Understanding Urinary Issues in Three-Year-Olds: Causes and Concerns
Urination patterns in three-year-old children? Hello Doctor: Our little one is three years and two months old. Over the past two months, we have noticed some issues related to urination. Thank you for your patience in reading this. 1. For the past two months, she has been urina...
Dr. Zhang Peixin reply Pediatrics
Hello: 1. There are many reasons for children to experience sudden urinary incontinence or bedwetting, such as drinking too much water before bedtime, being too cold which reduces the frequency of bathroom visits until they urgently need to urinate, being overly tired during th...[Read More] Understanding Urinary Issues in Three-Year-Olds: Causes and Concerns
Understanding Toddler Abdominal Pain: Causes and Relief Strategies
Abdominal pain in infants? My daughter started complaining of stomach pain today (Sunday) around noon, crying loudly every 6-10 minutes, saying her stomach hurt. This continued throughout the afternoon. Due to it being a holiday, we took her to the emergency room. The doctor revi...
Dr. Zhang Peixin reply Pediatrics
Hello: The most common cause of abdominal pain in children over one year old is constipation. However, simple constipation rarely causes vomiting; it is more likely to be associated with acute gastroenteritis. You may consult a pediatric gastroenterologist for diagnosis and treat...[Read More] Understanding Toddler Abdominal Pain: Causes and Relief Strategies
Why Does My Child Keep Biting Their Nails and Toes?
Why does he keep biting his nails (or toenails)? Hello doctor, I have two children. Ever since the birth of my second child, my eldest has started to exhibit nail-biting behavior. Recently, the situation has become quite severe, and no combination of gentle and firm approaches se...
Dr. Zhang Peixin reply Pediatrics
Hello: The pediatric neurologist recommends consulting a nearby child psychiatrist for evaluation. Sincerely, Dr. Pei-Hsin Chang, Pediatrics.[Read More] Why Does My Child Keep Biting Their Nails and Toes?
When Will Pneumococcal Vaccine Be Available for Children Under Two?
When will the pneumococcal vaccine be available for children under two years old? Dear Director Chang, when will your hospital have the pneumococcal vaccine available for children under two years old? If I want to get the vaccine, should I just register at the pediatric departmen...
Dr. Zhang Peixin reply Pediatrics
Hello: 1. A procurement plan is already in place. 2. You can receive the vaccination during general outpatient services. 3. Please call in advance to inquire about vaccine availability before visiting the outpatient clinic. Sincerely, Dr. Pei-Hsin Chang, Pediatrics.[Read More] When Will Pneumococcal Vaccine Be Available for Children Under Two?
Understanding Blood in Children's Stool: Causes and When to Seek Help
Blood in the stool in children Hello Doctor: My son is currently 3 years and 8 months old. In the past few days, he has had blood in his stool. The stools have not been hard; they are normal. Sometimes there is only a drop of blood, and other times there is more. There is also bl...
Dr. Zhang Peixin reply Pediatrics
Hello: It seems like there might be an issue with anal fissures. Please have your mother gently spread the anal area to observe and confirm. If confirmation is not possible, please consult a pediatrician nearby. It is advisable to try high-fiber foods, such as prunes made into dr...[Read More] Understanding Blood in Children's Stool: Causes and When to Seek Help
How Many Pneumococcal Vaccine Doses for an 8-Month-Old Baby?
At eight months old, how many doses of the pneumococcal vaccine are required? Hello! I previously inquired about this vaccine. I would like to ask in detail, if an eight-month-old baby is to receive this vaccine, how many doses should they receive? What is the vaccination schedul...
Dr. Zhang Peixin reply Pediatrics
Hello: An eight-month-old baby should have received the vaccine, with at least a four-week interval between doses. The third dose should be administered after the age of one, with at least a two-month interval from the second dose. Sincerely, Dr. Li Chien-Yu, Pediatrics.[Read More] How Many Pneumococcal Vaccine Doses for an 8-Month-Old Baby?
Flu Vaccine Considerations for Children with Chronic Kidney Disease
Chronic Kidney Disease and Influenza Vaccine Dear Dr. Chang, Hello. My child has been diagnosed with chronic kidney disease (glomerulonephritis) for about three years now. We have been monitoring blood and proteinuria every three months, and the results have been relatively norm...
Dr. Zhang Peixin reply Pediatrics
Hello: If there is no allergy to egg white, the influenza vaccine should be administered. Sincerely, Dr. Pei-Hsin Chang, Pediatrics.[Read More] Flu Vaccine Considerations for Children with Chronic Kidney Disease
New Pneumococcal Vaccine for Infants Under Two: Availability and Side Effects
The pneumococcal vaccine for children under two years old was launched in early October? Is the pneumococcal vaccine for children under two years old, which was released in early October, available for my baby who is currently seven months old? What are the potential side effects...
Dr. Zhang Peixin reply Pediatrics
Hello: Our hospital will soon be administering this vaccine, and it can be given to infants as young as 7 months old, but the schedule needs to be confirmed. Sincerely, Dr. Pei-Hsin Chang, Pediatrics.[Read More] New Pneumococcal Vaccine for Infants Under Two: Availability and Side Effects
Unexplained Knee Pain in Toddlers: Causes and When to Seek Help
Unexplained knee pain in toddlers?!..? Hello, I would like to ask about my son who is 2 years and 4 months old (he was born prematurely at 34 weeks). He is approximately 110 cm tall and weighs about 16 kg. For the past 3-4 months, he has occasionally cried suddenly while playing....
Dr. Zhang Peixin reply Pediatrics
Hello: You can make an appointment for pediatric orthopedics. Wishing you good health.[Read More] Unexplained Knee Pain in Toddlers: Causes and When to Seek Help
Understanding Hydronephrosis in Infants: Causes, Effects, and Care Tips
Pediatric hydronephrosis Hello Dr. Zhang, My daughter is now 11 months old. In April, I noticed that she didn't urinate much throughout the day (she also had a poor appetite and didn't drink much milk). The next day, I took her to the hospital for a renal ultrasound, a...
Dr. Zhang Peixin reply Pediatrics
Hello concerned mother: Hydronephrosis refers to the dilation of the renal pelvis, which is the part of the kidney where urine is collected before it flows into the ureters and bladder. When there is a narrowing or complete obstruction in this pathway within the kidney, urine acc...[Read More] Understanding Hydronephrosis in Infants: Causes, Effects, and Care Tips
Understanding Baby's Bowel Movements: When to Worry and What to Do
Baby's stool Hello, doctor: My baby is 1 month and 20 days old. He hasn't had a bowel movement for 8 days. Currently, he is exclusively breastfed. I have used a thermometer to stimulate his anus, but he still hasn't passed stool. He passes a lot of gas every day. I...
Dr. Zhang Peixin reply Pediatrics
Hello: Infants who are breastfed initially have multiple soft stools, which gradually decrease in frequency. If the infant does not exhibit discomfort such as abdominal distension, decreased appetite, or reduced activity levels, and if their weight continues to grow steadily, the...[Read More] Understanding Baby's Bowel Movements: When to Worry and What to Do
Understanding Rectal Prolapse in Young Children: Causes and Concerns
Rectal prolapse Hello Dr. Chang: Today, after my two-year-old niece used the bathroom, I noticed a protrusion at her anus while wiping her. Initially, I thought it might be hemorrhoids, but upon closer inspection, I realized it was her intestine protruding. After gently wiping, t...
Dr. Zhang Peixin reply Pediatrics
Hello: Rectal prolapse in children is often seen during severe constipation when they are straining to have a bowel movement, or it may occur during severe diarrhea. If there is no significant abdominal pain or vomiting, it can be monitored or evaluated by a pediatric gastroenter...[Read More] Understanding Rectal Prolapse in Young Children: Causes and Concerns
Understanding Decreased Urination in Infants: When to Seek Help
Decreased frequency and volume of urination in infants? Hello! My baby just turned six months old, and I've noticed that since she had a cold recently, her urine output and frequency have decreased. She hasn't urinated from the evening until the early morning. Should I ...
Dr. Zhang Peixin reply Pediatrics
Hello: 1. If there is decreased urination along with poor appetite, please seek medical attention to confirm whether there is dehydration or other diseases. Only after ruling these out should you consider a milk intolerance issue. 2. For complementary foods, you can refer to manu...[Read More] Understanding Decreased Urination in Infants: When to Seek Help
Impact of Long-Term Magnesium Hydroxide Use on Children's Urine and Health
Drugs and Urine Hello, my child is currently 2 years old and has been taking magnesium hydroxide since he was a month old to help with bowel movements. Recently, I have noticed a strong unusual odor in his urine, which was not present initially. Could this be related to the long-...
Dr. Zhang Peixin reply Pediatrics
Hello: Theoretically, the absorption of magnesium oxide (MgO) is minimal, and this can be excreted by the kidneys in healthy individuals, so it should not cause any odor. If your mother is concerned, she may consider testing the blood magnesium ion concentration. Additionally, tr...[Read More] Impact of Long-Term Magnesium Hydroxide Use on Children's Urine and Health
Understanding Feeding Challenges in Toddlers: When to Seek Help
Dislike eating, forcing oneself to swallow, and sometimes ends up vomiting..? Hello, my daughter is one year and ten months old and was born at 36 weeks as part of a set of twins. She weighed only 1306 grams at birth and has had difficulty with breastfeeding since she was little,...
Dr. Zhang Peixin reply Pediatrics
Hello: Mom, thank you for your hard work. Please first check if the height, weight, and head circumference growth are normal or if there are signs of growth delay. If it's the latter, you should seek medical attention promptly. If necessary, you can go to a medical center to...[Read More] Understanding Feeding Challenges in Toddlers: When to Seek Help
Is a Sunken Fontanelle Normal After Four Days Without Bowel Movement?
Is it possible to have a sunken fontanelle after not having a bowel movement for four days? My son just turned four weeks old and has been exclusively breastfed, refusing to drink water. He has experienced some constipation in the past few days, and today I noticed that his anter...
Dr. Zhang Peixin reply Pediatrics
Hello: 1. Constipation is not related to the depression of the fontanelle. 2. It is normal for breastfed infants to have a decrease in the frequency and volume of bowel movements as they grow older; as long as there is no difficulty in passing stools, it is not a concern. Sincere...[Read More] Is a Sunken Fontanelle Normal After Four Days Without Bowel Movement?
Can a 45-Day-Old Baby Safely Use Simethicone for Gas Relief?
Is it safe to use a nebulizer for a 45-day-old infant? Hello Dr. Chang: Our baby is currently 45 days old. Sometimes at night, he cries inconsolably, leading the elders to suspect it might be due to gas. They bought a product called "Biaofeiming" and ground it into a po...
Dr. Zhang Peixin reply Pediatrics
Hello: There is a powdered formulation available for the medication. You can inquire with the Ministry of Health and Welfare for details and confirm the instructions and dosage. It seems that your baby is experiencing colic, which typically improves as they grow older. Please ens...[Read More] Can a 45-Day-Old Baby Safely Use Simethicone for Gas Relief?
Understanding Your Toddler's Growth: Height, Weight, and Health Concerns
Regarding children's growth? My daughter is currently one year and ten months old, with a height of 85 cm and a weight of 13 kg. However, I have difficulty understanding the growth chart in the child health handbook and I'm unsure if her development is normal. Since she...
Dr. Zhang Peixin reply Pediatrics
Hello: Most children often have softer abdominal and intestinal wall muscles, which can sometimes lead to a feeling of bloating. As long as the abdomen feels soft to light pressure and there is no discomfort, it is generally not a concern. If you are still worried, an abdominal u...[Read More] Understanding Your Toddler's Growth: Height, Weight, and Health Concerns
Is It a Cold or Gastroenteritis? Understanding Your Child's Symptoms
Is it a cold or gastroenteritis? Hello: The child is 5 years old and has been experiencing frequent vomiting for the past two days, with one normal bowel movement. Occasionally, there are complaints of abdominal pain, but there is no fever, and the child’s activity level is accep...
Dr. Zhang Peixin reply Pediatrics
Hello: Acute gastroenteritis primarily presents with vomiting and diarrhea, but it can also be accompanied by mild respiratory symptoms. Conversely, a cold, such as pharyngitis, may also present with vomiting and abdominal pain. It is uncertain which condition your child is exper...[Read More] Is It a Cold or Gastroenteritis? Understanding Your Child's Symptoms
Is My 6-Month-Old Getting Enough Nutrition Without Milk?
Only consuming solid foods without drinking milk? Hello Dr. Chang: I would like to ask you about my sister, who is currently 6 months old, measuring 65 cm in height and weighing 7.5 kg. Ever since she started introducing solid foods, she has not been very interested in drinking m...
Dr. Zhang Peixin reply Pediatrics
Hello: 1. Mothers can record the total daily food intake, which can then be evaluated by a nutritionist to confirm whether the calories and nutrients are sufficient. 2. The daily milk intake should exceed 500cc to ensure adequate calcium. Sincerely, Dr. Zhang Pei-Hsin, Pediatrics...[Read More] Is My 6-Month-Old Getting Enough Nutrition Without Milk?