Managing Diarrhea and Indigestion in Teens: Probiotics or Doctor Visit?
Dyspepsia causing diarrhea? Hello Doctor: My child is currently 15 years old and often experiences diarrhea or indigestion, which is quite concerning for me. I would like to ask if I can purchase the probiotic Miyarisan BM on my own. I learned about this probiotic because my chil...
Dr. Xiao Kaiwen Reply:
Miaoli Powder is classified as a health supplement rather than a medication, and it is fine to use it according to the instructions on the label after purchasing it on your own. You can try it first, and if there is no improvement, it is recommended to consult a pediatric gastroe...[Read More] Managing Diarrhea and Indigestion in Teens: Probiotics or Doctor Visit?
Understanding CRP Levels in Children: When is it Considered High?
What is considered a high level of the infection index (C-reactive protein)? I looked up the normal value for the CRP index (which should be less than 1 mg/dL). Typically, in autoimmune diseases, C-reactive protein (CRP) levels are elevated, categorized as moderate (1–10 mg/dL). ...
Dr. Xiao Kaiwen Reply:
The normal range for CRP can vary slightly between hospitals, but generally, a level below 6 mg/dL is considered normal (our hospital sets the threshold at below 5 mg/dL). Elevated CRP levels indicate that there is currently inflammation or infection in the body, which could be d...[Read More] Understanding CRP Levels in Children: When is it Considered High?
Antibiotics and Drug Interactions: Pediatric Considerations for Parents
Antibiotics, drug interactions Hello, Doctor Pei. Two days ago, after my visit to the doctor, I was told that I might have bronchopneumonia (an X-ray was taken). I was prescribed Zithromax 250 mg tablets, and since I weigh 17 kg, which exceeds the original dosage, the doctor advi...
Dr. Pei Rensheng Reply:
Hello! 1. Some individuals may experience gastrointestinal discomfort as a side effect after taking the oral antibiotic ZITHROMAX. 2. If gastrointestinal discomfort occurs, it is acceptable to take antacids directly; it is not necessary to take them simultaneously with the antibi...[Read More] Antibiotics and Drug Interactions: Pediatric Considerations for Parents
Understanding Fever and Diarrhea in Children: When to Seek Hospital Care
Fever and diarrhea? The child has been experiencing recurrent fever for 3-4 days (38-39 degrees Celsius) and has been having diarrhea, with several watery stools daily, which are unformed. Every time the child eats, they have diarrhea, and there is a noticeable decrease in appeti...
Dr. Xiao Kaiwen Reply:
Here, I can only say that the best person to understand your child's condition is their attending physician. It is difficult to fully assess your child's situation with limited information. I recommend closely collaborating with your child's attending physician, wh...[Read More] Understanding Fever and Diarrhea in Children: When to Seek Hospital Care
Understanding Brown Discharge in Infants: Causes and Concerns
Inquiry about urethral discharge in infants? A 5-month-old male infant has occasionally (not every time, but sporadically) had thick, tea-brown discharge adhering to the glans when the diaper is opened over the past month. We have visited a clinic, and it was suggested that it mi...
Dr. Xiao Kaiwen Reply:
The presence of discharge from an infant's glans requires ruling out a urinary tract infection (UTI). Infants with UTIs may not necessarily exhibit fever or cry during urination. UTIs require treatment with oral or injectable antibiotics; simply applying topical antibiotics ...[Read More] Understanding Brown Discharge in Infants: Causes and Concerns
Understanding Cough and Cold in Infants: Antibiotics and Concerns
A newborn over one month old has a cold? Hello, doctor. I would like to inquire about my baby, who is currently over a month old and has caught a cold. The symptoms include post-nasal drip and coughing. After the first visit, the doctor prescribed medication, and during the secon...
Dr. Xiao Kaiwen Reply:
The common cold is generally caused by a viral infection and does not require the use of antibiotics, which are intended for bacterial infections. It may be necessary to consult the prescribing physician to determine the suspected bacterial infection before using antibiotics. If ...[Read More] Understanding Cough and Cold in Infants: Antibiotics and Concerns
Understanding Pediatric Urinary Tract Infections: Symptoms, Diagnosis, and Care
Urinary tract infection (UTI) Hello Doctor, My daughter had a fever of 38 degrees Celsius on the first day. After taking a bath, she remained in a low-grade fever for two days but was active and normal otherwise. On the fourth day, she was still uneasy, so I took her for a urin...
Dr. Xiao Kaiwen Reply:
The urine test shows a leukocyte count of 8-10, which is at the upper limit of normal. This suggests a urinary tract infection (UTI) may be present, and it is acceptable to start antibiotics while awaiting a more accurate urine culture report. The majority of urinary tract infect...[Read More] Understanding Pediatric Urinary Tract Infections: Symptoms, Diagnosis, and Care
Understanding ITP and Lymphadenopathy in Pediatric Patients
ITP with lymphadenopathy Hello Doctor, thank you for your prompt response to the previous question <a href="https://adoctor.tw/article/199203">#199203</a>. I would like to provide some additional information. The child in the family has had elevated infectio...
Dr. Xiao Kaiwen Reply:
An elevated CRP (C-reactive protein) level indicates a wide range of possibilities. While the likelihood of infection is highest in children, there are still other potential causes. It is difficult to specify which additional tests should be arranged at this point; however, it is...[Read More] Understanding ITP and Lymphadenopathy in Pediatric Patients
Using Periactin for Appetite Stimulation in Pediatric Patients
Indications for the use of Periactin? You have a one-year-old baby who has recently shown increased signs of milk aversion. The doctor has prescribed Periactin (to be taken either twice a day or once daily). It has been noted that Periactin is primarily indicated for rhinitis, al...
Dr. Xiao Kaiwen Reply:
Periactin has a short duration of effect with generally minimal adverse effects on the body. There is no specific duration required for its use (one to two weeks typically does not lead to any negative effects), and there is no issue of drug resistance (which is a concern primari...[Read More] Using Periactin for Appetite Stimulation in Pediatric Patients
Understanding Low White Blood Cell Count in Teens: When to Seek Help
Leukopenia Hello doctor, I am 17 years old. Two weeks ago, I noticed a hard lump in my armpit. After taking antibiotics for two to three weeks, it seems to have improved. However, during my last visit to the doctor, I had blood drawn, and I found that three values in the report a...
Dr. Xie Wanghu Reply:
Hello! It is advisable to consult a pediatric hematology/oncology specialist. Thank you.[Read More] Understanding Low White Blood Cell Count in Teens: When to Seek Help
Understanding Urine Culture Results in Infants: What Parents Need to Know
Urine culture Doctor, my baby is five months old. The urine culture report is as follows: Test Name: Aerobic Culture Results: Mixed flora of clinical insignificance Reference Value: None What does this result mean? Is there a urinary tract bacterial infection? Does my baby...
Dr. He Zongxian Reply:
Hello, based on the limited information you provided, no pathogenic bacteria were cultured from the urinary tract. However, the diagnosis of a urinary tract infection should be assessed in conjunction with clinical conditions and laboratory test results. It is recommended that yo...[Read More] Understanding Urine Culture Results in Infants: What Parents Need to Know
Understanding Urine Culture Results in Infants: Is There a UTI?
Urine culture Hello, doctor. I apologize for asking you again. My baby boy is 5 months old and has mild hydronephrosis, with a left kidney measurement of 0.6 cm and a right kidney measurement of 0.3 cm. He had a fever of 38.4 degrees Celsius and was taken to see a pediatrician, w...
Dr. Xiao Kaiwen Reply:
1. The fever resolved without the use of antibiotics, and the urine test showed no evidence of a urinary tract infection, so antibiotics are not necessary. 2. Urine ultimately passes through the mucous membranes and skin before reaching the urine bag, so it is still possible to c...[Read More] Understanding Urine Culture Results in Infants: Is There a UTI?
Understanding Mixed Flora of Clinical Insignificance in Pediatric Urine Cultures
Urine culture Hello doctor, my baby (5 months old) had a urine culture test in the hospital, and the report states "Mixed flora of clinical insignificance." What does this mean? Does it indicate a urinary tract infection? Does my baby need to take antibiotics?
Dr. Xiao Kaiwen Reply:
This report indicates the cultivation of several types of bacteria, which we clinically consider to be contaminants of no clinical significance. For example, harmless bacteria that are inadvertently collected from the skin or mucous membranes during urine sampling, rather than pa...[Read More] Understanding Mixed Flora of Clinical Insignificance in Pediatric Urine Cultures
Managing Salmonella Infection in Toddlers: Symptoms and Treatment Tips
Salmonella, diarrhea with blood and mucus? Hello, doctor. My daughter is currently 2 years old and started experiencing mild diarrhea two days ago, about four times a day, with both watery and soft, mushy stools. The total amount is roughly equivalent to her normal bowel movement...
Dr. Xiao Kaiwen Reply:
Blood-streaked mucus in diarrhea may indicate a Salmonella infection, which can be confirmed through stool culture. Salmonella enteritis is a self-limiting disease, meaning that most healthy children can recover on their own. The focus of treatment should be on monitoring and man...[Read More] Managing Salmonella Infection in Toddlers: Symptoms and Treatment Tips
Managing Pediatric Urinary Pain After COVID-19 Diagnosis
COVID-19 positive with urethritis? Hello, doctor. We are a family with a confirmed patient, and we came here to consult because it was inconvenient to seek emergency care. Please do not take offense. My 8-year-old son, weighing 25 kg, was diagnosed with COVID-19 in the early hour...
Dr. Xiao Kaiwen Reply:
Missing a day of antibiotics should not lead to antibiotic resistance. In some children, abdominal pain can indeed be caused by retained stool. I think trying a one-time enema is acceptable, but if the abdominal pain persists or worsens, it is important to discuss it with your te...[Read More] Managing Pediatric Urinary Pain After COVID-19 Diagnosis
Managing Persistent Fever in Toddlers: When to Seek Emergency Care
Pediatric fever Hello, my daughter is currently 1 year and 4 months old. This past Monday morning, she was diagnosed with acute pharyngitis at Clinic A due to a fever. After returning home and taking her medication on schedule, she continued to have recurrent high fevers (between...
Dr. He Zongxian Reply:
Hello, taking care of a feverish child has been really tough these past few days! However, if your daughter continues to have a fever (lasting more than 72 hours) or experiences any of the following symptoms, it is advisable to go to the hospital for further evaluation: a tempera...[Read More] Managing Persistent Fever in Toddlers: When to Seek Emergency Care
Understanding Pediatric Urinary Tract Infections and Fever Management
Fever due to urinary tract infection? Hello Doctor: My daughter had a fever of 38°C on Thursday night without any cold symptoms and was a bit lethargic. We took her to the clinic where she was prescribed anti-inflammatory and antipyretic medications, which helped reduce the fever...
Dr. Lin Yishou Reply:
Hello Rain, the management of urinary tract infections varies depending on the child's age and any underlying conditions. For infants under one year old, the risk of complications is higher, and hospitalization is recommended. Additionally, if there is concurrent kidney infl...[Read More] Understanding Pediatric Urinary Tract Infections and Fever Management
Can Children with Antibiotic Allergies Safely Receive Varivax Chickenpox Vaccine?
Ototoxicity in infants receiving the varicella vaccine? Dr. Lin, I have a question. My child has just turned 1 year and 1 month old and has a congenital genetic predisposition to drug-induced hearing loss, specifically an allergy to aminoglycoside antibiotics. However, the varice...
Dr. Lin Yishou Reply:
Please consult with other physicians.[Read More] Can Children with Antibiotic Allergies Safely Receive Varivax Chickenpox Vaccine?
Understanding Autoimmune Disorders and Blood Issues in Children
Autoimmunity / Coagulation / Rash Hello Doctor, in October 2019, my son (7 years old) was infected with influenza B. Later, he developed some red spots on his hands, and after a blood test at the hospital, the emergency doctor said everything was normal, with a platelet count of ...
Dr. Xie Wanghu Reply:
Hello, in the case of a viral infection in children, a platelet count of over 100,000 is acceptable. APTT is 23.9-35.5 seconds and PT is 9.4-12.5 seconds, both of which are within the normal range. The diagnostic criteria for hemophilia include: 1. Normal PT, 2. Prolonged APTT, 3...[Read More] Understanding Autoimmune Disorders and Blood Issues in Children
How to Restore Appetite in a 1.5-Year-Old After Salmonella Infection?
The child, aged 1.5 years, has been experiencing a Salmonella infection for 2 weeks and is showing a lack of appetite? My daughter is 18 months old. On the morning of November 16, she had a fever without any cold symptoms, and experienced her first febrile seizure, which led us t...
Dr. Xiao Kaiwen Reply:
Although antibiotic treatment is not always necessary for Salmonella enteritis (as it may prolong the duration of bacterial shedding), it is still recommended for more severe infections. Given that your child is younger and has significantly elevated white blood cell counts, anti...[Read More] How to Restore Appetite in a 1.5-Year-Old After Salmonella Infection?