Antibiotics, Pediatrics FAQ - Page 5

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How to Manage Swelling and Hardness After Vaccination in Children?

If the vaccination site is swollen and hard, how should it be managed? If the vaccination site is swollen and hard, how should it be managed?


Dr. Pei Rensheng Reply:
Dear Xiao Bao's Mom, Hello. The injection site may exhibit swelling and hardness as side effects, which occasionally occurs with vaccines such as the Hepatitis B vaccine, the DTaP (diphtheria, tetanus, and pertussis) combination vaccine, the Japanese encephalitis vaccine, t...

[Read More] How to Manage Swelling and Hardness After Vaccination in Children?


Understanding Thrush in Infants: Causes, Symptoms, and Treatment Tips

Oral thrush (3) Dear Dr. Pei, I would like to ask you a few questions. (1) My child has not yet recovered from oral thrush and has returned for a second consultation (at a different hospital). The second pediatrician believes that the reason for the persistent condition may be t...


Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! (1) Oral thrush is a type of candidiasis infection. Infants and young children with normal or compromised health, those who have used antibiotics or corticosteroids, and individuals with congenital or acquired immunodeficiency are all at risk for developin...

[Read More] Understanding Thrush in Infants: Causes, Symptoms, and Treatment Tips


Understanding Oral Thrush in Infants: Treatment and Care Tips

Oral thrush Dear Dr. Pei, I would like to ask you a few questions: (1) My child is currently over one month old and has developed oral thrush. The doctor at the hospital prescribed a five-day supply of medication (Mycostatin, to be taken three times a day, ground into powder)....


Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! (1) Oral thrush is a type of Candida infection. In healthy individuals, Candida can be present in the oral cavity and intestines. Infants with normal health or those with compromised health, such as those using antibiotics or corticosteroids, as well as th...

[Read More] Understanding Oral Thrush in Infants: Treatment and Care Tips


Persistent Cough and Cold in Preschoolers: What Parents Should Know

Coughing Doctor: Hello, our child is 4 years old. Since starting preschool in August, he has been coughing and has a runny nose. The cough is productive, and the nasal discharge is yellow. At night, he often wakes up with a high fever, sometimes reaching 38 degrees Celsius, and o...


Dr. Xiao Kaiwen Reply:
In general, when a young child has a persistent cough, the most common causes are allergic bronchitis, followed by sinusitis. Other less common causes include foreign body aspiration and tuberculosis. Given your child's situation, allergic bronchitis and sinusitis should be ...

[Read More] Persistent Cough and Cold in Preschoolers: What Parents Should Know


Managing Pus-Forming Chickenpox in Infants: A Guide for Parents

Varicella suppuration If an 11-month-old child has chickenpox with pustules around the corners of the mouth, it is important to take the following steps: 1. **Keep the area clean**: Gently clean the affected area with mild soap and water to prevent secondary bacterial infection....


Dr. He Shenglong Reply:
What you are referring to is likely a blister at the corner of the mouth, which subsequently becomes infected and pus-filled, correct? The appearance of a blister at the corner of the mouth, along with mild cold symptoms, suggests an infection by the herpes simplex virus, which i...

[Read More] Managing Pus-Forming Chickenpox in Infants: A Guide for Parents


Should Kids Finish Antibiotics After Recovery? Debunking Common Illness Myths

Will this cause illness? Recently, my child was hospitalized for several days due to a severe sore throat caused by tonsillitis and a high fever. They just got discharged, and the hospital prescribed antibiotics. Should we finish the entire course of antibiotics, or can we stop o...


Dr. Xiao Kaiwen Reply:
Dear Good Mommy: 1. Bacterial infections require antibiotic treatment, and the duration of treatment varies depending on the site and type of bacterial infection. For example, acute suppurative tonsillitis typically requires about ten days of antibiotic therapy. Insufficient tr...

[Read More] Should Kids Finish Antibiotics After Recovery? Debunking Common Illness Myths


Understanding Bacterial and Viral Infections in Young Children

Bacteria and viruses? Hello, doctor. I have a two-year and two-month-old son. He started showing some cold symptoms on May 7th, such as a mild fever (not exceeding 39 degrees Celsius), cough, and runny nose. By May 11th, he was almost recovered. However, two days later, on May 14...


Dr. Xiao Kaiwen Reply:
Dear YOYO Mom, In response to your questions, here are the details: 1. There are many reasons that can cause a child to have a fever (such as infections, autoimmune diseases, drug fever, summer fever, vaccinations, tumors, etc.). In pediatrics, over 90% of cases are due to infe...

[Read More] Understanding Bacterial and Viral Infections in Young Children


Understanding Frequent Falls in Children: When to Seek Medical Advice

Children frequently fall? Hello Doctor: My child is almost four years old, and I have noticed that his right leg is significantly weaker. In mid-April, he had acute pneumonia and was hospitalized for eight days. During those eight days, he mentioned that his leg felt weak, but wh...


Dr. Wang Jiayi Reply:
Hello, Xiao Pei: I apologize for the delayed response due to personal leave, and I sincerely regret taking up your valuable time! Some viral infections can affect the nervous system and may cause muscle soreness and discomfort, but recovery typically occurs after some time. Your ...

[Read More] Understanding Frequent Falls in Children: When to Seek Medical Advice


Understanding and Managing Recurrent Sinusitis in Young Children

Treatment of sinusitis? Hello, Doctor He! My daughter is currently 1 year and 6 months old. Last month, she had persistent nasal congestion that wouldn't improve, and after seeing several doctors, she was finally diagnosed with acute sinusitis. After about 7 days of treatmen...


Dr. He Ciyuan Reply:
If sinusitis has not improved, antibiotics may be used for a longer duration. Generally, there will be improvement or an X-ray may be performed to confirm the diagnosis. Some children may have allergic tendencies and may need to be tested for allergens, such as dust. It is import...

[Read More] Understanding and Managing Recurrent Sinusitis in Young Children


Understanding Adenovirus: Symptoms, Risks, and Care for Your Child

Adenovirus Yesterday morning, my younger brother noticed that he had a slightly elevated body temperature (37.3°C) when he woke up, thinking it was due to wearing too many clothes. Throughout the day, his activity level did not decrease, so we didn't pay much attention to it...


Dr. Lin Huizhen Reply:
Dear Twin Mothers, This is Dr. Lin Huizhen, Director of Pediatrics at Tainan Hospital, Department of Health. If the bladder inflammation is indeed caused by adenovirus, the treatment differs from that of bacterial cystitis. Antibiotics are not required; instead, it is encourag...

[Read More] Understanding Adenovirus: Symptoms, Risks, and Care for Your Child


Should an 18-Month-Old with UTI History Get Pneumococcal Vaccine?

A child who is currently 18 months old and has a history of urinary reflux should receive the pneumococcal vaccine? Hello, Doctor! My daughter is currently 18 months old and has been hospitalized due to infections a total of four times since birth (aside from jaundice, the other ...


Dr. Zhang Guozhen Reply:
The response from Dr. Chang Kuo-Chen of the Pediatric Department at Zhudong Hospital, Department of Health, is as follows: There is no correlation between the history of urinary reflux and the administration of the pneumococcal vaccine. Currently, there are two types of pneumococ...

[Read More] Should an 18-Month-Old with UTI History Get Pneumococcal Vaccine?


Understanding Pediatric Symptoms: Tonsillitis, Diarrhea, and Ear Infections

Tonsillitis + diarrhea + otitis media Hello, my daughter is over two years old and had a fever seven days ago. She was hardly eating and cried all day. We took her to the clinic where the doctor diagnosed her with tonsillitis. After taking the medication, her fever subsided, but ...


Dr. Zhang Guozhen Reply:
The following is a response from Dr. Chang Kuo-Chen of the Pediatric Department at the Hsinchu County Hospital: The 2-year-old child mentioned in the text, who was hospitalized due to fever and diarrhea and also has otitis media, is experiencing common acute illnesses seen in you...

[Read More] Understanding Pediatric Symptoms: Tonsillitis, Diarrhea, and Ear Infections


Managing Allergies and Flu Vaccination for Premature Infants

Allergic constitution and influenza vaccine? Dear Dr. Chang, My baby is a preterm infant born at 35 weeks and 3 days! Currently, his corrected age is one year old. Since the end of May this year, he has had a cold that lasted until mid-August, during which he was treated with an...


Dr. Zhang Wenwang Reply:
1) The growth curve records an individual's growth process, specifically the continuous tracking of height and weight. If your baby consistently follows the same curve, it indicates that they belong to that particular percentile, and while they may be in the 3rd percentile a...

[Read More] Managing Allergies and Flu Vaccination for Premature Infants


Understanding Vaginal Discharge and Digestive Issues in Infants

Infant vaginal discharge Hello Doctor: I would like to ask you a few questions. 1. Recently, my baby has had some ear infections and inflammation. She has been taking ULEX four times a day, 3cc each time. By the next day, I noticed some blood streaks in her stool. A doctor mentio...


Dr. Cai Zhengxian Reply:
Dear Ms. Shan, I am Dr. Lin Huizhen, the Director of the Pediatrics Department at Tainan Hospital, Ministry of Health and Welfare. Due to personnel changes, I am responding on behalf of the department. Thank you for your understanding. I am not sure how old your child is, but i...

[Read More] Understanding Vaginal Discharge and Digestive Issues in Infants


Understanding Cellulitis in Infants: Risks, Treatment, and Recovery

Urgent inquiry: cellulitis in infants and young children..? My nephew is over one year old. Yesterday, he developed cellulitis due to a small wound and was admitted to the hospital after visiting the emergency room. The doctor is currently treating him with antibiotics. Blood tes...


Dr. Zhang Guozhen Reply:
Children over one year old belong to a group with compromised immune function, so any infection should be monitored closely, especially facial cellulitis. This is due to the rich vascular supply in the face and its proximity to the central nervous system, making it a condition th...

[Read More] Understanding Cellulitis in Infants: Risks, Treatment, and Recovery


Understanding the Link Between Tonsillitis and Hand, Foot, and Mouth Disease

Tonsillitis progressing to enterovirus infection? Hello Dr. Lin: Thank you for your previous answers and suggestions! My 1-year-old baby had tonsillitis on May 30, and after seeing a doctor on June 1, it was confirmed to be a viral infection due to persistent high fever for four ...


Dr. Lin Huizhen Reply:
Dear Mother De De, This is Dr. Lin Hui-Chen from the Pediatric Department of Tainan Hospital, Ministry of Health and Welfare. There is no specific medication for enterovirus infections. Treatment focuses on two aspects: the general course of the illness, which typically lasts ...

[Read More] Understanding the Link Between Tonsillitis and Hand, Foot, and Mouth Disease


Is It Safe for My 3-Month-Old to Take Polaramine?

Can I take this medication? I have a three-month-old child who has a cold and saw an ENT doctor. The doctor prescribed Polaramine 0.9 mg, Bilastine 0.9 mg to be taken four times a day, and Lysozyme 100 mg. I checked and found that Polaramine is not recommended for children under ...


Dr. Liang Hongjian Reply:
Thank you, Ms. Lin, for your letter. In your message, you inquired about Polaramine 0.9, which is formally known as Dexchlorpheniramine maleate. We commonly refer to it as dexchlorpheniramine. CTM is an older medication that acts as an antihistamine, while dexchlorpheniramine is ...

[Read More] Is It Safe for My 3-Month-Old to Take Polaramine?


Understanding Mold Fungi in Pediatrics: Prevention and Treatment Guide

What is mold? What is Aspergillus and how to prevent and treat it?


Dr. Lin Huizhen Reply:
Dear Betty, My name is Dr. Lin Huizhen from the Pediatrics Department of Tainan Hospital, Ministry of Health and Welfare. Mycoplasma is a type of bacteria that is a common pathogen for respiratory infections in humans. Infections are generally milder in children under the age ...

[Read More] Understanding Mold Fungi in Pediatrics: Prevention and Treatment Guide


Understanding Fever in Children: Causes and Treatment Options

High fever My son is 5 years old. This afternoon, he got lost in a mall and was very scared. When we got home, he suddenly developed a fever (39.4°C) with no other symptoms. After seeing a doctor, they found no issues and only suspected influenza. I would like to ask: 1. Can a ch...


Dr. Lin Wenxian Reply:
Dear Christine, I personally believe that there is no direct relationship between being startled and having a fever; it is possible that the infection was acquired in a public place or through other means. If it is confirmed to be influenza, it is caused by the influenza virus. ...

[Read More] Understanding Fever in Children: Causes and Treatment Options


Understanding Persistent Oral Thrush in Infants: Causes and Treatment Options

Side effects My baby is already 3 months old. A few weeks ago, he developed oral thrush, and it has been almost a month now. I took him to see a doctor and received Mycostatin to apply, but there hasn't been much improvement. Therefore, I took him to see the doctor for a sec...


Dr. Lin Huizhen Reply:
Dear Yuyou's mother, Dr. Lin Huizhen from the Pediatric Department of Tainan Hospital, Ministry of Health and Welfare, would like to address your concerns: Oral thrush can occur in children under one year old or in patients who have been on long-term antibiotics, steroids, ...

[Read More] Understanding Persistent Oral Thrush in Infants: Causes and Treatment Options


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