Brain, Pediatrics FAQ - Page 3

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Concerns After Baby Falls from Bed: Signs of Injury and Next Steps

The baby fell off the bed, which is approximately 60-70 cm high? Hello, doctor. My one-year-old child fell off the bed this morning at 8 AM while I was preparing his milk. I turned my back for a moment, and he fell. The floor only has a 2 cm thick mat. I didn’t see how he fell, b...


Dr. Xiao Kaiwen Reply:
The indicators for seeking medical attention after a head injury in infants include: 1. Is there a significant wound with bleeding that requires hospital treatment? 2. Did the baby lose consciousness temporarily at the moment of impact? 3. After the head injury, is there persiste...

[Read More] Concerns After Baby Falls from Bed: Signs of Injury and Next Steps


Understanding Hydrocephalus: Is 0.5 cm Normal in Infants?

Hydrocephalus with a measurement of 0.5 centimeters? Hello, Dr. Hsiao! My daughter accidentally fell from a 40 cm high bed when she was 1 month and 21 days old (on October 1, 2023). At that time, her consciousness, spirit, and limb activity were all normal. The emergency doctor p...


Dr. Xiao Kaiwen Reply:
Currently, a measurement of 0.5 centimeters is quite small and should not have any significant impact. Will it affect cognitive development? The important factor is the follow-up brain ultrasound to monitor whether the measurement increases over time. If there is an increase, we ...

[Read More] Understanding Hydrocephalus: Is 0.5 cm Normal in Infants?


Understanding Sleep Disturbances in Infants: Causes and Solutions

Sleep issues Hello, doctor. My baby is eight months old, and recently for the past week, he has been suddenly crying loudly with his eyes closed during the night (with tears, several times a night). Sometimes giving him a pacifier calms him down, and he goes back to sleep, but ot...


Dr. Pei Rensheng Reply:
Hello: It could be night terrors or nightmares! Has your child ever suddenly cried out loudly while sleeping, sometimes screaming and kicking, appearing very frightened? When you rush over to comfort them, they might be crying out for mom or dad but completely ignore you. The mor...

[Read More] Understanding Sleep Disturbances in Infants: Causes and Solutions


Understanding Infant Feeding Patterns: Daytime vs. Nighttime Milk Intake

Milk consumption issues? Hello Dr. Hsiao: My baby is currently 4 months and 23 days old and is drinking Nestlé hydrolyzed formula. At night, he drinks every three to four hours and finishes 120cc of milk each time. However, during the day, he only drinks 90cc every four hours, an...


Dr. Xiao Kaiwen Reply:
It is possible that the external stimuli during the day are new and stimulating for infants whose brain neurons are rapidly developing, leading to increased curiosity about their surroundings and a decreased desire to feed. If the infant's activity level is normal and their ...

[Read More] Understanding Infant Feeding Patterns: Daytime vs. Nighttime Milk Intake


Understanding Enlarged Lateral Ventricles in Preterm Infants: Key Concerns

Enlarged lateral ventricles? I would like to consult a physician regarding my child, who was born prematurely at 28 weeks with a birth weight of only 840 grams. Approximately two weeks after birth, he experienced grade 3 intraventricular hemorrhage, but later stabilized and gradu...


Dr. Xiao Kaiwen Reply:
Piracetam is a relatively mild medication, and long-term use does not show significant side effects. Please follow your physician's advice and do not discontinue the medication without consultation. Currently, the development and his corrective age do not show significant de...

[Read More] Understanding Enlarged Lateral Ventricles in Preterm Infants: Key Concerns


Which Specialist to Consult for My Baby's Head Injury?

Which specialty should I see? My daughter is over nine months old. Yesterday morning, she fell from the bed onto the floor (which has a soft mat), landing on her head and then rolling forward. I would like to know which specialist I should see to check her brain. I suspect her ne...


Dr. Lin Yishou Reply:
Hello, parents. Generally, any pediatrician can help. If you are very concerned, you may consider seeing a pediatric neurologist. Thank you for your message.

[Read More] Which Specialist to Consult for My Baby's Head Injury?


Is Your 9-Month-Old Not Crawling? Understanding Developmental Milestones

Not crawling at nine months? Hello Dr. Hsiao, I would like to ask about my daughter who is now nine months old but is not crawling yet. I have tried to assist her in crawling, but she only moves her arms and does not use her legs at all. When she is lying on the bed, she moves ...


Dr. Xiao Kaiwen Reply:
In our pediatric practice, we screen for developmental delays that are more pronounced, such as a 9-month-old who cannot sit up or use their fingers to grasp objects. In such cases, a referral to a pediatric neurologist for evaluation is necessary. If a 9-month-old is not crawlin...

[Read More] Is Your 9-Month-Old Not Crawling? Understanding Developmental Milestones


Morning Nausea in Children: Causes and Solutions for Your 6-Year-Old

Feeling nauseous upon waking up in the morning? Hello, I would like to ask you: My son is 6 years old and recently had gastroenteritis, experiencing vomiting and diarrhea. He has recovered, but he still feels nauseous in the mornings upon waking, which has been happening for over...


Dr. Zhang Yingwen Reply:
The common causes of nausea and vomiting in children include the following: 1. Gastroenteritis, often caused by consuming spoiled or contaminated food, leading to viral or bacterial infections that irritate the stomach. 2. Allergic reactions of the gastric mucosa, such as gastrit...

[Read More] Morning Nausea in Children: Causes and Solutions for Your 6-Year-Old


Can Hairbands Affect My Baby's Brain Development?

Is it okay to wear a headband? Doctor, my child is currently eight months old and I forgot that his anterior fontanelle has not yet closed. He is wearing a headband with spikes, and he has very little hair. There is no bleeding or injury. Will this affect his brain or intelligenc...


Dr. Xiao Kaiwen Reply:
The pressure from the headband is not significant, and it is not worn all day, so it is unlikely to have any impact.

[Read More] Can Hairbands Affect My Baby's Brain Development?


Bedwetting and Tourette Syndrome: Understanding Pediatric Challenges

Bedwetting and Tourette Syndrome Issues Hello, my son is 8 years old and is about to graduate from second grade to third grade. He still wets the bed at night, so I wake him up to use the bathroom around 3 AM every day. Sometimes when I wake him up, he has already wet the bed (2-...


Dr. Xiao Kaiwen Reply:
If behavioral therapy is ineffective, it is recommended to consult a pediatric nephrologist for examination to rule out any pathological causes, such as urinary tract infections, diabetes, proteinuria, or diabetes insipidus. Additionally, if it is determined to be primary enuresi...

[Read More] Bedwetting and Tourette Syndrome: Understanding Pediatric Challenges


Understanding Cerebral Cysts in Infants: What Parents Should Know

Cerebral cyst Hello, doctor. I would like to ask about my baby. Before discharge, we paid out of pocket for a brain ultrasound, which revealed a 0.3 cm cyst on each side of the brain. Today, at one and a half months old, we returned for a follow-up and found that the cysts have i...


Dr. Pei Rensheng Reply:
In recent years, with the advancement of ultrasound technology, the likelihood of detecting brain cysts or fluid-filled cavities in newborns has increased, often causing significant anxiety among parents. The presence of these cysts or fluid collections in an infant's brain ...

[Read More] Understanding Cerebral Cysts in Infants: What Parents Should Know


Concerns About Neck Strangulation in Children: Risks and Next Steps

The neck was constricted? Hello, doctor. Does that mean that a neck injury could potentially lead to issues like epilepsy and developmental delays in the future? I'm really worried... Everything seems normal at the moment. Should we get some tests done, or is it okay to not ...


Dr. Xiao Kaiwen Reply:
I have already mentioned that if there are no immediate issues with the brain, the likelihood of developing brain problems in the future is relatively low, so there is no need to worry excessively. However, it is not possible to guarantee anything with 100% certainty in medicine....

[Read More] Concerns About Neck Strangulation in Children: Risks and Next Steps


Concerns About Neck Strangulation in Infants: What Parents Should Know

Neck strangulation? Hello, doctor. I have a question. While I was sleeping with my son, my hair got tangled with his pacifier chain and it tightened around his neck. I had been drinking and was in a deep sleep, so I didn't hear him crying. Eventually, he cried very loudly, a...


Dr. Xiao Kaiwen Reply:
Typically, if there are no immediate issues with the brain, the likelihood of developing brain problems later on is relatively low, so there is no need for excessive concern. The main focus should be on monitoring any impact on brain development, paying attention to potential del...

[Read More] Concerns About Neck Strangulation in Infants: What Parents Should Know


Understanding Neonatal Brain Hypoxia and Its Impact on Development

Neonatal brain hypoxia Hello doctor, my baby was diagnosed with epilepsy (with twitching in the right hand and foot) on the second day after birth. Further examinations revealed brain injury, and the doctor speculated that it was due to oxygen deprivation during the delivery proc...


Dr. Xiao Kaiwen Reply:
Cerebral palsy has a strict definition, so developmental delay does not necessarily equate to cerebral palsy. The neurological development of infants is very nuanced, and it is not possible to predict the severity of future symptoms based solely on clinical neurological signs obs...

[Read More] Understanding Neonatal Brain Hypoxia and Its Impact on Development


Common Pediatric Concerns: Newborn Care Questions Answered

Care-related questions? Hello, doctor. May I ask: 1. What problems can shaking a newborn cause? 2. Is the intermittent wheezing sound in a newborn (the father has asthma) caused by a cold? 3. How can we improve long-term vomiting in a newborn (sometimes in large amounts)? 4. Ther...


Dr. Xiao Kaiwen Reply:
1. Shaken Baby Syndrome may occur if an infant's head experiences significant forces of acceleration and deceleration, which can lead to brain injury without any visible external trauma. 2. The likelihood of newborns catching a cold or developing asthma is low; most cases ...

[Read More] Common Pediatric Concerns: Newborn Care Questions Answered


Should My Child Get a CT Scan for Post-Fall Head Swelling?

Cerebral edema due to a fall? Doctor: I have an urgent question. My child fell at school today and hit their head. There is swelling at the back of the head. Should we get a CT scan?


Dr. Xiao Kaiwen Reply:
In cases of head trauma with hematoma, immediate ice application for one day is necessary. A CT scan of the brain should be performed to check for neurological symptoms such as severe headache, persistent vomiting, weakness or paralysis in the limbs, seizures, and altered conscio...

[Read More] Should My Child Get a CT Scan for Post-Fall Head Swelling?


Is CT Scan Safe for Young Children After a Fall?

Is a CT scan safe? My friend has a 2-year-old child who recently fell off the bed and had purple lips and limp limbs. The hospital physician recommended a CT scan, but they are concerned about the risks of anesthesia. Dr. Hsiao, is a CT scan really necessary?


Dr. Xiao Kaiwen Reply:
Purple lips and flaccid limbs may likely indicate a seizure episode. A CT scan of the brain is a necessary examination to assess for any structural abnormalities or bleeding in the brain. Technically, this procedure does not involve general anesthesia but rather a short period of...

[Read More] Is CT Scan Safe for Young Children After a Fall?


Is Late Closure of Fontanelle in Toddlers a Cause for Concern?

The fontanelle has not yet closed at one year and eight months? A boy who is one year and eight months old still has a palpable anterior fontanelle. The literature states that the anterior fontanelle typically closes between one year and one and a half years of age. Is it concern...


Dr. Xiao Kaiwen Reply:
The anterior fontanelle typically closes around 18 months of age on average, although it is normal for some to close later. It is important to monitor the child's development for any abnormalities. It is recommended to visit a major hospital's pediatric neurology depart...

[Read More] Is Late Closure of Fontanelle in Toddlers a Cause for Concern?


Understanding Seizures in Children: Symptoms and Concerns for Parents

Symptoms of epilepsy? Hello Dr. Hsiao, my son had a febrile seizure before he turned one. A month later, without any fever, he had four seizures over three consecutive days, each lasting about 30 seconds (he had a cold for about a week at that time). We conducted EEG and encephal...


Dr. Xiao Kaiwen Reply:
1. Common cramps may be accompanied by loss of consciousness and a vacant stare, but your child's symptoms do not resemble this. 2. The classification of epilepsy is quite complex; there can be generalized seizures at times and only focal seizures at other times. 3. An elect...

[Read More] Understanding Seizures in Children: Symptoms and Concerns for Parents


Understanding Brain Ultrasound Findings in Infants: What Parents Should Know

The doctor mentioned that there are bright spots on the brain ultrasound. Will this affect future development? When the child was born, a cranial ultrasound was performed, and the report showed bright spots. At 7 months, a follow-up examination revealed that the bright spot on th...


Dr. Xiao Kaiwen Reply:
There are many reasons for the presence of bright spots, such as small calcifications, or they may simply be due to interference from the machine or the operation. In principle, as long as the baby is growing and developing normally, there is no need for intervention even if ther...

[Read More] Understanding Brain Ultrasound Findings in Infants: What Parents Should Know


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