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Understanding Oral Thrush in Toddlers: Symptoms and Treatment Guidance

Children with oral thrush? Hello Dr. Zhang, My child is 13 months old and has recently been ill with diarrhea for two to three days. We visited the hospital, received medication, and his bowel movements have returned to normal. However, he has developed oral thrush. The doctor p...


Dr. Zhang Jinglong reply Pediatrics
Dear user, due to the busy schedule of Dr. Chang Ching-Lung, Dr. Chang Kuo-Chen is responding on his behalf. We apologize for any inconvenience. Generally, a fever should not persist for so many days, and oral thrush is unlikely to cause a fever. Based on the reported symptoms, h...

[Read More] Understanding Oral Thrush in Toddlers: Symptoms and Treatment Guidance


Understanding Pediatric Cough: When to Seek Further Medical Care

Coughing The child was diagnosed with a cold two weeks ago and, despite taking medication, developed bronchiolitis a week later, for which they have been on medication for another week. The cough has improved, but the nasal discharge has become thicker and more abundant. Does thi...


Dr. Zhang Jinglong reply Pediatrics
Hello Ms. Wang: 1. You did not mention your child's age. 2. Bronchiolitis generally occurs in infants aged 6 months to 2 years, primarily caused by respiratory syncytial virus (RSV), parainfluenza virus, influenza virus, adenovirus, and mycoplasma infections. Currently, t...

[Read More] Understanding Pediatric Cough: When to Seek Further Medical Care


Is It Safe for Infants to Drink Licorice Tea? Pros and Cons Explained

Is it suitable for newborns to drink Gan Li tea? Hello Dr. Chang, my younger brother is currently almost 3 months old and is being cared for by my mother-in-law. At birth, he was consuming about 60cc of formula every 3 hours, and now he is taking approximately 110cc every 3 hours...


Dr. Zhang Jinglong reply Pediatrics
Currently, my younger brother is almost 3 months old and is being cared for by my mother-in-law. At birth, he consumed about 60cc of formula every 3 hours, and now he takes approximately 110cc, still around every 3 hours. However, the baby seems to be developing a disinterest in ...

[Read More] Is It Safe for Infants to Drink Licorice Tea? Pros and Cons Explained


Understanding Childhood Asthma: Causes, Types, and Care Tips

Asthma 1. Why do children develop asthma? 2. What are the different types of asthma? 3. How can I care for them?


Dr. Zhang Jinglong reply Pediatrics
Dear Parents, 1. The primary cause of allergic asthma is a combination of a hereditary predisposition to allergies and exposure to allergens. Asthma is a chronic inflammatory response of the bronchial tubes. The persistence of this inflammatory response is closely related to the...

[Read More] Understanding Childhood Asthma: Causes, Types, and Care Tips


Do Two-Month-Old Babies Need Water? Expert Insights on Infant Hydration

Do two-month-old infants need to drink water? Hello! 1. My child is currently over two months old. Previously, he would cry and spit up frequently during the night, so we sought medical advice. Doctor A mentioned that he has phlegm and suggested that besides chest percussion, h...


Dr. Zhang Jinglong reply Pediatrics
Dear Parents, 1. Your child is currently over two months old. Based on the current milk intake, hydration is sufficient. If the diaper is wet each time it is changed, it indicates adequate hydration, as breast milk contains enough water. There is no need to worry about dehydrati...

[Read More] Do Two-Month-Old Babies Need Water? Expert Insights on Infant Hydration


Managing Food Allergies in Children: Asthma and Nutritional Guidance

Asthma and allergy issues? Dear Dr. Chang, I have the following questions: 1. For children with allergic reactions to food or dairy products, should they completely avoid these foods? If avoidance is necessary, how can they supplement calcium and protein from other sources? Is ...


Dr. Zhang Jinglong reply Pediatrics
I have replied on 93-02-29. Wishing you good health.

[Read More] Managing Food Allergies in Children: Asthma and Nutritional Guidance


Concerns About Sabin Vaccine: A Parent's Guide to Pediatric Reactions

Sabin vaccine issues? Hello Doctor: My son received the quadrivalent vaccine (at 18 months) on February 18, and during the oral administration of the Sabin vaccine, the nurse seemed to have accidentally administered an extra drop (a total of three drops). A week later, my son dev...


Dr. Zhang Jinglong reply Pediatrics
Hello Ms. Chang, 1. You asked about your one-and-a-half-year-old child who received the quadrivalent vaccine (at one and a half years) and the oral Sabin vaccine on February 18. It seems the nurse may have administered an extra drop (a total of three drops). Is this a concern? H...

[Read More] Concerns About Sabin Vaccine: A Parent's Guide to Pediatric Reactions


Vaccination Concerns: Managing Injection Site Reactions in Infants

Vaccine administration The child is over 6 months old and received vaccinations at 4 months, with the injection site on the left upper arm. At 6 months, there is redness and a hard lump at the injection site. Can the injection site for a child under 1 year old still be the left u...


Dr. Zhang Jinglong reply Pediatrics
Dear APPLE Parent, Here are the answers to your questions: 1. For a 4-month-old infant, the recommended site for the DTaP vaccine (diphtheria, tetanus, and pertussis) is the anterolateral thigh, administered as an intramuscular injection. For older children, who have better mus...

[Read More] Vaccination Concerns: Managing Injection Site Reactions in Infants


How to Properly Clean Your Baby Boy's Genitals: A Guide for Parents

Cleaning the genital area of an infant male? Hello! At what age should the foreskin of a baby boy be gently retracted for cleaning? How often should it be cleaned, or should it be cleaned daily? Thank you for your response.


Dr. Zhang Jinglong reply Pediatrics
Hello: In response to your questions: 1. At what age should the foreskin of a baby boy be retracted for cleaning? 2. How often should it be cleaned, or should it be cleaned daily? Here are the answers: 1. The foreskin can be gently retracted for cleaning in newborns. 2. It should...

[Read More] How to Properly Clean Your Baby Boy's Genitals: A Guide for Parents


Understanding Red Spots on a Child's Hands: Causes and When to Seek Help

The young girl has erythematous lesions on her hands? Our daughter is about five and a half years old. In mid-June, we went to Lushan in Nantou to enjoy the hot springs. She had a great time, but when we returned to the hotel room, we noticed small red spots on her hands (please ...


Dr. Zhang Jinglong reply Pediatrics
Hello Mr. You: Regarding your five-and-a-half-year-old sister, she developed small red spots on her hands after visiting a hot spring in Lushan, Nantou in mid-June. After playing at school for a while and returning home, she noticed the same small red spots on her hands, accompan...

[Read More] Understanding Red Spots on a Child's Hands: Causes and When to Seek Help


Can My Baby Get the Five-in-One Vaccine at Four Months?

Vaccination Hello, doctor: My baby received the first dose of the DTaP (diphtheria, tetanus, and pertussis) vaccine when he/she was two months old. Now that he/she is four months old, I would like to know if it is possible to administer the pentavalent vaccine (DTaP-Hib-IPV-HepB)...


Dr. Zhang Jinglong reply Pediatrics
You can go to a nearby pediatric medical facility for the injection.

[Read More] Can My Baby Get the Five-in-One Vaccine at Four Months?


Understanding Chickenpox: Vaccination and Lifelong Immunity Explained

Chickenpox Will everyone get chickenpox? If so, why is there a chickenpox vaccine? Does having it once provide lifelong immunity?


Dr. Zhang Jinglong reply Pediatrics
Hello, Xiaoling: 1. The varicella vaccine is a highly active live attenuated vaccine. For healthy children aged between one and twelve years, a single dose is sufficient. For those over twelve years, two doses are required, spaced 2 to 4 weeks apart. Antibodies against varicella...

[Read More] Understanding Chickenpox: Vaccination and Lifelong Immunity Explained


Managing Frequent Colds in Children: Tips for Parents

Children are prone to catching colds? Hello, my child is currently 5 years old and has been in kindergarten for 3 years. However, he has been experiencing frequent colds, especially this year, which has become more severe. He has been diagnosed with an allergic constitution. I wo...


Dr. Zhang Jinglong reply Pediatrics
Dear Parent, Regarding your 5-year-old child who has been attending preschool for 3 years and is experiencing frequent colds, especially worsening this year, and has been diagnosed with an allergic constitution, here are my recommendations: 1. Based on your description, it seem...

[Read More] Managing Frequent Colds in Children: Tips for Parents


Introducing Solid Foods to Infants: Allergy Considerations and Nutrition Tips

Addition of complementary foods A baby girl is over eight months old and is drinking Nestlé hydrolyzed formula HA2. Both my husband and I have nasal allergies. When is it appropriate to start feeding her bone broth and anchovy paste? Additionally, what precautions should we take ...


Dr. Zhang Jinglong reply Pediatrics
Parent: My sister is over eight months old and is drinking Nestlé hydrolyzed formula HA2. Both my husband and I have nasal allergies. When is it appropriate to start feeding her bone broth and baby fish? Also, what should we pay attention to when introducing complementary foods t...

[Read More] Introducing Solid Foods to Infants: Allergy Considerations and Nutrition Tips


Understanding Diaper Rash: When to Worry About Infection in Toddlers

Diaper rash Hello Dr. Chang, I would like to ask about my daughter who is now one and a half years old. About three to four weeks ago, she developed small red bumps in her diaper area. Initially, the pediatrician said it was diaper rash. However, in the past week, the bumps have ...


Dr. Zhang Jinglong reply Pediatrics
Dear Xiaoqi's parents, You mentioned that your daughter is currently one and a half years old, and about three to four weeks ago, she developed small red bumps in her diaper area. Initially, the pediatrician diagnosed it as diaper rash. However, in the past week, the bumps ...

[Read More] Understanding Diaper Rash: When to Worry About Infection in Toddlers


Managing Hydrocele in Infants: Care Tips and Speech Concerns

Hydrocele Dear Dr. Chang, My two-month-old child is experiencing scrotal swelling. What care considerations should I keep in mind? Will excessive crying worsen the condition? Additionally, after returning from the hospital, I noticed that my child's voice is hoarse. The doc...


Dr. Zhang Jinglong reply Pediatrics
1. Regarding the two-month-old infant with hydrocele, you should be aware that hydrocele occurs in approximately 1-2% of male infants, which is the accumulation of fluid in the scrotum. You can shine a flashlight on the scrotal area in a dark room to observe a lantern-like transl...

[Read More] Managing Hydrocele in Infants: Care Tips and Speech Concerns


Understanding Common Concerns for Newborns: Hiccups, Temperature, and Breathing

Neonatal issues Hello Dr. Chang, My son is a 10-day-old newborn, and after returning home, I've noticed that he often hiccups after feeding. Why does he hiccup so frequently? Is there any relation to this? Additionally, how can I assess whether a newborn is too cold or too ...


Dr. Zhang Jinglong reply Pediatrics
A new mother asked about her 10-day-old newborn son, who often hiccups after feeding. She wants to know why this happens and if it is related to anything. Additionally, she inquires about how to assess if the newborn is too cold or too hot and how to adjust their covering. What i...

[Read More] Understanding Common Concerns for Newborns: Hiccups, Temperature, and Breathing


Understanding Idiopathic Thrombocytopenic Purpura in Children: Care Tips and Treatment Effects

Idiopathic Thrombocytopenic Purpura (ITP) Hello doctor: Can idiopathic thrombocytopenic purpura (ITP) be completely cured? What precautions should be taken in caring for a child with this condition? Does steroid treatment have any effects on children?


Dr. Zhang Jinglong reply Pediatrics
Dear Parents, 1. Idiopathic Thrombocytopenic Purpura (ITP), also known as Pediatric Idiopathic Thrombocytopenic Purpura, has a natural resolution rate of approximately 50% within one month, and 70% to 80% of affected children will recover within six months. Only 10% to 20% will ...

[Read More] Understanding Idiopathic Thrombocytopenic Purpura in Children: Care Tips and Treatment Effects


When Should Antibiotics Be Used for Pediatric Sinus Infections?

When to use antihypertensive medications? My daughter is ten months old and tends to catch a cold approximately every month and a half, usually accompanied by fever, cough, and runny nose, which leads to yellow nasal discharge (sinusitis). Each time, the doctor prescribes Keflor ...


Dr. Zhang Jinglong reply Pediatrics
Dear Parent, Your daughter is now ten months old and tends to catch a cold approximately every one and a half months, usually presenting with fever, cough, and runny nose, which can lead to yellow nasal discharge (sinusitis). Each time, the doctor prescribes Keflor for about sev...

[Read More] When Should Antibiotics Be Used for Pediatric Sinus Infections?