Chest, Pediatrics FAQ

Understanding Allergies and Asthma in Young Children: A Parent's Guide

Allergic rhinitis / Asthma My daughter (2 years old) has always been in good health, rarely experiencing fever. When she does have a fever, it usually subsides quickly, often without the need for medication; just giving her some warm water is enough to help reduce the fever. Howe...

Dr. Pei Rensheng Reply:
Dear Mrs. Liang, Hello. Allergic diseases are related to two factors: one is the allergic constitution, and the second is the allergens. The allergic constitution can be hereditary; numerous studies have shown that if one parent has an allergic constitution, the child has a one ...

Concerns About H1N1 in a 12-Year-Old: When to Seek Further Care

Child suspected of H1N1? Hello Doctor: My child is currently 12 years old and in the fifth grade. Since October 17th (Saturday), he has been experiencing a fever of 38-39 degrees Celsius, along with a sore throat and cough with yellow phlegm. We visited a pediatric clinic, and ev...

Dr. Xiao Kaiwen Reply:
With symptoms similar to influenza and a fever above 38 degrees Celsius, you meet the criteria for a rapid influenza test. Additionally, it is necessary to check for pneumonia (via chest X-ray) and to conduct blood tests to assess the level of inflammation and determine if there ...

Chest Pain in Children During Jump Rope or Running: Causes and When to Seek Help

Children may experience chest pain while jumping rope or running? The 10-year-old girl experiences chest pain while jumping rope or running, specifically stating that she feels pain below the left side of her chest after about sixty to seventy jumps. This pain requires her to tak...

Dr. Pei Rensheng Reply:
Dear Xuan Ma: Regarding your question, please find the response in the attachment.

Understanding Mycoplasma Infections in Young Children: Symptoms and Diagnosis

What can you tell me about pediatric Mycoplasma infections? Hello Doctor, my child is three and a half years old. Since starting kindergarten in June, he has been experiencing intermittent colds, with symptoms including fever, runny nose, and cough, averaging about every two week...

Dr. Xiao Kaiwen Reply:
A three-and-a-half-year-old child has a relatively weak immune system and insufficient hygiene habits. As they begin to live in a group setting, it is inevitable that they will transmit respiratory symptoms to each other (as respiratory infections are most easily spread through d...

Managing Persistent Cough in Children: When to Seek Help and Natural Remedies

Coughing Hello, Dr. Pei: I have two questions to ask you... (1) My two children (the eldest is over four years old and the youngest is over one year old) have been coughing for more than three weeks. They cough a few times each day; although it's not very frequent, each time...

Dr. Pei Rensheng Reply:
Dear Xiaofen, 1. Your child has been coughing for over three weeks, so it is advisable to consult a pediatrician for an examination. Post-infectious cough is still the most likely cause. 2. If the examination reveals no specific issues and the symptoms have improved, there may b...

Understanding Intermittent Fever in Children: Causes and Concerns

Intermittent fever Hello Doctor: My child is in the second grade. Earlier this year, after recovering from a cold and fever, he has been experiencing fever every 3 to 4 days since then, mostly occurring in the afternoon. He also feels weak and has body aches, with pain on both si...

Dr. Pei Rensheng Reply:
Dear Mom Lu, Hello, your son experiences fever every 3 to 4 days, and the possible reasons are as follows: 1. During the Lunar New Year period, there is frequent viral transmission, making it easy to contract various viruses. 2. Urinary tract infection (is there pain in the g...

Does My 3-Year-Old Son Really Have Asthma? Understanding Symptoms and Care

Does my son really have asthma? Gender: Male Age: 3 years 1 month Weight: 14 kg Dietary habits: Normal Family history of asthma: Great-grandfather, grandmother, husband (had it during infancy) Current issues: Sensitive to weather changes, prone to nasal allergies Dura...

Dr. He Shenglong Reply:
Hello: If an infant has a family history of disease and experiences recurrent wheezing episodes, it is very likely to be asthma. Currently, seeing an immunologist or rheumatologist is appropriate. Allergens can be identified through blood tests. Additionally, some asthma attacks ...

Understanding Pediatric Neurological Concerns: When to Seek Help

Many questions? My eldest child is 8 years old and has Asperger's syndrome. He was delivered via vacuum extraction at 42 weeks. During his crawling phase, he exhibited head-banging behavior. Before he turned one, he experienced tremors in his hands while breastfeeding, where...

Dr. Xie Degui Reply:
1. It is recommended to undergo an early developmental delay assessment, which can be done at our hospital's pediatric neurology clinic with Dr. Bao-Ling Chang on Thursday afternoons. 2. Based on the described symptoms, they appear to be indicative of epilepsy. An evaluatio...

Understanding Snoring in Toddlers: Causes and When to Seek Help

The child has been snoring during sleep recently? Hello Dr. Hsiao: My daughter is currently one year and eight months old. On May 9th, my parents took her to the health center for her fourth dose of the diphtheria, pertussis, and tetanus (DPT) combination vaccine, as well as the ...

Dr. Xiao Kaiwen Reply:
Fever from vaccines typically lasts less than two days, and since your child has had a fever for six days, it is advisable to go to the hospital for a thorough examination (blood tests, urine tests, chest X-ray, etc.) to determine the cause of the infection. Whether the snoring i...

Understanding Red Rash Around Mouth and Body in Infants

Small red rashes around the mouth and on the body? Hello, doctor: My baby is now almost six months old. Besides the usual smooth small red rashes around the mouth, I noticed today during a diaper change that there are also some smooth small red rashes on the abdomen near the ches...

Dr. Xiao Kaiwen Reply:
Rashes around a baby's mouth are mostly caused by saliva irritation, commonly referred to as saliva rash. Generally, it is important to maintain oral and surrounding hygiene (wiping away excess saliva promptly). If the rash is severe, a topical ointment may be applied. Infan...

Managing Persistent Cough in Infants: Causes and Solutions

Coughing Hello Doctor: My 5-and-a-half-month-old baby has had three colds already. The last cold hasn't completely resolved, and now there are new symptoms. This time, he has a persistent cough that sometimes sounds like he's choking, and at times he coughs so much that...

Dr. Hong Shuokun Reply:
Hello, Yang Ma: Your little one is only five and a half months old and has caught a cold three times, which is quite a lot. Are there other children at home? For children of this age, if they have a cough, it is essential to perform chest physiotherapy to help clear mucus. There ...

Safe Medication Practices for Infants: Key Considerations for Parents

Medications for infants Hello, doctor: My daughter is currently 10 months old and has been coughing frequently since she was 6 months old, averaging a visit to the hospital every 1 to 1.5 months. The doctor prescribes cold syrup, allergy medication, and bronchodilator syrup, each...

Dr. Pei Rensheng Reply:
Dear Annma, Hello! 1. The safe dosage range for cold medications is relatively wide, often allowing for doses that are 1.5 to 2 times higher to still be considered safe. 2. However, taking an overdose may lead to some side effects; for example, antihistamines can cause drowsi...

Growth Hormone Treatment for Short Stature: Is It Worth the Risks?

Administering growth hormone Hello Dr. Wang, My daughter is currently ten years and nine months old. She started her menstrual cycle this month, and her height is 148 cm, with a bone age of thirteen years. My height is 162 cm, and my husband's height is 172 cm. The doctor p...

Dr. Wang Jiayi Reply:
Dear Concerned Mother, The desire for children to succeed is a sentiment shared by all parents. For those with shorter children, concerns about their child's growth may arise. Height is a subjective measure influenced by psychological factors, making it difficult to establi...

Should I Switch My Baby's Formula Due to Allergies?

Should I change the formula? Hello, Director Wang: Baby was born on January 1, 2007, and has been tested for allergic constitution, with the report confirming the allergy. However, I have not given the baby hydrolyzed protein formula; instead, I have been giving him regular for...

Dr. Wang Jiayi Reply:
Hello, Yaping: 1. Your baby is currently in the 90-95th percentile for weight and the 10-25th percentile for height, both of which are within the normal range. 2. It is not possible to determine if your baby has an allergic constitution at birth, so any testing should be conside...

Understanding Growth Delays in Adolescents: A Guide for Concerned Parents

Growth retardation Director Wang, I apologize for the interruption. I have a son who is in the ninth grade, and he should be at the stage of developing into adulthood. However, there are no signs of development; he hasn't grown facial hair, his chest hasn't developed or...

Dr. Wang Jiayi Reply:
Hello Mr. Liu: It is recommended that you take him to a medical center to see a pediatric specialist as soon as possible. The Pediatrics Department at Hualien Hospital is here to support you!

Guidelines for Administering Combination Vaccines in Infants

Issues Regarding the Administration of the Pentavalent Vaccine and Pneumococcal Vaccine Dr. Pei: Hello! For a six-month-old child, the third dose of the DTaP-HepB-IPV combination vaccine and the pneumococcal conjugate vaccine (PCV) are due. 1. What do you recommend regarding th...

Dr. Pei Rensheng Reply:
Hello: Currently, there is a hexavalent vaccine (pentavalent + hepatitis B = hexavalent), which means fewer injections. Both the pentavalent and hexavalent vaccines, as well as the pneumococcal vaccine, are inactivated vaccines and do not increase each other's side effects, ...

Understanding Infant Neck Issues: Concerns and Exercises for Development

Infant neck issues Hello Dr. Wang, My baby is now 4 months and 3 days old. During a recent check-up, the pediatrician gently pulled my baby's hands to help him sit up, but his head tilted backward. The doctor is concerned there might be an issue with his brain (although fi...

Dr. Wang Jiayi Reply:
Dear anxious mother, please do not feel extremely anxious. Your baby can sense your anxiety, which can have adverse effects on their physical and mental well-being. I believe your doctor is carefully ruling out any potential issues, which is why they have arranged for tests. Keep...

Understanding Infant Gastrointestinal Issues: A Guide for Parents

Gastrointestinal issues in infants? Hello Dr. Chang: My baby is currently three and a half months old. Previously, we took him to see a doctor due to persistent diarrhea, and it was later diagnosed as gastroenteritis. He was hospitalized for three days, and after discharge, he ha...

Dr. Zhang Yingwen Reply:
1. After diarrhea, the stool has become pellet-like, similar to sheep feces. If the medication prescribed by the doctor contains antidiarrheal ingredients or agents that absorb moisture, it is not advisable to continue taking it. You can gradually transition back to regular formu...

Effective Treatments for Respiratory Syncytial Virus in Infants

How to treat respiratory syncytial virus (RSV)? My son is currently eleven and a half months old and has been infected with respiratory syncytial virus (RSV). The doctor said he is being treated with traditional methods (using bronchodilators for steam therapy, taking expectorant...

Dr. He Ciyuan Reply:
Management of bronchiolitis includes avoiding agitation in the patient, administering oxygen (when the patient is experiencing shortness of breath), providing hydration (including intravenous fluids if necessary), and using bronchodilator nebulization therapy.

Understanding Pectus Carinatum and Constipation in Toddlers

What is pectus carinatum and baby constipation? Hello, doctor. I would like to ask what pectus carinatum (commonly known as pigeon chest) is. My daughter is currently one year and four months old, and her chest appears somewhat muscular, but it is not very protruding. Is this wha...

Dr. Chen Rongtai Reply:
Pectus carinatum, also known as pigeon chest, is a congenital chest wall deformity characterized by the protrusion of the costal cartilages and sternum in the lower half of the thorax, making the central part of the chest appear more prominent than the sides. It is a relatively r...

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