Brain, Pediatrics FAQ

Understanding Medication Overdose Risks in Infants: A Parent's Guide

Drug overdose Hello Dr. Hsiao, I would like to ask you a question. My baby is currently two months old and was born prematurely at 35 weeks. Last Wednesday (the 21st), during a check-up, I mentioned to the doctor that he seemed to have a cold. The doctor prescribed Ciprofloxacin...

Dr. Xiao Kaiwen Reply:
The dosage of Shipilimin for infants has not been clearly established. Hoarseness is unlikely to be related to the potency of the medication. A consultation with a pediatric specialist at a medical center can be arranged for further evaluation.

Understanding Respiratory Distress in Infants: Long-Term Effects and Prevention

Respiratory distress Dr. Pei: As per your previous question, the child is now 1 year old and experienced respiratory distress at birth, requiring 13 days of hospitalization. You mentioned that if there was brain hypoxia at birth or pulmonary hypertension during the treatment, the...

Dr. Pei Rensheng Reply:
Dear Xiao Qiu, The manifestations of cerebral hypoxia include cognitive impairment, movement disorders, myocarditis, hepatitis, and renal failure. Pulmonary hypertension may present with cyanosis, limited mobility, and a susceptibility to pneumonia. These symptoms typically appe...

Concerns About Head and Neck Safety in Infants: What Parents Should Know

Neonatal head and neck Hello Doctor, my baby is currently 2 and a half months old. Usually, when I pick her up from the crib, I gently support her head with my right hand and place her neck softly on my left arm. However, just now, I accidentally placed her too quickly, and her n...

Dr. Xiao Kaiwen Reply:
The cause of brain injury in Shaken Baby Syndrome is violent, non-accidental, repetitive, and rapid acceleration/deceleration movements of the head and neck. An isolated incident is unlikely to cause such injuries and should not result in neck injuries. Signs to observe include: ...

Is Your Baby's Head Shaking a Cause for Concern? Pediatric Insights

Infants shaking their heads vigorously? Consulting a physician, my baby is now two months old, and sometimes when I hold him, he suddenly jerks forcefully to the side. Could this cause any brain injury? What should I observe? Thank you.

Dr. Xiao Kaiwen Reply:
The brain injury caused by Shaken Baby Syndrome results from violent, non-accidental, repetitive, and rapid acceleration/deceleration movements of the head and neck; a single incident is unlikely to cause such damage. Possible symptoms include: significant changes in sleep patter...

Does Car Bouncing Affect Your Baby's Brain Development?

Does riding in a car with bumps cause harm to the brain? Hello, doctor. My baby is now over 3 months old, and I would like to take him out. The round trip by car will take about two hours. Will the bumps and vibrations during the car ride affect his brain? (We have a safety seat....

Dr. Xiao Kaiwen Reply:
The blood vessel walls in an infant's brain are not that fragile. As long as there is no forceful shaking or impact to the unprotected head and neck, and if a baby is secured in a car seat, I believe that the normal jolting and vibrations from riding in a vehicle will not af...

Understanding Developmental Delays in Infants: Key Concerns and Insights

Pediatric developmental delay The child was born weighing 2300g and is currently 8.5 months old. He appears to have some hypotonia, with a weight of 6 kg and a height of 62 cm, both below the 3rd percentile, while his head circumference is at the 85th percentile. We have consulte...

Dr. Xiao Kaiwen Reply:
When can a child catch up to their same-age peers, and can hypotonia improve or recover? This depends on the underlying cause of their developmental delay. Conditions such as brain injury (e.g., birth asphyxia, meningitis, encephalitis, intracranial hemorrhage), chromosomal abnor...

Understanding Vomiting in 10-Month-Old Babies: Causes and Concerns

10-month-old baby vomiting? Hello doctor, my baby is currently 10 months old and sometimes cries so hard that she vomits. Occasionally, after eating, while playing, she suddenly vomits. Is this because she is a low birth weight infant born at 37 weeks and has not fully developed?...

Dr. Xiao Kaiwen Reply:
Infants have a relatively small stomach capacity, so it is possible for them to spit up milk after vigorous activities (such as crying or playing) shortly after feeding. This is not necessarily related to being a low birth weight infant born at 37 weeks gestation. However, if the...

Understanding Growth Curves: When to Worry About Your Baby's Head Circumference

Growth curve Hello Doctor: My baby was born in March. During the vaccination in April, the head circumference percentile was about 50%. In May, it was between the 50th and 25th percentiles. On July 16, during the vaccination, the head circumference percentile was between the 15th...

Dr. Xiao Kaiwen Reply:
The size of the head circumference is generally related to brain development. Therefore, if there are no associated developmental delays or abnormal increases in height and weight, or if they are not becoming increasingly extreme, there is usually no cause for concern. If there a...

Is My Baby Okay After Falling from Bed? Signs to Watch For

The baby fell off the bed? My baby is over eight months old! He accidentally fell off the bed... the bed is quite high (about 100 centimeters)! At that moment, he cried very loudly for about five minutes! After crying, he immediately fell back asleep! He was already sleeping befo...

Dr. Xiao Kaiwen Reply:
In cases of head trauma, it is important to monitor for intracranial hemorrhage. During the acute phase, observation should last for three days, while less common chronic bleeding requires observation for one week. It is essential to monitor the patient's level of consciousn...

Concerns About Baby Head Shaking and Safety: A Guide for New Moms

Infant head shaking Hello, doctor. My sister is currently 3 months old and is able to support her neck quite well. However, I've noticed that she seems to love shaking her head. Could this be a concern? Also, when I hold her, she sometimes kicks hard, causing her to lean for...

Dr. He Shenglong Reply:
Hello: A three-month-old infant can support their neck, but the brain tissue is still fragile, so it is important to avoid vigorous shaking or jostling. When holding the baby, the head must be supported to prevent sudden forward or backward movements or accidental falls. Shaken b...

Concerns About Baby's Small Head Circumference: When to Seek Neurological Evaluation?

The baby's head circumference is too small? Hello Dr. Hsiao: My baby was born at 38 weeks and 3 days, and is now 2 months and 3 days old. During each check-up, the head circumference has been measuring 2 weeks smaller. My husband, my older child, and I all had normal head ci...

Dr. Xiao Kaiwen Reply:
The average head circumference of a normal newborn is 34 centimeters. During the first six months after birth, it typically increases by 8 to 10 centimeters. Therefore, your baby's rate of head circumference increase is not abnormal; it is just that the head circumference wa...

Understanding Hydrocephalus in Infants: MRI Insights and Growth Monitoring

Hydrocephalus and Magnetic Resonance Imaging (MRI) Dear Dr. Hsiao, My younger brother is seven months and thirteen days old. Today, we went for a follow-up ultrasound of his brain because he was previously diagnosed with hydrocephalus. The first ultrasound showed a hydrocephalus...

Dr. Xiao Kaiwen Reply:
1. After birth, an infant's head circumference typically increases by an average of 8 to 10 centimeters in the first six months, and by about 2 to 4 centimeters in the second six months. You can estimate this growth or use the growth charts in the child's health booklet...

Can Babies with Hydrocephalus Safely Consume Solid Foods?

Can babies with hydrocephalus consume solid foods? Hello Dr. Hsiao: Previously, during the four-month vaccination, it was found that the baby had 0.7 cm of hydrocephalus in the brain. I would like to ask, since the baby is now over four months old and has only been drinking dilut...

Dr. Xiao Kaiwen Reply:
Hydrocephalus (commonly referred to as "water on the brain") generally does not require fluid restriction, and the dietary principles are similar to those for a normally developing infant. However, if there are additional complications, such as certain heart conditions ...

Understanding Normal Head Circumference for 6-Month-Old Babies

Head circumference size For a six-month-old male infant, a normal head circumference typically ranges from approximately 40 to 46 centimeters, depending on various factors including genetics and overall growth patterns. Your baby's height is 68 cm, weight is 7.5 kg, and head...

Dr. Xiao Kaiwen Reply:
The height, weight, and head circumference ratios for infants can be referenced from the Child Health Handbook. A head circumference greater than the 97th percentile is considered enlarged, or if there is a rapid and disproportionate increase in head circumference, a cranial ultr...

Concerns About Growth and Development in Preterm Infants

Request for Growth Status Hello, my daughter was born via cesarean section at 37 weeks and 3 days. The reason for the cesarean was that she stopped growing at 1800g after 31 weeks. An amniocentesis was performed during prenatal check-ups, and the results were normal. She was born...

Dr. Xiao Kaiwen Reply:
1. The prognosis for newborns with intrauterine growth restriction (IUGR) largely depends on the presence of any associated abnormalities. If there are chromosomal abnormalities, the prognosis is poor (normal chromosomal tests do not guarantee that all genes are normal; many gene...

Understanding Language Development Delays in Toddlers: When to Seek Help

Language Development in Young Children Hello, Dr. Hsiao: The child was born on June 6, 2009, and is currently 2 years and 6 months old. He is not yet able to speak in complete sentences and can only say simple words (such as "dad," "mom," "brother,"...

Dr. Xiao Kaiwen Reply:
At 2 years and 6 months, a child should be able to speak many simple sentences but may not yet be able to articulate phrases longer than four words. This indicates a potential language delay. It is advisable to consult a pediatric neurologist to check for any specific underlying ...

Concerns About Infant Brain Ultrasound Results: Hydrocephalus or Development Issues?

Questions Regarding Infant Brain Ultrasound Examination Results Hello, Doctor. My child is 2 months and 2 days old and went to the pediatric clinic for vaccinations. The doctor assessed that there is weak neck support (head lag) and arranged for a brain ultrasound examination. Th...

Dr. Xiao Kaiwen Reply:
The results of the infant's brain ultrasound examination indicate that monitoring is sufficient, as there are no obvious signs of hydrocephalus or issues with brain tissue development. It is important to regularly measure the baby's head circumference; if there is a dis...

Is My 8-Month-Old Baby's Facial Injury Serious? Expert Advice Needed

An 8-month-old baby bumped their cheek? Hello, Doctor He. I have a question. On October 9th, my 8-month-old baby accidentally fell while crawling and hit the corner of a (metal) chair. There is bruising and swelling under the eye on the cheek, and there was a little bit of bleedi...

Dr. He Shenglong Reply:
Hello: Generally, you can use Xylitol to reduce swelling and bruising; however, the actual effectiveness is questionable, as the body will naturally absorb it over time, leading to a reduction in swelling and bruising. Your initial management after the impact was good, as you app...

Is Drinking Coffee at 16 Safe for Brain Development?

Drinking coffee by age? Hello, doctor. Due to my studies, I usually drink 250cc of coffee in the morning to stay alert. Will this affect my brain development? I am 16 years old. Could it cause any other negative effects? Recently, I've been feeling a bit unwell, but I'm...

Dr. Xiao Kaiwen Reply:
Growing adolescents and children are more sensitive to the stimulating effects of caffeine due to their still-developing brains. They are more likely to experience palpitations and sleep disturbances, and may even face issues with memory or exhibit symptoms of hyperactivity and d...

Understanding Developmental Delays in Infants: When to Seek Help

Developmental delay Hello, doctor. "My baby is currently 7 months and 9 days old. His neck is not very strong and tends to tilt to the side, but it is not a one-sided tilt; it tilts to both sides. I have mainly noticed signs of growth delay as he only slightly rolls over. He...

Dr. Xiao Kaiwen Reply:
A 7-month and 9-day-old baby should be able to hold their neck up well. Gross motor skills include rolling over, while fine motor skills involve grasping objects with their hands. It appears that your baby's motor development may be slightly delayed, and the most concerning ...

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