Managing Head Injuries in Infants: What Parents Should Know
Child falls down? Hello Doctor: My child, who is over 4 months old, rolled over for the first time and accidentally fell and hit the back of his head while getting vaccinated. The doctor advised us to observe at home, but we noticed swelling and bruising at the back of his head. ...
Dr. Liang Hongjian Reply:
Hello: For general head injuries, it is best to observe for a few days to assess any changes in mental status to determine if there is any brain injury. As for subcutaneous bleeding in the head, it occurs due to the rupture of blood vessels outside the skull. If there are no coag...[Read More] Managing Head Injuries in Infants: What Parents Should Know
Understanding Persistent Jaundice in Premature Infants: Causes and Risks
What causes persistent high levels of bilirubin? Dr. Tsai: Hello! I delivered a premature infant weighing 476 grams on October 24. On October 26, due to a high bilirubin level, the attending physician recommended a blood exchange, and we exchanged 50 cc of blood. After the exchan...
Dr. Cai Zhengxian Reply:
Dr. Tsai Cheng-Hsien from Tainan Municipal Hospital's Pediatrics Department responds: Your baby's condition is indeed concerning. Premature infants with a birth weight of less than 1000 grams, classified as extremely low birth weight infants, require stricter criteria f...[Read More] Understanding Persistent Jaundice in Premature Infants: Causes and Risks
Understanding Congenital Hypothyroidism in Infants: Developmental Outcomes
Hypothyroidism My baby (2 months old) has congenital hypothyroidism and is currently undergoing medication treatment. Although she is receiving treatment, I am still concerned about her future cognitive development. Will the treatment ensure that my baby’s development is normal?
Dr. Lin Wenxian Reply:
Director Lin Wen-Hsien of the Pediatrics Department at Tainan Hospital, Ministry of Health and Welfare, responded to DEAR Xin Xin: The thyroid hormone secreted by the thyroid gland plays a crucial role in the growth and development of the body, metabolism, and cognitive function ...[Read More] Understanding Congenital Hypothyroidism in Infants: Developmental Outcomes
Understanding Shaking in Newborns: When to Seek Pediatric Advice
Newborn generalized tremors? Dear Doctor, My baby is a twin born at 37 weeks. Over the past week, my daughter has been experiencing noticeable tremors from her chin to her limbs and body while sleeping. Even when I hold her, the shaking frequency remains high, causing her to fre...
Dr. Lin Wenxian Reply:
Director Lin Wen-Hsien of the Pediatrics Department at Tainan Hospital, Ministry of Health and Welfare, responds to Ms. Hsiu-Hui: Hello, Ms. Hsiu-Hui. The issue of body shaking in infants is a common concern among parents visiting pediatric clinics. Typically, after a physician...[Read More] Understanding Shaking in Newborns: When to Seek Pediatric Advice
Understanding Teeth Grinding in Children: Causes and Solutions
Sleep bruxism? My son is currently three years old, and I recently noticed that he grinds his teeth very forcefully at night, making a loud noise. It usually occurs one to two times throughout the night. What could be the cause of this? Thank you.
Dr. Liang Zhaoxuan Reply:
Grinding teeth at night may be caused by sleep disorders, epilepsy, or other brain lesions. However, it is generally recommended that parents take their children to a pediatric neurology clinic for a thorough examination by a physician.[Read More] Understanding Teeth Grinding in Children: Causes and Solutions
Seeking Guidance for My Baby's Critical Condition: A Mother's Dilemma
At a loss? Hello Director Zhang, I have a three-month-old baby currently in the intensive care unit. The situation began when my baby suddenly turned completely black, had seizures, and was unable to breathe. After a week of examinations, it is suspected that there is pressure o...
Dr. Zhang Peixin Reply:
Hello: It is recommended that you visit a medical center or regional hospital for a detailed examination. If there are any issues, please contact Dr. Tsai Hung-Ying at the Pediatrics Department of Taoyuan Hospital, Department of Health, Executive Yuan, at 03-3699721-2886.[Read More] Seeking Guidance for My Baby's Critical Condition: A Mother's Dilemma
Understanding Infant Vomiting: Causes and Concerns for Parents
Infant vomiting Hello Dr. Chen: My son is almost 11 months old and weighs less than 10 kg. He only wants to drink milk when he is sleeping, and when I feed him porridge while he is awake, he often vomits, even the milk that he managed to drink. Could this be pyloric stenosis? He ...
Dr. Chen Qianyi Reply:
Hello, there are many reasons why children may experience vomiting. First, it is important to determine whether it affects their growth and development. If there is a lack of weight gain or developmental delays, this could indicate a more serious issue, and a thorough examination...[Read More] Understanding Infant Vomiting: Causes and Concerns for Parents
Understanding Prolonged Fever in Toddlers: Causes and Treatments
Persistent fever lasting more than five days? My child just turned two years old, but often has a fever that lasts for five consecutive days, with temperatures exceeding 39 degrees Celsius each time. He also has a severe cough and produces a lot of phlegm, yet the doctor only men...
Dr. Zheng Peian Reply:
In pediatric outpatient clinics, approximately half of young children seek medical attention due to fever. When various viruses or bacteria invade the body, they release toxins that alter the temperature-regulating center in the brain, resulting in fever. In fact, fever is just o...[Read More] Understanding Prolonged Fever in Toddlers: Causes and Treatments
Common Pediatric Orthopedic Concerns: Hip Length Discrepancy and Cleft Lip
Pediatric orthopedics and other issues? Hello, Doctor: I currently have two children, one girl and one boy. My daughter is 2.5 years old, and my son is 1 year and 3 months old. I have a few questions for you: 1. My daughter has a condition where her left leg is longer than her ...
Dr. Zheng Peian Reply:
1. Observe whether the heights of both hip bones are the same or measure the difference between the two legs while lying flat. It is generally recommended to follow up with a pediatric orthopedic specialist every 1-2 years. 2. It is advisable to take the child to a pediatric neur...[Read More] Common Pediatric Orthopedic Concerns: Hip Length Discrepancy and Cleft Lip
Understanding Pediatric Coma: A Parent's Guide to CPR and Life Support Decisions
CPR in Unconsciousness A 5-month-old child fell off the bed (with the legs on the bed and the upper body hanging down) and was found with a cold body, complete weakness, slightly open eyes, and dilated pupils. The doctor stated that the child had already died before arriving at t...
Dr. Shi Zhongxian Reply:
Heartbroken mother: In the situation where your child has become a vegetative state, letting go, although difficult, is the wisest course of action under the circumstances. You can request an "automatic discharge" from the hospital, and after your child's passing, ...[Read More] Understanding Pediatric Coma: A Parent's Guide to CPR and Life Support Decisions
Understanding Pediatric Stroke: Causes and Rehabilitation Strategies
Please provide the content you would like me to translate Hello: A few days ago, a neighbor's child experienced a stroke, resulting in paralysis of the left hand and leg. Initial diagnosis by a physician suggests it is congenital, but there are questions. 1. The child (who...
Dr. Zhao Yongkang Reply:
Hello James, 1. To differentiate whether the stroke is congenital, it is advisable to refer to the computed tomography (CT) scan or other imaging studies, which can provide clearer insights. If the brain hemorrhage is caused by trauma (such as a fall), it is usually located near...[Read More] Understanding Pediatric Stroke: Causes and Rehabilitation Strategies
Impact of Basal Ganglia Abnormalities on Child Development: MRI Insights
Pediatric symptoms MRI findings of abnormalities in the basal ganglia of the brain may have significant implications for the future development of young children.
Dr. Yu Meiling Reply:
Abnormalities in the basal ganglia can lead to difficulties in initiating or stopping a movement. What type of abnormality in the basal ganglia is observed in this MRI? A consultation with a pediatric neurologist can be arranged for further evaluation and recommendations.[Read More] Impact of Basal Ganglia Abnormalities on Child Development: MRI Insights
Understanding Your Child's Crying Episodes: A Pediatrician's Insight
The son is practicing turtle breathing techniques, and the mother is almost scared to death? Hello Dr. Wu: My child is currently one and a half years old and cries a lot. Since he turned one, at least once every one to two months, he has cried to the point where his lips turn pur...
Dr. Liang Hongjian Reply:
Thank you for your inquiry, Mini. It is common for infants and young children to cry excessively and hold their breath when they are upset, which can lead to cyanosis (bluish discoloration of the lips) and pallor. This phenomenon is known as "breath-holding spells" and ...[Read More] Understanding Your Child's Crying Episodes: A Pediatrician's Insight
Understanding Sleep Apnea in Children and Allergic Individuals
Temporary cessation of breathing? Hello, doctor! I have a severe allergic constitution (allergic rhinitis, asthma, drug allergies, and urticaria). When I sleep, I often unconsciously stop breathing (my husband says that after regular breathing, I suddenly stop for a few minutes a...
Dr. Liang Hongjian Reply:
Thank you, Vivian, for your inquiry regarding the related issues. Temporary cessation of breathing, known as apnea, is often observed in newborns and infants, particularly in premature infants. There are many underlying causes, with common reasons including underdeveloped brain m...[Read More] Understanding Sleep Apnea in Children and Allergic Individuals
Why Does My Toddler Keep Falling? Understanding Common Causes
My daughter frequently falls down? My daughter is over 2 years and 4 months old. However, ever since she started walking, she frequently falls down. Some people have told me that it might be due to insufficient calcium intake. Others have suggested that it could be because she st...
Dr. Huang Zheming Reply:
Hello: It is normal for children to fall while learning to walk. As long as their limbs are developing normally and there are no brain abnormalities, there should be no issues. For a detailed evaluation, please take your child to a pediatrician at a large teaching hospital. Thank...[Read More] Why Does My Toddler Keep Falling? Understanding Common Causes
Understanding Fontanelles: Safety Concerns and Infant Behavior
Regarding fontanelles? Is it harmful for adults to touch the fontanelle of a 5-month-old infant? Could a bad temper and nighttime crying be related to this?
Dr. Huang Zheming Reply:
There are two fontanelles: the anterior fontanelle typically closes between 9 to 12 months, while the posterior fontanelle closes between 2 to 4 months. A five-month-old child should still have open fontanelles that can be palpated. In cases of hypothyroidism, the anterior fontan...[Read More] Understanding Fontanelles: Safety Concerns and Infant Behavior
Understanding Elevated Body Temperature and Walking Patterns in Toddlers
Warm palms? Hello Dr. Shi: My daughter is currently one year and three months old. Since the weather has turned warmer, her palms have been warm, and her body temperature is generally around 37.5 degrees Celsius. It decreases slightly after sweating but remains above 37 degrees. ...
Dr. Shi Zhongxian Reply:
Hello Ms. Huang: First, to answer your first question. A person's body temperature naturally fluctuates due to various factors such as external environment, activity level, and whether they have eaten recently, as well as the time of day. This is especially true in young chi...[Read More] Understanding Elevated Body Temperature and Walking Patterns in Toddlers
Addressing Speech Delays in Children: Is Surgery an Option?
Language barrier Hello Dr. Huang, I would like to ask you about my son who is already ten years old, but he still does not speak clearly. I have taken him to see a doctor before, and they said he would improve as he got older, but he is still the same. I have heard that there is ...
Dr. Huang Zheming Reply:
Any condition that causes brain injury or structural abnormalities in the oral and pharyngeal regions, leading to functional impairment, can affect speech disorders. For example, brain injury at birth due to hypoxia, abnormally high bilirubin levels, congenital hypothyroidism, da...[Read More] Addressing Speech Delays in Children: Is Surgery an Option?
Understanding Congenital Hypothyroidism in Infants: Impact and Care
Congenital Hypothyroidism My little nephew was initially diagnosed with congenital hypothyroidism during newborn screening at birth. What impact does this congenital condition have on the child's brain development? When is the best time for treatment? How should the child be...
Dr. Huang Zheming Reply:
Congenital hypothyroidism is characterized by a deficiency of thyroid hormones, which affects brain and physical development. If not detected and treated promptly, it can lead to intellectual disability. Treatment administered within the first 1-2 months after birth can allow for...[Read More] Understanding Congenital Hypothyroidism in Infants: Impact and Care
Understanding Language Development Delays in Toddlers: When to Seek Help
Language development delay Hello, Dr. Zhao! My son was born on March 20, 2021, and he is currently about two years and two months old. He started to pronounce single words around the age of two, such as "mom" and "dad," but there are still some sounds he canno...
Dr. Zhao Yongkang Reply:
Dear Ms. Yeh, Regarding your child's language development, it is influenced by the development of the brain, oral structures, and hearing. Therefore, you may want to have a pediatric neurologist evaluate your child. Our pediatric neurology clinic is open for consultations ...[Read More] Understanding Language Development Delays in Toddlers: When to Seek Help