Addressing Constipation Issues in 6-Month-Old Infants
Bowel issues in infants aged 6 months? Hello, my daughter just turned 6 months old. She was exclusively breastfed until mid-June, and we gradually switched to formula milk. After drinking formula for nearly 10 days, she has recently been experiencing bowel issues. For the past 3 ...
Dr. Pei Rensheng Reply:
Dear Aifei, Based on my experience, the formula milk powders from Wei Chuan in Taiwan, as well as Snow Brand, Meiji, and Morinaga from Japan, are less likely to cause constipation. You might consider switching to these formulas. Additionally, adding probiotics can also help alle...[Read More] Addressing Constipation Issues in 6-Month-Old Infants
Timing and Safety of Pneumococcal and Japanese Encephalitis Vaccines for Kids
How long should one wait to administer the pneumococcal vaccine (Prevnar) after receiving the Japanese encephalitis vaccine? Hello Dr. Hsiao, 1. How long should I wait between administering the pneumococcal vaccine (Prevnar) and the Japanese encephalitis vaccine? My child (2 yea...
Dr. Xiao Kaiwen Reply:
1. Recently, according to the latest regulations from the Advisory Committee on Immunization Practices of the Ministry of Health in Taiwan, the Japanese encephalitis vaccine must be administered at least one month apart from the DTaP-Hib-IPV-HepB (pentavalent) vaccine. However, i...[Read More] Timing and Safety of Pneumococcal and Japanese Encephalitis Vaccines for Kids
Understanding Hard Bumps Near a Child's Anus: When to Seek Medical Advice
There is a small hard lump outside the child's anus? Hello Dr. Hsiao, my infant is about 3 weeks old and has been experiencing diaper rash. We apply a layer of cream during diaper changes to prevent direct contact between stool and skin. However, during a diaper change two d...
Dr. Xiao Kaiwen Reply:
There is a noticeable hard sensation in the deeper layers of the skin, which may simply be a protrusion of bone, but could also indicate other issues (such as infection, subcutaneous masses, etc.). If necessary, a skin ultrasound can be performed for differentiation. The conditio...[Read More] Understanding Hard Bumps Near a Child's Anus: When to Seek Medical Advice
Understanding Baby's Bowel Issues: When to Worry About Hard Stools
Bowel issues Hello, doctor. My baby is six and a half months old. Recently, we switched formula from Nestlé hydrolyzed protein to Pigeon regular formula. He has consumed three cans so far. For the past few days, I have been feeding him 30cc of rice cereal or occasionally apple pu...
Dr. Xiao Kaiwen Reply:
1. Even if only the front part of the stool is hard and large, it can still be considered constipation if it causes discomfort. 2. Infants can be given a small amount of water (about 15-20 c.c) between feedings. For babies over four months old, a slightly more concentrated (highe...[Read More] Understanding Baby's Bowel Issues: When to Worry About Hard Stools
Vaccination Schedule for Infants: Timing and Recommendations
Vaccination Hello, doctor. My baby is currently five months old. I want to space out the vaccinations, so I plan to administer the DTaP (diphtheria, tetanus, and pertussis) and Hib (Haemophilus influenzae type b) vaccines at two and four months, and the PCV13 (pneumococcal conjug...
Dr. Xiao Kaiwen Reply:
The oral rotavirus vaccine is not recommended for use due to insufficient safety data for infants older than eight months. It is still acceptable to use at seven months of age, but it is advised to complete the vaccination by six months of age, as infants are more likely to be ex...[Read More] Vaccination Schedule for Infants: Timing and Recommendations
Understanding Snoring in Toddlers: Causes and When to Seek Help
The child has been snoring during sleep recently? Hello Dr. Hsiao: My daughter is currently one year and eight months old. On May 9th, my parents took her to the health center for her fourth dose of the diphtheria, pertussis, and tetanus (DPT) combination vaccine, as well as the ...
Dr. Xiao Kaiwen Reply:
Fever from vaccines typically lasts less than two days, and since your child has had a fever for six days, it is advisable to go to the hospital for a thorough examination (blood tests, urine tests, chest X-ray, etc.) to determine the cause of the infection. Whether the snoring i...[Read More] Understanding Snoring in Toddlers: Causes and When to Seek Help
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 Hard Stools in Infants: Causes and Solutions
Hard stools? Hello, doctor. My baby is currently 4 and a half months old. Recently, I’m not sure if it’s because I started adding rice cereal, but his stools have become very hard. I have stopped the rice cereal and only added it to his formula, but his stools are still hard. Pre...
Dr. Xiao Kaiwen Reply:
A four-and-a-half-month-old baby with constipation can be given a small amount of water (not too much) between feedings, as well as diluted fruit juice with a higher concentration (higher osmotic pressure). Once the baby has started eating solid foods, it is recommended to provid...[Read More] Understanding Hard Stools in Infants: Causes and Solutions
Understanding Hib Vaccine Options for Your Baby's Immunization
What can you tell me about the prevention vaccine for Haemophilus influenzae type b (Hib)? When the baby was over three months old, they received the first dose of the Diphtheria, Pertussis, and Tetanus (DPT) combination vaccine. At over six months, they received the second dose ...
Dr. Xiao Kaiwen Reply:
To develop immunity (antibodies) against Haemophilus influenzae type b (Hib), children over one year of age must receive one dose of the Hib vaccine, regardless of whether they received the primary series before one year of age. The Hib vaccine can be administered in combination ...[Read More] Understanding Hib Vaccine Options for Your Baby's Immunization
Understanding Baby's Bowel Movements: What Parents Need to Know
Bowel issues (continued) Hello, doctor... I previously asked about my baby's bowel movement issues. If overfeeding does not affect my baby's bowel movements, will the absence of nighttime feedings have an impact? Excluding the formula issue (since my baby just had about...
Dr. Xiao Kaiwen Reply:
Not drinking night milk will not affect the baby's bowel movements. It is acceptable for a baby to have a bowel movement every 2 to 3 days, as long as the stool is not hard. Green stool simply indicates that the baby is excreting excess iron that is not needed, and does not ...[Read More] Understanding Baby's Bowel Movements: What Parents Need to Know
How to Prevent Newborn Cold Transmission from Mother?
Common Cold in Newborns? Dear Doctor: I am about to give birth, but I have a slight cold. I am very worried about transmitting the cold to my baby after birth. How can I prevent my baby from getting infected with a cold? Is it serious if the baby catches a cold? A concerned mothe...
Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! The vast majority of colds do not have significant effects on the health of mothers and their fetuses. Common cold viruses may slightly increase the risk of miscarriage, but they do not raise the rate of fetal abnormalities, especially in early pregnancy. Re...[Read More] How to Prevent Newborn Cold Transmission from Mother?
Understanding the Five-in-One Vaccine Schedule for Infants in Taiwan
The types of pentavalent vaccines administered at six months of age include the DTaP (Diphtheria, Tetanus, and Pertussis), IPV (Inactivated Poliovirus Vaccine), and Hib (Haemophilus influenzae type b) vaccines? Ting-Yu is now over two years old. She received the pentavalent vacci...
Dr. Xiao Kaiwen Reply:
Dear Ting-Yu's Mom: I apologize for responding to your letter so late. The pentavalent vaccine includes diphtheria, pertussis, tetanus, Haemophilus influenzae type b (Hib), and inactivated poliovirus vaccine. The hexavalent vaccine includes all of the above plus the hepatiti...[Read More] Understanding the Five-in-One Vaccine Schedule for Infants in Taiwan
Tips for Relieving Constipation in Toddlers: A Concerned Dad's Guide
My daughter has difficulty with bowel movements and experiences pain? My daughter is 1 year and 5 months old. Recently, she has been experiencing constipation. She has better bowel movements at her grandmother's house, but when she returns home on weekends, she often has dif...
Dr. Pei Rensheng Reply:
Hello: To address constipation issues, you can start by gently massaging the child's abdomen in a clockwise direction (around the navel). For infants and young children, you may use a rectal thermometer or a finger to stimulate the anus. Ensure they receive adequate hydratio...[Read More] Tips for Relieving Constipation in Toddlers: A Concerned Dad's Guide
Managing Infant Constipation: Tips and When to Seek Medical Help
Infant persistent constipation? Hello, my baby is only six weeks old. Initially, I was giving him "Pigeon formula," but I noticed that he hasn't had a bowel movement for the past week. I then tried massaging his anus to stimulate him to have a bowel movement, which...
Dr. Zhang Yingwen Reply:
The baby is six weeks old and has constipation issues. It is recommended to increase fluid intake or provide glucose water to help with bowel movements; alternatively, consider changing the formula and performing abdominal massages to improve bowel function. It is advisable to co...[Read More] Managing Infant Constipation: Tips and When to Seek Medical Help
Understanding Live Vaccines: Why Simultaneous or One-Month Intervals Are Necessary
Vaccine Why do live vaccines need to be administered simultaneously or spaced one month apart?
Dr. He Ciyuan Reply:
Some live vaccines can be administered simultaneously with the same efficacy, while the DPT (diphtheria, pertussis, and tetanus) vaccine and the Japanese encephalitis vaccine should not be given together due to concerns that the risk of side effects may increase.[Read More] Understanding Live Vaccines: Why Simultaneous or One-Month Intervals Are Necessary
Is My Active Toddler Sleeping Enough and Pooping Regularly?
Question My son will turn one in half a month. He sleeps less than 13 hours a day, averaging only 12 hours or less. He is very active and doesn't stop moving unless something captures his attention, but even then, he only stays still for a minute or two. Is this a sign of hy...
Dr. Pei Rensheng Reply:
Hello: 1. a) First, let's understand what is meant by "hyperactive children." In academic terms, "hyperactive children" is formally referred to as "Attention Deficit/Hyperactivity Disorder" (ADHD). The main issues manifest in three areas: diff...[Read More] Is My Active Toddler Sleeping Enough and Pooping Regularly?
Optimal Interval Between Hepatitis B Vaccine Doses in Infants
Interval between the two doses of Hepatitis B vaccine? Hello Dr. Pei, Is there a recommended interval between the first and second doses of the hepatitis B vaccine? I have seen that most sources suggest a one-month interval, but the hospital scheduled the second dose approximat...
Dr. Pei Rensheng Reply:
Hello: The standard administration time for the second dose of the hepatitis B vaccine is one month later. Delaying the administration does not affect the vaccine's efficacy, and there is no need to restart the vaccination series. The same situation applies to the new combin...[Read More] Optimal Interval Between Hepatitis B Vaccine Doses in Infants
Do Adults Need Tetanus and Diphtheria Vaccines for Study Abroad?
Can adults receive vaccinations? Hello, I am going abroad for studies. However, the school in the United States requires me to receive the tetanus and diphtheria vaccines. I was vaccinated as a child. Do I need to get vaccinated again now that I am an adult? Does health insurance...
Dr. Zhang Yingwen Reply:
The tetanus and diphtheria vaccine is not lifelong effective. If an adult receives a booster vaccine, it can generate antibodies during an outbreak, achieving effective prevention. It is recommended to visit a medical center (for example, National Taiwan University Hospital) to r...[Read More] Do Adults Need Tetanus and Diphtheria Vaccines for Study Abroad?
When Should Your Child Receive the Third Dose of Hib Vaccine?
When should the Haemophilus influenzae type b (Hib) vaccine be administered, and which dose is recommended? Hello, Dr. Pei! My child is currently 11 months old. He received the "DTaP-Hib-IPV" vaccine at 2 months, the "DTaP-Hib-IPV" vaccine again at 4 months, a...
Dr. Pei Rensheng Reply:
Currently, there are three pharmaceutical companies in the country that distribute different vaccines: 1. Aventis (Maris Industrial) provides information on the ACT-HiB vaccine, which states: "For infants under six months, three doses of the vaccine should be administered ...[Read More] When Should Your Child Receive the Third Dose of Hib Vaccine?
Understanding Pneumococcal Vaccines and Hand Preference in Toddlers
Pneumococcal vaccine Hello, doctor. I would like to ask a few questions: 1. My child is currently 2.5 years old and sometimes alternates between using the left and right hand while eating or picking up objects. I read that children should develop a dominant hand by the age of 2...
Dr. Pei Rensheng Reply:
ANSWER: 1. According to the pediatric reference book (Nelson), children typically develop a dominant hand (either left or right) around the age of 3. If a child shows a dominant hand before 18 months, there may be concerns about potential issues on the opposite side (such as musc...[Read More] Understanding Pneumococcal Vaccines and Hand Preference in Toddlers