Chest, Pediatrics FAQ

Understanding Bronchitis in Infants: Symptoms, Care, and Recovery Time

Bronchiolitis in infants Hello Dr. Hsiao, my baby is currently 2 months and 20 days old and has caught a cold for the second time. This time, she has a severe cough along with wheezing. I took her to the doctor, who said it might be bronchitis, possibly triggered by the cold or d...

Dr. Xiao Kaiwen Reply:
1. For those with mild symptoms, the symptoms typically resolve within two to five days. In more severe cases, the illness may last longer and could progress to bronchiolitis or pneumonia, requiring hospitalization. Patients with pre-existing conditions such as congenital heart d...

Understanding Colds in Newborns with Heart Conditions: Key Insights

Common Cold in Newborns Dr. Hsiao, I would like to ask again about my child who has a patent foramen ovale. How will a cold affect her? What should we pay attention to? The baby does not have a fever, is active, and has a good appetite, but she does have a cough. I heard from a d...

Dr. Xiao Kaiwen Reply:
1. The majority of patent foramen ovale cases are benign and will gradually close on their own. If there are no cardiac complications, a common cold does not have any impact. 2. Coughing between 2 to 5 AM does not necessarily indicate pneumonia; there is no such assertion. 3....

What to Do If Your Baby Hits Their Head: Concerns and Care Tips

If a child accidentally gets hit on the head, it is important to monitor them for any signs of a concussion or other head injury. Symptoms to watch for include headache, dizziness, confusion, nausea, vomiting, or changes in behavior. If any of these symptoms occur, or if the chil...

Dr. Xiao Kaiwen Reply:
Neurological symptoms following head trauma should be monitored for 3 to 7 days, including any changes in consciousness (such as drowsiness), limb weakness, persistent and significant vomiting, severe headaches, noticeable irritability, or even seizures. The presence of intracran...

Understanding Respiratory Syncytial Virus in Infants: Risks and Treatments

Respiratory Syncytial Virus (RSV) My sister's baby, who is seven months old, has been diagnosed with respiratory syncytial virus (RSV), and the doctor mentioned the need for suctioning mucus. We are concerned that suctioning is an invasive procedure and whether it could caus...

Dr. Xiao Kaiwen Reply:
1. Sputum suction is generally performed on critically ill patients who are intubated and on mechanical ventilation. In patients without an endotracheal tube, the suctioning typically yields mostly saliva, as it is not possible to reach deeper airways. 2. Young infants often la...

Understanding Tuberculosis in Toddlers: Key Insights for Parents

Pulmonary tuberculosis in a two-year-old child? Doctor, my two-year-old child was in contact with someone who has tuberculosis for 48 hours. After that, a chest X-ray was normal, and the tuberculin skin test result was 13 mm. Does this count as positive? Will this conflict with t...

Dr. Zhan Mingxuan Reply:
Hello, if the result is positive and measures 13mm, it is recommended to consider prophylactic medication. (Response provided by Dr. Huang Yi-Wen, Department of Pulmonary Medicine) Thank you for your inquiry. Changhua Hospital cares about you.

Understanding Tuberculin Skin Tests in Young Children: What Parents Should Know

Children receive the tuberculin skin test? Doctor, my child is two years and two months old and has been in contact with a person who has open pulmonary tuberculosis for 48 hours. However, this individual has a very low bacterial load and is completely asymptomatic. My child had ...

Dr. Ma Yiqun Reply:
Definition of a positive tuberculin skin test: 1. >= 10mm: for children over 6 years old or those with risk factors for tuberculosis. 2. >= 15mm: for children 6 years old or younger without risk factors for tuberculosis. Although your child is under 6 years old and has rece...

Assessing Tuberculosis Transmission Risk in Young Children

Pediatric tuberculosis If an adult's sputum smear test is negative but a bacterial culture shows a very low quantity of bacteria, and my two-year-old child has been in close contact with this adult for 48 hours, what is the likelihood of transmission? The child has had a nor...

Dr. Xiao Kaiwen Reply:
Tuberculosis (TB) is not as easily transmitted as one might think. The likelihood of transmission depends on several factors, including the bacterial load of the infected individual, whether they have open pulmonary tuberculosis, the distance between individuals, personal immunit...

Is Thymic Hypertrophy Serious in Infants? Key Concerns and Insights

Is a protruding chest line serious? Hello Doctor, DD is now 5 months old. When he was a little over 1 month old, he was hospitalized for pneumonia with a fever of 39 degrees Celsius for a week at Chang Gung Memorial Hospital. He had a follow-up appointment a week after discharge,...

Dr. Pei Rensheng Reply:
Dear Elaine, The thymus is one of the glands in the human body where some bone marrow cells mature. It is located at the upper part of the sternum, between the two lung lobes, and beneath the thyroid gland. As a person ages, the thymus gradually shrinks, but it still retains its...

Impact of Multiple CT Scans on Toddler's Brain Development and Health Risks

Repeated CT scans of the brain in young children? My 2-year and 7-month-old daughter had a car accident in mid-May, where her head hit the ground. She vomited once in the emergency room, and the doctor arranged for a CT scan of her head. She struggled a lot, so she ended up havin...

Dr. Pei Rensheng Reply:
Dear Zoe, Hello! The following article is for your reference. Reasons for the Popularity of Computed Tomography (CT) Scans The reason why computed tomography (CT) scanning technology is favored by both doctors and patients is that it can quickly provide diagnostic reports, is ...

Optimal Milk Intake for Infants: Guidelines for Parents

Infant milk intake Hello Doctor: My child was born at 38 weeks and 3 days, a boy. His birth weight was 2855g. He is currently 4.5 months old. My child's current weight is approximately 6.8kg, height is about 62.4cm, head circumference is 41.2cm, and chest circumference is 40...

Dr. Xie Degui Reply:
Infants require a daily milk intake of at least 100cc per kilogram of body weight. If they want to drink more but become easily agitated, first check for any issues such as nasal congestion that may be interfering with their breathing. If their current weight is not a concern but...

Understanding Asthma: Key Questions for Pediatric Patients

Regarding asthma issues? Hello, doctor. I would like to ask you a few questions: Since I was young, I have had colds, but the doctor has never detected wheezing during auscultation. However, since I caught a cold in 2009, I have had approximately six colds, and each time the doct...

Dr. Xiao Kaiwen Reply:
The diagnosis of asthma is based on a comprehensive assessment of clinical symptoms, physical examination, and laboratory tests. Clinical symptoms include recurrent cough, wheezing, shortness of breath, chest tightness, and sputum production. Physical examination may reveal wheez...

Understanding Chest and Thigh Pain in Children: When to Seek Help

Chest and thigh pain in children? My child has recently been frequently complaining of pain in the triangular area of the chest and in the groin area near the buttocks. However, their activity level is normal. Initially, I didn't pay much attention, but they mention it every...

Dr. Pei Rensheng Reply:
Dear Sophie, Hello! 1. The most common cause is growing pains, as well as strains and sprains after exercise. Of course, viral infections and other factors are also possible. 2. If under 18 years old, please consult a pediatrician first. 3. The physician may arrange for blo...

Concerns About Medication Dosage for Children in Emergency Care

I have concerns about the medications and dosages prescribed for my child by the hospital? My child went to the emergency room due to a fever of 39.1 degrees Celsius without obvious cold symptoms. The doctor only noted that the throat was red and ordered blood tests and a chest X...

Dr. Xiao Kaiwen Reply:
The following are the recommended dosages for medications as per the textbook: Panadol: 10-15 mg/kg per dose, every 4-6 hours (commonly used is 60-65 mg/kg per day, every 4-6 hours). Erythromycin: 30-50 mg/kg per day, every 6-8 hours. Periactin: 0.25-0.5 mg/kg per day, ever...

Managing Persistent Cough with Phlegm in Children: Effective Treatments

Cough with sputum? Hello doctor, my daughter is 5 years old and has a history of allergies and asthma. She has been coughing with phlegm for two months. Some doctors have said it is caused by post-nasal drip, while others have suggested it is due to recurrent infections. Since lo...

Dr. Pei Rensheng Reply:
Dear Ms. Chen, Hello. Given your history of allergies and asthma, and the presence of a productive cough for the past two months, I would recommend starting with a chest X-ray to rule out any pulmonary inflammation or other issues. If the X-ray results are normal, the likelihood...

Chest Pain in Children: Essential Tests for Diagnosis

Chest tightness or pain? A ten-year-old child who frequently experiences chest tightness should undergo a thorough evaluation. Recommended tests may include: 1. A physical examination by a pediatrician. 2. An electrocardiogram (ECG) to assess heart rhythm and electrical activity...

Dr. Xie Degui Reply:
Hello: There are many possible causes for chest tightness; it is recommended to take the child directly to the hospital for a pediatric evaluation.

Understanding Nighttime Coughing in Young Children: Causes and Solutions

Nighttime cough in children? Hello Doctor: My child is one year and two months old. He caught a cold at the beginning of August, and although his cold symptoms have improved, he still has a nighttime cough that sometimes makes him vomit! I have consulted several doctors, but none...

Dr. He Ciyuan Reply:
Your child has been coughing for over two weeks since early August. In my opinion, it is important to consider the possibility of allergies or a lower respiratory tract infection. If necessary, you may want to visit a hospital for a white blood cell count and a chest X-ray to det...

Assessing Growth Rates in Infants: Understanding Normal Development

Assessment of Growth Rate Hello, doctor. I would like to know if my baby's growth record indicates slow growth. My twins were born at 37 weeks and 2 days in October 1998, with a birth weight of 1750 grams, a height of 48 cm, a head circumference of 30.5 cm, and a chest circu...

Dr. Xiao Kaiwen Reply:
As long as your baby's growth proportions are consistent with their height, weight, and head circumference recorded in the child health handbook, and do not fluctuate significantly, it is considered normal. The growth rate you have noted for your baby appears to be within th...

Understanding Middle Ear Effusion in Children: Causes, Treatment, and Concerns

Middle ear effusion Hello Dr. Pei, I would like to ask you three questions... (1) My daughter is five years old. She caught a cold in early November last year, with symptoms of only a runny nose and cough. We have visited the doctor several times, but she has not fully recovered....

Dr. Pei Rensheng Reply:
Hello: (1) If you have had a cold for two months, I recommend getting a chest X-ray to check for pneumonia or other issues. There is also a possibility of allergies, so a blood test to check for mycoplasma levels and allergy markers would be helpful to guide treatment. (2) Otitis...

Understanding Chylothorax in Infants: Treatment and Prognosis Explained

Chylothorax in newborns Hello Doctor: We have a 2-month-old baby who has been hospitalized for two weeks. The doctor diagnosed him with chylothorax. Currently, the treatment involves fasting and draining the pleural effusion. Could you please explain the prognosis and management ...

Dr. He Shenglong Reply:
Hello: The accumulation of lymphatic fluid in the thoracic cavity can lead to chylothorax. Congenital malformations of the thoracic duct, as well as trauma, surgery, or tumors, can cause obstruction of the thoracic duct, which is one of the causes; however, many cases remain idio...

Understanding Abnormal Blood Test Results in Pediatric Infections

Abnormal blood test results? Hello Doctor: My daughter is 9 years old. Last week, she was infected with the new influenza (rapid test positive on 11/30), and she was treated with Oseltamivir for five days. Over the past few days, aside from having a fever on 12/1, she seems to be...

Dr. Xiao Kaiwen Reply:
In general blood tests, parameters such as white blood cell count (WBC), neutrophils (segments), and lymphocytes cannot definitively determine the type of infection. Additional tests are required (such as a chest X-ray to check for pneumonia or a urinalysis to assess for urinary ...

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