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Is Breast Development Normal in a 2-Year-Old Girl?

Is it normal for a 2-year-old girl to have breast development? Hello Doctor, my daughter is currently 2 years and 4 months old, weighing 16 kg and measuring 95 cm. She is smart, beautiful, cheerful, and healthy, receiving praise from everyone and often mistaken for a 3-4 year old...


Dr. Wang Jiayi reply Pediatrics
Hello, Mrs. Hsi: Your daughter is in the 97th percentile for weight and the 95th percentile for height, indicating that she is on the larger side. It is possible that she has a higher amount of body fat, so the prominence of her breasts is likely normal. If you still have concern...

[Read More] Is Breast Development Normal in a 2-Year-Old Girl?


Growth Hormone Treatment for Short Stature: Is It Worth the Risks?

Administering growth hormone Hello Dr. Wang, My daughter is currently ten years and nine months old. She started her menstrual cycle this month, and her height is 148 cm, with a bone age of thirteen years. My height is 162 cm, and my husband's height is 172 cm. The doctor p...


Dr. Wang Jiayi reply Pediatrics
Dear Concerned Mother, The desire for children to succeed is a sentiment shared by all parents. For those with shorter children, concerns about their child's growth may arise. Height is a subjective measure influenced by psychological factors, making it difficult to establi...

[Read More] Growth Hormone Treatment for Short Stature: Is It Worth the Risks?


Understanding Your Child's Teething Timeline and Nutritional Needs

Regarding the timing of tooth development? Hello Dr. Wang: I would like to inquire about the timing of tooth eruption in children. My child is currently 1 year and 3 months old and started teething at around 9 months. However, so far, he has only developed 4 upper teeth and 2 low...


Dr. Wang Jiayi reply Pediatrics
Dear Confused Mom: Please take your child to a medical center to see a pediatric dentist for treatment. The Pediatrics Department of Hualien Hospital cares about you.

[Read More] Understanding Your Child's Teething Timeline and Nutritional Needs


Dietary Guidance for Children Recovering from Rotavirus Infection

Diet after rotavirus infection? My child had vomiting and diarrhea on Friday night and was hospitalized for IV fluids. She is no longer vomiting but still has watery diarrhea... once or twice a day. She has always been a picky eater, and when she eats something she doesn't l...


Dr. Wang Jiayi reply Pediatrics
Your child needs to see the pediatrician who originally treated them. Hualien Hospital Pediatrics cares about you!

[Read More] Dietary Guidance for Children Recovering from Rotavirus Infection


Understanding Your Child's Vomiting: Causes and Solutions

The child is continuously vomiting? My child has recently had a cold with a slight cough. Last week, in the middle of the night, he vomited (I can't remember if he coughed before that; it seemed to be out of nowhere). He vomited twice in one day. This afternoon, he napped un...


Dr. Wang Jiayi reply Pediatrics
Please take your child to a trusted medical center's emergency department as soon as possible, and determine if hospitalization is necessary. We sincerely wish her a speedy recovery! Hualien Hospital Pediatrics cares about you!

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


Is My Toddler Underweight? Growth Assessment for a 15-Month-Old

Underweight child Hello Doctor: My son is currently one year and three months old, with a height of 72.5 cm and a weight of 8.1 kg. Is he too small for his age? Should we consider a growth and development assessment? Thank you.


Dr. Wang Jiayi reply Pediatrics
Hello, Xiao Lin: Your son's height and weight are both below the 3rd percentile, which is outside the normal range. May I ask if he was a premature infant? What were his conditions before and at birth? Are there any other health abnormalities? What is his head circumference?...

[Read More] Is My Toddler Underweight? Growth Assessment for a 15-Month-Old


Understanding Growth Delays in Children: A Pediatric Perspective

Growth issues in children? Hello Dr. Wang, My daughter was born weighing 3850 grams (75th percentile), measuring 53 cm in length (75th percentile), and with a head circumference of 36.5 cm (90th percentile). She started experiencing chronic constipation around one month old, whi...


Dr. Wang Jiayi reply Pediatrics
Dear Concerned Mother, Please do not worry too much! If your child's teeth are developing normally, there is no need for excessive concern. Currently, your child's weight is in the 10th percentile and height is between the 10th and 25th percentiles, which falls within ...

[Read More] Understanding Growth Delays in Children: A Pediatric Perspective


Best Foods to Relieve Constipation in Toddlers: Expert Tips

Constipation and hard stools? Hello Dr. Wang: My baby is now twelve months old. Yesterday, I consulted online about my baby's current issues with constipation and hard stools. Dr. Wang suggested not to add goat milk formula. If we are not adding that, what complementary food...


Dr. Wang Jiayi reply Pediatrics
Hello, Xiao Yi: For children who are one year old, they can generally consume adult foods such as fresh milk, soy milk, fruits, and chicken soup. However, please pay attention to the following: 1. The food should not be heavily flavored or too salty (if an adult finds it just rig...

[Read More] Best Foods to Relieve Constipation in Toddlers: Expert Tips


Understanding Constipation and Hard Stools in Infants: Causes and Solutions

Constipation and hard stools? Hello Dr. Wang: My baby has been experiencing constipation and hard stools recently. Could this be a gastrointestinal issue, or is it related to the formula? I am using a combination of goat milk powder and rice cereal along with the formula. I prepa...


Dr. Wang Jiayi reply Pediatrics
1. How many months old is your child now? 2. I do not recommend the use of goat milk formula; however, if you prefer goat milk formula, please ensure it is specifically labeled as "infant formula." 3. Solid foods should be used according to the recommended amounts i...

[Read More] Understanding Constipation and Hard Stools in Infants: Causes and Solutions


Understanding Sleep Challenges in Infants: Insights for Concerned Parents

Children who cannot sleep for long periods? Dear Dr. Wang, Hello. My baby has just turned seven months old. Normally, infants are expected to have long sleep durations, but since birth, my baby has always struggled to sleep for extended periods. During the day, he often wakes up...


Dr. Wang Jiayi reply Pediatrics
I apologize for the delay in responding to your question due to personal matters. To assess a child's physical and mental growth and health, it is essential to first check if their height, weight, and head circumference are within normal ranges. A basic physical examination,...

[Read More] Understanding Sleep Challenges in Infants: Insights for Concerned Parents


Understanding Limb Length Discrepancy in Children: What to Do?

Leg length discrepancy My son is 5 years old and has recently been complaining of leg pain, primarily in the lower limbs. Initially, I thought he was just making it up, but I've noticed that he seems to walk with a limp, and his right leg appears to be shorter. When I had hi...


Dr. Wang Jiayi reply Pediatrics
Dear concerned mother: May I ask if the painful area on the foot is red, swollen, or warm? Is the pain persistent or does it occur under certain circumstances? I recommend that you take him to a general pediatrics or pediatric orthopedics department at a medical center as soon as...

[Read More] Understanding Limb Length Discrepancy in Children: What to Do?


Understanding Toddler Development: Stair Climbing and Finger Dexterity Tips

Child Development A child who has just turned 3 years old and is hesitant to walk down the stairs independently but can hold onto the handrail and alternate steps is not necessarily showing developmental issues. It is not uncommon for children at this age to have varying levels o...


Dr. Wang Jiayi reply Pediatrics
Hello Sandy: When assessing your child's motor development, it is important to make a comprehensive judgment from multiple aspects rather than focusing solely on a specific action or behavior. For example, in gross motor skills, can they stand on one foot for 2 seconds? Can ...

[Read More] Understanding Toddler Development: Stair Climbing and Finger Dexterity Tips


Is Your Toddler's Bloated Belly Normal or a Sign of Digestive Issues?

Abdominal distension Hello, Doctor: My child is currently one year and four months old. Recently, over the past few days, their stomach has suddenly become very large. Is this normal, or could it indicate a gastrointestinal issue? Thank you for your response from a concerned moth...


Dr. Wang Jiayi reply Pediatrics
Dear Chiouya, Is your child’s feeding, bowel movement, urination, sleep, and energy level normal? Are there any other accompanying symptoms of discomfort? If everything is normal, you can observe for a while. However, if there are any other discomforts or if you are very concer...

[Read More] Is Your Toddler's Bloated Belly Normal or a Sign of Digestive Issues?


Understanding Growth and Weight Changes in Preteens: What to Watch For

Growth. Weight? Hello. My child is currently in the 6th grade and started showing signs of puberty in January 1996, such as voice changes and acne. Their current weight is 37.5 kg and height is 155 cm. Last year, when they were in 5th grade, their weight was 38 kg and height was ...


Dr. Wang Jiayi reply Pediatrics
Hello, Xiao Jin: I apologize for the delayed response due to my personal leave, and I sincerely regret taking up your valuable time! May I ask how old your child is in years and months? If they are 12 years old, a weight in the 25th to 50th percentile and a height in the 75th to ...

[Read More] Understanding Growth and Weight Changes in Preteens: What to Watch For


Early Tooth Loss in Children: Impacts on Development and Health

Early tooth loss and child development? Consulting a doctor: My child, who is around eight years old and in second grade, was diagnosed by the dentist with the beginning of the eruption of their premolars. Is this too early, and is there any correlation with early development?


Dr. Wang Jiayi reply Pediatrics
Hello Vincent: I apologize for the delayed response due to personal leave, and I'm truly sorry for taking up your valuable time! From a pediatrician's perspective, the eruption of the primary molars at the age of 8 does not seem to be too early and is not directly relat...

[Read More] Early Tooth Loss in Children: Impacts on Development and Health


Concerns About BCG Vaccine: What to Do If the Scab Falls Off?

BCG vaccine issues..? Hello Dr. Wang, I have another question: My child received the BCG vaccine on March 22 and has since developed a scab. However, today after his bath, I accidentally removed the scab while drying him off. I'm not sure if this will have any impact on hi...


Dr. Wang Jiayi reply Pediatrics
Hello, I apologize for the delayed response due to personal leave, and I sincerely regret any inconvenience this may have caused you. The shedding of the scab from the BCG vaccine is a positive sign, indicating that this important milestone has been successfully completed, and ...

[Read More] Concerns About BCG Vaccine: What to Do If the Scab Falls Off?


Understanding Frequent Falls in Children: When to Seek Medical Advice

Children frequently fall? Hello Doctor: My child is almost four years old, and I have noticed that his right leg is significantly weaker. In mid-April, he had acute pneumonia and was hospitalized for eight days. During those eight days, he mentioned that his leg felt weak, but wh...


Dr. Wang Jiayi reply Pediatrics
Hello, Xiao Pei: I apologize for the delayed response due to personal leave, and I sincerely regret taking up your valuable time! Some viral infections can affect the nervous system and may cause muscle soreness and discomfort, but recovery typically occurs after some time. Your ...

[Read More] Understanding Frequent Falls in Children: When to Seek Medical Advice


Managing Constipation in Infants: Tips for Parents

Constipation Hello, I would like to ask you a question. My child is already six months old, and I have been giving him Nestlé rice cereal as complementary food, but it causes constipation. I then switched to Quaker oatmeal, and the same issue occurred. What should I do to resolve...


Dr. Wang Jiayi reply Pediatrics
Hello Ms. Chen: In addition to commercially available rice noodles and barley extract, you can also start feeding your child some rice soup, plain congee, or freshly made fruit juice to help supplement hydration, which may assist in alleviating constipation. However, it is not re...

[Read More] Managing Constipation in Infants: Tips for Parents


Probiotics vs. Bifidobacterium: Which is Best for Your 2.5-Month-Old?

Probiotics and Bifidobacterium..? Thank you, Dr. Wang, for your previous answer. Today, I would like to ask about the differences between these two types of bacteria. If I were to give them to a two-and-a-half-month-old baby, which one would be more suitable? What are the effects...


Dr. Wang Jiayi reply Pediatrics
Hello, new mom: Probiotics refer to various beneficial bacteria that aid digestion within the normal flora of the human gastrointestinal tract. Bifidobacterium is one such type. It is recommended to consider introducing complementary foods around six months of age. A simple lifes...

[Read More] Probiotics vs. Bifidobacterium: Which is Best for Your 2.5-Month-Old?


Developmental Assessment for 4-Year-Olds: Understanding Your Child's Needs

Developmental Assessment of a Four-Year-Old Child Hello Doctor, My child is currently 4 years and 2 months old and has not yet started preschool; he is being cared for at home. Generally, he seems to be doing well, but recently I arranged some courses to enrich his life. Since ...


Dr. Wang Jiayi reply Pediatrics
Dear Mom, Children exhibit various differences in their learning and adaptation traits, and not everyone needs to conform to a standard. This is also closely related to environmental factors. It is important to be patient and spend time with your child, understanding their stre...

[Read More] Developmental Assessment for 4-Year-Olds: Understanding Your Child's Needs


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