Understanding Constipation in Toddlers: What Parents Should Know
Baby bowel movement issues? Hello doctor, my child is 2 years and 4 months old. Previously, his bowel movements were normal, but he hasn't had a bowel movement for 7 days this time. What should I do? His activity level and appetite are normal.
Dr. Xiao Kaiwen Reply:
Having not had a bowel movement for 7 days is quite prolonged. You may first try using a cotton swab coated with petroleum jelly, inserting it about 2 centimeters into the rectum and rotating it to stimulate a bowel movement. If this is ineffective, you might need to use a glycer...[Read More] Understanding Constipation in Toddlers: What Parents Should Know
High Inflammation Index at Birth: Should Parents Monitor Their Baby's Health?
High inflammatory index at birth? I would like to ask the doctor, when the baby was born, the inflammation index spiked to 31 and there was originally a plan to perform a lumbar puncture, but it was not successful. After that, the inflammation index decreased, and no definitive c...
Dr. He Zongxian Reply:
Hello, generally speaking, the tests commonly referred to as inflammatory markers include at least CRP (C-reactive protein) and PCT (Procalcitonin). It's unclear which one you are referring to, but typically, these two markers reflect the acute inflammatory status at the tim...[Read More] High Inflammation Index at Birth: Should Parents Monitor Their Baby's Health?
High Inflammation Index at Birth: Should Parents Monitor Their Baby's Health?
High inflammatory index at birth? I would like to ask the doctor, when the baby was born, the inflammation index spiked to 31 and there was initially a plan to perform a spinal tap, but it was not successful. The inflammation index has since decreased, and no definitive cause has...
Dr. He Zongxian Reply:
Hello, generally speaking, the tests commonly referred to as inflammatory markers include at least CRP (C-reactive protein) and PCT (Procalcitonin). It is unclear which one you are referring to, but typically, these two markers reflect the acute inflammatory status at the time of...[Read More] High Inflammation Index at Birth: Should Parents Monitor Their Baby's Health?
Understanding Toddler Bowel Issues: Causes and Solutions
Toddler bowel issues? Hello Doctor, my child is currently 1 year and 2 months old. He had gastroenteritis around 5 months old and hasn't fully recovered for a month or two (he only doesn't have diarrhea for two to three days when taking medication, but starts again when...
Dr. Xiao Kaiwen Reply:
Diarrhea that lasts for more than two weeks is classified as chronic diarrhea. If a child aged one to two years experiences chronic diarrhea but has normal height and weight and exhibits normal vitality, the most common cause may be that the child is beginning to try various new ...[Read More] Understanding Toddler Bowel Issues: Causes and Solutions
Does Allergic Purpura in Childhood Increase Autoimmune Disease Risk?
Allergic purpura is an autoimmune disease? Hello, doctor. I would like to ask if having had allergic purpura as a child (around fifth grade) makes one more susceptible to other autoimmune diseases later in life, such as multiple sclerosis?
Dr. Xiao Kaiwen Reply:
There is no research indicating that having allergic purpura in childhood increases the likelihood of developing other autoimmune diseases later in life. However, some studies suggest that if a girl has this condition, she may be more likely to experience proteinuria and hyperten...[Read More] Does Allergic Purpura in Childhood Increase Autoimmune Disease Risk?
Understanding Gastrointestinal Issues in Children: Causes and Solutions
Gastrointestinal issues Hello doctor, since May of last year, I have been staying at home due to school closures and have encountered some issues that have left me feeling down. I started experiencing irregular bowel movements, occasional constipation, and abdominal bloating afte...
Dr. Xiao Kaiwen Reply:
It seems that your gastrointestinal issues have been ongoing for quite some time. It is difficult to determine whether factors such as staying up late and mood have had an impact. If you are concerned about potential gastrointestinal problems, it is advisable to visit a pediatric...[Read More] Understanding Gastrointestinal Issues in Children: Causes and Solutions
Does COVID Vaccine Still Offer Protection After Positive Test in Kids?
COVID-19 vaccine Doctor, my child is 12 years old and received the first dose of the BNT vaccine, but tested positive for COVID-19 two days later through a rapid test and was confirmed positive during a telemedicine consultation. Does this mean the BNT vaccine was ineffective? Wi...
Dr. Pei Rensheng Reply:
Hello: After vaccination, it takes an average of two weeks to develop protective immunity. After contracting COVID-19, you must wait 90 days before receiving another COVID-19 vaccine. The previously administered vaccine still counts as the first dose, and you should start from th...[Read More] Does COVID Vaccine Still Offer Protection After Positive Test in Kids?
Should Your Baby Get the Second Flu Vaccine Now or Wait?
Second dose of the influenza vaccine? The baby is currently over eleven months old and received the first dose of the influenza vaccine when they turned six months old at the beginning of this year. Due to the pandemic, the second dose was not administered. I would like to ask wh...
Dr. Xiao Kaiwen Reply:
We are currently in the hot summer season, which is not the influenza epidemic period, and there is no significant influenza outbreak at the moment. I believe it would be sufficient to receive the new influenza vaccine this coming winter.[Read More] Should Your Baby Get the Second Flu Vaccine Now or Wait?
Is BNT Vaccine Safe for My Son with a History of Allergic Purpura?
Is it suitable for children who have a history of allergic purpura to receive the BNT vaccine? My son is currently in the first year of junior high school and just turned thirteen. He experienced allergic purpura at the age of six, which has not recurred since then. The diagnosin...
Dr. Xiao Kaiwen Reply:
Allergic purpura is an autoimmune vasculitis characterized by inflammation of the blood vessels. The cause of the production of autoimmune antibodies is unknown, but it is speculated that it may be triggered by previous viral infections. However, if there have been no recurrences...[Read More] Is BNT Vaccine Safe for My Son with a History of Allergic Purpura?
Guidelines for Administering BNT Vaccine to Children After COVID Exposure
Administration of the BNT vaccine for children? Hello, doctor. I would like to inquire about vaccination issues. Since I am unsure whether my 5-year-old child has been infected with COVID-19 (the mother, who lives with him, has tested positive), the child experienced a high tempe...
Dr. Xiao Kaiwen Reply:
Unless there is a "confirmed" case of COVID-19, a three-month interval is required before administering the COVID-19 vaccine. Since your child is not a confirmed case, as long as their current health status is suitable, they can receive the BNT COVID-19 vaccine.[Read More] Guidelines for Administering BNT Vaccine to Children After COVID Exposure
Understanding Your Baby's Sleep Patterns and Developmental Milestones
Baby Growth and Development Doctor, my baby has been tossing and turning a lot during sleep over the past week or two. They seem to be trying to find their pacifier, but their hands appear to be uncontrollable, knocking the pacifier away. When it falls, they cry. The caregiver ha...
Dr. Pei Rensheng Reply:
Hello: When an infant is difficult to soothe, the first considerations should be: hunger or a wet diaper. Other likely causes include infant colic, which is defined by the latest ROME IV criteria as excessive crying that is difficult to soothe in infants under five months of age,...[Read More] Understanding Your Baby's Sleep Patterns and Developmental Milestones
Challenges of Feeding Low Birth Weight Infants: A Pediatric Perspective
Milk consumption issues? Hello doctor, my child was born at 39 weeks as a late preterm low birth weight infant, weighing 1980 grams at birth. Now that he is one month old, he weighs 2655 grams. He is still in the hospital and is being fed through a nasogastric tube because his ox...
Dr. Xie Wanghu Reply:
The baby's sucking ability is not yet fully developed and should be approached gradually. It is recommended to feed on a schedule, providing 50cc every 3 hours. If the baby consumes 20cc and it has been more than half an hour, do not feed again until the next meal. Since the...[Read More] Challenges of Feeding Low Birth Weight Infants: A Pediatric Perspective
Swollen Upper Eyelid in Infants: Causes and When to Seek Help
Upon waking up in the morning, the upper left eyelid is swollen? Hello, my baby is currently 2 months old and exclusively breastfed. Recently, in the mornings, the left upper eyelid becomes swollen (the eye can only open about 1/3 to 1/2) and appears a bit purplish (similar to a ...
Dr. Xiao Kaiwen Reply:
Allergies typically do not cause swelling in only one eye or just the upper eyelid. In two-month-old infants, lymphatic circulation is not fully developed, so it is common for them to experience swelling due to skin compression after sleeping. Additionally, the eyelids are the th...[Read More] Swollen Upper Eyelid in Infants: Causes and When to Seek Help
Managing Pediatric Urinary Pain After COVID-19 Diagnosis
COVID-19 positive with urethritis? Hello, doctor. We are a family with a confirmed patient, and we came here to consult because it was inconvenient to seek emergency care. Please do not take offense. My 8-year-old son, weighing 25 kg, was diagnosed with COVID-19 in the early hour...
Dr. Xiao Kaiwen Reply:
Missing a day of antibiotics should not lead to antibiotic resistance. In some children, abdominal pain can indeed be caused by retained stool. I think trying a one-time enema is acceptable, but if the abdominal pain persists or worsens, it is important to discuss it with your te...[Read More] Managing Pediatric Urinary Pain After COVID-19 Diagnosis
Potential Risks of Overdosing Asthma Medication in Young Children
Incorrect dosage of asthma medication? Hello: The child is currently 2 years old. When visiting the doctor due to illness, the doctor prescribed 3cc of Montelukast twice a day. However, the family mistakenly administered 4cc for three consecutive days. Will taking too much Montel...
Dr. Pei Rensheng Reply:
Hello: Meptin (滅喘淨) may cause side effects such as palpitations, vomiting, tremors, headaches, and rashes. If an overdose occurs, please be aware of the aforementioned complications. (In your case, serious complications are unlikely to occur.) Please discontinue the medication ...[Read More] Potential Risks of Overdosing Asthma Medication in Young Children
Is Your 18-Month-Old's Fever Linked to Recent Vaccinations?
Fever in an 18-month-old toddler? On Thursday, the child received the second dose of the hepatitis A vaccine and the fourth dose of the pentavalent vaccine. After the previous vaccinations, there were no fever reactions. However, on Saturday morning, the child's ear temperat...
Dr. He Zongxian Reply:
Hello, experiencing a fever two days after receiving an inactivated vaccine is not a typical post-vaccination reaction. If the fever persists, it is recommended that you take your child to a pediatric medical facility for evaluation, as there may be a risk of urinary tract infect...[Read More] Is Your 18-Month-Old's Fever Linked to Recent Vaccinations?
What to Do If Your 10-Month-Old Swallows a Fish Bone?
If a ten-month-old baby accidentally ingests a fishbone, here are the steps to take: 1. **Stay Calm**: Keep calm to avoid alarming the baby. 2. **Assess the Situation**: Check if the baby is in distress, coughing, or having difficulty breathing. 3. **Encourage Coughing**: If the...
Dr. Pei Rensheng Reply:
Hello: In the case of fish bone mis-swallowing, the first step is to confirm its location, whether in the stomach or below. Most of the time, it is safe and can be expelled harmlessly on its own. However, if it is lodged in the esophagus, an urgent endoscopy is required for remov...[Read More] What to Do If Your 10-Month-Old Swallows a Fish Bone?
Understanding Rash After Fever in Infants: Is It Roseola?
Fever and rash in infants? Hello Doctor: A few days ago, I inquired about fever-related issues. My 10-month-old child had recurrent fevers from April 9 to April 11 (averaging between 38.1°C and 38.9°C, with a peak of 39.4°C on the night of April 10). On April 12, there were a few...
Dr. Xiao Kaiwen Reply:
If a rash appears along with a fever that gradually subsides, the condition could potentially be roseola. There are many variations of roseola, and it is difficult to describe without seeing the actual appearance of the rash. However, it is important to rule out dangerous and rar...[Read More] Understanding Rash After Fever in Infants: Is It Roseola?
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
Understanding Skin Issues in Toddlers: White Spots on the Abdomen
Skin issues The child is currently 2 years old. Previously, when he was over 6 months old, a white spot was noticed on his abdomen. Initially, it was thought to be a birthmark and was not given much attention, but now there are concerns that it may be a skin condition. The area i...
Dr. Pei Rensheng Reply:
Hello: It is most likely nevus anemicus, which is generally harmless and primarily a cosmetic concern. It can be evaluated by a physician during preventive vaccinations. Wishing you health, happiness, and safety! Sincerely, Ren Sheng.[Read More] Understanding Skin Issues in Toddlers: White Spots on the Abdomen