Managing Milk Intake and Solid Foods for Your 9-Month-Old Baby
Milk supply, complementary foods, weaning? Hello Dr. Hsiao, My baby is 9 and a half months old. Currently, she has three meals a day, with formula milk first every 5.5 hours, but she refuses to eat solid foods afterward (even if I wait 2 hours, she won't eat a single bite ...
Dr. Xiao Kaiwen Reply:
At nine and a half months old, infants can start eating a variety of complementary foods and are not limited to purees. Options include small pieces of whole grain bread, toast, baby biscuits, small steamed buns, diced sweet potatoes, and cut-up vegetables and fruits. Just ensure...[Read More] Managing Milk Intake and Solid Foods for Your 9-Month-Old Baby
Can Chloramphenicol Ointment Be Used for Favism in Children?
Can chloramphenicol ointment be used for G6PD deficiency? Due to an injury, I bought an ointment from the pharmacy, and upon returning home, I discovered it contains chloramphenicol. After researching online, I found that it should not be used for individuals with G6PD deficiency...
Dr. Xiao Kaiwen Reply:
Topical application of chloramphenicol results in minimal systemic absorption, so I believe it can be used in patients with G6PD deficiency without causing severe adverse effects.[Read More] Can Chloramphenicol Ointment Be Used for Favism in Children?
Understanding Growth Potential: Can I Still Increase My Height?
Height issues Hello Doctor: I would like to share some information about my growth process. I graduated from elementary school at 153.1 cm, and in the first year of junior high, I was 155.2 cm (this is when I started developing body hair). By the second year of junior high, my vo...
Dr. Xiao Kaiwen Reply:
To determine one's bone age, an X-ray of the hand is required for assessment. A 20-year-old male is likely to have already surpassed puberty, and the chances of growing taller after puberty are generally minimal.[Read More] Understanding Growth Potential: Can I Still Increase My Height?
Concerns About Young Children Swallowing Foreign Objects: What to Do?
Accidental ingestion in children? Hello doctor, I would like to inquire about my child who is almost one and a half years old. At that time, while sitting in her car seat, my older daughter gave my younger daughter a folded small round mirror to play with. Subsequently, my older ...
Dr. Pei Rensheng Reply:
Hello: Iron is well visualized on X-rays. It is recommended to consult a pediatric outpatient clinic or the emergency department for chest and abdominal X-rays to confirm if there has been any ingestion. If there are currently no symptoms, it is still advisable to get the imaging...[Read More] Concerns About Young Children Swallowing Foreign Objects: What to Do?
Can Lying Flat While Drinking Milk Cause Ear Infections in Toddlers?
Is it possible for a one-and-a-half-year-old baby to develop otitis media if they occasionally lie flat while drinking milk? Hello, my baby is one and a half years old and occasionally insists on lying flat to drink milk, removing the elevated pillow by himself. This happens abou...
Dr. Xiao Kaiwen Reply:
When babies lie down to drink milk, it may cause the milk to flow through the eustachian tube into the middle ear, leading to inflammation and potentially causing otitis media. Therefore, it is advisable to avoid having babies drink milk while lying down. There is no specific fre...[Read More] Can Lying Flat While Drinking Milk Cause Ear Infections in Toddlers?
Should You Rush to the ER for Your Baby's Oral Injury?
Oral issues in infants? If the baby has bitten off a large piece of fruit and you are concerned about choking, you attempted to remove the fruit with your fingers but accidentally scratched the roof of the mouth with your fingernail, causing bleeding, you should assess the situat...
Dr. Pei Rensheng Reply:
Hello: The baby has a wound on the upper gum, which based on the description appears to be superficial and small. If you have an oral spray at home (for conditions such as enterovirus or herpes), you can use it to help alleviate discomfort. If the bleeding persists for a long tim...[Read More] Should You Rush to the ER for Your Baby's Oral Injury?
Understanding D-Dimer and Eosinophil Levels in Pediatric Bruising
D-dimer blood test & abnormal eosinophil count? A 5-year-old child has been experiencing spontaneous bruising of various sizes (on the calves, knees, inner thighs, arms, face, and even eyelids) since mid-March. After blood tests conducted by a hematologist, no abnormalities w...
Dr. Ma Zhihao Reply:
If there are suspected petechiae, it is important to have a physician evaluate them first. If the petechiae and bruising continue to appear, it is advisable to check for coagulation function, coagulation factors, platelet levels, and any abnormalities related to autoimmune condit...[Read More] Understanding D-Dimer and Eosinophil Levels in Pediatric Bruising
Managing Diarrhea and Indigestion in Teens: Probiotics or Doctor Visit?
Dyspepsia causing diarrhea? Hello Doctor: My child is currently 15 years old and often experiences diarrhea or indigestion, which is quite concerning for me. I would like to ask if I can purchase the probiotic Miyarisan BM on my own. I learned about this probiotic because my chil...
Dr. Xiao Kaiwen Reply:
Miaoli Powder is classified as a health supplement rather than a medication, and it is fine to use it according to the instructions on the label after purchasing it on your own. You can try it first, and if there is no improvement, it is recommended to consult a pediatric gastroe...[Read More] Managing Diarrhea and Indigestion in Teens: Probiotics or Doctor Visit?
Is It Safe to Clean Your Child's Ears? Expert Insights on Ear Care
Ear canal tympanic membrane (Sequence 208749) I apologize for bothering you, but I would like to ask the doctor about something. When I was cleaning my daughter's ears, I used a light to look inside. Is this considered too deep? If my daughter currently has no adverse reacti...
Dr. Xiao Kaiwen Reply:
If there are no aforementioned adverse phenomena, no signs of crying or restlessness, and no significant abnormalities in response to sounds, I believe there shouldn't be any major issues to worry about.[Read More] Is It Safe to Clean Your Child's Ears? Expert Insights on Ear Care
Understanding Ear Issues in Toddlers: Signs of Eardrum Injury
Ear and eardrum I would like to ask Dr. Hsiao about my daughter, who is over one year old. After waking up, she keeps digging in her ears! Her ears have become red from it. I noticed there was some earwax blocking her ear, so I helped to remove a little bit, and she stopped diggi...
Dr. Xiao Kaiwen Reply:
The eardrum is located at a certain depth within the ear canal, so I believe that only removing the visible earwax should not pose a risk of damaging the eardrum, and there is no need to worry excessively. However, care should be taken to avoid injuring the external ear canal. A ...[Read More] Understanding Ear Issues in Toddlers: Signs of Eardrum Injury
Understanding Infant Tremors: When to Seek Medical Advice for Your Baby
Tremor issues in a three-month-old infant? Hello Doctor, my baby is currently three months old. Recently, I noticed that my baby occasionally experiences body jerks before sleeping, which seem a bit like small seizures. Usually, after a few jerks, the baby falls asleep. I have ob...
Dr. Xiao Kaiwen Reply:
It is not a very obvious seizure episode; it resembles the startle reflex seen in newborns. Typically, the startle reflex in infants should disappear by four to five months of age. If there are no significant developmental delays or abnormalities, it is advisable to observe and r...[Read More] Understanding Infant Tremors: When to Seek Medical Advice for Your Baby
Is There a Link Between Nasal Allergies and Previous Dacryocystorhinostomy?
Is there a correlation between nasal allergies and having undergone treatment for nasolacrimal duct obstruction? Hello, doctor. My child underwent treatment for nasolacrimal duct obstruction when he was two months old. Now, at 15 years old, he has been experiencing nasal allergie...
Dr. Xiao Kaiwen Reply:
There should be no correlation between nasolacrimal duct treatment and nasal allergies. If a 15-year-old has developed an allergic constitution after puberty, it can sometimes be more difficult to change or cure. However, there are medical treatments available for nasal allergies...[Read More] Is There a Link Between Nasal Allergies and Previous Dacryocystorhinostomy?
Is There a Link Between Nasal Allergies and Previous Dacryocystitis Treatment?
Is there a correlation between nasal allergies and having undergone treatment for nasolacrimal duct obstruction? Hello, doctor. My child underwent treatment for nasolacrimal duct obstruction at two months old. Now, at 15 years old, he has been experiencing nasal allergies, often ...
Dr. Xiao Kaiwen Reply:
There should be no correlation between nasolacrimal duct treatment and nasal allergies. If a 15-year-old has developed an allergic constitution after puberty, it may be more challenging to change or cure it. However, there are medications available in the medical field that can a...[Read More] Is There a Link Between Nasal Allergies and Previous Dacryocystitis Treatment?
Can I Still Grow Taller During Puberty? Understanding Growth Stages
Height issues during puberty? Hello doctor, I currently have pubic hair and an Adam's apple, and my height is 160 cm. Can I still grow taller? What stage of puberty am I in?
Dr. Pei Rensheng Reply:
Hello: 1. According to the Tanner stages of puberty, there are five stages; the presence of pubic hair indicates stage three. 2. The appearance of the Adam's apple signifies stage five, which is the end of puberty. If there are concerns about limited growth potential, it is ...[Read More] Can I Still Grow Taller During Puberty? Understanding Growth Stages
Concerns About Accidental Alcohol Ingestion in Toddlers: What to Do?
Infant ingestion accident My daughter is one year and two months old. She accidentally got hold of a bottle of alcohol with an unlocked spray nozzle while I was busy at the dining table. When I noticed, the nozzle was pointed towards her. I'm not sure if she bit the nozzle a...
Dr. Xiao Kaiwen Reply:
If alcohol accidentally sprays into the eyes, there would likely be a strong irritation, causing immediate crying and distress, so I believe there was no contact with the eyes. Disinfecting alcohol is also very irritating to the oral cavity and has an unpleasant taste, so if ther...[Read More] Concerns About Accidental Alcohol Ingestion in Toddlers: What to Do?
Understanding Height Growth in High School: When to Seek Help
Height in the second year of high school? Hello Dr. Hsieh, My son is currently in the second year of high school and has not experienced any height increase. His father is 170 cm and his mother is 157 cm. Could this be due to genetics or other reasons? He is currently only 163 ...
Dr. Xie Wanghu Reply:
Hello parents, based on the provided information, a height of 163 cm falls within the 3rd to 15th percentile, which is considered normal. Please ensure that your child gets adequate sleep and proper nutrition. You may also seek assistance from a pediatric endocrinologist. Thank y...[Read More] Understanding Height Growth in High School: When to Seek Help
Understanding Low Platelet Counts in Children: When to Seek Further Testing
Regarding platelet count? Hello Dr. Pei, my son is currently in the first year of junior high school (13 years old). He had a blood test at school that showed abnormal platelet levels, with a reference range of 150-400, and his result was 128. Should this value be further investi...
Dr. Pei Rensheng Reply:
Hello: The standard for thrombocytopenia is less than 150,000 platelets, and 128,000 is indeed slightly low; however, a platelet count below 20,000 is when functional insufficiency occurs, leading to spontaneous bleeding. It is recommended to have a follow-up blood test in 2-4 we...[Read More] Understanding Low Platelet Counts in Children: When to Seek Further Testing
Understanding Pediatric Low Platelet Counts: When to Seek Further Testing
Further inquiry regarding platelet count? Hello Dr. Pei, thank you for your response to my question. Actually, my child's school conducted a health check with a hospital last semester, and on October 4, 2023, the platelet count from the blood test was 125 (the hospital'...
Dr. Pei Rensheng Reply:
Hello! After about six months, the platelet levels have not fluctuated much; they are far from the danger zone, so there is no need for concern or to deliberately have more blood drawn. Just pay attention to any signs of bleeding tendencies, such as frequent nosebleeds, or subcut...[Read More] Understanding Pediatric Low Platelet Counts: When to Seek Further Testing
Do Frequent Head Bumps Affect Brain Development in Toddlers?
Frequent head injuries? Could you please tell me if a child who will turn 2 years old this May, who can walk and run, but has been in the crawling stage and has bumped their head several times, including a fall in the bathroom in February, which resulted in crying but no visible ...
Dr. Zhong Ruixian Reply:
Unless there is a significant impact, it generally will not affect brain development. The condition known as Shaken Baby Syndrome occurs when a caregiver violently shakes an infant's head, typically involving multiple rapid shakes, and does not necessarily require direct imp...[Read More] Do Frequent Head Bumps Affect Brain Development in Toddlers?
Understanding Pediatric Constipation: When to Seek Medical Help
Childhood constipation Hello Doctor, my son is seven years old. He hasn't had a bowel movement for the past two to three days, and after I gave him yogurt, he was able to go. His stool appeared soft and there was no blood (I'm not sure if the stool was hard at the begin...
Dr. Pei Rensheng Reply:
Hello! 1. The recovery time for anal fissures caused by constipation varies depending on the severity. I will prescribe antibiotic ointment to prevent infection, while also encouraging exercise, hydration, and fiber intake to prevent worsening of constipation and the fissure. 2. ...[Read More] Understanding Pediatric Constipation: When to Seek Medical Help