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
Essential Pediatric Care: Addressing Common Injuries and Concerns
I am injured..? Hello Dr. Lin, I would like to ask you a few questions: 1. My daughter is currently over nine months old. A few days ago, while playing with her toys, she accidentally scratched her cheek with a sharp edge of a toy. A red scratch appeared immediately on her chee...
Dr. Lin Huizhen Reply:
Dear Xiaofen, This is Dr. Lin Huizhen, the Director of the Pediatrics Department at Tainan Hospital, Ministry of Health and Welfare. 1. Yes, it is possible. 2. Generally, there will be no significant fever or cough afterward, and there will be no sequelae. 3. Typically, if chil...[Read More] Essential Pediatric Care: Addressing Common Injuries and Concerns
Is It a Cold or Gastroenteritis? Understanding Your Child's Symptoms
Is it a cold or gastroenteritis? Hello: The child is 5 years old and has been experiencing frequent vomiting for the past two days, with one normal bowel movement. Occasionally, there are complaints of abdominal pain, but there is no fever, and the child’s activity level is accep...
Dr. Zhang Peixin Reply:
Hello: Acute gastroenteritis primarily presents with vomiting and diarrhea, but it can also be accompanied by mild respiratory symptoms. Conversely, a cold, such as pharyngitis, may also present with vomiting and abdominal pain. It is uncertain which condition your child is exper...[Read More] Is It a Cold or Gastroenteritis? Understanding Your Child's Symptoms
Managing Nasal Congestion and Post-Nasal Drip in Infants
Nasal congestion and post-nasal drip? Hello Dr. Tsai: My baby girl is currently six months old, measuring about 70 cm in height and weighing 7.5 kg. She consumes 150 cc every four hours and has sweet potato puree or porridge 1 to 2 times a day. For the past month, she has been ex...
Dr. Cai Zhengxian Reply:
Dear Mom, I apologize for the delay in responding due to my job transfer. May I ask if you or your husband have any allergic tendencies? When an infant under one year old presents with symptoms such as coughing and runny nose, the first consideration should be upper respiratory ...[Read More] Managing Nasal Congestion and Post-Nasal Drip in Infants
Managing Allergic Asthma in Toddlers: Effective Strategies and Tips
Unable to distinguish? My child is currently 1 year and 6 months old and was diagnosed with allergic asthma. Recently, he has been coughing and has yellow nasal discharge. He has been on medication for 2 weeks but hasn't improved. What should I do? Thank you.
Dr. Zhang Guozhen Reply:
Dr. Chang Kuo-Chen, the head of the pediatrics department at Hualien Tzu Chi Hospital, responded as follows: Pediatric allergic asthma often presents with recurrent coughing, leading parents to believe that their child frequently has a cold that is difficult to resolve. In realit...[Read More] Managing Allergic Asthma in Toddlers: Effective Strategies and Tips
Understanding Vomiting in Sick Children: Is It a Sign of Stomach Issues?
Nausea is common when sick? The child is three years old and always vomits whenever they get sick. Is there a possibility of gastrointestinal issues? An ultrasound was previously performed, and the doctor mentioned that the stomach has folds, indicating that it has been a long ti...
Dr. Zhang Yingwen Reply:
1. Vomiting during illness may be associated with certain viral infections that can lead to gastrointestinal discomfort or acute gastritis; it can also occur due to increased abdominal pressure from severe coughing, which may cause undigested stomach contents to be expelled, not ...[Read More] Understanding Vomiting in Sick Children: Is It a Sign of Stomach Issues?
Symptoms of Aspiration Pneumonia in Children: What Parents Should Know
Children with aspiration pneumonia may exhibit the following symptoms: 1. Coughing 2. Difficulty breathing or shortness of breath 3. Wheezing 4. Fever 5. Chest pain 6. Rapid breathing 7. Fatigue or lethargy 8. Cyanosis (bluish Hello Doctor: A few days ago, my child vomited at t...
Dr. Lin Huizhen Reply:
Dear Dr. Lin Huizhen, Director of Pediatrics at Tainan Hospital, Department of Health, Executive Yuan: 1. May I ask how old your child is? Generally, aspiration due to vomiting occurs more frequently in individuals who are bedridden for extended periods or have limited mobility....[Read More] Symptoms of Aspiration Pneumonia in Children: What Parents Should Know
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
Common Concerns for Parents of 3-Month-Old Babies: Expert Answers
Could you please provide the specific questions you have about the baby? Hello, doctor. I would like to ask... My baby is already 3 months old! However, my baby prefers to be held upright, and every time I hold him/her lying down, he/she cries loudly. Will holding him/her upright...
Dr. Cai Zhengxian Reply:
Dr. Tsai Cheng-Hsien, attending physician of the Neonatology Department at Tainan Hospital, responds: Dear attentive mother, you are a very caring and observant parent! Your observations are quite detailed, and most of them are not concerning. However, we strongly advise against ...[Read More] Common Concerns for Parents of 3-Month-Old Babies: Expert Answers
Managing Frequent Colds in Infants: When to Seek Pediatric Care
Please ask your question? Hello, my child was born at 35 weeks and 3 days! Since two months old, he has been constantly catching colds! Each time it starts in the bronchial area and throat! He is now over six months old! He has been on medication continuously! What should I do? S...
Dr. Lin Wenxian Reply:
Dear Ms. Wei, Hello! During infancy and early childhood, the respiratory tract is significantly smaller than that of adults, and the cartilage is softer. Therefore, even a small amount of secretions can lead to audible breathing sounds, especially after feeding or when lying on ...[Read More] Managing Frequent Colds in Infants: When to Seek Pediatric Care
Understanding Mold Fungi in Pediatrics: Prevention and Treatment Guide
What is mold? What is Aspergillus and how to prevent and treat it?
Dr. Lin Huizhen Reply:
Dear Betty, My name is Dr. Lin Huizhen from the Pediatrics Department of Tainan Hospital, Ministry of Health and Welfare. Mycoplasma is a type of bacteria that is a common pathogen for respiratory infections in humans. Infections are generally milder in children under the age ...[Read More] Understanding Mold Fungi in Pediatrics: Prevention and Treatment Guide
Understanding Nighttime Coughing in Young Children: Causes and Solutions
Nighttime cough Hello, Doctor! My daughter is two and a half years old. She is active during the day, but often coughs in her sleep at night or in the early morning, sometimes for as long as half an hour. Additionally, if she cries even a little, she will cough non-stop. Furtherm...
Dr. Lin Huizhen Reply:
Dear Nina, I am unsure how long your child has been experiencing nighttime cough and whether it is accompanied by a fever. Based on your description, it may be related to post-nasal drip or increased bronchial sensitivity. If the nighttime cough has recently started, it could be...[Read More] Understanding Nighttime Coughing in Young Children: Causes and Solutions
Understanding Vomiting in Children: Causes and Connections to Home Environment
Causes of vomiting? My daughter is currently 3 years and 5 months old. 1. She rarely experiences symptoms such as colds, runny nose, fever, or cough on regular days. However, every 1 to 2 months, she has a severe vomiting episode (sometimes accompanied by fever) that requires a d...
Dr. Gu Qingxian Reply:
Hello! 1. Children with acute gastroenteritis, acute upper respiratory infections, other systemic diseases, acute urinary tract infections, or central nervous system disorders may experience severe vomiting. It is best to take them to a pediatrician for differential diagnosis. 2....[Read More] Understanding Vomiting in Children: Causes and Connections to Home Environment
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
Understanding Persistent High Fever in Toddlers: When to Seek Help
Fever in young children? Hello Doctor: My daughter is 2 years and 4 months old. Two weeks ago, she had a cold and we took her to see a pediatrician who prescribed medication. However, she has not fully recovered. On the evening of the 8th, she developed a high fever of 39.5 degre...
Dr. Lin Wenxian Reply:
Dr. Lin Wen-Hsien, the Director of Pediatrics at Tainan Hospital under the Department of Health, Executive Yuan, responded to DEAR Ami: It must be very concerning for you that your child has had a high fever for several days. During early childhood, due to insufficient immune res...[Read More] Understanding Persistent High Fever in Toddlers: When to Seek Help
Understanding Oral Thrush in Toddlers: Symptoms and Treatment Guidance
Children with oral thrush? Hello Dr. Zhang, My child is 13 months old and has recently been ill with diarrhea for two to three days. We visited the hospital, received medication, and his bowel movements have returned to normal. However, he has developed oral thrush. The doctor p...
Dr. Zhang Jinglong Reply:
Dear user, due to the busy schedule of Dr. Chang Ching-Lung, Dr. Chang Kuo-Chen is responding on his behalf. We apologize for any inconvenience. Generally, a fever should not persist for so many days, and oral thrush is unlikely to cause a fever. Based on the reported symptoms, h...[Read More] Understanding Oral Thrush in Toddlers: Symptoms and Treatment Guidance
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 Croup in Children: Causes, Symptoms, and Treatment Options
I would like to inquire about wheezing!!! Hello Doctor: I would like to inquire about pediatric "croup" and have the following questions... 1. Common pathogens? 2. Causes of the disease? 3. Routes of infection? 4. Symptoms? 5. Treatment options? 6. Nursing measures? If ...
Dr. Lin Wenxian Reply:
Director Lin Wen-Hsien of the Pediatric Department at Tainan Hospital, Ministry of Health and Welfare, replies: I believe the parent is inquiring about croup, which refers to a viral laryngotracheobronchitis, a common pediatric condition. Here are the details: 1. Common pathogen...[Read More] Understanding Croup in Children: Causes, Symptoms, and Treatment Options
Concerns About Infant Hearing, Feeding, and Health: A Pediatric Guide
Hearing problems 1. My baby is 50 days old. Since my father-in-law likes to hold her while watching TV, and the volume is very loud (I can clearly hear the TV sound from the third floor), I would like to ask if this will have a negative impact on the baby's hearing? 2. Is t...
Dr. Hong Shaohui Reply:
Dr. Lin Wen-Hsien from the Tainan Hospital of the Department of Health, Executive Yuan, responded that this mother is indeed very concerned about her baby's development and health issues. With more questions, attentive listening, and practical caregiving experience, she will...[Read More] Concerns About Infant Hearing, Feeding, and Health: A Pediatric Guide
Using Nebulizers for Pediatric Nasal Care: When and How?
Regarding nebulizers? Hello, my daughter is four years old. Since November of last year, she has been experiencing a runny nose, which has been fluctuating between better and worse. The doctor said it is caused by nasal allergies, and she uses a nasal spray every night before bed...
Dr. Liang Hongjian Reply:
Hello: The therapeutic principle of a steam nebulizer is to mechanically produce extremely fine water vapor particles that reach the smallest bronchi and adhere to the respiratory tract. As air is inhaled through the trachea, it disperses throughout the smaller bronchi, making it...[Read More] Using Nebulizers for Pediatric Nasal Care: When and How?