Understanding Lymph Node Issues in Infants: A Parent's Guide
Lymphatic issues Hello Doctor: My child is over 9 months old. A few days ago, he had a high fever and we went to the emergency room, where the doctor prescribed antibiotics and suppositories. After three days, the fever subsided, but a rash appeared. Today, I suddenly noticed thr...
Dr. Pei Rensheng Reply:
Hello: It is very likely a lymph node. Observation is sufficient. If there is redness in the epidermis and purulent changes in the center, it may indicate a skin infection, such as a boil or carbuncle; treatment may be necessary. Wishing you health and happiness! Dr. Pei Ren-Shen...[Read More] Understanding Lymph Node Issues in Infants: A Parent's Guide
Is There a Link Between Spitting Up and Colic in Premature Infants?
Is there a relationship between spitting up milk and colic or premature infants? Hello doctor, my child was born on July 28, at 36 weeks of gestation, with a birth weight of 2196g, which is somewhat low. At birth, his white blood cell count was elevated, and he was hospitalized f...
Dr. Pei Rensheng Reply:
Hello: 1. Premature infants are more likely to experience gastroesophageal reflux compared to full-term infants. 2. During the corrected age of 3 to 4 months, some babies may exhibit signs of colic. 3. Typical colic is characterized by crying for more than 3 days a week, with eac...[Read More] Is There a Link Between Spitting Up and Colic in Premature Infants?
Should You Redose Your Child After They Vomit Medication?
If the medication was vomited, should it be taken again? Hello Dr. Hsiao, I have a basic medication question. If a child vomits shortly after taking medication (especially antibiotics), should they take another dose? Is there a standard procedure for this, such as taking another ...
Dr. Xiao Kaiwen Reply:
In principle, it is not possible to completely expel the gastric contents immediately after vomiting, so an additional half dose of the medication should be administered. If vomiting occurs within one hour after dosing, a proportional amount can be supplemented. If more than two ...[Read More] Should You Redose Your Child After They Vomit Medication?
Persistent Coughing in Children: When to Seek Medical Help
Even after recovering from a cold, one may still cough to the point of vomiting? Hello, Doctor Fei. My daughter started experiencing coughing symptoms around the end of April. At first, we didn't think much of it, but later she developed phlegm and a runny nose, so we took h...
Dr. Pei Rensheng Reply:
Hi: 1. Does the condition resemble asthma symptoms? It seems more like another cold; if it were asthma, there would be a tendency to cough more in the early morning and late evening, often accompanied by allergic rhinitis. When the cough is severe, it can easily lead to vomitin...[Read More] Persistent Coughing in Children: When to Seek Medical Help
Persistent Fever in Children: Causes and When to Seek Help
Persistent fever? I would like to ask about my condition. Four days ago, I had a fever and went to the clinic that night for a rapid test, which showed negative results for both influenza A and B. However, after taking the medication, I continued to have a fever that fluctuates d...
Dr. Xiao Kaiwen Reply:
A negative rapid influenza test does not rule out influenza (as the accuracy of the rapid test is about 60%). Your symptoms still resemble those of influenza, so it may be worth considering a repeat rapid test or directly administering antiviral medications. If the fever persists...[Read More] Persistent Fever in Children: Causes and When to Seek Help
Understanding Antibiotic Use for Sinusitis in Infants: A Parent's Guide
Antibiotics for sinusitis? Hello Dr. Pei: My younger sister is currently eleven months old. She started having a runny nose (clear) on March 5th, and on March 8th, she developed a fever. A rapid test at the clinic confirmed Influenza A. After taking antiviral medication, she no l...
Dr. Pei Rensheng Reply:
Hello: Symptoms of sinusitis may include yellow nasal discharge, pain around the nostrils, headache, and fever. Not all symptoms may necessarily appear. X-rays can assist in diagnosis. Unless there are severe adverse reactions to medication, I recommend completing a 10 to 14-day ...[Read More] Understanding Antibiotic Use for Sinusitis in Infants: A Parent's Guide
Managing Febrile Seizures in Young Children: Key Considerations
1. Examination 2. Medication 3. Temperature issues A 2-year and 7-month-old girl experienced her first febrile seizure three days after attending kindergarten, following an enterovirus infection (at that time she was 2 years and 5 months old). She was hospitalized for five da...
Dr. Pei Rensheng Reply:
Hello, 1. If the child has experienced heat cramps twice, and the EEG is normal with normal development, we can choose to observe. In the future, if there is a fever, we should manage it actively. 2. The duration of antibiotic treatment is fixed and depends on the type of inf...[Read More] Managing Febrile Seizures in Young Children: Key Considerations
Is It Safe to Use Xinchai Antibiotic Ointment for Toddlers?
Erythromycin medication A child who is one year and nine months old accidentally got pricked by a needle. Since there were no suitable medications for babies at home, we visited a surgeon who prescribed "Xinchangsu ointment." I asked the doctor if it was safe for the ch...
Dr. Xiao Kaiwen Reply:
This ointment is non-allergenic when applied and can be used by infants. For wounds with external injuries, doctors typically prescribe antibiotic ointments to prevent bacterial infections.[Read More] Is It Safe to Use Xinchai Antibiotic Ointment for Toddlers?
Can Bathing with My Baby Expose Her to Group B Strep?
Questions about bathing infants? If a mother tested positive for Group B Streptococcus (GBS) during pregnancy, there is a possibility of transmitting the bacteria to the baby during labor and delivery. However, bathing together with a six-month-old baby using a swimming neck floa...
Dr. He Shenglong Reply:
Hello: If a mother is a carrier of Group B Streptococcus, the physician will administer antibiotics during delivery to prevent vertical transmission to the infant, which can lead to rapid onset of diseases such as pneumonia, sepsis, meningitis, and even death. Now that the baby i...[Read More] Can Bathing with My Baby Expose Her to Group B Strep?
Understanding Salmonella Gastroenteritis in Young Children: Key Insights and Care Tips
Bacterial gastroenteritis My child is one year and seven months old. After a week of fever and diarrhea, he was hospitalized and diagnosed with Salmonella gastroenteritis. I would like to ask you: 1. It has been eight days since the onset of the illness, and he is still having di...
Dr. Xiao Kaiwen Reply:
1. The typical stool in salmonella enteritis is deep green and foul-smelling. 2. Improvement in the condition is relative; for example, if the fever subsides, the frequency of diarrhea decreases, and the stool gradually becomes more formed, then that indicates improvement. 3....[Read More] Understanding Salmonella Gastroenteritis in Young Children: Key Insights and Care Tips
Long-Term Antibiotic Use in Children: Risks and Effectiveness Explained
Long-term use of antibiotics? Hello, my 13-year-old daughter has a history of asthma and lung collapse. Recently, she had a severe cold that led to coughing up blood. The doctor diagnosed her with bronchiectasis and noted low blood oxygen levels (92-95). The treating physician ha...
Dr. Pei Rensheng Reply:
Dear Jack, Hello! 1. The treatment for bronchiectasis in children includes chest physiotherapy and antibiotic therapy. 2. Potential underlying causes need to be ruled out, including immunodeficiency, foreign body aspiration, and other conditions such as congenital structural ...[Read More] Long-Term Antibiotic Use in Children: Risks and Effectiveness Explained
Impact of Long-Term Antibiotic Use on Pediatric Bowel Movements
Long-term use of antibiotics can affect bowel movements? Children are inherently prone to constipation. Previously, if they consumed a large amount of cooling fruits or drank plenty of fluids, they would not experience hard stools. However, after discovering that the child has a ...
Dr. Zhang Yingwen Reply:
Due to the low dosage of antibiotics, clinical observations have found that they do not significantly affect bowel movements; if there is any effect, it would likely manifest as diarrhea. Taking probiotics cannot improve constipation but can alleviate abdominal pain caused by con...[Read More] Impact of Long-Term Antibiotic Use on Pediatric Bowel Movements
Understanding Soft Stools in Children: Causes and Concerns
Loose stools in children? Hello Doctor: My child was born in October 2004, male. He has daily bowel movements, sometimes once and sometimes twice. He often complains of stomach pain before having a bowel movement. For the past few days, his stools have been loose. He is 142 cm ta...
Dr. Xiao Kaiwen Reply:
An increase in the frequency of bowel movements and an increase in the water content of stools is defined as diarrhea. Acute diarrhea refers to diarrhea symptoms lasting less than two weeks, while chronic diarrhea is defined as diarrhea lasting more than two weeks. The vast major...[Read More] Understanding Soft Stools in Children: Causes and Concerns
Understanding Ear Infections in Children: Symptoms, Diagnosis, and Treatment
Otitis media, hearing, and headache? Hello, doctor. My child has a history of allergies (mainly nasal). Around March 20th of this year, he had a fever and we took him to see an ENT specialist. The doctor diagnosed him with otitis media and prescribed antibiotics for two weeks (wh...
Dr. Xiao Kaiwen Reply:
1. A reliable pneumatic otoscope examination assesses the color, translucency, fluid presence, and mobility of the tympanic membrane. The patient's tympanic membrane may appear red, swollen, opaque, with diminished light reflex, and may appear full, bulging, or even deformed...[Read More] Understanding Ear Infections in Children: Symptoms, Diagnosis, and Treatment
Do Cough Syrups Affect Urine Test Results in Infants?
Will this medication affect urine test results? Hello, Dr. Hsiao! My sister is currently eight months old. Five days ago, she had a fever of 37.5 degrees Celsius at midnight and went to the emergency room. A urine test was performed, and she had taken cough syrup two hours prior,...
Dr. Xiao Kaiwen Reply:
The medications Xikening and Shuyitong will not affect urine test results. Periactin, Cefx, and Biofermin will not impact the results of a kidney ultrasound. A urine test showing 150,000 white blood cells? I really don't understand what that means.[Read More] Do Cough Syrups Affect Urine Test Results in Infants?
Understanding Persistent Diarrhea and Abdominal Pain in Children
Child experiencing diarrhea and abdominal pain? Hello, my child is nine years old and is about to enter the third grade. She weighs 36 kg and has been experiencing diarrhea since early June. Additionally, she has persistent pain in the area just below her navel, which is tender t...
Dr. Xiao Kaiwen Reply:
Diarrhea lasting more than two weeks is referred to as chronic diarrhea. The most common cause is often due to damage to the intestinal mucosa following acute gastroenteritis, which may take time to recover, sometimes lasting 2-3 months or even up to six months. In such cases, me...[Read More] Understanding Persistent Diarrhea and Abdominal Pain in Children
Understanding Ureteral Stricture and Hydronephrosis in Infants
Ureteral stenosis in infants, hydronephrosis? Hello, doctor! My sister's baby was born with unilateral hydronephrosis. Now that the baby is one month old, a check-up revealed ureteral stricture, and the affected kidney has become twice the size of a normal one. Can a one-mon...
Dr. Pei Rensheng Reply:
Dear Ms. Wang, Hello, 1. According to http://www.healthcommunities.com/ureteropelvic-junction-obstruction/children/treatment-for-upj-obstruction.shtml 2. Treatment for Ureteropelvic Junction Obstruction: Newborns with UPJ obstruction and hydronephrosis are placed on antibioti...[Read More] Understanding Ureteral Stricture and Hydronephrosis in Infants
Understanding Allergies and Asthma in Young Children: A Parent's Guide
Allergic asthma in children? Dear Doctor, I would like to inquire about my child's allergies and asthma issues. I am currently abroad and have a two-and-a-half-year-old child who has been experiencing cold symptoms since the beginning of the year. Initially, he had a persis...
Dr. Xiao Kaiwen Reply:
Persistent cough in children that lasts a long time and is difficult to resolve is most commonly caused by respiratory allergies. The key to using allergy medications is that they should only be prescribed by an "experienced" and "specialized" pediatric allerg...[Read More] Understanding Allergies and Asthma in Young Children: A Parent's Guide
Long-Term Medication Effects on Children's Liver and Kidney Health
Will long-term medication use have an impact? Hello, doctor. My daughter is five years old and has a history of asthma, nasal allergies, and persistent runny nose. She has been coughing with phlegm, so she has been taking cold medication. Recently, she has had issues with fluid i...
Dr. Xiao Kaiwen Reply:
The key point is that it is safe to follow prescriptions issued by experienced and specialized pediatric allergists and immunologists, as they will not harm the body. In fact, excessive concern and failure to cooperate with a professional physician can worsen the situation (for i...[Read More] Long-Term Medication Effects on Children's Liver and Kidney Health
Understanding Persistent Pain After Pediatric Urinary Tract Infection Recovery
Urinary tract infection (UTI) My daughter is over 3 years old. A little over a week ago, she had a urinary tract infection (caused by E. coli) and was on antibiotics for a week. After a follow-up check, it was confirmed that there were no bacteria and no blood in her urine. Howev...
Dr. Xiao Kaiwen Reply:
The vast majority of urinary tract infections (UTIs) are simple and uncomplicated infections, which can typically be effectively treated with antibiotics for 5 to 7 days. However, in cases of more severe and complicated infections (such as those that have ascended to the upper ur...[Read More] Understanding Persistent Pain After Pediatric Urinary Tract Infection Recovery