Can Children Under One Year Old Receive the Chickenpox Vaccine?
Vaccine issues Can children under one year old receive the varicella vaccine?
Dr. Shi Zhongxian reply Pediatrics
Due to the possibility of maternal antibodies still being present before the age of one, it is generally recommended to administer vaccinations after the child turns one year old.[Read More] Can Children Under One Year Old Receive the Chickenpox Vaccine?
Understanding HBIG Use for Newborns of HBsAg Positive Mothers
Hepatitis B immune globulin (HBIG) Hello, Doctor: A pregnant woman with HBsAg(+) and HBeAg(-) does not need to administer HBIG (Hepatitis B Immunoglobulin) to the newborn at birth. Is it possible to pay out of pocket to administer Hepatitis B Immunoglobulin to the infant? Are the...
Dr. Shi Zhongxian reply Pediatrics
According to statistics, if a pregnant woman is HBeAg negative, the risk of her baby contracting hepatitis B is low. Therefore, it is generally not recommended to administer hepatitis B immunoglobulin. However, if one chooses to pay for it out of pocket, the cost is approximately...[Read More] Understanding HBIG Use for Newborns of HBsAg Positive Mothers
Understanding Digestive Issues in Infants: A Guide for Concerned Parents
Digestive Issues in Infants Hello, Doctor: I would like to ask you about my younger sister who is currently over six months old. Her milk intake is 165cc every four hours, and she has rice cereal once or twice a day. If she eats rice cereal, her milk is extended to five hours. Si...
Dr. Shi Zhongxian reply Pediatrics
1. The baby's growth and development are currently normal. 2. An infant's feeding amount can vary from time to time; as long as development is normal, there is no need to worry. 3. There is no specific standard for an infant's sleep duration; if there are no co...[Read More] Understanding Digestive Issues in Infants: A Guide for Concerned Parents
Common Concerns for New Moms: Pediatric Questions Answered
Baby's issues Hello! I have some questions and would like your help in answering them. 1. My baby sister is almost 3 months old. Recently, she received her vaccinations and had a health check-up. The results showed her weight is 5.5 kg, head circumference is 42 cm, and hei...
Dr. Shi Zhongxian reply Pediatrics
1. The baby's growth and development are currently normal. 2. An infant's appetite can vary from time to time; as long as growth and development are normal, there is no need to worry. 3. There is no specific standard for an infant's sleep duration; if there are...[Read More] Common Concerns for New Moms: Pediatric Questions Answered
Understanding Child Temperature and Milk Choking Issues in Pediatrics
Child's body temperature and choking on milk issues? Hello, Doctor: 1. When I was about to take my child home from the hospital, I attended a parenting class where it was mentioned that a child's temperature (axillary temperature) should not be below 36.5 degrees Cels...
Dr. Shi Zhongxian reply Pediatrics
1. The most accurate body temperature for children is rectal temperature. If it is above 36 degrees Celsius, there should be no concern. If you are still worried, you can measure the rectal temperature. 2. Many infants experience this situation, but it typically resolves by the t...[Read More] Understanding Child Temperature and Milk Choking Issues in Pediatrics
Understanding Patent Foramen Ovale in Infants: When to Recheck?
Issues with the foramen ovale in infants? Hello Doctor: My daughter was born at the Veterans General Hospital, where they performed an echocardiogram on newborns. It was found that the foramen ovale in her heart had not yet closed. The pediatrician advised us to return for a foll...
Dr. Shi Zhongxian reply Pediatrics
Most children will close their patent ductus arteriosus (PDA) before the age of one or two. Generally, as long as there are no associated congenital heart defects, it is not a concern, as some healthy individuals may not have complete closure even into adulthood, which does not a...[Read More] Understanding Patent Foramen Ovale in Infants: When to Recheck?
Frequent Urination in Young Girls: Causes and Solutions
Frequent urination in daughters? Hello, doctor! My 5-year-old daughter has recently been saying she needs to urinate every few minutes, but she doesn't actually produce much urine. It's very frustrating when we're out, as we constantly have to look for a restroom. ...
Dr. Shi Zhongxian reply Pediatrics
The causes of frequent urination, aside from psychological factors, include urinary tract infections, diabetes, and diabetes insipidus, among others. I recommend checking your urine; if the specific gravity is normal, there are no signs of inflammation, and no glucose is present,...[Read More] Frequent Urination in Young Girls: Causes and Solutions
Choosing the Right Formula for Babies with Maple Syrup Urine Disease
Maple syrup urine disease (MSUD) For infants with Maple Syrup Urine Disease (MSUD), it is crucial to use a specialized formula that is low in branched-chain amino acids (BCAAs). One recommended brand is "MSUD Special Formula," which is specifically designed for infants ...
Dr. Shi Zhongxian reply Pediatrics
These babies require a formula that is free of leucine due to abnormal amino acid metabolism. In Taiwan, the Johnson & Johnson formula company has supplies available at their Taipei headquarters. You can contact them at 0800-211752.[Read More] Choosing the Right Formula for Babies with Maple Syrup Urine Disease
Understanding Ureteral Reflux in Children: Causes, Treatment, and Care Tips
Ureteral reflux My daughter had a high fever twice in four months. At six months, after an X-ray examination at the hospital, it was diagnosed as ureteral reflux. I would like to ask: (1) Is ureteral reflux always congenital? (2) After surgery, a nuclear medicine scan three month...
Dr. Shi Zhongxian reply Pediatrics
(1). They are all congenital. (2). The chance of recurrence after surgery is very low. (3). The buttocks and genital area of infants should be kept clean and dry. (4). Harmless, but prone to recurrent infections.[Read More] Understanding Ureteral Reflux in Children: Causes, Treatment, and Care Tips
Essential Tips for New Moms: Breastfeeding and Infant Care
New mother Hello, doctor. My child is currently 22 days old. Since it's inconvenient to see a doctor in the United States, I have some questions to ask: 1) I am currently breastfeeding. Will consuming drinks like red tea or coffee affect my baby? Does what the mother eats d...
Dr. Shi Zhongxian reply Pediatrics
(1) As long as it is not excessive (within one to two cups a day), it will not affect the baby. (2) It can be stored for about seven days. (3) There is no issue, but it must be expressed properly to avoid the risk of weaning. (4) At 22 days old, it is advisable to feed every 3 to...[Read More] Essential Tips for New Moms: Breastfeeding and Infant Care
Understanding Costello Syndrome: Rare Genetic Disorder in Children
Costello syndrome Currently, the child is 2 and a half years old and has a congenital ventricular septal defect (regularly monitored by National Taiwan University Hospital). At 3 months old, he underwent genetic testing at the National Taiwan University Hospital, which suggested ...
Dr. Shi Zhongxian reply Pediatrics
I spent several days searching through more than ten thick pediatric textbooks, but I could not find this peculiar term, and I sincerely apologize.[Read More] Understanding Costello Syndrome: Rare Genetic Disorder in Children
Will I Still Grow Taller? Understanding Puberty and Height Growth
Height!! I was born in 1983, and I entered puberty in the third year of junior high school. It wasn't until recently (now in my third year of high school) that I started to develop armpit hair, and I have not yet experienced a noticeable change in my voice. I am currently 16...
Dr. Shi Zhongxian reply Pediatrics
(1) You are currently over seventeen years old, and theoretically, you still have the opportunity to grow taller until you reach twenty. However, this is closely related to your parents' height; if your parents are not tall, the chances are smaller. (2) Your secondary sexual...[Read More] Will I Still Grow Taller? Understanding Puberty and Height Growth
Concerns About Infant Health: Hydration, Bowel Movements, and Growth
excuse me? The child (male) is currently three months and ten days old and is exclusively breastfed, not drinking water (nor has he been given glucose water). Since he was one month old, he has had a persistent cough and phlegm (but no fever) for a duration of one month. During t...
Dr. Shi Zhongxian reply Pediatrics
Q1: As long as you have enough breast milk, it is fine if your baby doesn't drink water. If your baby is willing to drink very diluted fruit juice, you can offer it to them. Q2: It is common for infants to have such bowel movements; there is usually no cause for concern. Q3:...[Read More] Concerns About Infant Health: Hydration, Bowel Movements, and Growth
Understanding Tongue Protrusion in Infants: Causes and Solutions
Protruding tongue Hello, Doctor: My daughter is currently just eight months old. I noticed that her tongue was somewhat protruding since birth, and it became more pronounced when she was four months old; her tongue is visible in every photo, which raises the concern of whether sh...
Dr. Shi Zhongxian reply Pediatrics
Down syndrome and abnormalities of the lingual frenulum may both present with this phenomenon. Some babies may also have a naturally larger tongue, which is generally not a cause for concern. However, it is advisable to bring the baby in for a clinic evaluation.[Read More] Understanding Tongue Protrusion in Infants: Causes and Solutions
Is It Safe for a 3-Month-Old Baby to Fly Internationally?
I'm sorry, but I need content to translate. Please provide Is it suitable for a baby who has just turned three months old to fly? I plan to take the baby from Canada to Taiwan, and then from Taiwan to Australia. Will this have any negative effects on the baby?
Dr. Shi Zhongxian reply Pediatrics
The cabin pressure on the airplane is well managed, and the temperature can be adjusted by the flight attendants. There are no safety concerns for babies flying. Have a nice trip![Read More] Is It Safe for a 3-Month-Old Baby to Fly Internationally?