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Understanding Asymmetrical Kidneys in Preterm Infants: Risks and Care

One kidney is larger than the other? My child, who is a preterm infant born at 34 weeks, is now almost one year old. Recently, we visited a pediatric clinic due to diarrhea, and the doctor discovered through an ultrasound that one of his kidneys is larger than the other. Both the...


Dr. Xie Degui reply Pediatrics
Hello: The kidneys are not of equal size, but if there is a difference greater than 1 cm, further evaluation is necessary. Of course, if both kidneys are atrophied or inflamed and enlarged, that is also a possibility. It is recommended to seek evaluation at a hospital.

[Read More] Understanding Asymmetrical Kidneys in Preterm Infants: Risks and Care


Understanding Involuntary Movements in Newborns: Causes and Concerns

Newborns may experience involuntary twitching of their hands, feet, or head? Dear Dr. Hsieh, Hello! My baby girl is about ten days old. She underwent brain ultrasound, cardiac ultrasound, and hearing tests at birth, all of which showed no abnormalities. Last Thursday and this Tu...


Dr. Xie Degui reply Pediatrics
Infants spend a significant amount of time sleeping during their growth period. During this process, some may exhibit signs of exertion such as twitching of the limbs or facial flushing. However, if there are movements like blinking, nodding, or chewing, further evaluation is nec...

[Read More] Understanding Involuntary Movements in Newborns: Causes and Concerns


Optimal Milk Intake for Infants: Guidelines for Parents

Infant milk intake Hello Doctor: My child was born at 38 weeks and 3 days, a boy. His birth weight was 2855g. He is currently 4.5 months old. My child's current weight is approximately 6.8kg, height is about 62.4cm, head circumference is 41.2cm, and chest circumference is 40...


Dr. Xie Degui reply Pediatrics
Infants require a daily milk intake of at least 100cc per kilogram of body weight. If they want to drink more but become easily agitated, first check for any issues such as nasal congestion that may be interfering with their breathing. If their current weight is not a concern but...

[Read More] Optimal Milk Intake for Infants: Guidelines for Parents


Can a 13-Month-Old Child Still Have Biliary Atresia?

Can a 1 year and 1 month old child still have biliary atresia? My child is 1 year and 1 month old. He started having a fever last Saturday, with an average temperature of 38.5°C. After administering antipyretics, the fever returns approximately every six hours. On the third day, ...


Dr. Xie Degui reply Pediatrics
Hello; the resolution of a child's fever does not necessarily mean that they have fully recovered. If their appetite has not returned or their activity level has decreased, it is important to have them evaluated by a physician. Inflammation of the biliary tract can lead to r...

[Read More] Can a 13-Month-Old Child Still Have Biliary Atresia?


Breastfed Babies and Constipation: What Parents Need to Know

Can breastfed babies also experience constipation? My baby has been having irregular bowel movements, about once every six days. Although she is active, I am still very worried. Could it be because I have been eating too much spicy or hot food? My older child was breastfed as wel...


Dr. Xie Degui reply Pediatrics
Hello: The characteristics of breast milk stools can vary significantly; some infants may have multiple bowel movements in a day, while others may only have one every few days. This is because the baby absorbs the milk completely, and the excess fluid is excreted through urine, w...

[Read More] Breastfed Babies and Constipation: What Parents Need to Know


Understanding Excessive Straining in Infants: When to Seek Help

Overexertion Hello, my little one is less than a month old and often seems to strain, causing his face to turn red. Recently, there have been times when he suddenly cries very loudly, but after one or two cries, he becomes silent. When I check on him, I find that he has stopped b...


Dr. Xie Degui reply Pediatrics
Hello: Please take the patient to the pediatric outpatient clinic for an examination to check for any other issues that may be causing the respiratory interruption.

[Read More] Understanding Excessive Straining in Infants: When to Seek Help


Addressing Infant Gastrointestinal Issues: Tips for New Parents

Infant gastrointestinal issues Hello, I apologize for the inconvenience, but I would like to ask about my baby who is almost 2 months old. Recently, it seems that he has been experiencing stomach discomfort consistently between 4:00 AM and 9:00 AM for the past two days. Should I ...


Dr. Xie Degui reply Pediatrics
1. Unless there is diarrhea, formula does not need to be diluted; abdominal distension or cramping is more likely to occur in the early morning hours. If accompanied by vomiting or feeding issues, it is advisable to have a pediatrician evaluate the situation. 2. At three months o...

[Read More] Addressing Infant Gastrointestinal Issues: Tips for New Parents


Understanding Adebi Dosage and Storage for Pediatric Use

What is the dosage of Adipex? Thank you for the doctor's response. When I took my child for vaccinations, I also asked the doctor to prescribe Adebi, but since the hospital did not have this probiotic, he asked me to buy it at the pharmacy. I would like to ask a few question...


Dr. Xie Degui reply Pediatrics
1. It can be stored at room temperature. 2 and 3. You can eat one whole piece without needing to split it in half. 4. It can be consumed with milk; however, if you are too concerned, it is recommended to take it with warm water.

[Read More] Understanding Adebi Dosage and Storage for Pediatric Use


Best Probiotics for Infants Under One Year: A Guide for Parents

Please recommend gastrointestinal probiotics suitable for infants under one year old? Since my nine-month-old daughter recently had gastroenteritis, I would like to supplement her with beneficial gut bacteria! Could you please recommend some options? As a mom, it's quite cha...


Dr. Xie Degui reply Pediatrics
Hello: Generally, if gastrointestinal issues occur frequently for more than six months, probiotics can be taken under a physician's evaluation. Not everyone should take them. There are many commercially available probiotics, most of which are classified as food products. If ...

[Read More] Best Probiotics for Infants Under One Year: A Guide for Parents


Managing Gastrointestinal Issues in Infants: A Parent's Guide

Gastrointestinal issues Hello, my baby is currently over 9 months old. He has had diarrhea for several days and we took him to the clinic where the doctor diagnosed him with gastroenteritis. He was given anti-diarrheal medication and we switched to lactose-free formula, which he ...


Dr. Xie Degui reply Pediatrics
Hello: If the upper layer of the mucosa is damaged in gastroenteritis, the recovery time may take longer, sometimes up to a month. During this period, it is important to monitor for any blood in the stool. If diarrhea persists for more than two weeks, it is considered chronic dia...

[Read More] Managing Gastrointestinal Issues in Infants: A Parent's Guide


Is It Safe for a 3-Year-Old to Eat Eggs Daily?

Eating eggs every day? Hello, doctor. I would like to ask if it's okay for a 3-year-old child to eat eggs every day. Sometimes he even eats 2 eggs, as he is very picky and does not eat fish, meat, or vegetables, only eggs. Will eating so many eggs every day cause any issues?...


Dr. Xie Degui reply Pediatrics
Eggs can be consumed, but children should not have a diet that is overly reliant on a single food. It is advisable to limit to one egg per day at most. A diet lacking variety can lead to nutritional imbalances.

[Read More] Is It Safe for a 3-Year-Old to Eat Eggs Daily?


Chest Pain in Children: Essential Tests for Diagnosis

Chest tightness or pain? A ten-year-old child who frequently experiences chest tightness should undergo a thorough evaluation. Recommended tests may include: 1. A physical examination by a pediatrician. 2. An electrocardiogram (ECG) to assess heart rhythm and electrical activity...


Dr. Xie Degui reply Pediatrics
Hello: There are many possible causes for chest tightness; it is recommended to take the child directly to the hospital for a pediatric evaluation.

[Read More] Chest Pain in Children: Essential Tests for Diagnosis


Is Early Breast Development at Age Eight Normal for Girls?

Is it normal for an eight-year-old girl to start developing breast tissue? Hello: My friend has a daughter who recently turned eight years old and is currently in the second grade. However, before she turned eight, her breasts had already begun to develop, and now that she has ju...


Dr. Xie Degui reply Pediatrics
Hello: If a girl under the age of eight shows signs of development, it is advisable to take her to a pediatric endocrinologist. It may not necessarily be precocious puberty; some cases can be caused by environmental hormones.

[Read More] Is Early Breast Development at Age Eight Normal for Girls?


Understanding Congenital Intestinal Malrotation in Newborns: Symptoms, Treatment, and Prevention

Congenital intestinal malrotation Hello: How can we determine the clinical manifestations of congenital intestinal malrotation in newborns that lead to midgut volvulus causing small bowel hemorrhage? What treatment measures should be taken? How can we prevent recurrence?


Dr. Xie Degui reply Pediatrics
Hello: Congenital intestinal malrotation may be asymptomatic, but if volvulus occurs, symptoms such as bile vomiting and abdominal distension are common. Typically, it may not be detected before volvulus occurs, and if volvulus does happen, surgical intervention is necessary.

[Read More] Understanding Congenital Intestinal Malrotation in Newborns: Symptoms, Treatment, and Prevention


Boosting Appetite in Toddlers: Effective Strategies for Parents

Appetite loss in toddlers? Hello Doctor: I have a 1 year and 9 months old child at home, with a height of 85 cm and a weight of 11 kg. On average, he consumes about 400 to 500 ml of milk per day, along with a bowl of pumpkin porridge. He is only curious about food and usually tak...


Dr. Xie Degui reply Pediatrics
Hello: The child is actually growing well, so there's no need to worry too much. Additionally, foods like cheese and French fries are not recommended for a balanced diet; sugars and fats can lead to fat accumulation, which is not ideal. Egg yolks should be consumed in modera...

[Read More] Boosting Appetite in Toddlers: Effective Strategies for Parents


Concerns About Toddler's Bone Sensation and Growth: What Parents Should Know

excuse me? Dear Doctor, My male toddler is one year and five months old. Recently, when I pick him up, I feel a "clicking" sensation in the bones around his buttocks when he moves slightly. However, he seems to be active and healthy during his usual activities. I also...


Dr. Xie Degui reply Pediatrics
Hello: It is normal for infants and toddlers to occasionally hear a clicking sound when moving their hip joints, as long as they are active and doing well. This is due to the joints not being as tightly fitted as in older children. At this stage, gaining 1 kilogram over six month...

[Read More] Concerns About Toddler's Bone Sensation and Growth: What Parents Should Know


Understanding EC Virus Infection in Children: Symptoms and Complications

Worried Father Dear Doctor Hsieh: Today my daughter had a fever and went to the clinic, where they said it was an enterovirus infection. What is an enterovirus? Are there any complications associated with it? Thank you, a concerned father.


Dr. Xie Degui reply Pediatrics
Hello: I'm not sure if what you mentioned is correct; could it be EBV? If you still have a fever, I recommend seeing a doctor for confirmation.

[Read More] Understanding EC Virus Infection in Children: Symptoms and Complications


Where to Get DNA Paternity Testing in Hsinchu: A Guide

I would like to undergo a DNA paternity test? Dear Doctor, I would like to undergo a DNA paternity test. Does Hsinchu City Hospital offer this service? Or where in Hsinchu can I get a paternity DNA test?


Dr. Xie Degui reply Pediatrics
The DNA specimens for testing at our hospital are sent out; you may inquire at the Family Medicine outpatient clinic.

[Read More] Where to Get DNA Paternity Testing in Hsinchu: A Guide


Understanding Compulsive Behaviors in Young Children: A Parent's Guide

Compulsive behavior? My daughter is 3 years and 5 months old. I remember that she started to involuntarily press her fists against her abdomen and push down when she was a little over 2 years old. She keeps repeating this until she is drenched in sweat. Initially, it happened bef...


Dr. Xie Degui reply Pediatrics
Hello: First, check if there are any discomforts in the abdomen, such as constipation or bloating. Some issues may be related to the urinary system, so it is advisable to consult a pediatrician for an examination. If there are repetitive behaviors or stubborn actions, it is impor...

[Read More] Understanding Compulsive Behaviors in Young Children: A Parent's Guide


Understanding Your Child's Tiptoe Walking and Limping Issues

Walking with a limp? My son is currently 3 years and 4 months old and often walks on his tiptoes, only walking normally after being reminded. Recently, he has started walking with a limp. When I ask him if it hurts, he sometimes says no and sometimes says yes. I'm not sure w...


Dr. Xie Degui reply Pediatrics
Hello: If a child is able to run and jump normally but occasionally walks on tiptoes, it is generally not a concern. However, if they have been limping for the past two days, it is important to assess whether there is an injury. You may consider consulting a pediatrician or a ped...

[Read More] Understanding Your Child's Tiptoe Walking and Limping Issues


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