Understanding Painful Foreskin Retraction in Young Boys: When to Seek Help
It is difficult to clean a child's genital area (foreskin) properly? Hello, doctor! My 7-year-old son has been experiencing pain when trying to retract and clean his foreskin. He is also unable to retract it smoothly. Is this abnormal? Additionally, should I consult a urolog...
Dr. Xie Degui reply Pediatrics
If a child's foreskin is tight and causes pain during urination or swelling when using the restroom, or if there are signs of urethritis, consideration should be given to circumcision. Generally, it can be monitored as it may gradually loosen with growth. However, if there a...[Read More] Understanding Painful Foreskin Retraction in Young Boys: When to Seek Help
Understanding Combination Vaccines for Your Child: Key Insights and Concerns
Vaccination Does your hospital offer the quadrivalent vaccine? My baby is currently 1 year and 7 months old, and has received three doses of the hexavalent vaccine. Recently, when I visited the health center, the staff mentioned that the fourth dose should be the quadrivalent vac...
Dr. Xie Degui reply Pediatrics
1. Currently, there is a nationwide shortage of the quadrivalent vaccine, but our hospital has the hexavalent vaccine available. 2. It is recommended to wait one month after receiving the Japanese encephalitis vaccine before administering the combination vaccine. 3. The vacci...[Read More] Understanding Combination Vaccines for Your Child: Key Insights and Concerns
Is Your Child's Aggression a Sign of Developmental Delay?
Is a child's tendency to hit others a sign of developmental delays? Hello, doctor: My child is 3 years old and currently in preschool. Recently, the teachers at the kindergarten have frequently reported that he likes to hit others, and they suggested that I take him for an e...
Dr. Xie Degui reply Pediatrics
Hello, "children who love to hit" may not necessarily be related to developmental delays; it could be associated with adjustment issues (such as environmental changes) or individual temperament. It is recommended to seek evaluation and consultation from a pediatric ment...[Read More] Is Your Child's Aggression a Sign of Developmental Delay?
When to Seek Hospital Care for Your Child's Illness: A Guide
Under what circumstances is it necessary to seek treatment at a major hospital? Hello, doctor. My child is almost 4 years old. On the night of February 7th, he had a fever of 38.5 degrees Celsius, and the doctor at the clinic said it was hand, foot, and mouth disease with ulcers ...
Dr. Xie Degui reply Pediatrics
Hello: Enterovirus can cause fever lasting 3 to 4 days. If there is no dehydration, the fever will resolve on its own. Generally, administering antipyretics during a fever does not have therapeutic effects, but it can reduce discomfort in children caused by fever. Therefore, it i...[Read More] When to Seek Hospital Care for Your Child's Illness: A Guide
Seeking Help for Skin Allergies and Ulcers in Toddlers Under 3
excuse me? For a child under three years old experiencing skin allergies and ulcers, it is advisable to seek help from a pediatric dermatologist or a pediatrician with experience in dermatological conditions. If the child has been diagnosed with atopic dermatitis (eczema) and the...
Dr. Xie Degui reply Pediatrics
Hello: The child has a skin allergy predisposition that leads to atopic dermatitis, characterized by redness and scaling. It is particularly prone to occur on the child's face, torso, and areas of the arms and legs that can be scratched, causing intense itching which leads t...[Read More] Seeking Help for Skin Allergies and Ulcers in Toddlers Under 3
Persistent Fever in Children: When to Seek Further Medical Attention
Persistent high fever Hello, Dr. Hsieh. My son is over 3 years old and has had a fever of about 39 degrees Celsius (ear temperature) since last Sunday. We visited a clinic where the doctor diagnosed him with a cold and noted redness in his throat. As of today, he still has a feve...
Dr. Xie Degui reply Pediatrics
Hello: A common cold with a fever rarely lasts more than three days. It is advisable to visit a hospital for a thorough examination to check for any complications.[Read More] Persistent Fever in Children: When to Seek Further Medical Attention
Can I Administer 5-in-1 Vaccine to My 1.5-Year-Old Child?
Vaccine The child is currently 1 year and 6 months old. They received the 5-in-1 vaccine at 2 months and 4 months, and the 4-in-1 vaccine at 6 months. The 4-in-1 vaccine is currently out of stock. Can the child receive the 5-in-1 vaccine instead? Is this dosage sufficient? Thank ...
Dr. Xie Degui reply Pediatrics
The pentavalent vaccine can be administered, and the dosage is the same.[Read More] Can I Administer 5-in-1 Vaccine to My 1.5-Year-Old Child?
Understanding Mediterranean Anemia: Pediatric Testing and Care
Mediterranean anemia (also known as thalassemia) My child was previously hospitalized at Cathay General Hospital in Hsinchu for bronchopneumonia. Blood tests indicated a possible case of thalassemia. Cathay General Hospital advised me to go to Hsinchu Provincial Hospital for furt...
Dr. Xie Degui reply Pediatrics
Please refer the patient to a general pediatric outpatient clinic for further blood tests.[Read More] Understanding Mediterranean Anemia: Pediatric Testing and Care
Understanding Early Puberty in Boys: Concerns and Next Steps
Development in Fifth Graders Hello, Doctor: My son, who is in fifth grade, seems to have started developing. He has a slight Adam's apple, his voice is a bit hoarse and deep, and he has even started to grow some fine pubic hair. Is it too early for a fifth-grade boy to be de...
Dr. Xie Degui reply Pediatrics
Precocious puberty is defined as the onset of secondary sexual characteristics in boys before the age of nine. With improved nutrition compared to the past, many individuals are experiencing the development of secondary sexual traits at an earlier age. It is important to pay atte...[Read More] Understanding Early Puberty in Boys: Concerns and Next Steps
Availability of 6-in-1 Vaccine for Pediatric Patients: Inquiry
Regarding the 6-in-1 vaccine? May I ask if your hospital has the hexavalent vaccine in stock? Thank you.
Dr. Xie Degui reply Pediatrics
Hello: Currently, a hexavalent vaccine is available for vaccination.[Read More] Availability of 6-in-1 Vaccine for Pediatric Patients: Inquiry
Understanding Pediatric Neurological Concerns: When to Seek Help
Many questions? My eldest child is 8 years old and has Asperger's syndrome. He was delivered via vacuum extraction at 42 weeks. During his crawling phase, he exhibited head-banging behavior. Before he turned one, he experienced tremors in his hands while breastfeeding, where...
Dr. Xie Degui reply Pediatrics
1. It is recommended to undergo an early developmental delay assessment, which can be done at our hospital's pediatric neurology clinic with Dr. Bao-Ling Chang on Thursday afternoons. 2. Based on the described symptoms, they appear to be indicative of epilepsy. An evaluatio...[Read More] Understanding Pediatric Neurological Concerns: When to Seek Help
Addressing Baby Weight Concerns: Pediatrician's Guidance on Nutrition
Baby Weight Issues - Follow-up Questions Doctor, I have some questions regarding your recommendations that I don't quite understand. 1. Should I consider supplementing for anemia and micronutrient deficiencies? Does your suggestion mean that besides low-dose vitamins and d...
Dr. Xie Degui reply Pediatrics
4. It is recommended to conduct tests (which may include blood tests) to determine if there is an iron deficiency. 6. If growth is inadequate, it is advised to monitor monthly, and developmental status will be assessed during preventive vaccinations.[Read More] Addressing Baby Weight Concerns: Pediatrician's Guidance on Nutrition
Understanding Fever After Childhood Vaccinations: Common Concerns
Vaccination Hello, doctor: I would like to ask, my child has had a fever every time after receiving the pentavalent vaccine since birth. Does this indicate that my child has a weaker immune system? Thank you!
Dr. Xie Degui reply Pediatrics
Hello, this is a vaccine reaction and it may not necessarily be related to poor immunity.[Read More] Understanding Fever After Childhood Vaccinations: Common Concerns
Addressing Weight Concerns in Infants: Tips for Parents
Baby weight issues? Hello, doctor. My baby boy was born at 36 weeks and weighs 1500g. His corrected age is one year, with a height of 68 cm and a weight of 7 kg. He drinks milk every 3 hours, and previously he drank a maximum of 120 cc. After he caught a cold at 10 months old and...
Dr. Xie Degui reply Pediatrics
1. According to the description, the baby's development is not delayed, but growth is insufficient and height is below normal, indicating a lack of nutrition for some time. 2. Besides being premature and having a low birth weight (SGA), the baby may also have intestinal sen...[Read More] Addressing Weight Concerns in Infants: Tips for Parents
Understanding Pediatric Peritonitis: Treatment, Symptoms, and Care
Peritoneal infection issues? Hello Doctor: My child underwent surgery for acute appendicitis, but recovery has not been going well. The doctor mentioned excessive ascites, and after five days, he said it progressed to peritonitis. Currently, the doctor said we can only administer...
Dr. Xie Degui reply Pediatrics
Hello: 1. Appendicitis generally leads to localized peritonitis; if it persists for several days, broad-spectrum antibiotics may be administered. If it progresses to a generalized condition (with widespread pus accumulation), it can pose a life-threatening risk. 2. It is impo...[Read More] Understanding Pediatric Peritonitis: Treatment, Symptoms, and Care
Post-Discharge Concerns for Children: Expert Advice from Dr. Hsieh
Please consult with pediatrician Dr. Hsieh Te-Kuei regarding post-discharge questions? Hello Dr. Hsieh, I would like to ask about my child who was hospitalized for observation and treatment (antibiotics) and underwent bacterial culture from August 18, 2008, to August 20, 2008, un...
Dr. Xie Degui reply Pediatrics
1. Diarrhea following a bacterial or viral infection is usually a temporary condition. If medication is being taken, it may persist for a longer duration. Generally, it resolves on its own without medication, but if diaper rash occurs, medication should be used to alleviate the s...[Read More] Post-Discharge Concerns for Children: Expert Advice from Dr. Hsieh
Understanding Roseola: Contagion Concerns for Young Children
Regarding the transmission issues of roseola? Dear Dr. Hsieh, Our younger sister is one year and five months old. She started experiencing a high fever of unknown origin about a week ago, reaching as high as 40.3 degrees Celsius, which required an emergency visit. A few days lat...
Dr. Xie Degui reply Pediatrics
Once the rash appears and the fever subsides, there is no need for further isolation. Generally, the rash will resolve in about two days.[Read More] Understanding Roseola: Contagion Concerns for Young Children