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Do Frequent Head Bumps Affect Brain Development in Toddlers?

Frequent head injuries? Could you please tell me if a child who will turn 2 years old this May, who can walk and run, but has been in the crawling stage and has bumped their head several times, including a fall in the bathroom in February, which resulted in crying but no visible ...


Dr. Zhong Ruixian reply Pediatrics
Unless there is a significant impact, it generally will not affect brain development. The condition known as Shaken Baby Syndrome occurs when a caregiver violently shakes an infant's head, typically involving multiple rapid shakes, and does not necessarily require direct imp...

[Read More] Do Frequent Head Bumps Affect Brain Development in Toddlers?


Understanding Enterovirus Diagnosis in Children: Key Symptoms to Watch For

Diagnosis of enterovirus? If a child has a small ulcer in the oropharynx, will a doctor diagnose it as hand, foot, and mouth disease, or does there need to be multiple ulcers for a diagnosis?


Dr. Zhong Ruixian reply Pediatrics
Oral ulcers can have many causes and are not necessarily due to enteroviruses; however, if a physician observes that the ulcer's appearance resembles that of an enterovirus infection, they may make that diagnosis even if there is only a small lesion. If there are more oral l...

[Read More] Understanding Enterovirus Diagnosis in Children: Key Symptoms to Watch For


Understanding Lumps Near the Jaw and Neck in Children: Causes and Concerns

There is a hard lump near the masseter muscle in the neck and lower jaw area? There are hard lumps near the neck and the lower jaw close to the masseter muscle. They are smooth and movable, and pressing on them is somewhat uncomfortable. Upon self-examination, the lump in the nec...


Dr. Zhong Ruixian reply Pediatrics
It is more likely to be lymph nodes. If there is any enlargement or hardening, it is recommended that you seek medical evaluation!

[Read More] Understanding Lumps Near the Jaw and Neck in Children: Causes and Concerns


Understanding Unexplained Symptoms in Pediatric Patients: A Guide

Unexplained physical discomfort? Hello, I would like to ask a question. My 12-year-old child has a history of arrhythmia and has undergone catheter ablation. Since last month, he has been experiencing a sensation of pressure on his heart, lasting about 2 to 3 hours each day. He h...


Dr. Zhong Ruixian reply Pediatrics
Hello Ms. Chiu: 1. If you would like to seek a second opinion regarding heart issues, you may consider visiting the pediatric cardiology department at a medical center. 2. For bone-related issues, if there are no concerns from the pediatric rheumatology perspective, you may also ...

[Read More] Understanding Unexplained Symptoms in Pediatric Patients: A Guide


Unexplained Bone Pain in Children: Seeking Solutions for Relief

Unexplained bone pain? I would like to ask on behalf of my daughter, who has been experiencing unexplained pain in her left bones, such as the clavicle, knee, and hand joints, since March. She has undergone X-rays, blood tests for autoimmune diseases, and ultrasounds at an outpat...


Dr. Zhong Ruixian reply Pediatrics
Hello Wenwen: If it is confirmed that there are no immune system diseases, you may consider consulting with a pediatric hematology-oncology specialist or a pediatric neurologist regarding the issues with bones, joints, or nerves. For heart-related concerns, you can continue to mo...

[Read More] Unexplained Bone Pain in Children: Seeking Solutions for Relief


Understanding Shaken Baby Syndrome: Concerns for New Moms

Concerns about improper support of an infant's neck and the risk of shaken baby syndrome? Hello, doctor. I am a very anxious new mother, and my anxiety has caused a lot of hair loss... There is an overwhelming amount of information online, and it's often "extreme.&...


Dr. Zhong Ruixian reply Pediatrics
Hello, Junjun: Burping or holding the baby with their head tilted back or sideways is a common situation and not caused by external force. As you mentioned, only violent shaking of the baby up and down or side to side (2-3 times per second) for a short duration can lead to Shaken...

[Read More] Understanding Shaken Baby Syndrome: Concerns for New Moms


Understanding Hydronephrosis in Infants: Causes, Diagnosis, and Management

Hydronephrosis with renal pelvis dilation During my wife's prenatal check-ups, the doctor did not mention any kidney issues with the fetus. However, after the baby was born and at one month old, we discovered hydronephrosis during an ultrasound at a clinic. At that time, the...


Dr. Zhong Ruixian reply Pediatrics
Hello, sir: Hydronephrosis in newborns is often physiological due to increased urine output during the fetal period, followed by a brief reduction in urine output after birth and the ureters not being fully straightened. It typically improves after 1-2 years. The size of your bab...

[Read More] Understanding Hydronephrosis in Infants: Causes, Diagnosis, and Management


Should My Baby Get the Hepatitis B Vaccine After Being Born Abroad?

Babies born overseas who have not received the hepatitis B vaccine? Hello Dr. Zhong: My baby was born in Europe, where it is recommended to receive the hepatitis B vaccine at the age of twelve, which is different from Taiwan. Currently, my baby and I return to Taiwan periodically...


Dr. Zhong Ruixian reply Pediatrics
Hello, Ms. Li: The prevalence and infection rates of Hepatitis B among Asians are higher than those in Europe. Although the likelihood of infection for non-medical personnel is relatively low, I still recommend that you consider vaccination before the age of 12!

[Read More] Should My Baby Get the Hepatitis B Vaccine After Being Born Abroad?


Understanding Your Child's Regression: Why Is She Using Diapers Again?

My daughter, who has already been potty trained, put on a diaper by herself? My daughter is currently in the 5th grade. Although she finally stopped using diapers in the 3rd grade, she has not had any bedwetting incidents since then. However, I noticed that starting around August...


Dr. Zhong Ruixian reply Pediatrics
Hello, Xiao An: If there has not been a continuous 6-month period without bedwetting, it is likely primary enuresis. However, it is still advisable to clarify the underlying reasons: the amount of water your sister drinks during the day, her daytime urine output, whether she freq...

[Read More] Understanding Your Child's Regression: Why Is She Using Diapers Again?


Understanding Pediatric Penile Issues: When to Seek Medical Advice

Penile issues A 6-year-old boy has been frequently saying "gugu guai guai" for the past 7 to 8 months. He went to the hospital for urine and ultrasound tests, both of which showed no abnormalities. He continues to say "gugu guai guai" every day, especially bef...


Dr. Zhong Ruixian reply Pediatrics
Urine tests and ultrasound should normally rule out bacterial infections. If there are issues with the urethra or the urethral opening in the penile area, it is advisable to consult a urologist. If you reside in the central region, there are currently fewer confirmed cases daily,...

[Read More] Understanding Pediatric Penile Issues: When to Seek Medical Advice


Understanding Bruises and Lumps in Children: What Parents Should Know

Bruise lump Hello Doctor, a while ago I might have accidentally bumped the inner side of my calf near the ankle, and a lump that looks like a bruise appeared. It feels about 0.5 cm and isn't very prominent; you can only feel it by touch. It's been almost a month. I was ...


Dr. Zhong Ruixian reply Pediatrics
Hello YY: It is recommended to observe for another 2-3 weeks. If the lump enlarges and continues to be painful, you may visit a general surgeon. Wishing you good health! Zhong Ruixian

[Read More] Understanding Bruises and Lumps in Children: What Parents Should Know


Swelling Under Tongue After Wisdom Tooth Extraction: Which Specialist to See?

There is a lump under the tongue? After having my wisdom teeth removed, a lump appeared under my tongue that hasn't gone away for several days and has changed color. Which specialist should I see?


Dr. Zhong Ruixian reply Pediatrics
Hello Ms. Ying: You may return to see a dentist or a pediatric infectious disease specialist! Wishing you safety and health! Zhong Ruixian

[Read More] Swelling Under Tongue After Wisdom Tooth Extraction: Which Specialist to See?


Are Shepherd's Skin Products Safe for Children with G6PD Deficiency?

Is there any concern regarding the use of silk protein in this butt cream and skin lotion? Hello Doctor, my son is currently 14 months old and has G6PD deficiency. Previously, I purchased Penaten diaper cream and the same brand's moisturizing lotion. I checked the ingredient...


Dr. Zhong Ruixian reply Pediatrics
Hello Rita: Regarding the ingredients of the two types of diaper rash cream and moisturizing lotion mentioned above, I did not find them listed among high-risk substances. Generally speaking, substances that clearly induce hemolysis and should be avoided include: naphthalene, gen...

[Read More] Are Shepherd's Skin Products Safe for Children with G6PD Deficiency?


Understanding Pediatric Hydronephrosis: Causes and Treatment Options

Pediatric kidneys Good afternoon. My daughter was diagnosed with congenital hydronephrosis at the age of 11. Her left kidney had already become swollen due to fluid accumulation, causing severe pain that made her vomit. She required surgery, and the doctor said it would be a mino...


Dr. Zhong Ruixian reply Pediatrics
Dear Mother Tu, If renal hydronephrosis causes symptoms of a certain severity, it requires intervention. The treatment depends on the location and degree of obstruction: 1. If the child has congenital ureteral stenosis, a double-J ureteral stent can temporarily replace the uret...

[Read More] Understanding Pediatric Hydronephrosis: Causes and Treatment Options


Understanding Sleep Issues in Toddlers: Causes and Solutions

The baby is currently 1 year and 9 months old and has been experiencing sleep issues since 5 to 6 months of age? Hello, doctor. My son is currently 1 year and 9 months old. He has been waking up frequently at night since he was 5-6 months old, often needing to be held and comfort...


Dr. Zhong Ruixian reply Pediatrics
1. How long does the baby sleep during the day? Has the sleep pattern shifted to primarily nighttime sleep? 2. Is his overall development on track? For example, is his head circumference growth within the normal range, can he walk independently, can he say more than 4-6 words, a...

[Read More] Understanding Sleep Issues in Toddlers: Causes and Solutions


Understanding Bruises and Hard Lumps in Children: When to Seek Help

Hematoma, hard lumps, and scars? I have a 2-year-old child who accidentally bumped their cheek against the bed frame at the beginning of February. The injury is near the right corner of the mouth, and there was bleeding inside the mouth due to contact with the teeth. The next day...


Dr. Zhong Ruixian reply Pediatrics
Hello Winni: Since I have not seen the patient in person, I can only make an assumption. After bruising, there may be a possibility of hemosiderin deposition, which usually fades away gradually after some time. If you are particularly concerned or if the area is larger, you may c...

[Read More] Understanding Bruises and Hard Lumps in Children: When to Seek Help


Understanding Sleep Issues in Young Children: A Guide for Parents

Sleep problems in young children? Hello Doctor: I have two nieces who are twins, currently almost 6 years old (they are nearly 5 years old). They are sleeping with my grandmother. The older niece has been experiencing sleep issues; she often cries out in distress during the night...


Dr. Zhong Ruixian reply Pediatrics
Hello! 1. If a child has a nightmare, do they remember the content of the dream upon waking? Are they currently attending preschool? Do they have any feelings of insecurity regarding school or parent-child relationships? If there are such concerns, it is advisable to seek further...

[Read More] Understanding Sleep Issues in Young Children: A Guide for Parents


Understanding Baby's Bowel Movements: When to Worry and What to Expect

Baby bowel movements Hello doctor, my baby is currently 1 month and 13 days old and is exclusively breastfed. However, he hasn't had a bowel movement for five days. He usually consumes 120 ml of milk, but for some reason, he hasn't been finishing it these past few days....


Dr. Zhong Ruixian reply Pediatrics
Hello! Based on your question, there are several possible causes: 1. **Fecal Impaction**: If the stools in the colon are hard or abundant, it can affect the baby's feeding. Check if the baby has abdominal distension or if there are hard stools at the anus. Breastfed infant...

[Read More] Understanding Baby's Bowel Movements: When to Worry and What to Expect


Will a Toddler's Fall Affect Their Cognitive Development?

A toddler over one year old fell from a stroller and hit the back of their head, and also bumped the back of their head while learning to walk and climbing up a step? If a one-year-old child falls and hits the back of their head while using a lightweight stroller, and then later ...


Dr. Zhong Ruixian reply Pediatrics
Hello! It is recommended that you first visit a pediatric neurology or neurosurgery outpatient clinic for an initial evaluation. Thank you! Wishing you good health!

[Read More] Will a Toddler's Fall Affect Their Cognitive Development?


Understanding Hand, Foot, and Mouth Disease: Symptoms and Concerns

Enterovirus? A few days ago, I had a fever of about 38 degrees Celsius. I saw a doctor, and she said I had red spots in my throat, possibly indicating a hand, foot, and mouth disease (HFMD) caused by enterovirus. After taking medication, my temperature increased from 38 to 39 deg...


Dr. Zhong Ruixian reply Pediatrics
Thank you for your question, Xiao Mei. I hope your symptoms have improved by now. Based on your description, it is indeed possible that it could be an enterovirus infection, but a definitive diagnosis still requires a personal examination by a physician at a medical facility. Wis...

[Read More] Understanding Hand, Foot, and Mouth Disease: Symptoms and Concerns


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