Understanding Ureteral Reflux in Children: Treatment and Monitoring Options
Ureteral reflux My son underwent surgery for ureteral reflux in early April 2004 (grade IV on the left side, while the right side was normal at that time). During a follow-up examination in August (special imaging), the left side was normal, but it was found that the right side h...
Dr. Shi Zhongxian Reply:
This question is more specialized; please consult a urologist.[Read More] Understanding Ureteral Reflux in Children: Treatment and Monitoring Options
Understanding Your Baby's Dark Tongue: Causes and Concerns
Baby tongue issues (urgent) My baby is almost five months old. This past week, I noticed that my baby's tongue coating is blackish-purple. I took him to the doctor, who said there is no major concern and insisted that my baby must have ingested something with pigments. Howev...
Dr. Chen Rongtai Reply:
The letter mentions that over the past week, the baby has developed a blackish-purple coating on the tongue. From a medical perspective, there is a condition known as black hairy tongue. This condition is clinically characterized by a deep discoloration on the dorsal surface of t...[Read More] Understanding Your Baby's Dark Tongue: Causes and Concerns
Kawasaki Disease vs. Scarlet Fever: Key Differences in Pediatric Care
Kawasaki disease is different from scarlet fever? In general, Kawasaki disease and scarlet fever differ in terms of age, immune system status, viral infections, complications, and other factors. I would like to ask if the clinical manifestations of these two conditions are the sa...
Dr. Gu Qingxian Reply:
To differentiate between these two diseases: 1. If antibiotics are administered for three days and the fever subsides with improvement in the patient's symptoms, it indicates scarlet fever. 2. A throat swab culture can be performed to identify streptococcus, which confirms s...[Read More] Kawasaki Disease vs. Scarlet Fever: Key Differences in Pediatric Care
When Can Infants Develop Cellulitis from Insect Bites?
Under what circumstances can infants contract cellulitis? My five-month-old baby was suddenly bitten by an unknown insect two days ago, resulting in a red, swollen area on the calf that even has some bruising. There are also small raised bumps around the area. We visited a pediat...
Dr. Chen Qianyi Reply:
Cellulitis is a bacterial skin infection characterized by localized redness, swelling, heat, and pain, and it may also be accompanied by fever. It commonly occurs in the lower limbs, arms, and face, but can appear on any part of the body. The infection typically remains confined ...[Read More] When Can Infants Develop Cellulitis from Insect Bites?
Can Pediatric Atopic Dermatitis Be Cured Beyond Hydrocortisone?
Can pediatric atopic dermatitis be cured? In addition to using hydrocortisone ointment to relieve symptoms of pediatric atopic dermatitis, are there other medications or methods available for treatment?
Dr. Chen Qianyi Reply:
Children with atopic dermatitis are prone to itching and skin irritation due to their allergic constitution, making treatment generally more challenging because of the numerous and often unclear underlying causes. The primary goal of treatment is to alleviate symptoms, prevent it...[Read More] Can Pediatric Atopic Dermatitis Be Cured Beyond Hydrocortisone?
Effective Treatments for Pediatric Urethral Mucosal Prolapse in Girls
How to treat it? Can the mucosal prolapse of a little girl's urethra be treated? She often experiences slight bleeding.
Dr. Zhang Peixin Reply:
Hello! Possible causes of abnormal urethral mucosa with bleeding include: 1. Urethral mucosal prolapse 2. Ureteral mucosal prolapse 3. Urethral caruncle 4. Urethral tumor. In young girls, urethral mucosal prolapse is the most common presentation. Please consult a urologist to con...[Read More] Effective Treatments for Pediatric Urethral Mucosal Prolapse in Girls
Understanding Group B Streptococcus in Newborns: Causes, Treatment, and Risks
Group B Streptococcus is present in the blood? Hello, doctor. My child is three weeks old and started having a fever one night. We took him to the hospital for a blood test, and the doctor reported the presence of Group B Streptococcus (GBS) in the blood, which caused the fever. ...
Dr. Liang Hongjian Reply:
Group B Streptococcus (GBS) infection is the leading cause of bacterial infections in neonates, most commonly affecting infants aged 0 to 4 months. In newborns, infections can be classified into two types: A. Early-onset, which occurs within three days of birth and presents with ...[Read More] Understanding Group B Streptococcus in Newborns: Causes, Treatment, and Risks
When Should Antibiotics Be Used for Pediatric Sinus Infections?
When to use antihypertensive medications? My daughter is ten months old and tends to catch a cold approximately every month and a half, usually accompanied by fever, cough, and runny nose, which leads to yellow nasal discharge (sinusitis). Each time, the doctor prescribes Keflor ...
Dr. Zhang Jinglong Reply:
Dear Parent, Your daughter is now ten months old and tends to catch a cold approximately every one and a half months, usually presenting with fever, cough, and runny nose, which can lead to yellow nasal discharge (sinusitis). Each time, the doctor prescribes Keflor for about sev...[Read More] When Should Antibiotics Be Used for Pediatric Sinus Infections?
Understanding Pediatric Tonsillitis: Fever, Blood in Stool, and Medication Concerns
Medical issues Hello Doctor, I have a question I would like to ask you. My son is currently 7 years old and has been experiencing tonsillitis with pus-filled white spots for the past few days, along with intermittent fever (usually every 4-6 hours; he spikes a high fever as soon...
Dr. Huang Zheming Reply:
Hello: The presence of blood clots in bowel movements may be caused by constipation or inflammation of the anal sphincter leading to anal fissures. Constipation can be triggered by factors such as a cold (tonsillitis), a diet low in fiber, and insufficient fluid intake. Additiona...[Read More] Understanding Pediatric Tonsillitis: Fever, Blood in Stool, and Medication Concerns
Do Children Need Antibiotics for Ear Infections After One Week?
Antibiotics Hello Dr. Zhao: The use of antibiotics for otitis media typically requires 2-3 weeks, but the doctor mentioned that the otitis media has resolved after just one week. Is it necessary to continue taking the antibiotics?
Dr. Zhao Yongkang Reply:
Hello, Miss: Generally, a treatment cycle lasts for two weeks, but it may be adjusted slightly depending on the clinical situation.[Read More] Do Children Need Antibiotics for Ear Infections After One Week?
Teething and Ear Infections: Managing Fever and Boosting Immunity in Toddlers
Teething Hello Dr. Zhao, 1. Regarding a 1-year-old child who is teething and has a fever reaching 39 degrees Celsius for several days, along with drooling, is this a common occurrence? 2. For a child with upper respiratory tract infections leading to otitis media who has been o...
Dr. Zhao Yongkang Reply:
1. When children are teething, they may experience some discomfort, but it should not cause a high fever. If this occurs, it is important to have them examined by a pediatrician. 2. Antibiotics for otitis media typically need to be used for 2-3 weeks. If there is no improvement...[Read More] Teething and Ear Infections: Managing Fever and Boosting Immunity in Toddlers
Teething and Ear Infections in Toddlers: Managing Symptoms and Boosting Immunity
Teething Hello Dr. Zhao: 1. Regarding a 1-year-old child who is teething and has a fever reaching 39 degrees Celsius for several days, along with drooling, is this a common occurrence? 2. For a child with upper respiratory infections leading to otitis media, who has been on a...
Dr. Zhao Yongkang Reply:
1. When children are teething, they may experience some discomfort, but it should not lead to a high fever. If this occurs, it is essential to have them examined by a pediatrician. 2. Antibiotics for otitis media typically need to be used for 2-3 weeks. If there is no improveme...[Read More] Teething and Ear Infections in Toddlers: Managing Symptoms and Boosting Immunity
Understanding Influenza Vaccine Timing and Pediatric Health Concerns
Influenza vaccine Hello Dr. Zhao: Is the influenza vaccine administered only in October? In the January 30th edition of the China Times, page 39, it mentioned that the influenza vaccine can also be administered now. Does this mean it is effective against this year's virus or...
Dr. Zhao Yongkang Reply:
Dear Miss, I apologize for the delay in responding due to having the influenza. Thank you for your understanding. 1. After receiving the vaccine last October, you should get the next dose in October of this year, one year later. 2. Children have shorter and more horizontally...[Read More] Understanding Influenza Vaccine Timing and Pediatric Health Concerns
Understanding A3 Influenza in Children: Symptoms and Treatment Options
Type A3 Influenza My daughter is one year and eight months old. Previously, she had a cough due to phlegm in her throat, and after seeing the doctor two or three times without improvement, she started to have a runny nose and fever. After consulting a doctor, it was diagnosed as ...
Dr. Zhao Yongkang Reply:
Influenza is a viral infection that can be classified into three types: A, B, and C, with types A and B being more prevalent. The incubation period is approximately 2-3 days. The main symptoms include fever lasting about 2-4 days, along with cough, runny nose, and pharyngitis. In...[Read More] Understanding A3 Influenza in Children: Symptoms and Treatment Options