Guidelines for Kawasaki Disease Patients on Choosing COVID-19 Vaccines
Patients with Kawasaki disease should consider the following when selecting and receiving the COVID-19 vaccine: 1. **Timing of Vaccination**: It is important to consult with a healthcare provider regarding the appropriate timing for vaccination, especially if the patient has rec...
Dr. Xie Wanghu reply Pediatrics
Hello! Since each person's condition varies, it is advisable to have your attending physician evaluate it. Thank you.[Read More] Guidelines for Kawasaki Disease Patients on Choosing COVID-19 Vaccines
Understanding Autoimmune Disorders and Blood Issues in Children
Autoimmunity / Coagulation / Rash Hello Doctor, in October 2019, my son (7 years old) was infected with influenza B. Later, he developed some red spots on his hands, and after a blood test at the hospital, the emergency doctor said everything was normal, with a platelet count of ...
Dr. Xie Wanghu reply Pediatrics
Hello, in the case of a viral infection in children, a platelet count of over 100,000 is acceptable. APTT is 23.9-35.5 seconds and PT is 9.4-12.5 seconds, both of which are within the normal range. The diagnostic criteria for hemophilia include: 1. Normal PT, 2. Prolonged APTT, 3...[Read More] Understanding Autoimmune Disorders and Blood Issues in Children
Understanding Pediatric Vulvar Pain: Causes, Complications, and Treatment
Vulvar pain If a child suddenly develops a lump that is painful and has pus, it is advisable to see a pediatrician or a pediatric surgeon. Possible complications could include infection spreading to surrounding tissues, abscess formation, or in some cases, systemic infection.
Dr. Xie Wanghu reply Pediatrics
It is recommended to consult a pediatrician before deciding on the next steps.[Read More] Understanding Pediatric Vulvar Pain: Causes, Complications, and Treatment
Visible Neck Veins in Children: When to Seek Medical Advice?
Prominent neck veins? Hello, doctor. I would like to ask about my child who is currently 3 years and 3 months old. Whenever he speaks loudly or exerts himself, the veins in his right neck become very prominent, to the point that it surprises everyone who sees it. Those who have w...
Dr. Xie Wanghu reply Pediatrics
Dear Hamburger Mommy, hello! It may be difficult to provide a correct and comprehensive answer solely through text. For children under 18 years old, it is advisable to consult a pediatric clinic first. Thank you![Read More] Visible Neck Veins in Children: When to Seek Medical Advice?
Understanding Joint Pain in Kawasaki Disease: Care Tips for Parents
Kawasaki disease, joint pain? Is it normal for a child with Kawasaki disease, who has been ill for more than two weeks, to suddenly wake up in the middle of the night complaining of severe hand pain that prevents them from sleeping? How should we care for joint pain associated wi...
Dr. Xie Wanghu reply Pediatrics
Dear Mommy, thank you for your hard work these past two weeks! Kawasaki disease is a systemic vasculitis, and one-third of children with Kawasaki disease experience arthritis and joint pain. It can be classified into two types: 1. The early-onset type occurs within the first 10 d...[Read More] Understanding Joint Pain in Kawasaki Disease: Care Tips for Parents
Understanding Baby's Crooked Lower Lip: Causes and Solutions
The baby's lower lip is crooked? Hello, doctor. My child is not yet one month old, and his lower lip is tilted to the right, which is particularly noticeable when he cries. We took him for a heart examination, and they mentioned a diaphragmatic hernia. Will his mouth alignme...
Dr. Xie Wanghu reply Pediatrics
Hello, Mrs. Zhu! In pediatric cardiology, there is a condition known as the Soft Palate Heart-Facial Syndrome, which predicts congenital heart disease based on facial anomalies. Your child's echocardiogram currently shows an atrial septal defect. In infants under 6 months of...[Read More] Understanding Baby's Crooked Lower Lip: Causes and Solutions
Understanding Baby's Crooked Lower Lip: Causes and Solutions
The baby's lower lip is crooked? Hello doctor, my child is not yet one month old, and his lower lip is tilted to the right, which is particularly noticeable when he cries. We took him for a heart examination, and they mentioned a diaphragmatic hernia. Will the crooked mouth ...
Dr. Xie Wanghu reply Pediatrics
Hello, Zhu Bo's mother! In pediatric cardiology, there is a condition known as the Soft Palate Heart-Facial Syndrome, which predicts congenital heart disease based on facial anomalies. Your child's echocardiogram currently shows an atrial septal defect. In infants under...[Read More] Understanding Baby's Crooked Lower Lip: Causes and Solutions
Understanding and Managing Postural Hypotension in Adolescents
Orthostatic hypotension This year, at 14 years old, I am 161 cm tall and weigh 47 kg. Sometimes when I stand up, I feel my heart rate increase, but it usually resolves after a few seconds. I am very worried about this issue. How can I improve this problem? It happens sometimes bu...
Dr. Xie Wanghu reply Pediatrics
A 14-year-old male weighing 47 kg is in the 15th to 50th percentile for weight and the 0th to 85th percentile for height at 161 cm, which falls within the normal range. A heart rate of less than 60 beats per minute is considered bradycardia, while a heart rate greater than 100 be...[Read More] Understanding and Managing Postural Hypotension in Adolescents
Understanding Patent Foramen Ovale in Children: Risks and Treatment Options
Patent foramen ovale Hello, doctor. A fourth-grade student was found to have a heart murmur, arrhythmia, and left axis deviation. They have been monitored at a major hospital for several years, and the diagnosis is an open foramen ovale. Now in the first year of junior high, is i...
Dr. Xie Wanghu reply Pediatrics
The foramen ovale typically closes between birth and six months of age. If it remains open, it is referred to as an atrial septal defect (ASD). The management depends on the size of the defect; if the opening is too large, it can affect blood flow direction and growth and develop...[Read More] Understanding Patent Foramen Ovale in Children: Risks and Treatment Options