Concerns About Medication Dosage for Children in Emergency Care
I have concerns about the medications and dosages prescribed for my child by the hospital? My child went to the emergency room due to a fever of 39.1 degrees Celsius without obvious cold symptoms. The doctor only noted that the throat was red and ordered blood tests and a chest X...
Dr. Xiao Kaiwen Reply:
The following are the recommended dosages for medications as per the textbook: Panadol: 10-15 mg/kg per dose, every 4-6 hours (commonly used is 60-65 mg/kg per day, every 4-6 hours). Erythromycin: 30-50 mg/kg per day, every 6-8 hours. Periactin: 0.25-0.5 mg/kg per day, ever...[Read More] Concerns About Medication Dosage for Children in Emergency Care
Impact of Group B Streptococcus on Newborns: Risks and Management
The impact of Group B Streptococcus on infants? Hello Doctor: My wife underwent Group B Streptococcus screening in obstetrics during her pregnancy, and she tested positive for Group B Streptococcus. The clinic informed us that treatment could be administered during delivery. Afte...
Dr. Pei Rensheng Reply:
Hello, A-Shu. One quarter of women of childbearing age carry Group B Streptococcus (GBS), and mothers typically do not show symptoms. About half of newborns can acquire this bacteria during the delivery process as they pass through the birth canal. The incidence of infection in n...[Read More] Impact of Group B Streptococcus on Newborns: Risks and Management
Understanding Hearing Tests for Infants: Concerns and Next Steps
Hearing test Hello, doctor. My child is 9 months old and was hospitalized in May for otitis media and bronchiolitis. A certain physician said he was discharged in good condition and did not require follow-up. However, without ongoing treatment, we later discovered a perforated ea...
Dr. Xiao Kaiwen Reply:
Generally, a perforation of the eardrum caused by otitis media, if it does not affect the middle ear cavity (such as the ossicles) or the inner ear, should not impact hearing once the eardrum has healed. Hearing tests for infants can initially be conducted at home, such as produc...[Read More] Understanding Hearing Tests for Infants: Concerns and Next Steps
Is It Normal for My Toddler to Get Sick Often? Understanding Antibiotics and Health
Child illness My son is currently one year and three months old, and he gets sick almost once a month, mostly with colds. Sometimes it's more severe, requiring antibiotics, and other times it's mild, so he just takes some antihistamines. Sometimes he has a fever, and so...
Dr. Xiao Kaiwen Reply:
A 15-month-old child is still very young and has insufficient immunity, making them more susceptible to infections from external pathogens. Respiratory infections are primarily transmitted through droplets or airborne routes, making them highly contagious and statistically the mo...[Read More] Is It Normal for My Toddler to Get Sick Often? Understanding Antibiotics and Health
Understanding Frequent Throat Infections in Children: Causes and Solutions
Frequent throat purulence? Hello Doctor: My child was born in 2002 and has been getting sick almost twice a month since childhood, with each episode accompanied by a fever close to 104°F (40°C). Over the past two years, the frequency of colds has remained the same, but now each t...
Dr. Ma Yiqun Reply:
Hello: The tonsils are part of the lymphatic tissue and serve as the body's first line of defense against bacteria, preventing pathogens from entering the respiratory tract. The most common cause of acute suppurative tonsillitis is viral infection, with bacterial infection (...[Read More] Understanding Frequent Throat Infections in Children: Causes and Solutions
Persistent High Fever in My 4-Year-Old: What Should I Do?
If your daughter's body temperature is consistently elevated, what should you do? My daughter is 4 years old. In mid-March, she was hospitalized for 6 days due to bronchitis and otitis media with a high fever, and she was on antibiotics for over two weeks. After being discha...
Dr. Xiao Kaiwen Reply:
There are many causes of fever in children, such as infections (the most common), autoimmune diseases, tumors, drug fever, and summer heat, among others. Depending on the situation, it is advisable for your child to go to the hospital for examination (as there are diagnostic faci...[Read More] Persistent High Fever in My 4-Year-Old: What Should I Do?
Managing Eye Medications for Children with Favism: Key Considerations
Medication issues related to Favism (G6PD deficiency) and eye care? If a child has favism and is experiencing frequent tearing, they visited an ophthalmologist who diagnosed them with keratitis (or conjunctivitis) and prescribed eye drops (Oasis's anti-fungal) and ointment (...
Dr. Xiao Kaiwen Reply:
In patients with G6PD deficiency (favism), only sulfonamide antibiotics should be avoided, as aminoglycosides and chloramphenicol do not fall into this category and therefore have no impact on the condition. The dosage of GENTAMICIN eye drops should not cause side effects in infa...[Read More] Managing Eye Medications for Children with Favism: Key Considerations
Understanding Abnormal Blood Test Results in Pediatric Infections
Abnormal blood test results? Hello Doctor: My daughter is 9 years old. Last week, she was infected with the new influenza (rapid test positive on 11/30), and she was treated with Oseltamivir for five days. Over the past few days, aside from having a fever on 12/1, she seems to be...
Dr. Xiao Kaiwen Reply:
In general blood tests, parameters such as white blood cell count (WBC), neutrophils (segments), and lymphocytes cannot definitively determine the type of infection. Additional tests are required (such as a chest X-ray to check for pneumonia or a urinalysis to assess for urinary ...[Read More] Understanding Abnormal Blood Test Results in Pediatric Infections
Understanding MMR Vaccine and Antibiotic Use in Pediatrics
MMR vaccine issues? Hello, Doctor. Question 1: Is the anti-inflammatory medication prescribed by general clinics referring to antibiotics? Question 2: Regarding the measles, mumps, and rubella (MMR) vaccine, if a child uses anti-inflammatory medication due to folliculitis on the ...
Dr. Xiao Kaiwen Reply:
1. It is possible, but not certain; you can directly ask the prescribing physician why antibiotics are necessary (antibiotics are needed only for bacterial infections). 2. Only medications that suppress the immune system will affect vaccine efficacy; common anti-inflammatory drug...[Read More] Understanding MMR Vaccine and Antibiotic Use in Pediatrics
What to Do When Your Baby Has Sinusitis and Persistent Symptoms?
What should I do? My son is currently just four months old and has caught a cold for the first time. His symptoms include a runny nose and cough, and the doctor diagnosed him with sinusitis. He was prescribed antibiotics, and after completing a three-day course, his cough improve...
Dr. Xiao Kaiwen Reply:
The diagnostic criteria for acute sinusitis generally include the presence of purulent nasal discharge (or post-nasal drip, which may sometimes present as productive cough) lasting more than one week. If sinusitis is "confirmed," a course of antibiotics for seven to ten...[Read More] What to Do When Your Baby Has Sinusitis and Persistent Symptoms?
Understanding Elevated White Blood Cell Counts in Newborns: What Parents Should Know
Neonatal leukocytosis Hello, Doctor He: What is the standard white blood cell count for newborns? Is a count of 31,200 significantly high? Does it affect the child's health? Will there be any long-term effects? If a newborn does not have a fever or other symptoms, is it advi...
Dr. He Shenglong Reply:
Hello: During prenatal check-ups, if a pregnant woman is found to be carrying Group B Streptococcus (GBS), antibiotics are administered to prevent vertical transmission of GBS to the newborn during delivery. If the newborn contracts GBS, symptoms may not appear immediately at bir...[Read More] Understanding Elevated White Blood Cell Counts in Newborns: What Parents Should Know
Vaccination Concerns for Newborns with Group B Strep Exposure
Vaccination in the Infant Room Hello, I would like to ask about my mother who tested positive for Group B Streptococcus (GBS). She received antibiotic treatment during natural delivery, but the baby was born just three hours later and is in good health. However, the pediatrician ...
Dr. Xiao Kaiwen Reply:
Maternal colonization with Group B Streptococcus (GBS) poses a significant threat to newborns. However, if the mother receives "confirmed administration," "effective," "correct dosage," and "proper timing" of antibiotics before delivery, th...[Read More] Vaccination Concerns for Newborns with Group B Strep Exposure
Impact of Antibiotic Overdose on Young Children: Key Concerns and Risks
Can accidentally consuming an excessive amount of antibiotics affect a child? Hello, doctor: My child (1 year and 9 months old) had a fever and went to the hospital for a consultation. The doctor prescribed medication, including two bottles that seem to be antibiotics (name: Amox...
Dr. Xiao Kaiwen Reply:
1. Diarrhea, rashes, and decreased body temperature may be caused by excessive antibiotic use, but they could also be manifestations of the underlying disease, making it difficult to determine the correlation between the two. 2. Most medications are metabolized by the liver and ...[Read More] Impact of Antibiotic Overdose on Young Children: Key Concerns and Risks
Understanding Eyelid Swelling in Infants: Causes and Treatment Options
Swelling and redness of the upper eyelid? Dear Doctor, Hello. My daughter is currently 11 months old. Last Saturday morning, after waking up, I noticed that her right upper eyelid was slightly red and swollen. I initially suspected it might be a mosquito bite and decided to obse...
Dr. Xiao Kaiwen Reply:
1. The dosage of antibiotics is mostly calculated based on body weight (not age). 2. Common symptoms of conjunctivitis include red eyes, excessive discharge, and a foreign body sensation that often leads to rubbing of the eyes, although this may not always be the case. 3. It is a...[Read More] Understanding Eyelid Swelling in Infants: Causes and Treatment Options
Understanding Pediatric Peritonitis: Treatment, Symptoms, and Care
Peritoneal infection issues? Hello Doctor: My child underwent surgery for acute appendicitis, but recovery has not been going well. The doctor mentioned excessive ascites, and after five days, he said it progressed to peritonitis. Currently, the doctor said we can only administer...
Dr. Xie Degui Reply:
Hello: 1. Appendicitis generally leads to localized peritonitis; if it persists for several days, broad-spectrum antibiotics may be administered. If it progresses to a generalized condition (with widespread pus accumulation), it can pose a life-threatening risk. 2. It is impo...[Read More] Understanding Pediatric Peritonitis: Treatment, Symptoms, and Care
Post-Discharge Concerns for Children: Expert Advice from Dr. Hsieh
Please consult with pediatrician Dr. Hsieh Te-Kuei regarding post-discharge questions? Hello Dr. Hsieh, I would like to ask about my child who was hospitalized for observation and treatment (antibiotics) and underwent bacterial culture from August 18, 2008, to August 20, 2008, un...
Dr. Xie Degui Reply:
1. Diarrhea following a bacterial or viral infection is usually a temporary condition. If medication is being taken, it may persist for a longer duration. Generally, it resolves on its own without medication, but if diaper rash occurs, medication should be used to alleviate the s...[Read More] Post-Discharge Concerns for Children: Expert Advice from Dr. Hsieh
Understanding Nasolacrimal Duct Obstruction in Infants: Causes and Treatments
Nasolacrimal duct obstruction Hello Dr. Pei: I would like to ask you two questions.... (1) My child is currently over eight months old. At birth, there was always an excessive amount of discharge from the right eye, and the doctor said it was due to a blocked nasolacrimal duct. H...
Dr. Pei Rensheng Reply:
Dear Xiaofen, (1) Generally speaking, nasolacrimal duct obstruction can be classified into congenital and acquired types. Acquired obstruction typically occurs in adults, often with an unknown cause, and is most common in the elderly or postmenopausal women. There is speculation...[Read More] Understanding Nasolacrimal Duct Obstruction in Infants: Causes and Treatments
Boosting Your Baby's Immunity: Tips for Parents of Infants
Enhancing immunity Hello Dr. Chang... My baby is already eight months old. What methods can enhance his immune system? Currently, I am giving him child-specific probiotics, calcium powder, and vitamins. Do I need to supplement with additional multivitamins? My baby has been exper...
Dr. Zhang Yingwen Reply:
1. To enhance immunity, it is essential to maintain a balanced diet (breast milk, natural foods), a hygienic environment (reducing exposure to pathogens), moderate exercise, and a healthy, happy mindset. Adding child-specific nutritional supplements such as calcium powder and vit...[Read More] Boosting Your Baby's Immunity: Tips for Parents of Infants
Managing Severe Allergic Rhinitis in Infants and Young Children
Severe Allergic Rhinitis in Infants and Young Children Dear Dr. Hsiao, Hello! I have two sons, one just turned one year old and the other just turned four. I have taken both children to see both Western and Traditional Chinese Medicine practitioners, and they have both been diag...
Dr. Xiao Kaiwen Reply:
Allergic constitution requires persistence and patience to combat. Children are more likely to change their constitution (unlike adults, who find it more difficult to do so), and there is a possibility for improvement or even complete resolution. Conversely, if left unaddressed, ...[Read More] Managing Severe Allergic Rhinitis in Infants and Young Children
Managing Persistent Cough in Infants: Causes and Solutions
Coughing Hello Doctor: My 5-and-a-half-month-old baby has had three colds already. The last cold hasn't completely resolved, and now there are new symptoms. This time, he has a persistent cough that sometimes sounds like he's choking, and at times he coughs so much that...
Dr. Hong Shuokun Reply:
Hello, Yang Ma: Your little one is only five and a half months old and has caught a cold three times, which is quite a lot. Are there other children at home? For children of this age, if they have a cough, it is essential to perform chest physiotherapy to help clear mucus. There ...[Read More] Managing Persistent Cough in Infants: Causes and Solutions