Understanding Hoarse Cry in Newborns: Causes and Solutions
The newborn's cry is hoarse? Hello, Doctor. I would like to ask about my baby, who was born about a week ago (full term, weighing 2700 grams). I noticed that his crying was quite normal in the hospital, and he cried loudly at birth. However, since returning home for the post...
Dr. Zhao Yongkang reply Pediatrics
Dear Ms. A-Wen's Mother, Hello! It seems that the issue of hoarseness has been troubling you for quite some time. If you notice that your baby has persistent hoarseness that is becoming more pronounced, and if there are any breathing difficulties, I recommend that you take ...[Read More] Understanding Hoarse Cry in Newborns: Causes and Solutions
Understanding Baby Skin Rashes: Eczema vs. Heat Rash in Newborns
Neonatal skin Dr. Zhao: My baby is currently one month old, but was born at 37 weeks. Recently, red rashes appeared on the face, distributed on the forehead and both cheeks. I am unsure if this is atopic dermatitis. How can I differentiate between common heat rash and atopic derm...
Dr. Zhao Yongkang reply Pediatrics
Dear Ms. Hsiu-Hui, Hello, your baby has developed a rash on the face, which may be commonly referred to as "heat rash" or "prickly heat." This condition is caused by skin changes due to excessive heat and humidity. It occurs when the skin is in prolonged cont...[Read More] Understanding Baby Skin Rashes: Eczema vs. Heat Rash in Newborns
Is Your Baby Spitting Up Normal? Understanding Infant Reflux at 4 Months
Vomiting My son is currently 4 months old and drinks milk every 4 hours, with a volume of 180 cc each time. However, he tends to spit up after each feeding and also vomits 2 to 3 hours after drinking. Is this normal? Will he suffer from malnutrition? Thank you for your response!
Dr. Zhao Yongkang reply Pediatrics
Hello Avon: Infant vomiting and spitting up are different conditions, with gastroesophageal reflux being the most common. Sometimes, this may improve by six months or even a year. Another condition to consider is pyloric stenosis, which causes persistent vomiting. If left untreat...[Read More] Is Your Baby Spitting Up Normal? Understanding Infant Reflux at 4 Months
Understanding Nighttime Crying in Toddlers: Causes and Solutions
Waking up suddenly at night? Hello, my two-year-old daughter has been waking up crying every night for the past week after sleeping for only a few hours (two to four). She says things like "I can't pick it up" and "this, this," and no matter how I try to ...
Dr. Zhao Yongkang reply Pediatrics
Nina: Hello, the symptoms described are more indicative of night terrors, which is a type of sleep disorder often related to psychological stress. If the child has normal activity levels during the day and does not exhibit any other discomfort (such as nasal congestion or diarrhe...[Read More] Understanding Nighttime Crying in Toddlers: Causes and Solutions
Flu Vaccine Concerns for Children with Atopic Dermatitis
Flu vaccine injection urgent inquiry!! Dear Director Zhao, I have an urgent question to ask you. My son has a history of atopic dermatitis and today I took him to get the flu vaccine. Afterward, I saw a news report stating that children with protein allergies should not receive ...
Dr. Zhao Yongkang reply Pediatrics
Hello, The influenza vaccine is cultured in chicken embryos, so individuals with a known allergy to eggs may also have an allergic reaction to the influenza vaccine. However, children with atopic dermatitis do not necessarily have an egg allergy, so it is important to assess wh...[Read More] Flu Vaccine Concerns for Children with Atopic Dermatitis
Understanding Normal Penis Size in Young Boys: A Pediatric Guide
What is the standard size of a toddler's penis? Hello, doctor! My son is currently in the third grade (8 years old), and we have noticed that his penis seems to be smaller than average since he was young. Could you please advise on how to determine if his penis growth is nor...
Dr. Zhao Yongkang reply Pediatrics
Hello, Derrax: A normal size for the penis in newborns is 2.5 cm. There is no specific length that is considered normal for other ages. If you still have concerns, you may visit a pediatric endocrinologist for a detailed examination. Thank you for your message! Best regards, Dr. ...[Read More] Understanding Normal Penis Size in Young Boys: A Pediatric Guide
Understanding Crossed Eyes in Infants: Causes and Vision Training Tips
Infants can develop strabismus? Hello, my baby is almost 3 months old, but I recently noticed that she has a bit of strabismus. Perhaps it's because she has been staring at her own hands a lot, and the music mobile above her crib is not very far away. Is it not advisable for...
Dr. Zhao Yongkang reply Pediatrics
Hello Jerry: The issues mentioned above are more related to the field of ophthalmology. I recommend that you consult with an ophthalmologist for a detailed response. Thank you for your inquiry. If you have any other questions regarding pediatrics, feel free to reach out anytime. ...[Read More] Understanding Crossed Eyes in Infants: Causes and Vision Training Tips
Understanding Fever and Diarrhea in Infants: Causes and Care
Fever and diarrhea in children? Hello, I am a teacher at a childcare center in Hsinchu. Recently, several babies (around 8 months to 1 year old) at the center have been experiencing recurrent fevers. Their appetite and activity levels are normal, with occasional loose stools occu...
Dr. Zhao Yongkang reply Pediatrics
Hello Stella: Throat inflammation is a common infectious issue in young children, and it may be accompanied by fever and diarrhea. It is essential to seek medical evaluation to assess the severity of the condition. Additionally, this can lead to transmission among children, so if...[Read More] Understanding Fever and Diarrhea in Infants: Causes and Care
Understanding Kawasaki Disease: Symptoms, Risks, and Long-term Effects in Children
Kawasaki disease Hello Director Zhao, my nephew was hospitalized for a fever from 1990 to 2001 and was diagnosed with Kawasaki disease. I would like to know if this condition can cause serious long-term complications for the child, as well as what symptoms or damage it may cause....
Dr. Zhao Yongkang reply Pediatrics
Hello, Kawasaki disease is a condition characterized by systemic vasculitis. If the coronary arteries of the heart become inflamed and dilated, there may be no lasting effects. However, if the inflammation and dilation of the cardiac vessels do not resolve, it often leads to my...[Read More] Understanding Kawasaki Disease: Symptoms, Risks, and Long-term Effects in Children
Should Infants Drink Glucose Water or Plain Water?
Should infants drink glucose water or plain water? Hello, should I give a three-month-old baby glucose water or plain water? I've heard that glucose water is more nutritious, but some people say that if the baby gets used to glucose water, they won't want to drink plain...
Dr. Zhao Yongkang reply Pediatrics
Hello: 1. A three-month-old baby does not need to be given water or sugar water, as they receive sufficient hydration from breast milk or formula. Unless there are clear signs of diarrhea or dehydration, in which case electrolyte solutions for infants can be administered. 2. ...[Read More] Should Infants Drink Glucose Water or Plain Water?
Understanding Pediatric Anal Growths: When to Seek Medical Advice
A lump? Hello Dr. Zhao, My child is currently 8 months old. A few days ago, I noticed a lump near his anus that looks similar to an adult hemorrhoid. It has been present for about 3 days. There is no bleeding and it doesn't seem to be painful. His bowel movements are norma...
Dr. Zhao Yongkang reply Pediatrics
Hello, Xiao Yang: Based on your description, it may be a polyp-like growth at the anal opening. Generally, in children, these are mostly benign. It is advisable to have a pediatric surgeon evaluate it, but I recommend that you visit a hospital for a definitive diagnosis. Thank yo...[Read More] Understanding Pediatric Anal Growths: When to Seek Medical Advice
Understanding Bloodshot Eyes in Infants: Causes and Concerns
The baby has bloodshot eyes? Hello, Doctor: My baby is now a little over two months old. Recently, I noticed some blood vessels in his left eye, and today it has formed a small round cluster of blood vessels, although it's not large. I'm puzzled as to why such a small b...
Dr. Zhao Yongkang reply Pediatrics
Hello, Mom: 1. Please first observe if your child has an increase in eye discharge upon waking up in the morning. Sometimes, an eye infection can cause bloodshot eyes. Additionally, allergies to the external environment can also lead to bloodshot eyes. Furthermore, if your child...[Read More] Understanding Bloodshot Eyes in Infants: Causes and Concerns
Understanding Biliary Atresia in Newborns: Symptoms, Treatment, and Care Tips
Biliary (Cystic) Obstruction (Urgent Case) Hello Doctor: My sister-in-law gave birth to a daughter on July 20, 2004, three weeks early, so the baby weighs only 2,120 grams and is currently in an incubator. Last night, the nurse informed us that the baby had white stools, which ma...
Dr. Zhao Yongkang reply Pediatrics
Dear Miss Hsiao-Min, 1. The bile in children is produced by the liver and is excreted into the gastrointestinal tract through the bile ducts. If there is a blockage, it can lead to an increase in direct bilirubin levels, resulting in jaundice, and the stools may appear pale or c...[Read More] Understanding Biliary Atresia in Newborns: Symptoms, Treatment, and Care Tips
Understanding and Managing Startle Reflex in Infants
Child experiencing fright? Hello, my baby just turned one month old. During sleep, he is easily startled by loud noises or when adults cover him with a blanket. Often, in the middle of his sleep, he raises both arms and legs, his breathing becomes louder and more rapid, and then ...
Dr. Zhao Yongkang reply Pediatrics
Dear Concerned Mother, During the first four months, infants exhibit the "startle reflex," which can cause them to extend their limbs and may lead to crying. This reflex typically diminishes as the child grows older. Therefore, please try to minimize loud noises and co...[Read More] Understanding and Managing Startle Reflex in Infants
Can I Introduce Rice Cereal to My 4-Month-Old Baby with Allergies?
Can a four-month-old baby eat rice cereal? My baby has a high IgE level, and the father has nasal allergies while the mother has sensitive skin. Currently, he shows no signs of allergies, but I am still feeding him Nestlé HA1. May I ask if it is appropriate to introduce rice cere...
Dr. Zhao Yongkang reply Pediatrics
Dear Mom, 1. It is generally recommended that for children with a history of allergies, complementary foods should be introduced after they reach six months of age. Using rice cereal is acceptable, but wheat cereal can be introduced more slowly, ideally around one year of age. ...[Read More] Can I Introduce Rice Cereal to My 4-Month-Old Baby with Allergies?
Should You Supplement Your Baby's Diet with Immunoglobulin for Appetite?
Is it necessary to give children immunoglobulin to promote appetite? Hello: My baby is currently over three months old. At birth, the IgE levels were higher. For the past five days, their appetite has decreased, and they often do not finish their milk (HA1). I'm wondering if...
Dr. Zhao Yongkang reply Pediatrics
Dear Ms. Jun, I apologize for the delay due to work commitments. Please forgive me. 1. For children's nutritional supplements, if there is no history of allergies, it is recommended to start adding them after four months of age. Some immunoglobulins do not provide signific...[Read More] Should You Supplement Your Baby's Diet with Immunoglobulin for Appetite?
Optimal Timing for Baby Milestones: When to Use a Baby Walker?
Gait initiation timing Hello, Director Zhao: My son is now nearly three months old. Since birth, he has had stronger bones than an average baby. Before he was one month old, he could hold his head and neck up straight. Now, my mother-in-law often holds him upright, and he is able...
Dr. Zhao Yongkang reply Pediatrics
Dear Ms. Hsiao-Hsuan, 1. Generally speaking, it is more appropriate for children to use a crab stroller when they can sit steadily, which is usually around eight to nine months of age. Recent studies have also indicated that allowing children to practice crawling at this age can...[Read More] Optimal Timing for Baby Milestones: When to Use a Baby Walker?
Managing Allergies in Infants: Tips for Parents of Allergic Babies
Baby with allergic constitution? Hello Dr. Zhao: My son is now two and a half months old. When he was nearly one month old, he exhibited allergic reactions—his face showed severe redness and rashes, and he was diagnosed with an allergic constitution by an allergist. Since I stopp...
Dr. Zhao Yongkang reply Pediatrics
Dear Ms. Hsiao Hsuan, 1. Allergies in young children are primarily related to a genetic predisposition to allergic conditions, combined with environmental or food allergens that trigger allergic symptoms. As you mentioned, your child likely has atopic dermatitis, which is a form...[Read More] Managing Allergies in Infants: Tips for Parents of Allergic Babies
Understanding Nighttime Fever in Children: Causes and Solutions
Nighttime fever Hello, Director Zhao. My niece has been frequently experiencing fever and cold symptoms since the Lunar New Year. Since January, she has been visiting the clinic regularly and has been continuously taking medication, yet she still often coughs, has a runny nose, o...
Dr. Zhao Yongkang reply Pediatrics
Hello, 1. As you mentioned, it is highly likely that this is an allergic reaction. Allergies typically present with chronic cough in the respiratory tract, which may be more pronounced in the early morning or at night. There may also be symptoms such as chest tightness, deep bre...[Read More] Understanding Nighttime Fever in Children: Causes and Solutions
Concerns About Baby's Water Intake and Sleep Patterns
Issues with Babies Drinking Water and Late Sleeping Hello, please respond to the following questions: 1. My baby is currently over five months old. For the past month, every night when I try to put him to sleep, he insists on drinking a large amount of water before he can settl...
Dr. Zhao Yongkang reply Pediatrics
Hello Lynne, 1. It is normal for children to urinate, and their fluid intake should be based on their own thirst rather than being forced to drink. Generally, this does not cause any harm to the kidneys. When children express a desire to drink water, it indicates that they are t...[Read More] Concerns About Baby's Water Intake and Sleep Patterns