Transitioning from Breast Milk to Formula: Managing Vomiting and Rashes
Switching from breast milk to formula can lead to vomiting, rashes, and coughing? Hello Doctor, my son is about to turn 1 year old. Since he was two months old and had enough breast milk, he has been exclusively breastfed until now. Due to insufficient milk supply, I want to swit...
Dr. Xiao Kaiwen Reply:
Breastfeeding is recommended to continue until the age of two. In fact, once a child turns one, they can start eating regular meals that are chopped or mashed from the family table, while dairy products become more of a supplementary food rather than a necessity. There is no stri...[Read More] Transitioning from Breast Milk to Formula: Managing Vomiting and Rashes
Are X-Rays Safe for Kids? Understanding Radiation Risks in Pediatrics
Is it harmful for children to have X-rays? A 1.5-year-old child bumped their temple against a chair, resulting in a swelling. They were taken to the emergency room, where the doctor arranged for two head X-rays, but the neck was not protected with a lead apron. Later, a 3-year-ol...
Dr. Pei Rensheng Reply:
Hello! The International Commission on Radiological Protection (ICRP) recommends using the Sievert (Sv) to quantify the potential harm of radiation to the human body. The average background radiation dose in Taiwan is approximately 1 to 2 millisieverts (mSv) per year. The dose fr...[Read More] Are X-Rays Safe for Kids? Understanding Radiation Risks in Pediatrics
Is X-ray Safe for My Toddler? Understanding Risks and Concerns
X-ray examination for children? Hello, doctor. My child is currently 1 year and 4 months old. He had a fever previously, which came and went, and we took him to the emergency room of a large hospital twice. Both times, he had a chest X-ray (the second one was taken 14 days after ...
Dr. Xiao Kaiwen Reply:
With the advancements in medical technology, the amount of radiation exposure from a standard X-ray is very low, and undergoing two standard X-rays does not have any adverse effects on the body. In fact, we are exposed to natural background radiation every day, so there is no nee...[Read More] Is X-ray Safe for My Toddler? Understanding Risks and Concerns
Understanding Infant Development: When to Seek Pediatric Evaluation
Baby Growth and Development Hello Dr. Lin: I am a mother of twins. My fraternal twins are currently 11 months old (born at 36 weeks + 5 days). I am taking care of my son, who can only lie on his stomach, roll over, and kick his legs. He is not stable when sitting and makes sounds...
Dr. Lin Yishou Reply:
Hello parents, the symptoms are mild, so you can take the opportunity to have the doctor evaluate them during the vaccination.[Read More] Understanding Infant Development: When to Seek Pediatric Evaluation
Understanding Childhood Asthma: Symptoms and Concerns for Parents
Pediatric Asthma Hello Doctor, my child is currently 17 years old. Recently, I have noticed that he has been coughing frequently in the morning and evening, and he also experiences wheezing and shortness of breath. It sounds a bit wheezy, and I have observed that sometimes he nee...
Dr. Pei Rensheng Reply:
Hello! During the spring season, with the changes in weather, individuals with respiratory allergies are indeed more prone to flare-ups. Your 17-year-old child is experiencing frequent coughing, especially in the morning and evening, and also has wheezing, which are indicative of...[Read More] Understanding Childhood Asthma: Symptoms and Concerns for Parents
Understanding Pediatric Lymph Nodes: What Parents Should Know
Cervical lymphadenopathy issues? Hello Doctor, I noticed a protruding lymph node in the area above my son's left clavicle, near the sternocleidomastoid muscle, when he was around one month old. It's about 0.3-0.5 cm, movable, and soft. Now my son is over three years old...
Dr. Pei Rensheng Reply:
Hello: Regarding neck lumps, I previously published an article in the media, and the content is as follows for your reference! When bathing a baby, parents may notice one or several hard lumps on the neck or back of the head. What should parents do? Most of these hard lumps are l...[Read More] Understanding Pediatric Lymph Nodes: What Parents Should Know
Understanding Cough and Abdominal Pain in a 13-Year-Old
Coughing with pain in the upper left abdomen and lower left rib area? I am a 13-year-old who has recently experienced headaches, low-grade fever, cough, and intermittent pain in the upper left abdomen and left lower rib area. These symptoms have been present for about three weeks...
Dr. Xiao Kaiwen Reply:
Fever, cough, and left lower chest pain are present; it is recommended to visit a major hospital to check for the possibility of pneumonia.[Read More] Understanding Cough and Abdominal Pain in a 13-Year-Old
Navigating Puberty: Common Concerns and Questions for Teens
Various Issues During Puberty Since entering puberty, I am now 15 years old, 174 cm tall, and weigh 60 kg. I have some questions I would like to ask: 1. My Adam's apple has not developed, but relatives say my voice has deepened. Is it abnormal that it hasn't appeared? ...
Dr. Lin Yishou Reply:
Hello. 1. The development of the Adam's apple varies from person to person; some individuals may develop it later and it may be less prominent. 2. The growth of armpit hair also differs among individuals, so there is no need to worry. 3. It is recommended to have further exa...[Read More] Navigating Puberty: Common Concerns and Questions for Teens
Understanding Nighttime Coughing in Infants: When to Worry?
Coughing at night? Hello Dr. Hsiao, My baby is over 4 months old, and for the past couple of days, he has been coughing two to three times during the night, about three to four times, with a dry cough and no phlegm. Is this a sign of a cold? During the day, he coughs once or twi...
Dr. Xiao Kaiwen Reply:
There are many causes for nighttime cough in infants, such as bronchitis due to a cold, acute bronchiolitis, chlamydia infection, post-nasal drip, gastroesophageal reflux, and airway sensitivity, among others. Diagnosing airway allergies in a 4-month-old infant is quite challengi...[Read More] Understanding Nighttime Coughing in Infants: When to Worry?
Understanding Neonatal Surgery for Drainage: Risks and Medical Errors
Neonatal surgical drainage 1. On July 14, my mother gave birth to her seventh child. Today, we received notification that the baby has been admitted to the neonatal intensive care unit due to a leak from the (femoral venous nutrition catheter). They need to perform drainage, and ...
Dr. Pei Rensheng Reply:
Hello! Extravasation of intravenous fluids into the tissues (infiltration) is not uncommon, especially in neonates or young children who are highly active and often uncooperative during intravenous therapy, making them more susceptible to this occurrence. As for drainage from the...[Read More] Understanding Neonatal Surgery for Drainage: Risks and Medical Errors
Understanding Pediatric Anemia: Which Specialists to Consult?
Marine anemia Hello doctor, I previously inquired about how to determine the type of anemia. Which departments should I visit at the hospital? Should I just go to the hematology department and inform the staff that I need tests related to this? I also need to check my vision, blo...
Dr. Xiao Kaiwen Reply:
If you need to check your vision, blood pressure, color perception, hearing, cardiovascular health, chest X-ray, and liver function tests (GOT, GPT), please schedule an appointment with the hospital's health examination department (usually under family medicine). To check fo...[Read More] Understanding Pediatric Anemia: Which Specialists to Consult?
Understanding Fever Without Symptoms in Children: Causes and Concerns
Asymptomatic fever? Hello, Doctor. My child will turn eight years old in July. He is 120 cm tall and weighs 196 kg. On the evening of June 17, my child said he had a stomachache. He has experienced discomfort from constipation before, and after an enema, he felt better. However, ...
Dr. Xiao Kaiwen Reply:
It is common for children to have a fever without obvious external symptoms, as there may be some underlying viral infections. The fever typically resolves as the immune system gradually kicks in. However, sometimes a physical examination by a pediatrician is necessary to identif...[Read More] Understanding Fever Without Symptoms in Children: Causes and Concerns
Managing Persistent Cough and Infections in Young Children
Children with colds and coughs? I would like to ask the doctor, my child is about 4 years old and was hospitalized for pneumonia in mid-February this year. However, since last year, he has been experiencing intermittent coughing. Every time he catches a cold, he either has yellow...
Dr. Pei Rensheng Reply:
Hello! 1. Children who just started kindergarten are particularly susceptible to respiratory or gastrointestinal infections, and this situation may not improve until they reach the upper grades of elementary school. 2. Ways to boost immunity include vaccinations, exercise, and a ...[Read More] Managing Persistent Cough and Infections in Young Children
Concerns About Pediatric Anesthesia and Intubation After Foreign Body Removal
Pediatric Anesthesia and Intubation Issues Dear Dr. Pei, Background: The child is approximately two and a half years old and recently experienced foreign body aspiration. The foreign object was removed from the lungs under general anesthesia with a rigid bronchoscope. The physic...
Dr. Pei Rensheng Reply:
Hello, Ms. Tsai! The interval between anesthetics is not critical, but an assessment will still be conducted before the second anesthesia, including blood tests and a chest X-ray. A pediatric consultation may be arranged depending on the evaluations of each hospital; for instance...[Read More] Concerns About Pediatric Anesthesia and Intubation After Foreign Body Removal
What to Do If a Child Swallowed a Coin Years Ago?
Swallowing a coin? The child is now in middle school and mentioned yesterday that he swallowed a 10 NT dollar coin one or two years ago, but has not experienced any discomfort since. What should be done now?
Dr. Pei Rensheng Reply:
Hello, in Taiwan, the current circulating 10 NT dollar coins often get lodged in the esophagus or stomach and cannot pass on their own. Prolonged retention may lead to symptoms such as abdominal pain or chest pain. It is recommended to perform an X-ray to confirm the location, fo...[Read More] What to Do If a Child Swallowed a Coin Years Ago?
Do 3-Year-Olds Need Preventive TB Medication After Positive Skin Test?
Skin test of 10 cm for a 3-year-old child? Hello, doctor. I would like to ask you a question. My grandfather, who lives with us, has been diagnosed with tuberculosis. My 3-year-old son had a normal chest X-ray, but his skin test measured exactly 10 mm. The pediatric infectious di...
Dr. Pei Rensheng Reply:
Hello: Numerous international studies have shown that the lifetime risk of developing active tuberculosis (TB) among contacts of infectious pulmonary tuberculosis cases is as high as 17% for children, compared to 5% for adults. Data from our country also indicate that younger con...[Read More] Do 3-Year-Olds Need Preventive TB Medication After Positive Skin Test?
Understanding Pediatric Asthma: Diagnosis and Symptoms Explained
Pediatric Asthma Hello, doctor. I would like to ask about my child who will be 5 years old in 2 months. The pediatrician said he has asthma, but the doctor only listened to his chest. During the consultation, I mentioned that he coughs at night and sometimes wakes up from coughin...
Dr. Xiao Kaiwen Reply:
Diagnosing asthma in children under five years old is challenging because respiratory symptoms such as wheezing and coughing can also occur in children without asthma. Additionally, routine pulmonary function tests to assess airflow limitation are not feasible in this age group. ...[Read More] Understanding Pediatric Asthma: Diagnosis and Symptoms Explained
Is a Body Temperature of 35.6°C Normal for My Child After Medication?
Body temperature 35.6°C? Hello doctor, my son is four years old and weighs 24 kilograms. Since family members have contracted the flu, he had a temperature of 38.2°C two nights ago, and the doctor prescribed antiviral medication. After taking the antiviral and a white packet, his...
Dr. Xiao Kaiwen Reply:
I'm not sure how you measure your temperature. While measuring ear temperature is convenient, it can be influenced by many factors, such as excessive earwax, incorrect insertion angle into the ear canal, and lack of regular calibration. A method that is closer to core body t...[Read More] Is a Body Temperature of 35.6°C Normal for My Child After Medication?
Understanding Rash in Infants: Causes and When to Seek Help
A four-month-old baby has a rash issue..? My younger brother had a fever and unusual vomiting two days ago, so we took him to a nearby clinic for evaluation. The examination results indicated mild cold and fever symptoms (his appetite and activity levels were normal). After takin...
Dr. Xiao Kaiwen Reply:
There are many causes of fever accompanied by a rash, and it is difficult to make a diagnosis without seeing the actual rash. It is recommended to consult a pediatrician for evaluation and treatment.[Read More] Understanding Rash in Infants: Causes and When to Seek Help
Why Does My Child Experience Pain After Drinking Soda?
Drinking soda can cause body pain? I have noticed that whenever my 8-year-old son drinks soda, he experiences body pain (possibly near the chest, under the armpit, specifically in the area above the stomach). However, after he sleeps and rests, he feels better. What could be the ...
Dr. Pei Rensheng Reply:
Hello: Although the incidence of gastroesophageal reflux in eight-year-old boys is not high, the symptoms you described are somewhat consistent with the manifestations of gastroesophageal reflux. I recommend trying antacids and medications that promote gastrointestinal motility, ...[Read More] Why Does My Child Experience Pain After Drinking Soda?