Is My 2-Year-Old's Speech Delay Normal? Pediatric Insights
At 2 years old, still not speaking? Hello, Doctor: I would like to ask you about my son, who is currently 2 years old. He can only say "dad," "mom," "aunt," and "younger brother," but he only says these words when he wants to. Since he star...
Dr. Chen Rongtai Reply:
Hello, Little Fish's Mom. In your letter, you mentioned concerns about your child's language development and whether you should take him for an evaluation. Firstly, it's important to note that each child's language development progresses at a slightly differen...[Read More] Is My 2-Year-Old's Speech Delay Normal? Pediatric Insights
Understanding Abnormal Brain Waves in Children: Treatment and Concerns
Abnormal brain waves The brain wave examination shows abnormalities in the frontal lobe. Daily life is normal, and academic performance is above average in the fifth grade. However, there are episodes of emotional instability occurring approximately once every 1-2 weeks, such as ...
Dr. Wang Jiayi Reply:
Hello Lin Junwei: The results of the electroencephalogram (EEG) should be interpreted by a pediatric neurologist at a medical center, who will provide recommendations based on the findings. For emotional issues, you may ask the interpreting physician whether a referral to a psych...[Read More] Understanding Abnormal Brain Waves in Children: Treatment and Concerns
Understanding Infant Neck Issues: Concerns and Exercises for Development
Infant neck issues Hello Dr. Wang, My baby is now 4 months and 3 days old. During a recent check-up, the pediatrician gently pulled my baby's hands to help him sit up, but his head tilted backward. The doctor is concerned there might be an issue with his brain (although fi...
Dr. Wang Jiayi Reply:
Dear anxious mother, please do not feel extremely anxious. Your baby can sense your anxiety, which can have adverse effects on their physical and mental well-being. I believe your doctor is carefully ruling out any potential issues, which is why they have arranged for tests. Keep...[Read More] Understanding Infant Neck Issues: Concerns and Exercises for Development
Is It Normal for My Two-Month-Old Baby to Drool?
Drooling Doctor: Hello, I have a two-month-old baby who is drooling. Is this normal?
Dr. Chen Rongtai Reply:
Hello, Ms. Hsiao-Yi's mother. In your letter, you mentioned that your baby has been drooling. It's normal for the salivary glands in the oral cavity to continuously secrete saliva 24 hours a day, with less secretion during sleep and more during feeding. Normally, adults...[Read More] Is It Normal for My Two-Month-Old Baby to Drool?
Understanding Your Child's Nighttime Movements: When to Worry
Son's nighttime sleep? My son raises his hands and feet high and then drops them heavily during the night. Is there really a problem? I'm not sure if there is an increase in frequency, or if there are any accompanying changes in heart rhythm, breathing, or skin color du...
Dr. Chen Rongtai Reply:
The letter mentions that the child raises both hands and feet high in the middle of the night and then drops them heavily, without any accompanying symptoms, and this often occurs when the child is about to wake up. Personally, I believe that you, as Xiao Hui's mother, need ...[Read More] Understanding Your Child's Nighttime Movements: When to Worry
Concerns of a New Mom: Understanding Infant Sleep Behaviors
Worried mother..? Dr. Chen, I apologize for bothering you, but I have a question. My son is almost four months old, but I've noticed that during the night while he is sleeping, he often raises his arms and legs high and then drops them heavily, waking up those sleeping nearb...
Dr. Chen Rongtai Reply:
Hello, Ms. Hsiao-Hui. In your letter, you mentioned two concerns regarding your nearly four-month-old son. Generally speaking, during the two to four-month stage, infants experience significant physical, mental, and emotional development. A two-month-old baby typically begins to ...[Read More] Concerns of a New Mom: Understanding Infant Sleep Behaviors
Impact of Early Fontanel Closure on Child Development and Intelligence
Craniosynostosis Is early closure of the fontanelle associated with intellectual development? My son was born with his anterior fontanelle nearly closed and his posterior fontanelle already closed. I am wondering if there are cases like this and what their development is like. My...
Dr. Chen Rongtai Reply:
The letter mentions concerns regarding fontanelle closure. Generally, the anterior fontanelle should close between 10 to 18 months of age, while the posterior fontanelle typically closes around 6 to 8 weeks. If an infant's fontanelle closes too early, the gaps between the cr...[Read More] Impact of Early Fontanel Closure on Child Development and Intelligence
Understanding Maple Syrup Urine Disease: Complications, Survival Rates, and Nutritional Needs
Maple syrup Complications of maple syrup urine disease (MSUD) include neurological damage, developmental delays, and metabolic crises. The survival rate varies, but with early diagnosis and treatment, many individuals can lead relatively normal lives. MSUD is considered rare in T...
Dr. Zhang Guozhen Reply:
Dear Dr. Kuo-Chen Chang of the Hsinchu County Hospital, Maple syrup urine disease (MSUD) is a rare pediatric condition that is inherited in an autosomal recessive manner. Its true incidence in Taiwan is not well understood. This disorder is caused by a deficiency in the enzyme b...[Read More] Understanding Maple Syrup Urine Disease: Complications, Survival Rates, and Nutritional Needs
Understanding Nocturnal Enuresis in Children: Causes and Solutions
The issue of nocturnal enuresis in children? My daughter will turn six this September. It might be because I was always sleepy during my pregnancy and felt like I could never get enough rest, so my daughter has been sleeping longer than her peers since birth. Now, she averages te...
Dr. Pei Rensheng Reply:
Hello, regarding your daughter's situation, I recommend the following examinations: a urinalysis and culture to rule out diabetes insipidus, urinary tract infections, and other abnormalities; a renal ultrasound to exclude structural abnormalities; and if she is difficult to ...[Read More] Understanding Nocturnal Enuresis in Children: Causes and Solutions
Thyroid Dysfunction During Pregnancy: Impact on Infant Intelligence and Growth
Hypothyroidism? Low intelligence? I would like to ask the doctor: I gave birth to my first son on January 31 last year, and when he was about 5 months old, I became pregnant again (while breastfeeding). At that time, I had a cold shortly after becoming pregnant, and soon after, m...
Dr. Pei Rensheng Reply:
Hello! From the detailed records, it is clear that you are very attentive to your baby's growth and development. Here is an overview of congenital hypothyroidism: 1. According to the Department of Health, the incidence is approximately 1 in 2,800. Most cases are due to under...[Read More] Thyroid Dysfunction During Pregnancy: Impact on Infant Intelligence and Growth
Understanding Galactosemia in Children: Symptoms, Risks, and Dietary Management
Galactosemia is a genetic metabolic disorder that affects the body's ability to process galactose, a sugar found in milk and dairy products. Individuals with galactosemia lack the Hello, doctor. My child was recently screened and suspected to have galactosemia, and also has ...
Dr. Pei Rensheng Reply:
Hello: The most common cause is the lack of the enzyme (galactose-1-phosphate uridyl transferase) required for lactose metabolism in affected children, which prevents them from converting ingested lactose into glucose. The incidence provided by the Department of Health is approxi...[Read More] Understanding Galactosemia in Children: Symptoms, Risks, and Dietary Management
Does Feeding a Sleeping Baby Affect Brain Development?
Will feeding a baby while they are asleep have any impact on their brain development? Hello Dr. Huizhen, Thank you for your previous explanation about pacifiers, which has put my mind at ease. My baby is now 11 months old and weighs about 10.3 kilograms, and is in good health. ...
Dr. Lin Huizhen Reply:
Tainan Hospital, Pediatrics Dear Xiao Fen, The period of milk refusal in children typically lasts about 2 to 6 weeks, although the duration can vary for each child. During this phase, some children may show a decreased interest in bottle feeding. However, we can try feeding ...[Read More] Does Feeding a Sleeping Baby Affect Brain Development?
Concerns About Vaccination Reactions in Young Children: A Parent's Dilemma
Vaccine Issues Dr. Lin: Hello, my child turned one and a half years old on the 15th of this month and needed to receive the diphtheria, tetanus, and pertussis (DTaP) combination vaccine. He had previously received the pentavalent vaccine for his first three doses, but when I took...
Dr. Lin Huizhen Reply:
Dear Mother of the Child, I hope this message finds you well. I wanted to check in to see if your child’s fever has subsided and how their overall condition is. It is important to note that the likelihood of developing a fever from the pentavalent vaccine is similar to that of...[Read More] Concerns About Vaccination Reactions in Young Children: A Parent's Dilemma
Understanding Pediatric Digestive Issues: Tips for Concerned Parents
Unsure how to diagnose and treat! Dr. Pei: Hello, my daughter is over three years old. When she was five months old, due to her mother's health issues, she stopped breastfeeding and started drinking Abbott formula. About two to three months later, I noticed that before bedti...
Dr. Pei Rensheng Reply:
Hello: 1. Your daughter has exhibited signs of teeth grinding and muscle spasms before sleep, which raises concerns about possible electrolyte imbalances or abnormal brain discharges. It would be advisable to consult a pediatric neurologist for an evaluation, which may include ...[Read More] Understanding Pediatric Digestive Issues: Tips for Concerned Parents
Understanding Progressive Intracranial Enlargement in Infants: When to Seek Help
Please ask your question? Hello, I would like to ask about progressive cranial enlargement. My baby is currently one year and two months old, born at 35 weeks and three days, weighing 2450 grams at birth. He appears to have a large head and a small face, but his head circumferenc...
Dr. Zhang Wenwang Reply:
Hello, if height and weight are maintaining the same growth curve, I believe there shouldn't be significant issues with growth. If there are concerns about brain disorders, you may consult a pediatric psychiatrist for a thorough evaluation. Wishing you health and happiness. ...[Read More] Understanding Progressive Intracranial Enlargement in Infants: When to Seek Help
Managing Bruises and Skin Sensitivity in Young Children: Expert Advice
Bruise Hello Dr. Lin, I would like to ask you a few questions: 1. My daughter is currently one year old and has sensitive skin on her cheeks that easily develops rashes or redness due to changes in weather. I apply a moisturizing lotion to her in the morning and evening. This l...
Dr. Lin Huizhen Reply:
Dear Xiao Fen, 1. Regular lotions work by using surfactant molecules to replenish skin moisture and prevent dryness. If the ointment does not contain any specific medicinal ingredients, it generally should not pose any significant issues. 2. Common bruises are primarily caused ...[Read More] Managing Bruises and Skin Sensitivity in Young Children: Expert Advice
Essential Follow-Up for Newborns with Ventricular Concerns
Monitoring of Pediatric Ventricles Hello, I am a mother who is 36 weeks pregnant and about to give birth. During my pregnancy at 5 months, a high-level ultrasound examination revealed that the fetal ventricles measured 0.8 cm. Subsequently, I underwent MRI follow-up examinations ...
Dr. Zhang Wenwang Reply:
Mother at 36 weeks of pregnancy: Please schedule a follow-up examination with a pediatric neurologist. Zhang Wen-Wang.[Read More] Essential Follow-Up for Newborns with Ventricular Concerns
Understanding Your Child's Health Issues: A Parent's Guide
My child has a problem? Hello, my daughter is one year and eight months old. She started having a fever on October 20, after which she developed otitis media. Although the bleeding from her ear has decreased after taking medication, recently she has been experiencing vomiting at ...
Dr. Zhang Wenwang Reply:
Hello Meijun: It is recommended to have a pediatric subspecialist further evaluate, such as a pediatric neurologist or a pediatric gastroenterologist. Wishing for a speedy recovery, Zhang Wenwang.[Read More] Understanding Your Child's Health Issues: A Parent's Guide
Understanding Febrile Seizures in Young Children: What Parents Should Know
About heat cramps? Dear Doctor, a few days ago, my child (now 1 year and 10 months old) suddenly developed a high fever in the middle of the night, and in the morning, we noticed signs of convulsions, with his eyes rolling back. This lasted for about three to four minutes. My hus...
Dr. Lin Huizhen Reply:
Dear Ms. Jin Ma, Dr. Lin Huizhen, Chief of Pediatrics at Tainan Hospital, Department of Health, Executive Yuan, would like to inform you: Any infection that causes a high fever (including enterovirus) can trigger febrile seizures in children who are predisposed to them. Therefor...[Read More] Understanding Febrile Seizures in Young Children: What Parents Should Know
Understanding Your Child's Habitual Vomiting: When to Seek Help
My child has habitual vomiting? Hello Dr. Chang! My child is almost 3 years old, and she has had a habit of vomiting since she was little. Whenever she feels like vomiting, she will throw up everything in her stomach. Sometimes, even three hours after eating, some food remains un...
Dr. Zhang Yingwen Reply:
Hello: Vomiting can be caused not only by gastrointestinal issues and psychological factors but also by problems in the brain. It is advisable to seek evaluation from a physician.[Read More] Understanding Your Child's Habitual Vomiting: When to Seek Help