Cough, Pediatrics FAQ

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Understanding Prolonged Fever in Children: When to Seek Medical Advice

Pediatric fever Hello, Doctor. I would like to inquire about my 6-year-old daughter. On the 24th, she had a fever of 38.8°C and we took her to see a doctor. The doctor diagnosed her with tonsillitis. She had a recurring fever for 3 days, approximately every 10-12 hours, reaching ...


Dr. Xiao Kaiwen Reply:
Some viral infections can cause a fever lasting up to a week, such as adenovirus, so adenovirus rapid testing can be performed. Additionally, if a high fever persists three days after the last blood test, it may be advisable to conduct another blood test to assess any changes in ...

[Read More] Understanding Prolonged Fever in Children: When to Seek Medical Advice


Can Children Safely Combine Cough and Cold Medications?

Could you please clarify your question regarding pediatric medication? Hello Dr. Hsiao: My 4-year-old child is currently experiencing fever, a cough that sounds productive, yellow nasal discharge, and nasal congestion (the nasal discharge returns shortly after blowing the nose). ...


Dr. Xiao Kaiwen Reply:
The medication your child is taking contains ingredients for cough relief and treating rhinitis (nasal congestion, runny nose, and sneezing). Xike Ning is a combination cold medicine that also includes ingredients for runny nose, nasal congestion, sneezing, cough, and expectorati...

[Read More] Can Children Safely Combine Cough and Cold Medications?


Understanding Nighttime Nasal Congestion and Cough in Children

Children experiencing nasal congestion and nighttime cough? Hello doctor, my daughter is currently 3 years old. During the day, she has some nasal congestion and a runny nose, and at night she snores while sleeping and has a cough. However, she is unable to clear her nasal mucus....


Dr. Xiao Kaiwen Reply:
Both possibilities exist. It is recommended to visit a pediatric department at a hospital for a physical examination, laboratory tests, and a thorough medical history inquiry to reach a more definitive conclusion.

[Read More] Understanding Nighttime Nasal Congestion and Cough in Children


Flu in Infants: When to Seek Hospital Care for Your Baby

The baby has influenza? Hello, my four-year-old child caught an infection at preschool and transmitted it to my eight-month-old daughter and myself. Based on my condition, the doctor diagnosed it as influenza and prescribed Tamiflu. The older child has improved, but the baby has ...


Dr. Xiao Kaiwen Reply:
At only 8 months old, the child is in a high-risk group for influenza and has had a persistent high fever for 4 days despite taking antiviral medication. It is advisable to go to a major hospital's emergency department for evaluation.

[Read More] Flu in Infants: When to Seek Hospital Care for Your Baby


Persistent Cough in Children: Causes and When to Seek Help

Persistent cough in children (approximately twelve years old) Hello, doctor. I have a 12-year-old boy who coughs several dozen times a day. He does not have any runny nose, fever, or phlegm; it’s just a sensation of clearing his throat. This has been ongoing for more than six mon...


Dr. Xiao Kaiwen Reply:
There are many possible causes. Common reasons in children include allergic bronchitis, post-nasal drip, gastroesophageal reflux, bacterial infections such as mycoplasma, and it could also be due to neurogenic conditions like Tourette syndrome. It is recommended to first consult ...

[Read More] Persistent Cough in Children: Causes and When to Seek Help


Night Sweats After A Flu Diagnosis: When to Seek Medical Advice?

Excessive sweating during sleep after being diagnosed with influenza type A? Hello, doctor! My son was diagnosed with influenza type A on January 7th and received Rebata (oseltamivir) on the same day. The next day, his fever gradually subsided, leaving only a cough and runny nose...


Dr. Xie Wanghu Reply:
Hello, April's mom. Night sweats during sleep may be related to the course of the illness. Once the illness improves, it should resolve. Also, make sure not to dress the child in too many layers while sleeping; keeping them warm and comfortable is sufficient. Thank you.

[Read More] Night Sweats After A Flu Diagnosis: When to Seek Medical Advice?


Persistent Cough in Children: Causes, Concerns, and Care Tips

Persistent cough in children? Hello, doctor! My child is 5 years old and previously had symptoms such as coughing, runny nose, and nasal congestion, which were attributed to a cold, so we took him to a general clinic for treatment. The coughing improved, and we switched to tradit...


Dr. Xiao Kaiwen Reply:
Common causes of persistent cough in young children include bronchial allergies, sinusitis with post-nasal drip, gastroesophageal reflux, and infections (such as mycoplasma infection), among others. It is advisable to consult an experienced pediatrician for diagnosis and treatmen...

[Read More] Persistent Cough in Children: Causes, Concerns, and Care Tips


Understanding Fever and Diarrhea in Children: When to Seek Hospital Care

Fever and diarrhea? The child has been experiencing recurrent fever for 3-4 days (38-39 degrees Celsius) and has been having diarrhea, with several watery stools daily, which are unformed. Every time the child eats, they have diarrhea, and there is a noticeable decrease in appeti...


Dr. Xiao Kaiwen Reply:
Here, I can only say that the best person to understand your child's condition is their attending physician. It is difficult to fully assess your child's situation with limited information. I recommend closely collaborating with your child's attending physician, wh...

[Read More] Understanding Fever and Diarrhea in Children: When to Seek Hospital Care


Understanding Adenovirus in Children: What You Need to Know

About adenovirus? I would like to ask the doctor, my daughter had a fever from adenovirus for four days, but she hasn't had a fever for a while. However, her blood test showed an inflammation index of 4, and the doctor said she needs to be hospitalized for further examinatio...


Dr. Xiao Kaiwen Reply:
The inflammation index referred to by general practitioners is typically the CRP (C-reactive protein) level obtained from a blood test. However, different hospitals may use different units for measuring CRP, so it is essential to know the unit of your CRP value of 4 in order to d...

[Read More] Understanding Adenovirus in Children: What You Need to Know


Understanding Cough and Cold in Infants: Antibiotics and Concerns

A newborn over one month old has a cold? Hello, doctor. I would like to inquire about my baby, who is currently over a month old and has caught a cold. The symptoms include post-nasal drip and coughing. After the first visit, the doctor prescribed medication, and during the secon...


Dr. Xiao Kaiwen Reply:
The common cold is generally caused by a viral infection and does not require the use of antibiotics, which are intended for bacterial infections. It may be necessary to consult the prescribing physician to determine the suspected bacterial infection before using antibiotics. If ...

[Read More] Understanding Cough and Cold in Infants: Antibiotics and Concerns


COVID-19 in Infants: When to Seek Medical Advice for Your Baby

Infant COVID-19 I would like to ask about my baby, who is currently 4 months old. On November 29, my baby tested positive and had a fever reaching nearly 38 degrees Celsius. However, after taking fever-reducing medication, the fever subsided. My baby occasionally sneezes and coug...


Dr. Xiao Kaiwen Reply:
COVID-19 may not always test negative quickly on rapid tests, and a persistent positive result does not necessarily indicate more severe symptoms or a higher risk of progression to critical illness. The primary approach to managing COVID-19 is symptomatic treatment and monitoring...

[Read More] COVID-19 in Infants: When to Seek Medical Advice for Your Baby


Understanding Mycoplasma Pneumonia in Children: Symptoms and Recovery

Mycoplasma pneumonia Hello, doctor. I would like to ask about a 5-year-old child who contracted mycoplasma pneumonia, resulting in right lung infiltration. The child was treated with medication for three days and discharged from the hospital. During the hospitalization, the child...


Dr. He Zongxian Reply:
Hello, generally speaking, mycoplasma infections initially present with symptoms similar to those of a cold. After three to five days of fever, a cough often develops, frequently manifesting as a dry cough. This cough can persist for about three to four weeks. As long as the body...

[Read More] Understanding Mycoplasma Pneumonia in Children: Symptoms and Recovery


Safety of Medications During Breastfeeding: A Pediatric Perspective

Medication Issues During Breastfeeding Hello Doctor, I currently have a cold with a sore throat, phlegm, and a severe cough. I would like to ask about the safety of the following medications for my 11-month-old baby while I am breastfeeding. Will these medications affect my baby?...


Dr. Xiao Kaiwen Reply:
Generally speaking, except for immunosuppressive drugs, cytotoxic medications, and radioactive drugs, most medications only appear in trace amounts in breast milk and have minimal impact on the baby. Therefore, there is usually no need to stop breastfeeding. As a principle, it is...

[Read More] Safety of Medications During Breastfeeding: A Pediatric Perspective


Concerns About X-Ray Radiation Exposure in Infants: A Parent's Dilemma

X-ray radiation issues When my child was nine months old, she was taken to the emergency room due to crying, vomiting, and coughing. Since there was no pediatrician available, she underwent chest and abdominal X-rays without any shielding for her body. When I followed up with a p...


Dr. Xiao Kaiwen Reply:
Actually, modern X-ray machines have advanced significantly, and the radiation exposure dose is very low. Taking one or two X-rays is unlikely to have any adverse effects on the body, so you don't need to worry too much.

[Read More] Concerns About X-Ray Radiation Exposure in Infants: A Parent's Dilemma


Can These Medications Be Used for Infants with Favism?

Can these medications be used for infants with G6PD deficiency? Today, I took my five-month-old son to the doctor. In my haste to ask about his condition, I forgot to mention that he has G6PD deficiency (but it was noted on the initial consultation form). The doctor prescribed co...


Dr. Xie Wanghu Reply:
1. The above-mentioned medications can be taken or used by patients with favism. 2. The drug used to treat Mycoplasma is Zithromax. 3. Fusidic acid ointment is used to treat skin infections caused by Staphylococcus and Streptococcus, and it can also be used by patients with f...

[Read More] Can These Medications Be Used for Infants with Favism?


Understanding Pediatric Fever: When to Seek Emergency Care for Your Child

Pediatric Fever Hello, Doctor. I apologize for bothering you. I would like to confirm something with you. My daughter, who is currently 3 years old, started having a fever on Saturday, October 22nd. By Sunday night, her temperature reached nearly 40 degrees Celsius, and she has b...


Dr. Xiao Kaiwen Reply:
These three viruses do not have specific antiviral medications; however, the majority of children can gradually recover through their own immune response, so there is no need for excessive concern. However, if a high fever persists for more than three days or if any of the follow...

[Read More] Understanding Pediatric Fever: When to Seek Emergency Care for Your Child


Post-Vaccine COVID-19 Diagnosis in Children: What Parents Should Know

Diagnosis of COVID-19 after receiving the varicella and measles vaccine? Hello Dr. Hsiao, I have twin babies who just turned one year old. They received the varicella and measles vaccine on July 14. Baby B had a fever from July 16 to July 18, and Baby A also developed a fever on ...


Dr. Xiao Kaiwen Reply:
A one-year-old infant is still very young, and their immune system is not fully developed. It is important to be cautious of the warning signs of severe illness in the case of a COVID-19 infection (though it is emphasized that the likelihood of severe illness is extremely low, so...

[Read More] Post-Vaccine COVID-19 Diagnosis in Children: What Parents Should Know


Vaccination Guidelines for Infants After COVID-19 Diagnosis

Vaccination A six-month-old baby tested positive for COVID-19 the day before receiving vaccinations! Currently, the baby is at home. How long should we wait before returning to get the originally scheduled vaccinations? The baby had a fever for three days, with a maximum temperat...


Dr. Pei Rensheng Reply:
Hello: After a confirmed diagnosis, you can receive the vaccine for six-month-olds at least 14 days later, provided there is no fever or discomfort (mild cough and runny nose are acceptable). If there is decreased activity after the fever subsides, it is likely due to the side ef...

[Read More] Vaccination Guidelines for Infants After COVID-19 Diagnosis


Assessing Choking Risks in Infants During Feeding: A Pediatric Guide

Milk consumption issues? Hello Doctor: My baby is currently two and a half months old. I am using a round hole nipple (suitable for 0-3 months) for feeding. Sometimes, my baby chokes while feeding, and I am worried about whether this could cause lung problems, which adds a lot of...


Dr. Pei Rensheng Reply:
Hello: If a foreign object enters the trachea or lungs, it may cause severe coughing. If this foreign object cannot be expelled or absorbed, it may further lead to pneumonia or lung collapse, which can result in fever and decreased exercise tolerance (shortness of breath with min...

[Read More] Assessing Choking Risks in Infants During Feeding: A Pediatric Guide


Safety of Medications During Breastfeeding: What Moms Need to Know

Safety of Medications During Breastfeeding Hello Doctor, I currently have a severe cold with coughing and phlegm. I would like to ask about the safety of the following medications while breastfeeding and whether they will affect my baby: 1. Cephamycins capsules 2. Eufan F.C. tabl...


Dr. Xiao Kaiwen Reply:
Upon inquiry, only the third medication is considered safe for breastfeeding. There are no specific safety indications for breastfeeding regarding the other three medications, so caution should be exercised when using them.

[Read More] Safety of Medications During Breastfeeding: What Moms Need to Know


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