Chest, Pediatrics FAQ

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Concerns About Young Children Swallowing Foreign Objects: What to Do?

Accidental ingestion in children? Hello doctor, I would like to inquire about my child who is almost one and a half years old. At that time, while sitting in her car seat, my older daughter gave my younger daughter a folded small round mirror to play with. Subsequently, my older ...


Dr. Pei Rensheng Reply:
Hello: Iron is well visualized on X-rays. It is recommended to consult a pediatric outpatient clinic or the emergency department for chest and abdominal X-rays to confirm if there has been any ingestion. If there are currently no symptoms, it is still advisable to get the imaging...

[Read More] Concerns About Young Children Swallowing Foreign Objects: What to Do?


Understanding Recurrent Head Pressure and Vomiting in Children

Headache and vomiting? Hello Doctor, my 12-year-old child has recently experienced episodes of head swelling and vomiting as follows: Note: On January 18, he received an injection in the endocrinology department to suppress bone age growth for a duration of three months. 1. On ...


Dr. Xie Wanghu Reply:
Hello Ms. Wu, The side effects of Leuplin can include rash, wheezing, chest tightness, difficulty breathing, and difficulty swallowing or speaking, as well as gastrointestinal discomfort. Many cases of gastroenteritis can present with symptoms such as vomiting, diarrhea, and fe...

[Read More] Understanding Recurrent Head Pressure and Vomiting in Children


6-Year-Old Boy with Prominent Left Chest: What to Know?

A 6-year-old boy has a protrusion on the left side of his chest compared to the right side? The physician recently discovered that the 6-year-old boy at home has a protrusion on the left side of his chest that is more prominent than the right. Upon palpation, it feels like a more...


Dr. Pei Rensheng Reply:
Hello: In the outpatient clinic, I have encountered numerous cases of asymmetric thorax, some of which include pectus carinatum, pectus excavatum, asymmetric ribs on both sides, and scoliosis. I recommend an X-ray examination; however, there is no need to worry too much. In most ...

[Read More] 6-Year-Old Boy with Prominent Left Chest: What to Know?


Understanding Microcephaly Diagnosis in Newborns: A Pediatric Perspective

Diagnosis of Microcephaly in Newborns Hello, the child experienced intrauterine growth restriction due to fetal distress and underwent an emergency cesarean section at 37 weeks and 3 days. After birth, the length, head circumference, and chest circumference were approximately at ...


Dr. Pei Rensheng Reply:
Hello: According to the WHO diagnostic criteria, a head circumference less than 2 standard deviations (SD) below the mean is required for a diagnosis of microcephaly. However, if both length and weight are proportionally small, we would not diagnose microcephaly but rather classi...

[Read More] Understanding Microcephaly Diagnosis in Newborns: A Pediatric Perspective


Are Home Fragrance Products Harmful to Young Children?

Are home fragrance products harmful to young children? Hello: I saw the news that a pediatrician shared about a 7-year-old girl who experienced chest pain and was taken to a clinic by her mother. After examination, it was found that she had precocious puberty. The pediatrician no...


Dr. Xiao Kaiwen Reply:
These types of products typically contain a variety of compound ingredients, depending on their composition. For instance, if the ingredients include substances that are inherently harmful to the human body, such as phthalates, they are unsuitable for both adults and children, wi...

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Understanding Prolonged Fever in Children: When to Seek Medical Help

Child has had a fever for 4 days? Hello, doctor. My child is 3 years old and started having a fever of about 39-39.5°C on Saturday night. We visited a clinic on Sunday and were prescribed antipyretic syrup. After taking it, the temperature dropped to 38-39°C. On Monday morning, w...


Dr. Pei Rensheng Reply:
Hello! A 3-year-old has had a fever for 4 days. It is recommended to check for: COVID-19, influenza, adenovirus, urinary tract infection, chest X-ray, and even blood tests; it could also be roseola. It is advisable to go to the hospital for evaluation! Wishing for a speedy recove...

[Read More] Understanding Prolonged Fever in Children: When to Seek Medical Help


Understanding Unexplained Symptoms in Pediatric Patients: A Guide

Unexplained physical discomfort? Hello, I would like to ask a question. My 12-year-old child has a history of arrhythmia and has undergone catheter ablation. Since last month, he has been experiencing a sensation of pressure on his heart, lasting about 2 to 3 hours each day. He h...


Dr. Zhong Ruixian Reply:
Hello Ms. Chiu: 1. If you would like to seek a second opinion regarding heart issues, you may consider visiting the pediatric cardiology department at a medical center. 2. For bone-related issues, if there are no concerns from the pediatric rheumatology perspective, you may also ...

[Read More] Understanding Unexplained Symptoms in Pediatric Patients: A Guide


Understanding Unexplained Symptoms in Pediatric Patients: A Guide

Unexplained physical discomfort? Your question: Hello, I would like to ask a question. My 12-year-old child has a history of arrhythmia and has undergone catheter ablation. Since last month, he has been experiencing a sensation of pressure on his heart, lasting about 2 to 3 hours...


Dr. Xiao Kaiwen Reply:
Your current symptoms have many possible causes. I believe your pediatric cardiologist should have the best understanding of your condition right now. If a referral to a specific pediatric subspecialty is needed, they will be most knowledgeable about that. I think the pediatric s...

[Read More] Understanding Unexplained Symptoms in Pediatric Patients: A Guide


Unexplained Health Issues in Children: A Case Study of Cardiac and Bone Pain

Unexplained physical discomfort? Hello, I would like to ask a question. My 12-year-old child has a history of arrhythmia and has undergone radiofrequency ablation. Since last month, he has been experiencing a sensation of pressure on his heart, lasting about 2 to 3 hours each day...


Dr. Xie Wanghu Reply:
Hello, recommendations: 1. Take your child to the pediatric cardiology clinic at Taipei Veterans General Hospital to see Dr. Li Bi-Chang for an evaluation of the chest tightness and its possible relation to the radiofrequency ablation procedure. 2. For joint pain, it is advisable...

[Read More] Unexplained Health Issues in Children: A Case Study of Cardiac and Bone Pain


Do Children with Adenovirus Need Cardiac Follow-Up After Symptoms?

Is it necessary to conduct cardiovascular examinations after a positive rapid test for adenovirus? My daughter is 3 years old and 10 months. Since April 23, she had a fever for 5 days and tested positive for adenovirus at the clinic. Her symptoms included 1. high fever 2. unilate...


Dr. Xie Wanghu Reply:
Hello, 1. A 1.3-year-old child. 2. Has had a fever for 5 days since April 23. 3. Positive for adenovirus rapid test. 4. Related to Kawasaki disease, with only 5 days of fever and conjunctivitis. 5. Should not meet the diagnostic criteria for Kawasaki disease. 6. If there i...

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Understanding Mycoplasma Pneumonia in Children: Symptoms and Recovery

Mycoplasma pneumonia Hello, doctor. I would like to ask about a 5-year-old child who contracted mycoplasma pneumonia, resulting in right lung infiltration. The child was treated with medication for three days and discharged from the hospital. During the hospitalization, the child...


Dr. He Zongxian Reply:
Hello, generally speaking, mycoplasma infections initially present with symptoms similar to those of a cold. After three to five days of fever, a cough often develops, frequently manifesting as a dry cough. This cough can persist for about three to four weeks. As long as the body...

[Read More] Understanding Mycoplasma Pneumonia in Children: Symptoms and Recovery


Concerns About X-Ray Radiation Exposure in Infants: A Parent's Dilemma

X-ray radiation issues When my child was nine months old, she was taken to the emergency room due to crying, vomiting, and coughing. Since there was no pediatrician available, she underwent chest and abdominal X-rays without any shielding for her body. When I followed up with a p...


Dr. Xiao Kaiwen Reply:
Actually, modern X-ray machines have advanced significantly, and the radiation exposure dose is very low. Taking one or two X-rays is unlikely to have any adverse effects on the body, so you don't need to worry too much.

[Read More] Concerns About X-Ray Radiation Exposure in Infants: A Parent's Dilemma


Managing Exercise for Children with Patent Foramen Ovale: Key Considerations

Patent foramen ovale Hello, doctor. My child, who is over two years old, has been diagnosed with a patent foramen ovale (PFO) that has not closed. Annual echocardiograms show mild mitral regurgitation and a PFO measuring approximately 0.2 cm. He rarely experiences chest tightness...


Dr. Xie Wanghu Reply:
The oval foramen measuring 0.2 cm typically closes by the age of 6 months. If it remains open, follow-up echocardiograms should be conducted every 6 months in a pediatric cardiology clinic. If the child is 6 years old and it has not closed, it is unlikely to close in the future, ...

[Read More] Managing Exercise for Children with Patent Foramen Ovale: Key Considerations


Assessing Choking Risks in Infants During Feeding: A Pediatric Guide

Milk consumption issues? Hello Doctor: My baby is currently two and a half months old. I am using a round hole nipple (suitable for 0-3 months) for feeding. Sometimes, my baby chokes while feeding, and I am worried about whether this could cause lung problems, which adds a lot of...


Dr. Pei Rensheng Reply:
Hello: If a foreign object enters the trachea or lungs, it may cause severe coughing. If this foreign object cannot be expelled or absorbed, it may further lead to pneumonia or lung collapse, which can result in fever and decreased exercise tolerance (shortness of breath with min...

[Read More] Assessing Choking Risks in Infants During Feeding: A Pediatric Guide


Understanding Your Child's Medical Report: Key Insights for Parents

Inquiry about the child's examination report content? Hello Doctor: My child was hospitalized for examination at over one month old due to suspected infant apnea syndrome. After the hospitalization and examination, everything was reported as normal, and we were discharged ho...


Dr. Pei Rensheng Reply:
Hello! 1. The report of the X-ray for infants is for reference only and should be interpreted in conjunction with clinical findings for greater significance. (Mobile note: There is a slight infiltration suggestive of possible inflammation in the lungs.) 2. Electrocardiogram...

[Read More] Understanding Your Child's Medical Report: Key Insights for Parents


Understanding Chest Pain in Children: When to Seek Medical Advice

My daughter feels a sharp pain in her chest area when breathing? Hello, Dr. Hsieh. My daughter is 12 years old and has been experiencing sharp pain in her chest area. Could this indicate a heart problem? She had similar symptoms in the second grade, where she felt a sharp pain wh...


Dr. Xie Wanghu Reply:
Ms. Su: Hello, I have received your message. If it is convenient for you, please bring your daughter to our pediatric department for a consultation (pediatric cardiology special clinic hours: Tuesday and Thursday mornings). We can arrange for a cardiac examination and explain the...

[Read More] Understanding Chest Pain in Children: When to Seek Medical Advice


Understanding Developmental Delay in Infants: Signs and Solutions

Developmental delay Hello doctor, my baby is currently six months and eight days old. He grabs objects and puts them in his mouth, but his rolling movements are not very smooth. He can roll to his side but cannot roll onto his stomach. He can roll from his stomach to his back, bu...


Dr. Xiao Kaiwen Reply:
The definition of motor development delay in infants is typically recognized only when it becomes quite evident. For example, a 6-month-old baby should be able to support their head with their neck muscles; if they are unable to lift their head and chest off the surface while lyi...

[Read More] Understanding Developmental Delay in Infants: Signs and Solutions


Understanding Pediatric Urinary Tract Infections and Kidney Monitoring

Urinary tract infection (UTI) Hello, doctor. My daughter has had three urinary tract infections within three months, and imaging has revealed bilateral grade III vesicoureteral reflux. The nephrologist has scheduled a DMSA scan to check for kidney scarring. I would like to ask: 1...


Dr. Pei Rensheng Reply:
Hello! My daughter has had three urinary tract infections in the past three months, and imaging has revealed bilateral grade III vesicoureteral reflux. The nephrologist has ordered a DMSA scan to monitor for kidney scarring. 1) Is the radiation dose from this test high? Answer...

[Read More] Understanding Pediatric Urinary Tract Infections and Kidney Monitoring


Common Concerns for 5-Month-Old Infants: Feeding, Development, and Health

5 months and 14 days old baby issues? Hello, doctor. I have the following questions: 1. My son, at this age, often experiences spit-up or small amounts of milk coming out when he burps. These symptoms occur at least once a day, but his activity level, height, and weight are all...


Dr. Pei Rensheng Reply:
Hello: 1. At my son's age, he often experiences spit-up or small amounts of milk coming out when he burps. These symptoms occur at least once a day, but his activity level and height and weight are fine. Is there a need for any examinations? ANS: You can discuss this with ...

[Read More] Common Concerns for 5-Month-Old Infants: Feeding, Development, and Health


Feeding and Burping Techniques for 2-Month-Old Babies: Expert Advice

Feeding amount and burping positions for a 2-month-old baby? Hello, Doctor. I have two questions to ask: 1) Regarding the calculation of milk volume, since mid-May, my breast milk supply has been insufficient, and I am now feeding with formula milk at 120-130 ml per feeding. I ...


Dr. Xiao Kaiwen Reply:
1. The calculation of "milk" quantity is based on the total volume after adding water and formula. 2. When burping the baby, adults provide support to prevent any injury to the spine or neck. Furthermore, if there were any damage to the neck or spine, there would like...

[Read More] Feeding and Burping Techniques for 2-Month-Old Babies: Expert Advice


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