Understanding Persistent Cough in Young Children: Causes and Solutions
Why does a child's cough persist? Hello, my son is 1.4 years old and has had a fever since April 28, which has lasted almost a month now, although he is still on medication. During this time, he was hospitalized and diagnosed with bronchiolitis, with excessive phlegm causing...
Dr. Zhang Wenwang Reply:
In addition to monitoring for post-nasal drip issues, it is also important to enhance the technique of chest percussion to help the baby clear mucus from the respiratory tract.[Read More] Understanding Persistent Cough in Young Children: Causes and Solutions
Is Your Baby's Right Chest Swelling Normal? Pediatric Concerns Explained
The right side of the chest is more swollen than the left side? My baby is currently almost eight months old. He had a hip dislocation issue at birth, which was treated and has since returned to normal after three months. Yesterday, I noticed that the right side of his chest is s...
Dr. Zhang Wenwang Reply:
Please have a pediatric specialist conduct an evaluation and examination.[Read More] Is Your Baby's Right Chest Swelling Normal? Pediatric Concerns Explained
Thyroid Dysfunction During Pregnancy: Impact on Infant Intelligence and Growth
Hypothyroidism? Low intelligence? I would like to ask the doctor: I gave birth to my first son on January 31 last year, and when he was about 5 months old, I became pregnant again (while breastfeeding). At that time, I had a cold shortly after becoming pregnant, and soon after, m...
Dr. Pei Rensheng Reply:
Hello! From the detailed records, it is clear that you are very attentive to your baby's growth and development. Here is an overview of congenital hypothyroidism: 1. According to the Department of Health, the incidence is approximately 1 in 2,800. Most cases are due to under...[Read More] Thyroid Dysfunction During Pregnancy: Impact on Infant Intelligence and Growth
Understanding Breast Development Issues in Fifth-Grade Boys
Developmental issues related to breast tissue in fifth-grade boys? Consulting a physician: During puberty, it is normal for girls to experience the development of lumps in their breasts, which can be painful to the touch. However, if a fifth-grade boy experiences similar symptoms...
Dr. Zhang Guozhen Reply:
Dr. Chang Kuo-Chen from the Zhudong Branch of the Hsinchu County Hospital responded that it is indeed unusual for an 11-12 year old boy to have a hard lump in the chest that is painful to the touch. However, as you mentioned, this phenomenon may also be related to diet (such as t...[Read More] Understanding Breast Development Issues in Fifth-Grade Boys
Managing Childhood Asthma: Effective Treatments and Concerns
Pediatric Asthma Dear Dr. Chang, Hello, I have a 6-year-old son who has been suffering from asthma and has been receiving treatment at Mackay Memorial Hospital for 2 years. The improvement has not been very satisfactory, as he still catches colds more frequently than other child...
Dr. Zhang Wenwang Reply:
Hello Vicky, 1. When a new drug is launched, some physicians may choose to wait for long-term usage data before prescribing it, but its approval indicates that it has therapeutic effects, depending on whether the physician and the patient's family can cooperate. 2. I am not...[Read More] Managing Childhood Asthma: Effective Treatments and Concerns
Persistent Cough with Phlegm in a Child: When to Seek Further Evaluation
There is no cold (throat discomfort), yet I keep hearing a lot of coughing with phlegm? Hello Doctor: My daughter, Qiqi, is 4 years old. Since the Lunar New Year this year, she has been coughing intermittently without stopping. It started with a real cold, but for the past month ...
Dr. Zhang Peixin Reply:
Hello: The most common causes of chronic cough are: 1. Recurrent respiratory infections, 2. Pneumonia (including tuberculosis), 3. Post-nasal drip, 4. Allergic conditions (such as asthma). You can visit an outpatient clinic for a chest X-ray or blood tests for differential diagno...[Read More] Persistent Cough with Phlegm in a Child: When to Seek Further Evaluation
Assessing the Accuracy of Tuberculin Skin Test in Children
What is the accuracy of the tuberculin skin test? A child was born abroad and has not received the BCG vaccine. They are now in the first grade of elementary school. Recently, the school conducted a tuberculin skin test, which resulted in a positive reaction. No family members ar...
Dr. Liang Hongjian Reply:
Thank you for your letter, Miss Casey. Generally, a positive tuberculin skin test indicates the following: 1. For HIV-positive patients with significant fibrosis on their chest X-ray, a test result greater than 5 mm, and a history of exposure to an active TB patient, they may be ...[Read More] Assessing the Accuracy of Tuberculin Skin Test in Children
Concerns About My 4-Month-Old Baby's Development: Is It Normal?
May I ask if Dr. Tsai has received this letter? My baby is currently 3 months and 25 days old. He was born weighing 2100 grams. I've noticed that at over 3 months old, when he is on his stomach, he can lift his head and his neck is quite strong. However, when he is on his st...
Dr. Cai Zhengxian Reply:
Dear anxious mother, Due to the hospital management system notifying me to delete duplicate inquiries, I was unable to respond to your previous message. A normally developed baby who is four months old can lie prone with their pelvis flat against the surface, while their head an...[Read More] Concerns About My 4-Month-Old Baby's Development: Is It Normal?
Understanding Pediatric Breathing Issues: Nocturnal Sounds and Exercise-Induced Symptoms
Pediatric respiratory issues A child experiences loud breathing sounds during sleep and occasionally has episodes of breathing cessation. During the day, when engaging in physical activity, the child also experiences significant shortness of breath and occasional mild chest pain....
Dr. Gu Qingxian Reply:
Hello, the symptoms you described may be related to lung disease or heart disease. Please come to our hospital for examination and treatment. Thank you![Read More] Understanding Pediatric Breathing Issues: Nocturnal Sounds and Exercise-Induced Symptoms
Understanding Pediatric Heart Pain: When to Seek Further Evaluation
Chest pain In 1990, a diagnosis of mitral valve prolapse was made, with occasional episodes of tachycardia and chest pain. Regular follow-up examinations each year showed no deterioration. However, this year, there have been several episodes of increased shortness of breath, whic...
Dr. Zhang Peixin Reply:
Hello: For heart issues, it is advisable to consult a cardiologist. The diagnosis you mentioned (left shoulder valve prolapse) may be incorrect; it should be mitral valve prolapse. I recommend seeing a cardiologist to confirm the diagnosis. Sincerely, Dr. Zhang Pei-Hsin, Pediatri...[Read More] Understanding Pediatric Heart Pain: When to Seek Further Evaluation
Managing Your Baby's Severe Cough and Vomiting After Chlamydia Infection
After a child has a Campylobacter infection and is experiencing persistent vomiting, what should be done? Hello Dr. Chen: My baby (4 months old) started experiencing severe coughing, occasional vomiting, and a runny nose a few days ago. After a doctor's diagnosis, it was det...
Dr. Chen Rongtai Reply:
Pneumonia caused by Chlamydia in newborns typically occurs within the first one to three months after birth. Clinically, it is often characterized by persistent coughing and shortness of breath, but fever is rare. Physical examination may reveal notable lung crackles. In cases of...[Read More] Managing Your Baby's Severe Cough and Vomiting After Chlamydia Infection
Understanding Preterm Infants: Managing Respiratory Issues and Care
Premature infant Hello Dr. Liang, My son was born on January 25 of this year (weighing 1390 grams) and is currently over 4 months corrected age. All tests related to potential complications from being a premature infant have come back normal, and he currently weighs 7.8 kilogra...
Dr. Liang Hongjian Reply:
Hello: Thank you for your inquiry. Currently, your child's issues can be summarized as follows: 1. The relationship between bronchiolitis and allergic predisposition: Many studies indicate a certain relationship between bronchiolitis and allergies, but not all cases of bronc...[Read More] Understanding Preterm Infants: Managing Respiratory Issues and Care
Do Two-Month-Old Babies Need Water? Expert Insights on Infant Hydration
Do two-month-old infants need to drink water? Hello! 1. My child is currently over two months old. Previously, he would cry and spit up frequently during the night, so we sought medical advice. Doctor A mentioned that he has phlegm and suggested that besides chest percussion, h...
Dr. Zhang Jinglong Reply:
Dear Parents, 1. Your child is currently over two months old. Based on the current milk intake, hydration is sufficient. If the diaper is wet each time it is changed, it indicates adequate hydration, as breast milk contains enough water. There is no need to worry about dehydrati...[Read More] Do Two-Month-Old Babies Need Water? Expert Insights on Infant Hydration
Understanding Nighttime Fever in Children: Causes and Solutions
Nighttime fever Hello, Director Zhao. My niece has been frequently experiencing fever and cold symptoms since the Lunar New Year. Since January, she has been visiting the clinic regularly and has been continuously taking medication, yet she still often coughs, has a runny nose, o...
Dr. Zhao Yongkang Reply:
Hello, 1. As you mentioned, it is highly likely that this is an allergic reaction. Allergies typically present with chronic cough in the respiratory tract, which may be more pronounced in the early morning or at night. There may also be symptoms such as chest tightness, deep bre...[Read More] Understanding Nighttime Fever in Children: Causes and Solutions
Understanding and Treating Hemangiomas in Children: A Parent's Guide
Hemangioma Hello Dr. Chen, My daughter is over 3 years old, and recently I noticed a red spot on the upper left side of her chest. It seems to be gradually getting larger, and it is neither itchy nor painful (though she doesn't like anyone touching it, and sometimes when I ...
Dr. Chen Rongtai Reply:
Vascular abnormalities can be either a singular defect or part of a syndrome, and they can generally be categorized into two main types: hemangiomas and vascular malformations. Hemangiomas typically appear within a few weeks after birth, initially growing larger and then graduall...[Read More] Understanding and Treating Hemangiomas in Children: A Parent's Guide
Post-Pneumonia Care: Essential Tips for Your Child's Health
Thank you for your attentive care of my daughter, Yi-Jun? Hello Dr. Chen, how can I prevent and maintain my health after being discharged from pneumonia?
Dr. Chen Qianyi Reply:
Most pneumonia patients continue to experience upper respiratory symptoms for some time after discharge, such as coughing and runny nose. This is especially true for infants, who have a poorer ability to clear mucus. Therefore, upon returning home after discharge, it is important...[Read More] Post-Pneumonia Care: Essential Tips for Your Child's Health
Understanding Sleep Apnea in Children and Allergic Individuals
Temporary cessation of breathing? Hello, doctor! I have a severe allergic constitution (allergic rhinitis, asthma, drug allergies, and urticaria). When I sleep, I often unconsciously stop breathing (my husband says that after regular breathing, I suddenly stop for a few minutes a...
Dr. Liang Hongjian Reply:
Thank you, Vivian, for your inquiry regarding the related issues. Temporary cessation of breathing, known as apnea, is often observed in newborns and infants, particularly in premature infants. There are many underlying causes, with common reasons including underdeveloped brain m...[Read More] Understanding Sleep Apnea in Children and Allergic Individuals
Why Does My Child Have Mucus Without a Cold? Understanding Pediatric Concerns
No cold, but a lot of phlegm? Hello Dr. Zhao, my daughter is one year and seven months old and has congenital heart disease. Since she was little, even when we feel she doesn’t have a cold, we can often hear what seems like a lot of phlegm from her back. Aside from the phlegm-lik...
Dr. Zhao Yongkang Reply:
Based on your description, if a child has a persistent cough or produces phlegm but does not have a fever or other symptoms, it may be indicative of an allergic constitution. It is still important to consult a pediatric allergist for a thorough examination. If the child is indeed...[Read More] Why Does My Child Have Mucus Without a Cold? Understanding Pediatric Concerns