Addressing Pediatric Concerns: Constipation and Circumcision Issues
The issues of two babies? The older child is currently attending kindergarten and has a normal diet with three meals a day plus snacks at school. The main issue is related to bowel movements. He goes to the bathroom five times a week, but most of the time his stools resemble smal...
Dr. Xiao Kaiwen Reply:
Hard, pellet-like stools are defined as constipation. When hard stools accumulate, it is inevitable that some may be expelled involuntarily. Generally, issues with the anal sphincter are rare (the likelihood is low; symptoms typically present during infancy, and if necessary, ana...[Read More] Addressing Pediatric Concerns: Constipation and Circumcision Issues
Understanding Frequent Headaches in Young Children: Causes and Solutions
Headache Issues in Young Children I would like to ask the doctor about my five-year-old son who often experiences headaches. The pain is located at the back of his head, slightly lower, and has been occurring for about a year. We previously visited Chang Gung Memorial Hospital in...
Dr. Pei Rensheng Reply:
Dear Sir/Madam, Hello. Pediatric headaches are not uncommon in pediatric outpatient clinics and can be categorized into symptomatic headaches and benign headaches. Symptomatic headaches are often accompanied by some warning signs, including: 1. Headaches occurring in the mornin...[Read More] Understanding Frequent Headaches in Young Children: Causes and Solutions
Managing Milk Intake and Solid Foods for Your Baby's Nutrition
Milk supply and complementary foods? Dear Dr. Pei, My baby girl was born on August 28, 1997, and she is currently about 4 and a half months old. Her weight is approximately 7.6 kg, and her height is about 65 cm. She has been refusing milk for over a month now and rejects all mi...
Dr. Pei Rensheng Reply:
Hello: A normal baby weighs about three kilograms at birth, and by the fourth or fifth month, their weight will double to approximately six kilograms. By the age of one, they should weigh about three times their birth weight, which is around ten kilograms. After that, they typica...[Read More] Managing Milk Intake and Solid Foods for Your Baby's Nutrition
Understanding Hypercalciuria in Children: Causes, Diagnosis, and Treatment
Hypercalciuria Hello Dr. Pei: I have two questions to ask you... (1) My eldest child is currently over four years old, and my second child is over one year old. I previously asked you about whether these two children have been tested for kidney stones (caused by melamine). When t...
Dr. Pei Rensheng Reply:
Dear Xiaofen, (1) The diagnostic criteria for hypercalciuria are a 24-hour urinary calcium excretion exceeding 4 mg/kg/day. However, collecting 24-hour urine can be challenging, so most physicians use a spot urine calcium-to-creatinine ratio (Ca/Cre) as a substitute. If the rati...[Read More] Understanding Hypercalciuria in Children: Causes, Diagnosis, and Treatment
Can Infant Formula for 0-12 Months Be Given to Older Children?
Can infant formula for babies aged 0-12 months be given to children over 2 years old or even those in elementary school? Hello, Doctor: I apologize for bothering you, but I would like to ask for your advice. I am personally serving at a children's home, and we have received ...
Dr. Xiao Kaiwen Reply:
The principle of infant formula is that older children can drink formula intended for younger infants, but younger infants should not drink formula meant for older children. Therefore, children over the age of 2, including elementary school students, can consume infant formula de...[Read More] Can Infant Formula for 0-12 Months Be Given to Older Children?
Post-Fever Care for Toddlers: Nutrition and Health Tips
Antipyretics. Complementary foods? Dear Dr. Hsiao, Thank you for your response on December 4th. My baby has been observed for another four days, and he has been normal without any fever, only experiencing slight coughing. I would like to ask: 1. If it is a viral infection and e...
Dr. Xiao Kaiwen Reply:
1. The fever has subsided, appetite is normal, and there are no other specific symptoms; generally, the patient should be considered recovered and can be monitored at home. 2. Performing disinfection can help reduce the invasion of bacteria and viruses, thereby protecting healt...[Read More] Post-Fever Care for Toddlers: Nutrition and Health Tips
Can Kids Safely Take Lutein Supplements and Cough Syrup?
Supplements Hello Dr. Pei, I would like to ask you two questions. (1) Recently, adults in my household have been taking lutein supplements (capsules, one per day) for eye health. I would like to know if a four-year-old child can also take lutein supplements for regular eye car...
Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! 1. Lutein is a natural carotenoid found in various fruits and vegetables. Since the human body cannot synthesize it on its own, it must be obtained from dietary sources. Lutein is primarily found in dark green leafy vegetables such as kale, spinach, mustar...[Read More] Can Kids Safely Take Lutein Supplements and Cough Syrup?
Understanding Skin Color Changes in Children and Vaccine Guidelines
Skin Hello Dr. Pei: I have two questions to ask you... (1) My eldest daughter is currently four years old, and I recently noticed that the color of the skin on the soles of her feet and palms of her hands has a slight yellow tint. What does this indicate about her health? (2) Can...
Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello, 1. The slight yellowish tint of the skin on the soles of the feet and palms is mostly caused by dietary carotenoids, particularly from foods like carrots or papayas, which can lead to skin yellowing. 2. The measles, mumps, and rubella (MMR) vaccine can onl...[Read More] Understanding Skin Color Changes in Children and Vaccine Guidelines
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 ...[Read More] Does My 3-Year-Old Son Really Have Asthma? Understanding Symptoms and Care
Concerns About Kidney Stones in Children: X-Ray Risks and Calcium Levels
Kidney stones? Hello Dr. Pei, I would like to ask you two questions... (1) Due to the recent contaminated milk powder incident, I took my two children (one is 11 months old and the other is 4 years old) for urine tests to check for kidney stones. One of the procedures involved ta...
Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! Currently, all hospitals under the Department of Health have special outpatient clinics for kidney stones. Individuals experiencing cloudy urine, decreased urine output, or suspected consumption of melamine-containing foods can seek medical attention. The fi...[Read More] Concerns About Kidney Stones in Children: X-Ray Risks and Calcium Levels
Post-Discharge Concerns for Children: Expert Advice from Dr. Hsieh
Please consult with pediatrician Dr. Hsieh Te-Kuei regarding post-discharge questions? Hello Dr. Hsieh, I would like to ask about my child who was hospitalized for observation and treatment (antibiotics) and underwent bacterial culture from August 18, 2008, to August 20, 2008, un...
Dr. Xie Degui Reply:
1. Diarrhea following a bacterial or viral infection is usually a temporary condition. If medication is being taken, it may persist for a longer duration. Generally, it resolves on its own without medication, but if diaper rash occurs, medication should be used to alleviate the s...[Read More] Post-Discharge Concerns for Children: Expert Advice from Dr. Hsieh
Are Multivitamins Safe for Children? Expert Insights on Pediatric Nutrition
Can vitamins be taken? I previously watched a program hosted by Qingrong, where a guest from Chang Gung Memorial Hospital, who seemed to specialize in toxicology, discussed many foods that are safe and unsafe to eat. However, he mentioned that it's best to avoid taking vitam...
Dr. Xiao Kaiwen Reply:
In Taiwan, most people experience nutritional excess, and cases of malnutrition are rare. If there is a significant issue with selective eating, it is advisable to consult a physician for recommendations on supplementing with "children's specific" multivitamins (in...[Read More] Are Multivitamins Safe for Children? Expert Insights on Pediatric Nutrition
Should You Give High Protein Powder to Your Picky Toddler?
High-protein powder My son is 2 years and 4 months old, and his height has not yet reached 90 cm. He tends to be picky with food and will spit out what he doesn't like, and he easily gets nervous, leading to poor gastrointestinal absorption. Someone suggested that we give hi...
Dr. He Shenglong Reply:
Hello; for a 2-year and 4-month-old boy with a height of 90 cm, he is exactly at the 50th percentile, which is not necessarily bad. Height is significantly influenced by genetic factors. If a child's height is below the 3rd percentile, or if there is a drop in height percent...[Read More] Should You Give High Protein Powder to Your Picky Toddler?
Boosting Your Baby's Immunity: Tips for Parents of Infants
Enhancing immunity Hello Dr. Chang... My baby is already eight months old. What methods can enhance his immune system? Currently, I am giving him child-specific probiotics, calcium powder, and vitamins. Do I need to supplement with additional multivitamins? My baby has been exper...
Dr. Zhang Yingwen Reply:
1. To enhance immunity, it is essential to maintain a balanced diet (breast milk, natural foods), a hygienic environment (reducing exposure to pathogens), moderate exercise, and a healthy, happy mindset. Adding child-specific nutritional supplements such as calcium powder and vit...[Read More] Boosting Your Baby's Immunity: Tips for Parents of Infants
Understanding Pediatric Gastrointestinal Issues: Vomiting and Dietary Challenges
Gastrointestinal dyspepsia The little girl is currently 2 years and 6 months old, approximately 85 cm tall and weighs 12 kg. She frequently experiences vomiting and has been unable to tolerate meat and fish. Sometimes, about an hour after eating, she feels nauseous and vomits the...
Dr. Xiao Kaiwen Reply:
Nausea and vomiting are not solely indicative of gastrointestinal issues; other less common causes such as increased intracranial pressure, central nervous system problems, metabolic disorders, and cyclic vomiting syndrome can also be responsible. It is advisable to consult a ped...[Read More] Understanding Pediatric Gastrointestinal Issues: Vomiting and Dietary Challenges
How to Help Your 2-Year-Old with Nighttime Itching and Allergies
A 2-year-old child is scratching their head continuously while sleeping at night? Dear: My child has an allergic disposition to eggs and nuts, with a sensitivity index of 4, and a sensitivity index of 2 to milk. Additionally, they have atopic dermatitis and often complain of itch...
Dr. Hong Shuokun Reply:
Hello Vivian: A 2-year-old child has atopic dermatitis, which is typically most itchy at night during sleep. The common areas affected by atopic dermatitis include the scalp, behind the ears, the bends of the elbows, wrists, knees, and ankles. Therefore, it is essential to focus ...[Read More] How to Help Your 2-Year-Old with Nighttime Itching and Allergies
Understanding Toddler Tremors and Weakness: When to Seek Help
The child exhibits weakness in the legs and occasional tremors in the hands? Hello, I would like to ask about my child who is one year and three months old. Since he was five or six months old, I have noticed that his hands occasionally tremble, usually one hand at a time. Each t...
Dr. Xiao Kaiwen Reply:
At one year and three months old, the child can only stand while holding onto objects and cannot stand for long periods. They require significant strength in their hands to pull themselves up, which indicates abnormal motor development. It is important to assess whether there are...[Read More] Understanding Toddler Tremors and Weakness: When to Seek Help
Understanding Your Baby's Stool: Common Concerns and Solutions
Baby stool issues? Hello, doctor. My sister is currently over 7 months old (she will turn 8 months on the 16th). I have a few questions to ask you, thank you. (1) My sister has consistently had soft stools, which are green or greenish-yellow in color. Is this normal? (2) Due ...
Dr. He Shenglong Reply:
Hello: 1. The color of the stool is greenish-yellow, which is considered normal. You can refer to the "Infant Stool Chart" in the Children's Health Handbook. 2. Diaper rash can easily be complicated by fungal infections, so it is best to see a doctor. Additional...[Read More] Understanding Your Baby's Stool: Common Concerns and Solutions
Managing Diarrhea and Feeding Challenges in Young Children: Expert Advice
請提供 My child experienced vomiting and diarrhea on Friday night and was subsequently hospitalized for IV fluids. She is no longer vomiting but still has watery diarrhea, occurring once or twice a day. She has always been a picky eater, and now she is even worse; she cries and dema...
Dr. Xiao Kaiwen Reply:
It seems that your child does not have any physiological issues (aside from gastroenteritis), but rather has developed poor eating habits due to being spoiled. Nowadays, babies typically do not face issues related to poor nutrition, as there is always food available whenever they...[Read More] Managing Diarrhea and Feeding Challenges in Young Children: Expert Advice
Is Breast Development Normal in a 2-Year-Old Girl?
Is it normal for a 2-year-old girl to have breast development? Hello Doctor, my daughter is currently 2 years and 4 months old, weighing 16 kg and measuring 95 cm. She is smart, beautiful, cheerful, and healthy, receiving praise from everyone and often mistaken for a 3-4 year old...
Dr. Wang Jiayi Reply:
Hello, Mrs. Hsi: Your daughter is in the 97th percentile for weight and the 95th percentile for height, indicating that she is on the larger side. It is possible that she has a higher amount of body fat, so the prominence of her breasts is likely normal. If you still have concern...[Read More] Is Breast Development Normal in a 2-Year-Old Girl?