 cm for a 3-year-old child? Hello, doctor. I would like to ask you a question. My grandfather, who lives with us, has been diagnosed with tuberculosis. My 3-year-old son had a normal chest X-ray, but his skin test measured exactly 10 mm. The pediatric infectious di...
Dr. Pei Rensheng reply Pediatrics
Hello: Numerous international studies have shown that the lifetime risk of developing active tuberculosis (TB) among contacts of infectious pulmonary tuberculosis cases is as high as 17% for children, compared to 5% for adults. Data from our country also indicate that younger con...[Read More] Do 3-Year-Olds Need Preventive TB Medication After Positive Skin Test?
Swollen Eyelids in 2-Month-Old Baby: Causes and Concerns
A 2-month-old baby has swollen eyelids? Hello doctor, my baby is currently 2 months old. Recently, when he wakes up, the area around his eyes is swollen but not red or inflamed, just simply puffy. What could be the issue? Thank you.
Dr. Pei Rensheng reply Pediatrics
Hello: It may be due to nasolacrimal duct obstruction. Less common factors include deficiencies in the heart, liver, kidneys, or albumin and other nutrients. Wishing you health and happiness! Sincerely, Rensheng.[Read More] Swollen Eyelids in 2-Month-Old Baby: Causes and Concerns
Can I Kiss My Boyfriend with G6PD Deficiency After Eating Fava Beans?
If I eat fava beans, can I kiss my boyfriend who has favism? My boyfriend has favism, but I really want to eat fava beans. I'm struggling with whether I can eat fava beans and still kiss him afterward.
Dr. Pei Rensheng reply Pediatrics
Hello: Favism is a congenital deficiency of red blood cell enzymes, making individuals susceptible to external substances such as fava beans or certain medications, which can lead to hemolysis and the destruction of red blood cells. The amount of fava beans that may remain in the...[Read More] Can I Kiss My Boyfriend with G6PD Deficiency After Eating Fava Beans?
Understanding Abdominal Pain and Nausea in Children: Possible Causes
When children eat, they often complain of stomach pain and feel like vomiting? Hello Doctor, my son is five years old and for the past month or two, he has been complaining of stomach pain every time he eats (the pain starts after just one or two bites) and he also feels nauseous...
Dr. Pei Rensheng reply Pediatrics
Hello! The upper abdomen contains organs such as the stomach, intestines, liver, gallbladder, and pancreas. If there is pain in the upper abdomen, it could be due to inflammation, growths, psychological factors, and more. In addition to ultrasound and X-rays, considerations may i...[Read More] Understanding Abdominal Pain and Nausea in Children: Possible Causes
Understanding Abdominal Pain During Bowel Movements in Young Children
Bowel issues - abdominal pain during defecation? Hello Doctor: My child is currently 3 years and 3 months old. For the past two to three weeks, he has been experiencing severe abdominal pain during bowel movements, which resolves immediately after he finishes. His bowel habits (f...
Dr. Pei Rensheng reply Pediatrics
Hello! Pain during bowel movements at this age is most commonly associated with constipation combined with anal fissures. Even after softening the stool, pain may still occur following the development of an anal fissure. Other potential causes include polyps, hemorrhoids, periana...[Read More] Understanding Abdominal Pain During Bowel Movements in Young Children
Should You Wake Your Baby for Night Feedings? Pediatric Insights
Should you wake a breastfed baby to feed them at night? Hello, Dr. Pei: My baby is currently 7 weeks old and is exclusively breastfed. I usually don't control her schedule, except that I ensure there is at least a two-hour interval between feedings. However, she has graduall...
Dr. Pei Rensheng reply Pediatrics
Ms. Chang: Hello, after a baby reaches one month of age, their sleep patterns tend to align more closely with adult schedules, meaning that nighttime sleep will be extended while daytime sleep duration will be shortened. Overall, the total sleep time throughout the day is still r...[Read More] Should You Wake Your Baby for Night Feedings? Pediatric Insights
Understanding Your Baby's Stool Color and Eating Habits: A Pediatric Guide
Baby stool color Hello, Dr. Pei: My baby is currently 8 and a half months old. Since starting solid foods, the color of his stool has become quite dark. Is this normal? Additionally, he has just gotten his two bottom teeth, and although I am cooking the porridge very soft without...
Dr. Pei Rensheng reply Pediatrics
Hi MANDY: Hello! After introducing complementary foods, the color and texture of the stool may change. As long as the color is yellow-green and there are no signs of diarrhea (which is characterized by a significant increase in stool water content), it is considered normal. At ei...[Read More] Understanding Your Baby's Stool Color and Eating Habits: A Pediatric Guide
Concerns About Short Stature and Low Weight in Children: What to Know
Children are not growing taller or gaining weight? Hello! My little girl is shorter and lighter than other children her age. She is 2 years and 4 months old, with a height of 80.3 cm and a weight of 10.6 kg. Her IQ and motor coordination seem fine, but I'm concerned about he...
Dr. Pei Rensheng reply Pediatrics
Hello! 1. Individuals with mild Mediterranean anemia who are carriers typically do not experience growth issues. 2. A girl aged two years and four months measures 80.3 cm, which is below the 3rd percentile; her weight is 10.6 kg, approximately at the 10th percentile, which seems ...[Read More] Concerns About Short Stature and Low Weight in Children: What to Know
Why Does My Child Experience Pain After Drinking Soda?
Drinking soda can cause body pain? I have noticed that whenever my 8-year-old son drinks soda, he experiences body pain (possibly near the chest, under the armpit, specifically in the area above the stomach). However, after he sleeps and rests, he feels better. What could be the ...
Dr. Pei Rensheng reply Pediatrics
Hello: Although the incidence of gastroesophageal reflux in eight-year-old boys is not high, the symptoms you described are somewhat consistent with the manifestations of gastroesophageal reflux. I recommend trying antacids and medications that promote gastrointestinal motility, ...[Read More] Why Does My Child Experience Pain After Drinking Soda?
Understanding Eczema and Atopic Dermatitis in Young Children
Eczema or atopic dermatitis Hello doctor, my daughter is currently one and a half years old. Her shoulders often itch, and she scratches them, resulting in red, rough skin. This has been going on for over six months. Could it be atopic dermatitis? Currently, it only affects her s...
Dr. Pei Rensheng reply Pediatrics
Hello: 1. Atopic dermatitis often appears in the joints; prolonged scratching can lead to thickening of the skin, which sounds like atopic dermatitis based on your description. When your child is one and a half years old and is due for the fourth dose of the pentavalent vaccine, ...[Read More] Understanding Eczema and Atopic Dermatitis in Young Children
Should You Worry About a Mole Near Your Baby's Anus?
A mole has developed in the folds around the baby's anus? Hello, doctor. Recently, I noticed a small black mole about 0.2 centimeters in size at the fold of my baby's anus. It is not red, and my baby does not show any signs of pain during diaper changes. However, I am c...
Dr. Pei Rensheng reply Pediatrics
Hello: Moles on the body generally do not become inflamed due to ordinary friction. If there is redness, swelling, heat, pain, enlargement, or bleeding, it is advisable to seek medical attention. If there are no such changes, please have a doctor examine them during your preventi...[Read More] Should You Worry About a Mole Near Your Baby's Anus?
Consultation on Eye Medication for Infants: Safety and Concerns
Pediatric Eye Medication Consultation Hello, doctor: My 10-month-old child has bloodshot eyes and frequently rubs them. We visited a general ophthalmologist who diagnosed an invasion of dust particles and the presence of follicles. The following medications were prescribed, and I...
Dr. Pei Rensheng reply Pediatrics
Hello: Dust mites mostly reside on the skin and rarely get into the eyes. If they do enter the eyes, an ophthalmologist would typically rinse them out first. The components of these medications are antihistamines and antibiotics; they should be helpful. Please use them with confi...[Read More] Consultation on Eye Medication for Infants: Safety and Concerns
Do Kids Need to Complete the Full Course of Flu Medication?
Is it necessary to complete the entire course of antiviral medication for influenza? A 12-year-old child has contracted influenza B and has been taking medication for two days, during which he has experienced insomnia. He usually sleeps well, and currently, he is only taking anti...
Dr. Pei Rensheng reply Pediatrics
Hello: The main side effects of K Influenza are headaches and nausea; very rarely, it can cause hepatitis, rashes, gastrointestinal bleeding, and mental suppression. Insomnia is not listed as a common side effect in the literature; I suspect that the nasal decongestant may be cau...[Read More] Do Kids Need to Complete the Full Course of Flu Medication?
Managing Persistent Blisters on a Toddler's Urethra: A Parent's Guide
A 2-year-old child has blisters on the glans and urethral opening that are not improving! How should this be managed? About two months ago, my son was taking a bath and was playing with a soap pouch, creating bubbles and rubbing them vigorously on his genital area. After rinsing ...
Dr. Pei Rensheng reply Pediatrics
Hello: This article explains clearly; please refer to the following: 1. What is balanitis? Balanitis, also known as glans inflammation, often occurs simultaneously with posthitis (inflammation of the foreskin) and is commonly associated with conditions such as phimosis (tight fo...[Read More] Managing Persistent Blisters on a Toddler's Urethra: A Parent's Guide
Uneven Calf Size in a 19-Month-Old: When to Seek Medical Advice?
At 1 year and 5 months old, the calf muscles are uneven in size? Hello, Doctor! My child is currently one year and five months old and has been walking for a while. However, I recently noticed that his calves are uneven in size; the right calf feels firmer, almost muscular, while...
Dr. Pei Rensheng reply Pediatrics
Hello; the possible reasons for having uneven leg sizes are as follows: 1. Congenital asymmetry of the legs, which becomes more pronounced with age. 2. Pathological leg asymmetry, such as muscle atrophy caused by polio, leading to leg size differences. 3. Injuries like ankle spra...[Read More] Uneven Calf Size in a 19-Month-Old: When to Seek Medical Advice?
Can I Still Grow Taller in High School? Understanding Growth Potential
Do I have a chance to grow taller? I am currently in my first year of high school and have started to grow 5-6 facial hairs in the past 2-3 months. I am 170 cm tall, my father is 175 cm, and my mother is 168 cm. Is there still a chance for me to grow taller?
Dr. Pei Rensheng reply Pediatrics
Xiao Jun: Hello, boys typically experience puberty between the ages of 12 and 17; once facial hair begins to grow, there is limited room for further growth. The expected height for boys is calculated as the average height of the parents plus 6.5 cm. For example, (175 cm + 168 cm)...[Read More] Can I Still Grow Taller in High School? Understanding Growth Potential
Understanding Blood in Stool: Pediatric Gastrointestinal Concerns
Blood in the stool? My son is nine months old, and I'm unsure if the bleeding is caused by constipation or if there is blood in the stool itself. This happens at least once or twice a month, and the blood is bright red, while the stool is dark green. Could this be a gastroin...
Dr. Pei Rensheng reply Pediatrics
Hello: The brighter the red blood, the closer it is to the anus, with the most common cause being constipation combined with anal fissures. You can try to soften the stool by increasing fiber intake or taking stool softeners for a period of time, and then observe. If there is sti...[Read More] Understanding Blood in Stool: Pediatric Gastrointestinal Concerns
Managing Congenital Pulmonary Stenosis in Infants: Risks and Precautions
Pulmonary artery stenosis Hello Dr. Pei, my child has been diagnosed with congenital pulmonary artery stenosis and is currently over 9 months old, with regular follow-ups. During the last visit, the pressure difference between the right ventricle and the pulmonary artery was over...
Dr. Pei Rensheng reply Pediatrics
Hello: When the degree of pulmonary valve stenosis is mild, there may be no clinical symptoms, but a systolic heart murmur can be heard upon auscultation. Patients with moderate to severe stenosis may experience symptoms such as dyspnea, chest pain, dizziness, arrhythmias, myocar...[Read More] Managing Congenital Pulmonary Stenosis in Infants: Risks and Precautions
Understanding Constipation in Young Children: Causes and Solutions
Constipation for several days with stool that is not well-formed? The child is three years and eight months old. Since December 2015, there has been a change from normal bowel movements to having a bowel movement only once every few days. Both Western and traditional Chinese medi...
Dr. Pei Rensheng reply Pediatrics
Hello! The normal bowel movement patterns for 3 to 4-year-old children can be compared to adults; it can range from 3 times a day to once every 3 days. The ideal stool consistency is soft and yellow, resembling a banana. If a child has a bowel movement every 3 to 5 days with unfo...[Read More] Understanding Constipation in Young Children: Causes and Solutions
Understanding Fever After Varicella and MMR Vaccination in Infants
Fever after receiving the varicella (chickenpox) and MMR (measles, mumps, and rubella) vaccines at 1 year of age? Hello Doctor, my baby received the varicella and MMR vaccines on February 18. Starting from February 22, the temperature has been fluctuating between 36.5 and 38 degr...
Dr. Pei Rensheng reply Pediatrics
Hello, the possible side effects of the varicella (chickenpox) and MMR (measles, mumps, and rubella) combination vaccine may occur approximately 4 to 12 days after vaccination. Symptoms may include fever or a rash. If a fever occurs, it typically lasts for 1 to 2 days and is not ...[Read More] Understanding Fever After Varicella and MMR Vaccination in Infants