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Understanding Height Growth in High School: When to Seek Help

Height in the second year of high school? Hello Dr. Hsieh, My son is currently in the second year of high school and has not experienced any height increase. His father is 170 cm and his mother is 157 cm. Could this be due to genetics or other reasons? He is currently only 163 ...


Dr. Xie Wanghu reply Pediatrics
Hello parents, based on the provided information, a height of 163 cm falls within the 3rd to 15th percentile, which is considered normal. Please ensure that your child gets adequate sleep and proper nutrition. You may also seek assistance from a pediatric endocrinologist. Thank y...

[Read More] Understanding Height Growth in High School: When to Seek Help


Understanding Recurrent Head Pressure and Vomiting in Children

Headache and vomiting? Hello Doctor, my 12-year-old child has recently experienced episodes of head swelling and vomiting as follows: Note: On January 18, he received an injection in the endocrinology department to suppress bone age growth for a duration of three months. 1. On ...


Dr. Xie Wanghu reply Pediatrics
Hello Ms. Wu, The side effects of Leuplin can include rash, wheezing, chest tightness, difficulty breathing, and difficulty swallowing or speaking, as well as gastrointestinal discomfort. Many cases of gastroenteritis can present with symptoms such as vomiting, diarrhea, and fe...

[Read More] Understanding Recurrent Head Pressure and Vomiting in Children


Night Sweats After A Flu Diagnosis: When to Seek Medical Advice?

Excessive sweating during sleep after being diagnosed with influenza type A? Hello, doctor! My son was diagnosed with influenza type A on January 7th and received Rebata (oseltamivir) on the same day. The next day, his fever gradually subsided, leaving only a cough and runny nose...


Dr. Xie Wanghu reply Pediatrics
Hello, April's mom. Night sweats during sleep may be related to the course of the illness. Once the illness improves, it should resolve. Also, make sure not to dress the child in too many layers while sleeping; keeping them warm and comfortable is sufficient. Thank you.

[Read More] Night Sweats After A Flu Diagnosis: When to Seek Medical Advice?


Thin or Indented Nails in 8-Year-Olds: Which Specialist to Consult?

The child's nails appear to be somewhat thin, around the age of 8? Hello Dr. Wang Hu: I have an 8-year-old child who has been observed to have slightly thin or concave nails. Which specialty should I consult for this issue?


Dr. Xie Wanghu reply Pediatrics
Hello Mr. Chen, if a child's nails become thin or slightly concave, it may be due to vitamin deficiency or other skin conditions. It is advisable to take the child to a dermatology clinic for evaluation. Thank you.

[Read More] Thin or Indented Nails in 8-Year-Olds: Which Specialist to Consult?


Understanding Sinus Tachycardia in Children: When to Seek Further Evaluation

Electrocardiogram (ECG) examination: Sinus tachycardia? Hello, Doctor Hsieh. My child recently had a health check-up in the first grade of elementary school, and the electrocardiogram (ECG) results showed sinus tachycardia. Should we seek further examination at the hospital? If s...


Dr. Xie Wanghu reply Pediatrics
Hello, it is recommended to take your child to a pediatric cardiology clinic for further evaluation. Regularly measuring your child's pulse and providing the records to the doctor during the visit would be helpful. Please maintain a normal daily routine and avoid stimulating...

[Read More] Understanding Sinus Tachycardia in Children: When to Seek Further Evaluation


Addressing Milk Intake Issues in Infants: A Pediatric Guide

Milk consumption issues? Hello Doctor, I am a mother living in the Jinshan District of New Taipei City. I would like to ask you about my baby who is over 8 months old. He was born weighing 3800 grams and was drinking 100 ml of milk. Until he was 2 months old, his milk intake wa...


Dr. Xie Wanghu reply Pediatrics
Hello, Mom. 1. An 8-month-old weighing 8 kg is within the 50th to 85th percentile, which is very good. 2. After 4 months, milk can be consumed as desired, but solid foods become more important. A varied diet is essential, and milk can be given once a day. 3. Please do not for...

[Read More] Addressing Milk Intake Issues in Infants: A Pediatric Guide


Understanding Mucopolysaccharidosis: Can Other Types Occur After Screening?

Questions related to mucopolysaccharidosis? I would like to ask the doctor, my child is already four years old. During birth, newborn screening for Mucopolysaccharidosis Type I (MPS I) and Mucopolysaccharidosis Type II (MPS II) showed "no abnormalities." However, after ...


Dr. Xie Wanghu reply Pediatrics
Dear Mr. Wu, 1. Other types of MPS are still possible. 2. If you would like to pursue further testing, you can have a blood test at the pediatric genetics department; both Veterans General Hospital, Mackay Memorial Hospital, and National Taiwan University Hospital offer this s...

[Read More] Understanding Mucopolysaccharidosis: Can Other Types Occur After Screening?


Unexplained Health Issues in Children: A Case Study of Cardiac and Bone Pain

Unexplained physical discomfort? Hello, I would like to ask a question. My 12-year-old child has a history of arrhythmia and has undergone radiofrequency ablation. Since last month, he has been experiencing a sensation of pressure on his heart, lasting about 2 to 3 hours each day...


Dr. Xie Wanghu reply Pediatrics
Hello, recommendations: 1. Take your child to the pediatric cardiology clinic at Taipei Veterans General Hospital to see Dr. Li Bi-Chang for an evaluation of the chest tightness and its possible relation to the radiofrequency ablation procedure. 2. For joint pain, it is advisable...

[Read More] Unexplained Health Issues in Children: A Case Study of Cardiac and Bone Pain


Do Children with Adenovirus Need Cardiac Follow-Up After Symptoms?

Is it necessary to conduct cardiovascular examinations after a positive rapid test for adenovirus? My daughter is 3 years old and 10 months. Since April 23, she had a fever for 5 days and tested positive for adenovirus at the clinic. Her symptoms included 1. high fever 2. unilate...


Dr. Xie Wanghu reply Pediatrics
Hello, 1. A 1.3-year-old child. 2. Has had a fever for 5 days since April 23. 3. Positive for adenovirus rapid test. 4. Related to Kawasaki disease, with only 5 days of fever and conjunctivitis. 5. Should not meet the diagnostic criteria for Kawasaki disease. 6. If there i...

[Read More] Do Children with Adenovirus Need Cardiac Follow-Up After Symptoms?


Essential Ultrasound Checks for Infants: Timing and Importance

Neonatal ultrasound examination Hello, doctor! My baby is currently over four months old. We have not conducted various ultrasound examinations yet because we were waiting for insurance approval. I would like to ask if doing the checks now would mean missing the optimal period fo...


Dr. Xie Wanghu reply Pediatrics
Hello! If a baby belongs to a higher risk group, such as having a family history of genetic disorders, the mother did not have regular prenatal check-ups during pregnancy or was informed of abnormalities during high-level ultrasounds, there were abnormalities in prenatal genetic ...

[Read More] Essential Ultrasound Checks for Infants: Timing and Importance


Understanding Low White Blood Cell Count in Teens: When to Seek Help

Leukopenia Hello doctor, I am 17 years old. Two weeks ago, I noticed a hard lump in my armpit. After taking antibiotics for two to three weeks, it seems to have improved. However, during my last visit to the doctor, I had blood drawn, and I found that three values in the report a...


Dr. Xie Wanghu reply Pediatrics
Hello! It is advisable to consult a pediatric hematology/oncology specialist. Thank you.

[Read More] Understanding Low White Blood Cell Count in Teens: When to Seek Help


Concerns About Newborn Eyelid Issues: Should We Worry?

Inquire about newborn eyelid issues? Hello doctor, my daughter is currently 2 months and 5 days old. A few days ago, I noticed a spot near the inner corner of her left eyelid that looks like a burst blood vessel. I'm not sure if it is a hemangioma. Does she need surgery, or ...


Dr. Xie Wanghu reply Pediatrics
Hello, Mom! I'm sorry, but I cannot make a judgment based solely on your description. I recommend taking your child to an ophthalmologist or pediatrician for a proper evaluation. Thank you.

[Read More] Concerns About Newborn Eyelid Issues: Should We Worry?


Understanding Patent Foramen Ovale in Children: Is Closure Necessary?

Both of my children have a patent foramen ovale? The older child is 9 years old, with a height of 145 cm and a weight of 56 kg. There is a patent foramen ovale measuring 0.66 cm, mild mitral regurgitation, and right-sided peripheral pulmonary artery stenosis. The child has experi...


Dr. Xie Wanghu reply Pediatrics
Hello, Mom. The foramen ovale is a valvular structure located between the right atrium and left atrium at birth. It typically closes within five days after birth; if it remains open beyond six months, it is referred to as an "atrial septal defect." Generally, if it has ...

[Read More] Understanding Patent Foramen Ovale in Children: Is Closure Necessary?


Can These Medications Be Used for Infants with Favism?

Can these medications be used for infants with G6PD deficiency? Today, I took my five-month-old son to the doctor. In my haste to ask about his condition, I forgot to mention that he has G6PD deficiency (but it was noted on the initial consultation form). The doctor prescribed co...


Dr. Xie Wanghu reply Pediatrics
1. The above-mentioned medications can be taken or used by patients with favism. 2. The drug used to treat Mycoplasma is Zithromax. 3. Fusidic acid ointment is used to treat skin infections caused by Staphylococcus and Streptococcus, and it can also be used by patients with f...

[Read More] Can These Medications Be Used for Infants with Favism?


Managing Exercise for Children with Patent Foramen Ovale: Key Considerations

Patent foramen ovale Hello, doctor. My child, who is over two years old, has been diagnosed with a patent foramen ovale (PFO) that has not closed. Annual echocardiograms show mild mitral regurgitation and a PFO measuring approximately 0.2 cm. He rarely experiences chest tightness...


Dr. Xie Wanghu reply Pediatrics
The oval foramen measuring 0.2 cm typically closes by the age of 6 months. If it remains open, follow-up echocardiograms should be conducted every 6 months in a pediatric cardiology clinic. If the child is 6 years old and it has not closed, it is unlikely to close in the future, ...

[Read More] Managing Exercise for Children with Patent Foramen Ovale: Key Considerations


Understanding Mitral Valve Regurgitation in Pediatric Patients: Treatment Options

Mitral valve regurgitation Hello, doctor. My child is currently 1 year and 8 months old. Due to a previous issue with a patent foramen ovale, we have been continuously monitoring with echocardiograms. During the recent follow-up yesterday, we were informed that there is mitral va...


Dr. Xie Wanghu reply Pediatrics
Mitral regurgitation (MR) is recommended to be monitored with an echocardiogram every six months. In some cases, MR may resolve by the age of 6 or 7. There are no specific pharmacological treatments for mitral regurgitation. MR is classified into four grades: grade 1 is mild, and...

[Read More] Understanding Mitral Valve Regurgitation in Pediatric Patients: Treatment Options


Understanding Abnormal Brain Ultrasound Results in Infants: What to Expect

Abnormal findings in the brain ultrasound examination report? Hello, the baby was born at 37 weeks and 2 days, weighing 2782 grams. At birth, there was a blister on the head that burst. Subsequent brain ultrasound showed abnormal results, indicating "slightly bright perivent...


Dr. Xie Wanghu reply Pediatrics
Dear Mommy, 1. The periventricular white matter appears slightly bright, and typically a follow-up brain ultrasound is performed after three months. Does "the cyst bursting" refer to the rupture of an internal cyst? 2. Changing daily habits does not lead to the disap...

[Read More] Understanding Abnormal Brain Ultrasound Results in Infants: What to Expect


Challenges of Feeding Low Birth Weight Infants: A Pediatric Perspective

Milk consumption issues? Hello doctor, my child was born at 39 weeks as a late preterm low birth weight infant, weighing 1980 grams at birth. Now that he is one month old, he weighs 2655 grams. He is still in the hospital and is being fed through a nasogastric tube because his ox...


Dr. Xie Wanghu reply Pediatrics
The baby's sucking ability is not yet fully developed and should be approached gradually. It is recommended to feed on a schedule, providing 50cc every 3 hours. If the baby consumes 20cc and it has been more than half an hour, do not feed again until the next meal. Since the...

[Read More] Challenges of Feeding Low Birth Weight Infants: A Pediatric Perspective


Understanding Your 4-Year-Old's Unusual Stool Color: What to Know

The color of a 4-year-old child's stool? I recently noticed that my 4-year-old child has stool that is dark brown in the first part and soft in the latter part, but the color seems unusual. The stool color is uneven, mostly resembling a type 5 stool but slightly yellower, an...


Dr. Xie Wanghu reply Pediatrics
Hello, little sister's mom! The color of a toddler's stool is mostly related to their diet, so there's no need to worry too much; just keep observing. If you still have concerns or if new symptoms arise, it is recommended to take a photo of the stool's appeara...

[Read More] Understanding Your 4-Year-Old's Unusual Stool Color: What to Know


Understanding Chest Pain in Children: When to Seek Medical Advice

My daughter feels a sharp pain in her chest area when breathing? Hello, Dr. Hsieh. My daughter is 12 years old and has been experiencing sharp pain in her chest area. Could this indicate a heart problem? She had similar symptoms in the second grade, where she felt a sharp pain wh...


Dr. Xie Wanghu reply Pediatrics
Ms. Su: Hello, I have received your message. If it is convenient for you, please bring your daughter to our pediatric department for a consultation (pediatric cardiology special clinic hours: Tuesday and Thursday mornings). We can arrange for a cardiac examination and explain the...

[Read More] Understanding Chest Pain in Children: When to Seek Medical Advice


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