Managing Congenital Pulmonary Stenosis in Infants: Risks and Precautions
Pulmonary artery stenosis Hello Dr. Pei, my child has been diagnosed with congenital pulmonary artery stenosis and is currently over 9 months old, with regular follow-ups. During the last visit, the pressure difference between the right ventricle and the pulmonary artery was over...
Dr. Pei Rensheng Reply:
Hello: When the degree of pulmonary valve stenosis is mild, there may be no clinical symptoms, but a systolic heart murmur can be heard upon auscultation. Patients with moderate to severe stenosis may experience symptoms such as dyspnea, chest pain, dizziness, arrhythmias, myocar...[Read More] Managing Congenital Pulmonary Stenosis in Infants: Risks and Precautions
Understanding Severe Pneumonia in Children: When to Seek Advanced Care
Severe pneumonia My friend's child, who is over two years old, has been hospitalized for pneumonia for five days and still has a persistent high fever. Today, a follow-up chest X-ray was done, and the doctor mentioned that the pneumonia has worsened and there is a possibilit...
Dr. Xiao Kaiwen Reply:
For children with severe complex pneumonia, it is best to seek care at a hospital that has pediatric infectious disease specialists and possibly pediatric thoracic surgery support. However, whether to transfer to a larger hospital should be discussed with your attending physician...[Read More] Understanding Severe Pneumonia in Children: When to Seek Advanced Care
Understanding Urticaria and Elevated Liver Enzymes in Infants
Urticaria and elevated liver enzymes? Hello, doctor! I have a three-month-old baby boy at home who, on October 1, 2016, presented with a runny nose and slight lethargy. The clinic prescribed cyproheptadine, reason tablets, biofermin, and mirate liquid, which were stopped on Octob...
Dr. Xiao Kaiwen Reply:
1. Urticaria generally does not cause liver dysfunction. There are many potential causes for liver dysfunction (including infectious, drug-induced, chemical, autoimmune, metabolic, etc.), some of which may resolve on their own, while others can be relatively severe. Please discus...[Read More] Understanding Urticaria and Elevated Liver Enzymes in Infants
Which Specialist to Consult for My Daughter's Chest Pain?
Growth and Development Hello Doctor: I have a daughter in the fourth grade who recently mentioned that her chest hurts when pressed. I would like to take her to see a doctor. Which specialty should I consult? Thank you for your response.
Dr. Lin Yishou Reply:
Hello, Pediatric Endocrinology. Thank you.[Read More] Which Specialist to Consult for My Daughter's Chest Pain?
Understanding Chickenpox in Infants After BCG Vaccination
Infants develop chickenpox? Hello doctor, my son is currently over five months old. He received the BCG vaccine last Friday, and unexpectedly, he developed chickenpox a week later. Is there any conflict between the BCG vaccine and chickenpox in his body? What should I be aware of...
Dr. Xiao Kaiwen Reply:
The BCG vaccine and varicella (chickenpox) do not conflict with each other. Aspirin and other salicylate medications should not be used as antipyretics. Complications of varicella include pneumonia, encephalitis, secondary bacterial infections, and sepsis. Therefore, the dangerou...[Read More] Understanding Chickenpox in Infants After BCG Vaccination
Understanding Tuberculosis Infection in Young Children: Treatment Options
Tuberculin Hello Doctor: Recently, my grandmother has been diagnosed with tuberculosis and is currently undergoing treatment. However, my two grandchildren, one over a year old and the other over two years old, both went to the hospital for chest X-rays and received a tuberculin ...
Dr. Xiao Kaiwen Reply:
Children diagnosed with tuberculosis must be treated; otherwise, they are at risk of developing severe secondary tuberculosis infections. The medications for tuberculosis can be crushed, and whether they can be mixed with beverages should be discussed with your treating physician...[Read More] Understanding Tuberculosis Infection in Young Children: Treatment Options
Understanding Pectus Carinatum: Severity, Impact, and Treatment Options
Chicken breast issues? Hello, doctor. I would like to ask how to visually distinguish between mild, moderate, and severe pectus carinatum. What are the effects of pectus carinatum? If I seek medical attention, which department should I visit? Additionally, what is the approximate...
Dr. Pei Rensheng Reply:
Hello: Pectus carinatum can be corrected with the use of braces and rehabilitation exercises under the guidance of a professional orthotist. 1. What is a sternal developmental deformity? What are the causes? Answer: A deformity of the anterior sternum that causes the chest wal...[Read More] Understanding Pectus Carinatum: Severity, Impact, and Treatment Options
Understanding Delayed Breast Development in Teenagers
Breast development issues Hello doctor, I am currently 18 years old and 152 cm tall, but my breast size is still 2 to 3 cm away from an A cup, and they are very flat. Since puberty, I have not experienced significant breast development. I would like to know if there is any issue ...
Dr. Zhong Ruixian Reply:
Hello Nini: I apologize for the late reply! May I ask when you started developing secondary sexual characteristics? Have you already had your first menstruation? Generally, puberty occurs between the ages of 10 and 15. I recommend that you get an examination to check the size of ...[Read More] Understanding Delayed Breast Development in Teenagers
Improving Chest and Shoulder Pain in Children: Exercise and Herbal Remedies
Chest and shoulder pain? Doctor, thank you very much. I would like to ask if increasing exercise or using traditional Chinese medicine can help improve this condition. Thank you.
Dr. Pei Rensheng Reply:
Hello: Shoulder pain may improve with increased exercise or herbal treatment, but pectus carinatum cannot be alleviated through exercise or herbal remedies. Wishing you peace and well-being! Sincerely, Rensheng.[Read More] Improving Chest and Shoulder Pain in Children: Exercise and Herbal Remedies
Impact of Not Using a Brace for Pectus Excavatum in Children
Chest and shoulder pain? I apologize for the inconvenience, but could you please clarify what the consequences would be if one does not use a brace or undergo surgery? For example, would it lead to shoulder pain or a feeling of tightness in the chest? Additionally, can stretching...
Dr. Pei Rensheng Reply:
Hello: Most cases of pectus carinatum primarily affect appearance or may cause mild respiratory function decline. If the condition is mild, no brace or surgery is necessary. Stretching exercises do not correct pectus carinatum. Wishing you peace and health. Sincerely, Dr. Pei Ren...[Read More] Impact of Not Using a Brace for Pectus Excavatum in Children
Improving Pectus Carinatum and Shoulder Pain in Children
Chest and shoulder pain? Hello doctor, I would like to ask about a family member who has pectus carinatum, which is mild and not very noticeable when wearing clothes. When facing him, the pectus carinatum is on my right side. He usually does not experience any discomfort, shoulde...
Dr. Pei Rensheng Reply:
Hello: Approximately 1 in every 400 individuals has a thoracic deformity. It is more common in males than females. One specific condition, characterized by excessive growth of the costal cartilage, is known as pectus carinatum (or "pigeon chest"). The exact cause is unk...[Read More] Improving Pectus Carinatum and Shoulder Pain in Children
Persistent Fever in Children: Causes and When to Seek Help
Persistent fever? I would like to ask about my condition. Four days ago, I had a fever and went to the clinic that night for a rapid test, which showed negative results for both influenza A and B. However, after taking the medication, I continued to have a fever that fluctuates d...
Dr. Xiao Kaiwen Reply:
A negative rapid influenza test does not rule out influenza (as the accuracy of the rapid test is about 60%). Your symptoms still resemble those of influenza, so it may be worth considering a repeat rapid test or directly administering antiviral medications. If the fever persists...[Read More] Persistent Fever in Children: Causes and When to Seek Help
Understanding Rashes in Children: Could Contaminated Water Be the Cause?
Rash on the body? Ten days ago, I accidentally forgot to boil water and gave my daughter 120cc of raw water to drink. The next day, she developed rough rashes on her chest and back, which have not improved. Last night, she also had three small red spots on her feet. We visited a ...
Dr. Xiao Kaiwen Reply:
There are many types of allergens that can cause skin allergies (including ingestion, inhalation, and contact), making it difficult to identify the specific allergen. The severity of allergic reactions also varies from person to person; some individuals may only experience rednes...[Read More] Understanding Rashes in Children: Could Contaminated Water Be the Cause?
Understanding Chest Pain in Children: When to Seek Medical Help
Chest pain in children? Hello, doctor! I would like to ask you: My child is 8 years old and has recently been occasionally complaining of chest pain. Should we get it checked? If so, which department should we consult?
Dr. Xiao Kaiwen Reply:
For children experiencing chest pain, it is recommended to visit a pediatric cardiology department at a major hospital. Initially, a simple electrocardiogram (ECG) and chest X-ray will likely be performed. If necessary, the physician may order a 24-hour Holter monitor and an echo...[Read More] Understanding Chest Pain in Children: When to Seek Medical Help
Understanding Unexplained Skin Rashes in Children: Causes and Solutions
No time to see a doctor, have a rash on the skin? Initially, there were colorless small rashes appearing on the left calf (a dense cluster of tiny, colorless spots that are itchy). After two to three days, similar spots began to appear on the arms, but they were more scattered an...
Dr. Zhong Ruixian Reply:
It sounds more like allergic urticaria, but it's difficult to confirm without seeing the lesions. Any allergen could be the cause, so please pay attention to any recent food or environmental exposures! If you are feeling very uncomfortable, I recommend seeking medical attent...[Read More] Understanding Unexplained Skin Rashes in Children: Causes and Solutions
Understanding Bilateral Upper Lung Nodules in Pediatric Health Reports
The medical examination report indicates issues in both upper lung fields? Hello, doctor! I would like to ask about a relative's child's health examination report, which indicates that there are nodular changes in both upper lung fields. What kind of issue does this rep...
Dr. Xiao Kaiwen Reply:
Interpretations of chest X-rays can vary among different physicians. It is advisable to consult a pulmonologist for further evaluation, which may include a repeat X-ray, a computed tomography (CT) scan, or tests for tuberculosis, among others.[Read More] Understanding Bilateral Upper Lung Nodules in Pediatric Health Reports
Long-Term Antibiotic Use in Children: Risks and Effectiveness Explained
Long-term use of antibiotics? Hello, my 13-year-old daughter has a history of asthma and lung collapse. Recently, she had a severe cold that led to coughing up blood. The doctor diagnosed her with bronchiectasis and noted low blood oxygen levels (92-95). The treating physician ha...
Dr. Pei Rensheng Reply:
Dear Jack, Hello! 1. The treatment for bronchiectasis in children includes chest physiotherapy and antibiotic therapy. 2. Potential underlying causes need to be ruled out, including immunodeficiency, foreign body aspiration, and other conditions such as congenital structural ...[Read More] Long-Term Antibiotic Use in Children: Risks and Effectiveness Explained
Understanding Mycoplasma Pneumonia in Children: Symptoms and Treatment Options
About Mycoplasma pneumoniae! Hello Dr. Hsiao: My younger sister has been coughing for over a month. Last week, she had a blood test, and the results were as follows: - White blood cell count: 13.5 (units: 1000/uL, normal range: 6.7–11.8) - Red blood cell count: 4.89 (units: mil...
Dr. Xiao Kaiwen Reply:
A normal two-year and one-month-old child should have sufficient strength to cough up phlegm (although sometimes they may swallow it). Chest physiotherapy is not necessary. The blood test report you provided is just a basic blood examination, with the only notable abnormality bei...[Read More] Understanding Mycoplasma Pneumonia in Children: Symptoms and Treatment Options
Persistent High Fever in Children: What to Do When It Reaches 39°C?
The child has a persistent fever above 39 degrees Celsius? If a child has a fever over 39 degrees Celsius and a consistently sore throat, and despite seeing a pediatrician and using rectal antipyretics, the condition remains unchanged, what should be done?
Dr. Xiao Kaiwen Reply:
The effects of various antipyretics can only last for a few hours, and their purpose is to provide temporary comfort for children. If the illness is not resolved (common viral infections typically cause fever for three to four days, and some may last up to a week), it is quite co...[Read More] Persistent High Fever in Children: What to Do When It Reaches 39°C?
Managing Cough and Phlegm in Children: A Guide for Parents
My younger brother has phlegm in his lungs! How should we handle this? Hello Dr. Hsiao, My younger brother suddenly developed a fever of 39.8 degrees Celsius around 1 AM last Saturday. He was taken to Chang Gung Memorial Hospital's emergency department, where the doctor dia...
Dr. Xiao Kaiwen Reply:
1. Viral infections can cause fever for 2-3 days, but in some cases, it may last up to a week. Generally, if a fever persists for more than 3-4 days, physicians will conduct tests (such as blood tests, X-rays, or urinalysis) to check for possible bacterial infections. If the feve...[Read More] Managing Cough and Phlegm in Children: A Guide for Parents