Understanding Head Movement During Sleep in Children with Epilepsy
Head movement during sleep? Hello Dr. Hsieh, My child is now 2 years and 7 months old and has been on medication to control epilepsy. Recently, we conducted an EEG, and the results were normal (he has not had any seizures while on medication). Since he has been on the medicatio...
Dr. Xie Degui reply Pediatrics
Hello: If a patient has been on medication to control epilepsy for about two years without experiencing any seizures, the dosage may be gradually reduced. The situation you described does not seem to resemble a seizure. It would be beneficial to record the events on video and pre...[Read More] Understanding Head Movement During Sleep in Children with Epilepsy
Is It Safe for a 10-Month-Old to Eat Pork Brain? Expert Advice on Baby's Diet
excuse me? Hello, Doctor Hsieh. I would like to ask if a 10-month-old child can eat pig brain. There are elderly family members who insist that it should be given to children, claiming it helps with brain development, but pig brain seems to be very high in cholesterol. Is it suit...
Dr. Xie Degui reply Pediatrics
Hello: Pork brain has nutritional value and contains cholesterol, which is essential for the brain and lipids, but it should be consumed in moderation. There are many alternatives for infants and young children, such as eggs. If not cooked thoroughly, potential parasites may pose...[Read More] Is It Safe for a 10-Month-Old to Eat Pork Brain? Expert Advice on Baby's Diet
Understanding Nighttime Cough in Young Children: Causes and Solutions
Nocturnal cough Hello Doctor: My child is three years and three months old, weighing 15 kg. She had a fever and cold on August 2nd, and since August 3rd, she has not had a fever. However, she has been coughing continuously at night, and it was particularly severe this morning, wi...
Dr. Xie Degui reply Pediatrics
Hello, a cold will gradually improve even without medication, but children may sometimes have difficulty coughing up mucus or may develop thick nasal discharge, which requires appropriate treatment to prevent complications. It is especially important to monitor for wheezing or al...[Read More] Understanding Nighttime Cough in Young Children: Causes and Solutions
Will Scalp Injuries in Infants Affect Future Hair Growth?
Injury to an infant's scalp? Hello Dr. Hsieh, my younger brother is 6 months old. Yesterday, while I had him sitting in the stroller, he couldn't sit up properly and fell over, resulting in a few scratches on his scalp. I would like to ask if these scars could potential...
Dr. Xie Degui reply Pediatrics
Hello: At this age, it's important to be aware that infants may lean forward or backward, and superficial abrasions or bruises will heal normally, so there's no need to worry. However, if they fall from the bed, you should monitor for any signs of head injury, such as v...[Read More] Will Scalp Injuries in Infants Affect Future Hair Growth?
Is It Too Long Between Night Feedings for My 4-Month-Old Baby?
Is there too long of a gap between milk feedings? Hello Doctor: My baby is currently four months old and weighs 7 kg. Since he turned four months, I have started to wean him off nighttime feedings. He consumes about 170-200 cc of formula milk per day, divided into four meals, wit...
Dr. Xie Degui reply Pediatrics
Hello: The purpose of introducing complementary foods to infants is to help them adapt and chew; it cannot yet replace the nutritional value of formula milk. Your baby weighs 7 kilograms. Approximately 700 to 1000 c.c. of milk is needed for healthy growth. You can feed your baby ...[Read More] Is It Too Long Between Night Feedings for My 4-Month-Old Baby?
Understanding Pediatric Concerns: Soft Lump on Toddler's Penis
Birds Hello, my child is over 1 year old, and I recently noticed a lump near the base of the penis (not on the glans) when he has an erection. It feels soft to the touch, but sometimes it is not present. Is this a normal condition? Thank you.
Dr. Xie Degui reply Pediatrics
Hello: It is not uncommon for children to have some soft, elastic tissue on the top of their heads, which is the membranous tissue. There is no need to worry.[Read More] Understanding Pediatric Concerns: Soft Lump on Toddler's Penis
Understanding Black Stool in Children: Causes and Concerns
Children with black stools? The child has a fever and after visiting a pediatric clinic and taking the prescribed medication, the child’s stool appears black. It is unclear whether this is due to the medication's ingredients or if there are other underlying issues with the c...
Dr. Xie Degui reply Pediatrics
Hello: I'm not sure how old the child is, but if the black stool is hard, it may be due to dehydration, iron supplements, or medication. If it is more liquid or paste-like, it could indicate gastrointestinal bleeding. If this condition persists, it is advisable to bring a sa...[Read More] Understanding Black Stool in Children: Causes and Concerns
Understanding Dyshidrotic Eczema in Young Children: Treatment and Care
Dyshidrotic eczema Hello, doctor. I have a question regarding my child who is over one year old. He has developed dyshidrotic eczema on his palms. The pediatric clinic prescribed a cream (CLOBACREAM), which has shown some improvement, but due to the itching, my child keeps scratc...
Dr. Xie Degui reply Pediatrics
Hello: It is especially easy to sweat in the summer, and if proper hygiene is not maintained, it can lead to sweat blisters. Therefore, frequent hand washing is essential for prevention. Additionally, applying a suitable ointment can help relieve itching. You can consult either a...[Read More] Understanding Dyshidrotic Eczema in Young Children: Treatment and Care
Understanding and Addressing Urinary Incontinence in Preschoolers
Urinary incontinence My daughter is currently in the middle class of kindergarten. During her time in the lower class, she occasionally had accidents where she couldn't make it to the bathroom in time, or she would start urinating before reaching the toilet. I hoped that she...
Dr. Xie Degui reply Pediatrics
Hello: If a child is still experiencing bedwetting or urinary incontinence at the age of 5, aside from genuinely not being able to make it to the restroom during class, it's advisable not to let them drink too much water at night. If the symptoms persist, it is recommended t...[Read More] Understanding and Addressing Urinary Incontinence in Preschoolers
Understanding the Six-in-One Vaccine: Availability and Administration in Taiwan
The six-in-one vaccine? Is the six-in-one vaccine produced by the same manufacturer throughout Taiwan? If I receive the first dose in Hsinchu and the second dose in Kaohsiung, will there be any issues? Also, does Hsinchu Hospital currently have the six-in-one vaccine available, a...
Dr. Xie Degui reply Pediatrics
Hello: There is only one type of hexavalent vaccine, so it can be administered anywhere. The hexavalent vaccine at Hsinchu Hospital costs NT$2000 per dose, plus a registration fee of NT$120.[Read More] Understanding the Six-in-One Vaccine: Availability and Administration in Taiwan
Understanding Growth Patterns in Infants: When to Seek Help
Growth and Development Doctor: My baby was found to have a slower growth curve at 36 weeks, with hand measurements around 32 weeks and foot measurements around 33 weeks. We previously had a high-level ultrasound that indicated no issues, but this problem was only discovered befor...
Dr. Xie Degui reply Pediatrics
Hello: Infants may experience slower growth and weight gain during the third trimester of pregnancy, which could indicate insufficient placental function for optimal fetal growth, known as SGA (Small for Gestational Age). If the infant's growth is initially within the 10th t...[Read More] Understanding Growth Patterns in Infants: When to Seek Help
Is It Safe to Transition Your One-Year-Old from Formula to Cow's Milk?
Is it good to wean a child off formula milk at one year old? Hello Doctor: I would like to ask about my child who is currently one year and one month old. Can I wean her off the formula milk she is currently drinking? She does not show any signs of milk aversion and eats normally...
Dr. Xie Degui reply Pediatrics
Hello: Children over one year old can eat the same foods as adults, as long as they are finely chopped or ground. Therefore, drinking fresh milk is acceptable. However, larger formulas contain additional nutrients and trace elements. If a child has picky eating habits, using a la...[Read More] Is It Safe to Transition Your One-Year-Old from Formula to Cow's Milk?
Understanding Abdominal Pain and Digestive Issues in Children
Gastrointestinal discomfort? A 7-year-old child has recently been frequently complaining of stomach pain, experiencing bloating in the upper abdomen. The stool color varies, sometimes appearing black, and there are instances of both loose and hard stools.
Dr. Xie Degui reply Pediatrics
Hello: Black stools may indicate constipation or upper gastrointestinal bleeding. Constipation typically results in hard stools, while gastrointestinal bleeding may lead to softer stools. However, a proper examination is necessary to confirm the cause. It is recommended to visit ...[Read More] Understanding Abdominal Pain and Digestive Issues in Children
Understanding Numbness and Itching in Children's Feet: When to Seek Help
Numbness in the feet? Hello: My left foot has been itchy and feels numb at times. It also feels numb when I wash it with water. However, if I ignore it, I don't feel uncomfortable, just a bit strange. This has been going on for almost a month. Additionally, I have knee pain ...
Dr. Xie Degui reply Pediatrics
Hello: Based on the description, it is not possible to determine whether there is nerve compression causing symptoms such as numbness, pain, or weakness. However, conditions such as peripheral neuropathy or electrolyte imbalances (such as low calcium levels) may be present. It is...[Read More] Understanding Numbness and Itching in Children's Feet: When to Seek Help
Differences Between Kawasaki Disease and Roseola in Young Children
excuse me? What is the difference between Kawasaki disease and roseola? A 1.8-year-old girl started having a fever of 40 degrees Celsius on the night of April 19. She was diagnosed with a general fever and was admitted to the hospital on the night of April 20 due to persistent fe...
Dr. Xie Degui reply Pediatrics
Kawasaki disease, in addition to skin rashes, lymphadenopathy, conjunctivitis or oral inflammation, and peripheral extremity redness or desquamation, is primarily diagnosed based on a fever lasting for five days. Sometimes the clinical symptoms can be quite similar, but a diagnos...[Read More] Differences Between Kawasaki Disease and Roseola in Young Children
Understanding Bad Breath in Children: Causes and When to Seek Help
Halitosis Hello, my daughter is currently in first grade. Recently, I noticed she has bad breath, but she has no cavities and brushes her teeth in the morning and evening. Her daily routine is also normal. Could this indicate a liver issue? Which specialist should we consult? Add...
Dr. Xie Degui reply Pediatrics
Halitosis is not necessarily related to liver health, but if there is bad breath, it is important to assess the digestive system for any issues. Discomfort in the right axilla should consider whether there has been any recent cold, fever, or trauma in the past week or two. The li...[Read More] Understanding Bad Breath in Children: Causes and When to Seek Help
Is It Normal for Toddlers to Vomit After Eating Too Fast or Too Much?
Is it normal for children to vomit if they eat too quickly or too much? Hello, Dr. Hsieh: My nearly three-year-old child occasionally vomits shortly after eating. Although it's not as frequent as when he was a baby, it happens about 1 to 2 times a week. I suspect it might be...
Dr. Xie Degui reply Pediatrics
Children at this age are very active, and if they run around right after eating, they are more likely to vomit. Additionally, if they do not chew their food thoroughly and overeat, they are also prone to vomiting. However, due to changes in their weight and height growth curves, ...[Read More] Is It Normal for Toddlers to Vomit After Eating Too Fast or Too Much?
Can You Mix Hepatitis A Vaccine Brands for Children?
Hepatitis A vaccine - urgent Can the second dose of the hepatitis A vaccine be from a different brand if the first dose was administered with the Mosanto brand? Would there be any issues with that? If it’s not allowed, what should those who haven't received the second dose f...
Dr. Xie Degui reply Pediatrics
Currently, all Merck vaccines are out of stock, and the GlaxoSmithKline hepatitis A vaccine can be used for vaccination instead.[Read More] Can You Mix Hepatitis A Vaccine Brands for Children?
Why Doctors Advise Against Beef for Some Children: A Parent's Concern
The doctor advised against eating beef? Hello Doctor: I have a question regarding an issue that has followed me for over twenty years. Since I was a child, my parents have always advised me not to eat beef. I believed this was due to religious beliefs until one day, while chattin...
Dr. Xie Degui reply Pediatrics
In the past, agricultural societies held certain customs that discouraged the consumption of working cattle, similar to the taboo against eating dog meat. In reality, this is unnecessary, especially considering that today’s beef comes from farm-raised cattle, which are medically ...[Read More] Why Doctors Advise Against Beef for Some Children: A Parent's Concern
Impact of Multiple Oral Polio Vaccinations on Children's Health
Oral Polio Vaccine (OPV) Dear Doctor, My child received the 4-in-1 vaccine and also took the oral polio vaccine once. When we went to the health center for the Japanese encephalitis vaccine, it seems that they also administered 2 drops of the oral polio vaccine, but the health c...
Dr. Xie Degui reply Pediatrics
There will be no impact, as antibodies are already present after vaccination, and there is no need for additional oral intake.[Read More] Impact of Multiple Oral Polio Vaccinations on Children's Health