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Addressing Constipation and Health Concerns in Infants: A Guide for Parents

Childhood constipation Doctor: My daughter has just turned six months old, but: 1. Since birth, her bowel movements have been every three days, but now it seems to have worsened to every five or six days, and her stools are very hard and difficult to pass. I have taken her to see...


Dr. Zhou Zuyou reply Pediatrics
Response: (1)(2) Based on your description, your baby appears to have severe gastrointestinal issues, and possibly metabolic problems as well (the information is insufficient, lacking details such as birth weight, current weight, stool color, quantity; energy levels, growth and d...

[Read More] Addressing Constipation and Health Concerns in Infants: A Guide for Parents


Understanding Speech Delays in Children: Seeking Help in Kaohsiung

Language disorders in children? Hello Dr. Zhou, I have a question to ask. My child is over 2 years old now, but their speech is still not very clear. I initially thought that a frenotomy (tongue tie release) would help, but after visiting another pediatrician, I was told that i...


Dr. Zhou Zuyou reply Pediatrics
Language disorders can be evaluated by an otolaryngologist (ENT) who specializes in speech therapy. In the Kaohsiung area, you can visit Kaohsiung Medical University Hospital, Kaohsiung Veterans General Hospital, or Chang Gung Memorial Hospital. In the Tainan area, you can go to ...

[Read More] Understanding Speech Delays in Children: Seeking Help in Kaohsiung


Understanding the Impact of Congenital Coccygeal Malformation on Infant Development

Congenital sacral agenesis Hello Dr. Chou, I would like to ask you a question. My daughter was born with a congenital coccygeal depression. After 40 days of breastfeeding, we noticed that she has difficulty with bowel movements and requires stimulation with a rectal thermometer...


Dr. Zhou Zuyou reply Pediatrics
Some infants may experience difficulty with bowel movements, which is considered functional (unrelated to congenital sacral agenesis). Babies can start consuming fruit juice at four months; if there is still no improvement, black date juice can be introduced at six months. (In fa...

[Read More] Understanding the Impact of Congenital Coccygeal Malformation on Infant Development


Understanding Atopic Dermatitis in Toddlers: Treatment and Care Options

Atopic dermatitis Hello, pediatric department. I have a question regarding my child who is one year and four months old. He sometimes keeps pulling his hair and scratching his neck. We consulted a dermatologist who diagnosed him with atopic dermatitis. If he has it, how should it...


Dr. Zhou Zuyou reply Pediatrics
In general, if children do not receive treatment, they may experience itching that can lead to insufficient sleep, affecting their growth and development. During winter, they are more prone to dry and cracked skin, necessitating enhanced skin moisturization or the use of antihist...

[Read More] Understanding Atopic Dermatitis in Toddlers: Treatment and Care Options


Managing Atopic Dermatitis in Infants: Key Questions and Answers

Atopic dermatitis Dr. Zhou: Hello. My child is almost 5 months old. During the health check last week, the doctor mentioned that he has atopic dermatitis (current condition: red rashes on the face, rough skin on hands and feet, prone to sneezing, eyelids easily become red, someti...


Dr. Zhou Zuyou reply Pediatrics
1. It is recommended to delay the introduction of solid foods for children with allergic tendencies by 1-2 months. 2. Hypoallergenic formula can be consumed until the age of 3, which is said to reduce the risk of allergies by half. 3. Calcium can improve respiratory allergy s...

[Read More] Managing Atopic Dermatitis in Infants: Key Questions and Answers


Understanding Down Syndrome and Phenylketonuria: Symptoms and Insights

Down syndrome and phenylketonuria? Down syndrome, also known as Trisomy 21, is a genetic disorder caused by the presence of an extra chromosome 21. Symptoms of Down syndrome may include characteristic facial features such as a flat facial profile, slanted eyes, and a short neck, ...


Dr. Zhou Zuyou reply Pediatrics
Down syndrome, formerly known as Mongolian syndrome, is the most common chromosomal abnormality. Its clinical features include hypotonia, brachycephaly, a flat nasal bridge, and wide-set eyes. The incidence of Down syndrome is approximately 1 in 800 to 1,000 live births, and it i...

[Read More] Understanding Down Syndrome and Phenylketonuria: Symptoms and Insights


Understanding Night Sweats in Children: Causes and Solutions

Night sweats When a child starts to sweat profusely in the head and neck area shortly after falling asleep, even with the air conditioning set to 26 degrees Celsius, could this be considered nocturnal sweating?


Dr. Zhou Zuyou reply Pediatrics
Response: (1) A more active metabolism may lead to sweating, which can be managed by simply wiping it dry. (2) If sweating symptoms are severe and there is noticeable trembling when the arms are extended, it is advisable to test thyroid function. Dr. Hung Shao-Hui, Chief of Pedia...

[Read More] Understanding Night Sweats in Children: Causes and Solutions


Improving Health for Allergic Children: Tips for Parents

Pediatric body The child is four years old, and the doctor has indicated that he has an allergic constitution. He tends to vomit easily with excessive exercise and frequently catches colds. Is there a way to improve this? Thank you.


Dr. Zhou Zuyou reply Pediatrics
Response: (1) Allergens can be detected, and if there are allergic factors present, avoiding exposure to these allergens can lead to improvement. (2) If there is no allergic predisposition, a balanced diet and moderate outdoor exercise can help alleviate symptoms. Dr. Hung Shao-H...

[Read More] Improving Health for Allergic Children: Tips for Parents


Understanding Rapid Breathing in Newborns: Concerns and Guidance for Parents

Neonatal respiratory distress? Hello, doctor: When my child was born, I noticed that their breathing was more rapid and louder than that of other children. Currently, the child is undergoing phototherapy for jaundice. The obstetrician has assessed that everything is normal. Howev...


Dr. Zhou Zuyou reply Pediatrics
In newborns, the respiratory rate is faster than that of adults, averaging about 30 breaths per minute, and typically does not exceed 40 breaths per minute. If the infant has a normal appetite and does not exhibit nasal flaring or retractions of the sternum or ribs, there is gene...

[Read More] Understanding Rapid Breathing in Newborns: Concerns and Guidance for Parents


Understanding Pediatric Purpura: Causes, Treatment, and Care for Your Baby

Pediatric Purpura Hello Dr. Zhou, my child is currently four months old. When he was a little over one month, he suddenly developed petechiae one night, which increased throughout the night. The next day, we immediately went to the hospital, and a blood test showed a platelet cou...


Dr. Zhou Zuyou reply Pediatrics
Response: (1) Purpura can be classified as either extrinsic or intrinsic. Certain viral infections that suppress bone marrow production lead to extrinsic purpura, which typically does not recur. Allergic purpura is classified as intrinsic and may recur when exposed to specific tr...

[Read More] Understanding Pediatric Purpura: Causes, Treatment, and Care for Your Baby


How to Manage Nighttime Fever in Young Children: Tips for Parents

The child has a fever at night while sleeping? A three-year-old child experiences a warm body temperature at night and frequently has fever episodes. How can their constitution be improved?


Dr. Zhou Zuyou reply Pediatrics
The human body temperature is not constant throughout the day, with a normal range of 36.5°C to 37.5°C. It is advisable to monitor temperature over three days (every four hours) to observe variations. Higher nighttime temperatures may be due to poor ventilation or excessive beddi...

[Read More] How to Manage Nighttime Fever in Young Children: Tips for Parents


Understanding Persistent High Fever in Children: Causes and Concerns

The young girl has been experiencing a persistent high fever for several days? Starting from October 22, my daughter experienced a high fever that lasted until November 9, during which she visited Shin Kong Hospital's outpatient department seven times. She was hospitalized o...


Dr. Zhou Zuyou reply Pediatrics
Response: (1) Evaluation must be conducted by the treating hospital. (2) The extraction of cerebrospinal fluid is performed to diagnose whether there is meningitis, and it is generally not dangerous. Common symptoms of meningitis include altered consciousness, vomiting, and heada...

[Read More] Understanding Persistent High Fever in Children: Causes and Concerns


Should You Worry About Your Child's Nighttime Urination?

Nocturnal enuresis in children A child who is three years old and urinates twice between 11 PM and 8 AM may not necessarily need to see a doctor, as this can be within the normal range for some children. However, if there are other concerning symptoms such as pain during urinatio...


Dr. Zhou Zuyou reply Pediatrics
Response: It is important to consider the volume of urination, which is still within a normal range in terms of frequency. It is recommended that parents try to reduce fluid intake two hours before bedtime, as this may help decrease the frequency of urination. Dr. Hung Shao-Hui, ...

[Read More] Should You Worry About Your Child's Nighttime Urination?


Do All Vaccines Need to Be Administered for Children?

Are all vaccinations necessary? Dear enthusiastic physician, I have a couple of questions regarding my one-year-old son. Question 1: Should he receive the varicella (chickenpox) vaccine and the Haemophilus influenzae type b (Hib) vaccine? Since both vaccines are out-of-pocket...


Dr. Zhou Zuyou reply Pediatrics
(1) The fact that a vaccine is self-funded does not imply it is unimportant; it simply indicates that the government currently lacks the budget for it. The Haemophilus influenzae type b (Hib) vaccine can be administered in a single dose to children aged 1 to 5 years (as the morta...

[Read More] Do All Vaccines Need to Be Administered for Children?


Understanding and Treating Torticollis in Infants: A Parent's Guide

Torticollis My daughter was born on June 2, 2000. During her postpartum confinement, a hard lump was discovered on the left side of her neck. After examination at the hospital, she was diagnosed with torticollis. She underwent physical therapy for a week, but later it was found t...


Dr. Zhou Zuyou reply Pediatrics
Treatment for torticollis typically begins with rehabilitation therapy. If the results are unsatisfactory, surgical intervention may be considered, which usually yields good outcomes. Without treatment, the condition will not resolve on its own, and it may lead to aesthetic conce...

[Read More] Understanding and Treating Torticollis in Infants: A Parent's Guide


Can Cold and Chickenpox Vaccines Be Given Together to Toddlers?

Can the flu vaccine be administered simultaneously with the varicella vaccine? My baby is one and a half years old and has been hospitalized frequently due to colds and bronchitis, indicating a weak immune system. Given this situation, is it safe to administer both the flu vaccin...


Dr. Zhou Zuyou reply Pediatrics
Dear Parents, Dr. Chou has been abroad for training and has just returned, which has delayed this response. Currently, it is safe to administer both the influenza vaccine and the varicella vaccine simultaneously, and there are no significant concerns. Parents can rest assured.

[Read More] Can Cold and Chickenpox Vaccines Be Given Together to Toddlers?


Understanding Allergic Purpura in Children: Treatment and Management Insights

Pediatric Purpura My daughter is currently three and a half years old and has always been healthy. About two weeks ago, she caught a cold, which has not yet resolved. On the fourth day of her cold, she developed petechiae on her lower extremities. On the tenth and eleventh days, ...


Dr. Zhou Zuyou reply Pediatrics
Dear Parents, Regarding your inquiry about Allergic Purpura, it is classified as an autoimmune disease that affects the blood vessels, commonly occurring in children aged 2 to 10 years. It often presents with skin purpura about 7 to 10 days after a child has a cold, followed by ...

[Read More] Understanding Allergic Purpura in Children: Treatment and Management Insights


Is It Safe to Combine Chickenpox Vaccine with MMR Vaccine?

Preventive vaccination Is it appropriate to administer the varicella vaccine together with the measles, mumps, and rubella (MMR) vaccine? What potential side effects could occur?


Dr. Zhou Zuyou reply Pediatrics
Currently, in Taiwan, there are vaccines available that are either live attenuated vaccines or inactivated vaccines. Among these vaccines, the Japanese encephalitis vaccine cannot be administered simultaneously with the diphtheria, pertussis, and tetanus combination vaccine (comm...

[Read More] Is It Safe to Combine Chickenpox Vaccine with MMR Vaccine?


Understanding Pediatric Heart Murmurs: Care and Concerns

Pediatric heart problems Hello, my child has a heart murmur and has been evaluated, which was determined to be a functional murmur (tricuspid regurgitation and pulmonary valve insufficiency) with significant blood flow regurgitation. What precautions and care should I take, and i...


Dr. Zhou Zuyou reply Pediatrics
Dear Parents, Functional heart murmurs generally refer to minor structural abnormalities of the heart that do not significantly affect its function. Mild tricuspid regurgitation and pulmonary valve insufficiency are not life-threatening. However, if the regurgitation leads to si...

[Read More] Understanding Pediatric Heart Murmurs: Care and Concerns