Understanding Fever in Infants: When to Seek Medical Attention
Pediatric Fever Hello Doctor: My child is 10 months old and on the afternoon of April 9th, I noticed that his forehead and palms felt warm. I measured his ear temperature and found he had a fever (38.1°C), but he did not exhibit any significant symptoms such as coughing or runny ...
Dr. Xiao Kaiwen Reply:
To determine if there is a urinary tract infection (UTI), a urinalysis is necessary. In cases of viral infections, blood tests may sometimes be required for a preliminary assessment. If a young child has a fever without an obvious cause, a urinalysis can be performed first, as UT...[Read More] Understanding Fever in Infants: When to Seek Medical Attention
Concerns About Baby Ingesting Mosquito Patches and Alcohol Use
A 7-month-old baby accidentally ingested a mosquito repellent patch and there are concerns regarding the use of alcohol? Hello Doctor, my baby is 7 and a half months old. On the evening of November 24th, my baby accidentally chewed on an opened mosquito repellent patch that had b...
Dr. Xiao Kaiwen Reply:
The main components are essential oils and other volatile substances. If a child accidentally ingests more than approximately two cc of essential oil, it may cause harm. If there is esophageal irritation, symptoms such as vomiting should appear immediately. If the situation worse...[Read More] Concerns About Baby Ingesting Mosquito Patches and Alcohol Use
Understanding Urination Issues in Toddlers After Cold Medication
Urinary problems Hello, doctor. I would like to inquire about my 1 year and 9-month-old son who recently had a mild cold. We visited the clinic, and he exhibited symptoms such as coughing, runny nose, and phlegm in his throat. The clinic prescribed cough suppressants, expectorant...
Dr. Pei Rensheng Reply:
Hello! Many cold medications contain antihistamines or anticholinergic agents, which can alleviate cold symptoms but may also cause side effects such as reduced sweating, decreased urination, drowsiness, and constipation. You may want to discuss with the prescribing physician to ...[Read More] Understanding Urination Issues in Toddlers After Cold Medication
Common Concerns for 5-Month-Old Infants: Feeding, Development, and Health
5 months and 14 days old baby issues? Hello, doctor. I have the following questions: 1. My son, at this age, often experiences spit-up or small amounts of milk coming out when he burps. These symptoms occur at least once a day, but his activity level, height, and weight are all...
Dr. Pei Rensheng Reply:
Hello: 1. At my son's age, he often experiences spit-up or small amounts of milk coming out when he burps. These symptoms occur at least once a day, but his activity level and height and weight are fine. Is there a need for any examinations? ANS: You can discuss this with ...[Read More] Common Concerns for 5-Month-Old Infants: Feeding, Development, and Health
Transitioning from Breast Milk to Formula: Managing Vomiting and Rashes
Switching from breast milk to formula can lead to vomiting, rashes, and coughing? Hello Doctor, my son is about to turn 1 year old. Since he was two months old and had enough breast milk, he has been exclusively breastfed until now. Due to insufficient milk supply, I want to swit...
Dr. Xiao Kaiwen Reply:
Breastfeeding is recommended to continue until the age of two. In fact, once a child turns one, they can start eating regular meals that are chopped or mashed from the family table, while dairy products become more of a supplementary food rather than a necessity. There is no stri...[Read More] Transitioning from Breast Milk to Formula: Managing Vomiting and Rashes
How to Restore Appetite in a 1.5-Year-Old After Salmonella Infection?
The child, aged 1.5 years, has been experiencing a Salmonella infection for 2 weeks and is showing a lack of appetite? My daughter is 18 months old. On the morning of November 16, she had a fever without any cold symptoms, and experienced her first febrile seizure, which led us t...
Dr. Xiao Kaiwen Reply:
Although antibiotic treatment is not always necessary for Salmonella enteritis (as it may prolong the duration of bacterial shedding), it is still recommended for more severe infections. Given that your child is younger and has significantly elevated white blood cell counts, anti...[Read More] How to Restore Appetite in a 1.5-Year-Old After Salmonella Infection?
Are X-Rays Safe for Kids? Understanding Radiation Risks in Pediatrics
Is it harmful for children to have X-rays? A 1.5-year-old child bumped their temple against a chair, resulting in a swelling. They were taken to the emergency room, where the doctor arranged for two head X-rays, but the neck was not protected with a lead apron. Later, a 3-year-ol...
Dr. Pei Rensheng Reply:
Hello! The International Commission on Radiological Protection (ICRP) recommends using the Sievert (Sv) to quantify the potential harm of radiation to the human body. The average background radiation dose in Taiwan is approximately 1 to 2 millisieverts (mSv) per year. The dose fr...[Read More] Are X-Rays Safe for Kids? Understanding Radiation Risks in Pediatrics
Understanding Pediatric Allergies: Managing Night Cough and Future Risks
Pediatric Allergies Hello, doctor. My child is currently 2 years and 9 months old. Recently, over the past week, he has been experiencing nighttime coughing. After visiting the clinic, it seems to be due to respiratory allergies. The clinic prescribed a cough syrup and a bronchod...
Dr. Xiao Kaiwen Reply:
The diagnosis of respiratory allergies follows certain criteria, such as nighttime cough, wheezing, persistent cough, and a family history of allergies, among others. The onset of respiratory allergies is a gradual process resulting from long-term exposure, rather than an immedia...[Read More] Understanding Pediatric Allergies: Managing Night Cough and Future Risks
Is It Safe to Combine Cough and Cold Medications for Toddlers?
Medication Consultation A 2-year-old child weighing 14 kg is experiencing cough, nasal congestion, and sneezing. The doctor prescribed a cough syrup (Xikangning) at a dosage of 3-4 cc and an antihistamine (Shipulimin) also at 3-4 cc. I noticed that the cough syrup is a combinatio...
Dr. Xiao Kaiwen Reply:
Both Xikening and Shipulimin contain first-generation antihistamines, which have a wide safety margin. Therefore, taking both antihistamines simultaneously should be fine. However, it is still recommended to choose one to take if nasal symptoms improve.[Read More] Is It Safe to Combine Cough and Cold Medications for Toddlers?
Understanding Childhood Asthma: Symptoms and Concerns for Parents
Pediatric Asthma Hello Doctor, my child is currently 17 years old. Recently, I have noticed that he has been coughing frequently in the morning and evening, and he also experiences wheezing and shortness of breath. It sounds a bit wheezy, and I have observed that sometimes he nee...
Dr. Pei Rensheng Reply:
Hello! During the spring season, with the changes in weather, individuals with respiratory allergies are indeed more prone to flare-ups. Your 17-year-old child is experiencing frequent coughing, especially in the morning and evening, and also has wheezing, which are indicative of...[Read More] Understanding Childhood Asthma: Symptoms and Concerns for Parents
Understanding Ear Temperature and Symptoms in Children: When to Worry
The ear temperature has remained between 37.3 and 37.5 degrees Celsius over the past two days? The ear temperature has been maintained between 37.3-37.5 degrees Celsius for the past two days, and there is a slight feeling of lethargy. On Friday, there was an incident of choking o...
Dr. Xiao Kaiwen Reply:
The standard for fever measured by ear temperature is greater than 37.8°C. In healthy individuals, coughing typically triggers a protective reflex response, which should not lead to aspiration issues. However, whether your condition is normal or indicative of an illness cannot be...[Read More] Understanding Ear Temperature and Symptoms in Children: When to Worry
Persistent Cough in Children: Causes and Treatment Options
Persistent cough? The child has been coughing for four months since catching a cold last September. X-rays have been taken, and antibiotics for mycoplasma and sinusitis have been administered, along with bronchodilators, but the cough persists. The child only does not cough while...
Dr. Xiao Kaiwen Reply:
A cough lasting more than four weeks is defined as a chronic cough. The three most common causes of chronic cough in children are: first, allergic respiratory conditions; second, post-nasal drip; and third, gastroesophageal reflux. Other less common causes include chronic pharyng...[Read More] Persistent Cough in Children: Causes and Treatment Options
Understanding Cough and Abdominal Pain in a 13-Year-Old
Coughing with pain in the upper left abdomen and lower left rib area? I am a 13-year-old who has recently experienced headaches, low-grade fever, cough, and intermittent pain in the upper left abdomen and left lower rib area. These symptoms have been present for about three weeks...
Dr. Xiao Kaiwen Reply:
Fever, cough, and left lower chest pain are present; it is recommended to visit a major hospital to check for the possibility of pneumonia.[Read More] Understanding Cough and Abdominal Pain in a 13-Year-Old
Understanding Nighttime Coughing in Infants: When to Worry?
Coughing at night? Hello Dr. Hsiao, My baby is over 4 months old, and for the past couple of days, he has been coughing two to three times during the night, about three to four times, with a dry cough and no phlegm. Is this a sign of a cold? During the day, he coughs once or twi...
Dr. Xiao Kaiwen Reply:
There are many causes for nighttime cough in infants, such as bronchitis due to a cold, acute bronchiolitis, chlamydia infection, post-nasal drip, gastroesophageal reflux, and airway sensitivity, among others. Diagnosing airway allergies in a 4-month-old infant is quite challengi...[Read More] Understanding Nighttime Coughing in Infants: When to Worry?
Understanding Post-Fever Fatigue and Appetite Loss in Children
After a child has a fever, they may experience decreased energy levels and poor appetite? Hello Doctor: My child is four years old and has the following symptoms: On the first day, he had a persistent cough. On the second day, he experienced fluctuating fever, averaging 38.3°C, w...
Dr. Xiao Kaiwen Reply:
The activity level of a child when they are sick is an important indicator of the severity of the illness. Based on your description, the child's activity level is very poor, so I recommend taking them to a major hospital's pediatric emergency department for evaluation ...[Read More] Understanding Post-Fever Fatigue and Appetite Loss in Children
Can Babies Choke on Food Without Symptoms? Pediatric Insights
Choking in infants? Hello, doctor. I would like to ask if it is possible for a baby to choke on food and show no symptoms at all? My baby is now over 10 months old. Two days ago, I gave her some apple pieces, which were very small, about the size of a red bean. I gave her two pie...
Dr. Xiao Kaiwen Reply:
It is almost impossible for a foreign body aspiration into the airway to occur without any symptoms; there will at least be some coughing due to airway irritation. It is important to monitor for any persistent cough or wheezing afterward. Infants have immature swallowing mechanis...[Read More] Can Babies Choke on Food Without Symptoms? Pediatric Insights
Understanding Infant Hives: Causes and Care Tips for Parents
Facial rash? Hello Doctor, my son is currently three months old. On December 11, he developed numerous raised red rashes on his face, accompanied by slight coughing, sneezing, and nasal congestion. When we took him to the pediatrician, the doctor diagnosed it as hives caused by a...
Dr. Xiao Kaiwen Reply:
Without seeing the rash in person, I cannot definitively say it is urticaria (hives). Even if it is urticaria, there are numerous potential causes, including the introduction of new complementary foods that may not be well-tolerated, contact with allergens, insect bites, viral in...[Read More] Understanding Infant Hives: Causes and Care Tips for Parents
Understanding Ear Infections in Children: Symptoms and Treatments
Common cold complicated by otitis media? Hello, doctor. My 10-year-old child, who is in the fifth grade, initially had yellow phlegm and has been coughing for three weeks with yellow sputum. I thought he would recover on his own, but his cough has worsened over the past two days,...
Dr. Xiao Kaiwen Reply:
Berotec is a bronchodilator, and the most common side effect is tremors in the hands and feet; however, these symptoms will resolve after discontinuation of the medication. Whether there is a need to continue using it should be discussed with your physician. Augmentin is an antib...[Read More] Understanding Ear Infections in Children: Symptoms and Treatments
Managing Persistent Cough and Infections in Young Children
Children with colds and coughs? I would like to ask the doctor, my child is about 4 years old and was hospitalized for pneumonia in mid-February this year. However, since last year, he has been experiencing intermittent coughing. Every time he catches a cold, he either has yellow...
Dr. Pei Rensheng Reply:
Hello! 1. Children who just started kindergarten are particularly susceptible to respiratory or gastrointestinal infections, and this situation may not improve until they reach the upper grades of elementary school. 2. Ways to boost immunity include vaccinations, exercise, and a ...[Read More] Managing Persistent Cough and Infections in Young Children
Understanding Prolonged Fever in Toddlers: When to Seek Further Medical Help
Pediatric Fever Hello doctor, my son is currently about 1 year and 9 months old. He has had a fever for 4 days, starting from Saturday, with a maximum temperature reaching 39.6°C. After taking antipyretics, his temperature dropped to a minimum of 36.7°C. On average, his temperatu...
Dr. Xiao Kaiwen Reply:
If you experience fever accompanied by decreased vitality and wheezing, it is recommended to immediately go to a large hospital emergency department for a detailed examination. A negative rapid influenza test does not completely rule out influenza; conversely, it is important to ...[Read More] Understanding Prolonged Fever in Toddlers: When to Seek Further Medical Help