Understanding Rare Cases of Nipple Bleeding in Infants
Nipple bleeding in a young girl? My daughter is currently 5 months old. Today I noticed blood coming from her right nipple, which stained her clothes. When I squeezed it, it continued to bleed. I took her to a nearby pediatric clinic, and the doctor suggested monitoring the situa...
Dr. Xu Shanjing reply Rare Disease
A physical examination is needed to check for hormonal effects, inflammation, or the presence of tumors. I apologize, but without seeing or examining, I cannot provide an answer. Xu Shanjing.[Read More] Understanding Rare Cases of Nipple Bleeding in Infants
Understanding Growth Delays in Children: When to Seek Medical Advice
excuse me? Hello Dr. Hsu, I have a 5-year-and-1-month-old boy who is 102 cm tall and weighs 14 kg. Is there a concern regarding developmental delay? He has two older brothers, and his energy and learning abilities are normal. However, there is a significant difference in his gr...
Dr. Xu Shanjing reply Rare Disease
The child's mother is doing well! Each person's growth is different; children may take after their father or mother, and growth can occur early or late. If they are healthy and show no gastrointestinal symptoms, there is no need to worry! I recommend reading the informa...[Read More] Understanding Growth Delays in Children: When to Seek Medical Advice
Can I Have Children? Addressing Concerns About Rare Diseases
I'm sorry, but I need specific content to translate Dr. Hsu, I am Hu Renzheng from Taitung. I would like to ask you a few questions. My girlfriend's parents have significant concerns about my ability to have children. Previously, you mentioned that with the two types of...
Dr. Xu Shanjing reply Rare Disease
Mr. Hu: Since you have not returned for a follow-up in a long time, I am unsure about your current condition (the response of the testes to hormone therapy). Generally, among patients like you with congenital hypogonadotropic hypogonadism, foreign reports indicate that about 1 in...[Read More] Can I Have Children? Addressing Concerns About Rare Diseases
Navigating Rare Disease Treatment: Seeking Help for Osteogenesis Imperfecta
Seek medical consultation? I have a friend who has Osteogenesis Imperfecta (OI). She previously received treatment at a medical center in southern Taiwan and was prescribed calcium supplements. She also underwent surgery for a fracture and has been monitored for her previous surg...
Dr. Xu Shanjing reply Rare Disease
You can consult with Dr. Hsu Chia-Chi or Dr. Hsu Shan-Ching, both pediatric geneticists in the Department of Pediatrics.[Read More] Navigating Rare Disease Treatment: Seeking Help for Osteogenesis Imperfecta
Addressing Rare Disease Concerns: Support for a Child's Developmental Challenges
Please ask your question? Dear [Doctor's Name], I hope this message finds you well. I would like to express my gratitude for your care during my daughter Li Qi's hospitalization from August 25 to 27. She has now recovered. I am reaching out to see if you recall your o...
Dr. Xu Shanjing reply Rare Disease
Constitutional delay may often be due to a smaller stature, resulting in poorer physical abilities. However, it can be improved through training. Café au lait spots (whether they require only observation, treatment, or specific precautions) can only be managed cosmetically; they ...[Read More] Addressing Rare Disease Concerns: Support for a Child's Developmental Challenges
Understanding Thyroid and Hormonal Deficiencies: A Patient's Journey
Thyroid hormone deficiency Hello Dr. Hsu, I am Hu Ren-Cheng from Taitung. I just discovered that I can discuss my medical condition with you through Taiwan E-Hospital. A few days ago, my mother took me to Taitung Provincial Hospital to see a urologist because I anticipate getti...
Dr. Xu Shanjing reply Rare Disease
Ren Zheng: I apologize for the late response due to my recent busyness. Previously, I asked you to inject FSH and LH with the aim of inducing the development and maturation of your testes, leading to the production of testosterone and sperm. Administering additional testosterone ...[Read More] Understanding Thyroid and Hormonal Deficiencies: A Patient's Journey
Understanding Precocious Puberty: Concerns and Solutions for Your Child
Precocious puberty? Hello, Doctor: My daughter is 10 years old and is about to enter the fourth grade, with a height of only 139 cm. She has recently started menstruating and is showing signs of breast development. Is this considered precocious puberty? Is it possible to artifici...
Dr. Xu Shanjing reply Rare Disease
Hello! The average age for girls to start menstruating is 12 years, with a normal range of 10 to 14 years. Typically, they will grow about 10 to 13 centimeters more, completing this growth within three years. Bone age can provide a more accurate indication of their growth potenti...[Read More] Understanding Precocious Puberty: Concerns and Solutions for Your Child
Managing Finger Biting in Children with Rare Metal Excretion Disorders
How to protect the index finger? Dr. Hsu: I would like to ask you a question. A colleague's child has a metal excretion disorder and was originally a lively child. Gradually, they have lost the ability to walk and their body has become stiff. Currently, they are uncontrollab...
Dr. Xu Shanjing reply Rare Disease
Hello Ah Hua: The child's behavior resembles obsessive-compulsive disorder, but it may not be typical OCD. It would be advisable to consult a child psychiatrist in the mental health department to explore this aspect. You might consider trying OCD medications for 1-2 months t...[Read More] Managing Finger Biting in Children with Rare Metal Excretion Disorders
Understanding Dominant Genetic Disorders: Inheritance Questions Explained
Could you please clarify your question regarding genetic issues? I have an autosomal dominant genetic disorder, but my parents and younger brother are normal. I would like to ask: 1. Will my brother's offspring inherit the autosomal dominant disorder or not? 2. If my offspri...
Dr. Xu Shanjing reply Rare Disease
Jiahao; autosomal dominant genetic disorders are typically inherited from parents, but a significant proportion can also arise from de novo mutations. The symptoms of patients with certain diseases caused by dominant gene mutations can vary greatly (i.e., there can be significant...[Read More] Understanding Dominant Genetic Disorders: Inheritance Questions Explained
Understanding Red Urine in Infants: Causes and When to Seek Help
The child has slightly red urine? Dear Doctor, I would like to ask about my 5-month-old son. He is currently under the care of a nanny and only comes home on weekends. I haven't noticed any symptoms before, but in the past month, I've observed that his urine has a yell...
Dr. Xu Shanjing reply Rare Disease
Dear Xiaoyu, For a 5-month-old boy, the urine color is yellowish (with a hint of orange), and there is a localized area with a reddish color. It is necessary to rule out certain special substances or hematuria. I recommend consulting a pediatric nephrologist for a urine analysis...[Read More] Understanding Red Urine in Infants: Causes and When to Seek Help
Understanding Growth Delays: When to Seek Medical Advice for Your Child
Growth retardation My child is in the third grade of elementary school, but their height is only 120.2 cm. Their daily routine is normal, appetite is good, and they are very active. The mother is 152 cm tall and the father is 170 cm tall. Should I be concerned that this is a meta...
Dr. Xu Shanjing reply Rare Disease
It is generally necessary to know whether the child is a boy or a girl. A height of 120.2 cm corresponds to an 8-year-old child. If the child is 9 years old, this height would be considered short, falling below the 2nd percentile; otherwise, it is within the normal range. The mos...[Read More] Understanding Growth Delays: When to Seek Medical Advice for Your Child
Understanding Pediatric Hypothyroidism: When to Schedule Follow-Up Visits
Pediatric hypothyroidism Dear Dr. Hsu, My daughter has hypothyroidism. Should we wait until she turns three to return for a follow-up appointment, or can we come back a month early? She will be three in just over a month, and we would like to see if she can discontinue her medic...
Dr. Xu Shanjing reply Rare Disease
On the day of the 3rd birthday, the medication was stopped. A follow-up appointment is scheduled for one month later, on Tuesday, with code 61. The patient should arrive at 9 AM for the follow-up and inform the doctor about stopping the medication for one month. Dr. Hsu will issu...[Read More] Understanding Pediatric Hypothyroidism: When to Schedule Follow-Up Visits
Understanding Congenital Megacolon: Is It a Rare Disease and Is It Hereditary?
Congenital megacolon Hello, Director Hsu. Is congenital megacolon considered a rare disease? (The pediatric medical center diagnosed it as aganglionic congenital megacolon.) Is this condition hereditary? Thank you.
Dr. Xu Shanjing reply Rare Disease
Congenital megacolon, also known as Hirschsprung's disease, is currently not considered a rare disease in Taiwan, with an incidence of approximately 1 in 4,000 to 5,000 individuals (rare diseases are defined domestically as those affecting fewer than 1 in 10,000). The etiolo...[Read More] Understanding Congenital Megacolon: Is It a Rare Disease and Is It Hereditary?
Understanding Propionic Acidemia: A Mother's Concerns and Testing Options
Propionic acidemia I have a two-month-old baby who was born on July 21. He has gas and a swollen belly; should we do further examinations? His newborn screening sent to National Taiwan University Hospital indicated propionic acidemia, and they asked us to do a second test. Since ...
Dr. Xu Shanjing reply Rare Disease
Ms. Hsiao-Yi, metabolic disorders can yield slightly different results depending on the severity, the child's age, and various conditions such as whether they have eaten or are ill. Screening results are typically categorized into three levels: suspicious positive (which may...[Read More] Understanding Propionic Acidemia: A Mother's Concerns and Testing Options
Understanding Severe Constipation in Children: Seeking Solutions
Severe constipation in children? Hello, doctor: I would like to ask about my child's severe constipation, which often requires the use of laxatives to resolve. Sometimes, it takes one to two weeks for a bowel movement. As a result, my child eats very little. Which specialty ...
Dr. Xu Shanjing reply Rare Disease
Dear Sir/Madam, Hello! Chronic constipation may be due to congenital structural issues, such as megacolon, or it may be a functional problem. Dr. Lin Jie-Chung from our Pediatric Department has extensive experience, and I highly recommend consulting him. Sincerely, Dr. Hsu S...[Read More] Understanding Severe Constipation in Children: Seeking Solutions
Understanding Abnormal Urine Color in Children: Causes and Solutions
Abnormal urine color? My child is eight years old. Since birth, the urine color has been normal when urinating, but after being left for a while, it turns darker, resembling dark brown. I have consulted several pediatricians, and they all said it’s not a concern. Recently, I hear...
Dr. Xu Shanjing reply Rare Disease
Dear Sir/Madam, There are several metabolic disorders that can cause discoloration of urine after it has been left to stand. It is important to observe if the child has any symptoms. The possible conditions associated with the color change of urine are summarized as follows: 1....[Read More] Understanding Abnormal Urine Color in Children: Causes and Solutions
Understanding Long-Chain 3-Hydroxy-CoA Dehydrogenase Deficiency in Children
Please help Xiaorong grow up healthy? Dear Dr. Hsu, I hope this message finds you well. My daughter, Xiaorongrong, was hospitalized at the end of October due to bronchiolitis. During her hospital stay, she underwent a series of tests. Upon discharge, we received a lab report fro...
Dr. Xu Shanjing reply Rare Disease
Consultation in the outpatient clinic has been conducted in person.[Read More] Understanding Long-Chain 3-Hydroxy-CoA Dehydrogenase Deficiency in Children