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Why Do Toddlers Enjoy Hitting Their Heads? Understanding the Behavior

Why do children like to hit their heads? I would like to ask the doctor: My child is one year and seven months old, and I often notice that he likes to hit his head, and he does it with considerable force. Why is this happening? When I hold him, he also hits, and sometimes he doe...


Dr. Shi Zhongxian reply Pediatrics
Dear Ms. Sindy: Your child can undergo an electroencephalogram (EEG) and a computed tomography (CT) scan of the head. If the results are normal, there should be no significant issues, which may provide some reassurance (however, please note that the CT scan may require out-of-poc...

[Read More] Why Do Toddlers Enjoy Hitting Their Heads? Understanding the Behavior


Understanding Tracheomalacia and Laryngomalacia in Infants: Key Insights

Tracheomalacia My child is four months old and has noisy breathing. When we visited the outpatient clinic, some doctors said it was tracheomalacia, while others mentioned laryngomalacia. What are the similarities between the two? What should I pay attention to while caring for my...


Dr. Shi Zhongxian reply Pediatrics
User Zhang: Laryngeal and tracheal softening refer to the same condition, which occurs because the tissue structures near the laryngeal cartilage have not fully developed. During inhalation, this can cause the airway to collapse, leading to a narrowing of the airway lumen and res...

[Read More] Understanding Tracheomalacia and Laryngomalacia in Infants: Key Insights


Understanding Ureteral Reflux in Children: Treatment and Monitoring Options

Ureteral reflux My son underwent surgery for ureteral reflux in early April 2004 (grade IV on the left side, while the right side was normal at that time). During a follow-up examination in August (special imaging), the left side was normal, but it was found that the right side h...


Dr. Shi Zhongxian reply Pediatrics
This question is more specialized; please consult a urologist.

[Read More] Understanding Ureteral Reflux in Children: Treatment and Monitoring Options


Understanding White Blood Cells in Baby's Urine: Causes and Concerns

White blood cells in a baby's urine?! Hello Doctor: My baby was readmitted to the hospital due to jaundice, and the doctor found that the jaundice had not resolved. Blood and urine tests were conducted, and white blood cells were found in the urine. The baby was immediately ...


Dr. Shi Zhongxian reply Pediatrics
Dear Concerned Mother, I apologize for the delay in my response as my email was accidentally deleted. I hope you can understand. Your baby must have recovered and been discharged by now! I believe the jaundice was due to a urinary tract infection, which is why it persisted. Once...

[Read More] Understanding White Blood Cells in Baby's Urine: Causes and Concerns


Understanding Unpleasant Odors in Children's Underwear: Causes and Solutions

Urinary odor? My daughter is six years old, 112 cm tall, and weighs 25.5 kg. She is in the senior kindergarten class. Every night after her bath, her underwear has a strong odor. She only urinates at kindergarten and does not wipe her bottom afterward. However, I have noticed tha...


Dr. Shi Zhongxian reply Pediatrics
Miss Chen: I suggest that you first see a pediatrician to check for a urinary tract infection by examining the urine. If an infection is present, appropriate treatment should be administered. If not, then you should consult a gynecologist to check for any vaginal trichomoniasis o...

[Read More] Understanding Unpleasant Odors in Children's Underwear: Causes and Solutions


Optimal Feeding Guidelines for 7-Month-Old Infants

Infant Nutrition My daughter is seven months old, but she only consumes 120cc of milk each time, every three hours. Could you please advise what a normal diet for a child at this stage should be?


Dr. Shi Zhongxian reply Pediatrics
Mr. Wen-Jie: A seven-month-old infant who is only consuming 120cc of milk per meal without being fed rice cereal, wheat cereal, or porridge is indeed consuming a bit less. However, I would like to know the current weight. If it is between 7 to 8 kilograms or more, and this has be...

[Read More] Optimal Feeding Guidelines for 7-Month-Old Infants


Understanding Chickenpox Vaccination for Children: FAQs and Benefits

Varicella vaccine I heard that children should receive the varicella vaccine at 13 months old, is that correct? When I took my child to Changhua Hospital in Taichung, the doctor told me that residents of Taichung City and County can receive the varicella vaccine for free. Is this...


Dr. Shi Zhongxian reply Pediatrics
Ms. May: Taichung County has been implementing a welfare policy for free varicella vaccinations for children for several years. I'm not sure if Changhua County has a similar program; you might want to call the Changhua Health Bureau to inquire. The out-of-pocket cost for one...

[Read More] Understanding Chickenpox Vaccination for Children: FAQs and Benefits


Impact of Delayed Vaccination on Infant Development During SARS Outbreak

Vaccination Dear Doctor, my child is about to turn 4 months old, but due to the recent outbreak of SARS, I am hesitant to take my child to the hospital. However, my child has missed the first dose of the DTaP (diphtheria, tetanus, and pertussis) vaccine and the first dose of the ...


Dr. Shi Zhongxian reply Pediatrics
Mr. Liao: Hello! Your child is already four months old and has not yet received the first dose of the DTaP vaccine, which is a bit overdue. I believe we should not let the fear of one issue prevent us from addressing another; not receiving the DTaP vaccine exposes your child to t...

[Read More] Impact of Delayed Vaccination on Infant Development During SARS Outbreak


Understanding Pediatric Coma: A Parent's Guide to CPR and Life Support Decisions

CPR in Unconsciousness A 5-month-old child fell off the bed (with the legs on the bed and the upper body hanging down) and was found with a cold body, complete weakness, slightly open eyes, and dilated pupils. The doctor stated that the child had already died before arriving at t...


Dr. Shi Zhongxian reply Pediatrics
Heartbroken mother: In the situation where your child has become a vegetative state, letting go, although difficult, is the wisest course of action under the circumstances. You can request an "automatic discharge" from the hospital, and after your child's passing, ...

[Read More] Understanding Pediatric Coma: A Parent's Guide to CPR and Life Support Decisions


Understanding Hard Stools in Infants: Is It Time to Change Formula?

My child is having bowel movements that are hard and pellet-like? My child has just turned six months old and has switched to stage two formula, but the stools are somewhat hard and formed. I'm not sure what to do. Should I change the formula? Thank you.


Dr. Shi Zhongxian reply Pediatrics
Hello! If you have been using a larger formula for your child for some time and notice that their stools are harder, you can make the formula a bit thicker. For example, if you were using one tablespoon for 60 cc of water, you can now use 1.1 to 1.2 tablespoons for the same amoun...

[Read More] Understanding Hard Stools in Infants: Is It Time to Change Formula?


Is It Normal for My 5-Month-Old to Prefer Jumping and Standing?

My son enjoys jumping? Hello, Doctor: My son is now 5 months old. Since he was over 4 months, he has not liked being held in a sitting position; he prefers to stand and jump continuously. Is this okay? Can I let my 5-month-old baby try sitting or standing? How long can he do this...


Dr. Shi Zhongxian reply Pediatrics
Hello, Dragon Mom: For a five-month-old baby, if they can sit or stand, it's fine to let them do so. When they get tired, they will naturally lose interest and stop, so there's no need to worry too much about the duration.

[Read More] Is It Normal for My 5-Month-Old to Prefer Jumping and Standing?


Understanding Tongue-Tie in Children: When to Seek Treatment

Frenulum of the tongue The child is over one year old and has started to make sounds. Recently, it has been noticed that the tongue cannot fully extend. A visit to a general clinic revealed that the issue is due to the frenulum under the tongue being too tight. The doctor suggest...


Dr. Shi Zhongxian reply Pediatrics
Dear Mr. Ahua, I apologize for the delay in my response due to various matters. I hope for your understanding! Regarding the issue of a short frenulum, our hospital's dental department (which is part of the oral medicine specialty) will handle it. You may come in to schedu...

[Read More] Understanding Tongue-Tie in Children: When to Seek Treatment


Understanding Kawasaki Disease: Recovery, Risks, and Heart Health in Children

Fear of Kawasaki disease The child just turned one year old this year and had Kawasaki disease six months ago. He still needs to take half a dose of aspirin daily. In six months, a follow-up echocardiogram will be performed to check if the cardiovascular system has returned to no...


Dr. Shi Zhongxian reply Pediatrics
Dear Mr. Wang Yonghua: Most children with Kawasaki disease recover fully, but some may develop cardiovascular complications such as myocarditis, pericarditis, valvulitis, and inflammation, dilation, or aneurysm of the coronary arteries, with coronary artery involvement being the ...

[Read More] Understanding Kawasaki Disease: Recovery, Risks, and Heart Health in Children


Understanding Growth Patterns in Pediatric Development: A Parent's Concern

Growth and Development Hello, Doctor! My daughter is almost one year and seven months old, but her height is only 78 cm (weight 11 kg). Her growth curve has consistently remained around the 10th percentile. The pediatrician told me that as long as she is on the growth curve, I sh...


Dr. Shi Zhongxian reply Pediatrics
After Miss has reviewed the letter, I believe that your daughter's thyroid function and growth development are both normal. There is no need to worry.

[Read More] Understanding Growth Patterns in Pediatric Development: A Parent's Concern


Does Bone Broth Soaked Milk Overload a Baby's Kidneys?

Does soaking milk in bone broth put excessive strain on a baby's kidneys? If a broth made from large bones, carrots, and potatoes is used to skim fat from milk, will it overload the kidneys of a one-year-old baby?


Dr. Shi Zhongxian reply Pediatrics
It will not cause kidney strain, and eating it once every few days should be fine.

[Read More] Does Bone Broth Soaked Milk Overload a Baby's Kidneys?


Understanding Your Child's Stomach Pain: Causes and Solutions

Abdominal pain in children? My daughter is almost three years old and often complains of stomach pain (about once every two days or once a day). Sometimes it happens during meals, and other times while she is sleeping. I am unsure of the cause, and she cannot clearly indicate whe...


Dr. Shi Zhongxian reply Pediatrics
(1) First, an X-ray should be taken to check for issues such as constipation or obstruction. If none are found, most cases of hernia pain are caused by gastrointestinal autonomic dysfunction. Both conditions can improve with a course of medication. (2) Vitamin syrup can be taken ...

[Read More] Understanding Your Child's Stomach Pain: Causes and Solutions


Effective Strategies to Help Your Child Take Medicine During a Cold

Not taking medication for a cold? My child is currently 2 months old and has a cold, but is resistant to taking medication. Using a nebulizer or mixing it with milk has not worked, and the cold has not improved after several days. Could you please advise if there are any effectiv...


Dr. Shi Zhongxian reply Pediatrics
I apologize for the delay in my response, as I was away for training throughout September and only returned to the hospital in early October. I recommend adding some fructose to the medication and administering it before feeding.

[Read More] Effective Strategies to Help Your Child Take Medicine During a Cold


Understanding Elevated Body Temperature and Walking Patterns in Toddlers

Warm palms? Hello Dr. Shi: My daughter is currently one year and three months old. Since the weather has turned warmer, her palms have been warm, and her body temperature is generally around 37.5 degrees Celsius. It decreases slightly after sweating but remains above 37 degrees. ...


Dr. Shi Zhongxian reply Pediatrics
Hello Ms. Huang: First, to answer your first question. A person's body temperature naturally fluctuates due to various factors such as external environment, activity level, and whether they have eaten recently, as well as the time of day. This is especially true in young chi...

[Read More] Understanding Elevated Body Temperature and Walking Patterns in Toddlers


Understanding Rectal Bleeding in Children: Causes and When to Seek Help

Rectal bleeding After having a bowel movement, I noticed blood on the toilet paper. Recently, I have not experienced any unusual symptoms, such as constipation or diarrhea, and I do not have any abdominal pain. The amount of blood is not significant, but it is noticeable. The sto...


Dr. Shi Zhongxian reply Pediatrics
It is possible that the blood vessels in the rectal and anal mucosal layers are more prominent and fragile, leading to bleeding when stool passes through and causes friction. I recommend that you first consult a pediatrician and take medication for a while. If there is no improve...

[Read More] Understanding Rectal Bleeding in Children: Causes and When to Seek Help


Improving Appetite in Children: The Role of Enzymes and Propolis

Poor appetite in children? Hello Doctor, My son is three and a half years old, with a height of 104 cm and a weight of 16.5 kg, which is normal. However, he doesn't have a very good appetite. A pharmacy staff member suggested that I could add enzyme powder (food grade) to h...


Dr. Shi Zhongxian reply Pediatrics
Dear Ms. Ah-Hui, Due to the poor performance of my computer, there are times when I am aware of emails but delay opening them to respond, only to find that they are currently locked. I apologize for the late reply today! Based on the current height and weight, the child's g...

[Read More] Improving Appetite in Children: The Role of Enzymes and Propolis


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