Ear, Pediatrics FAQ - Page 16

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Height Growth Concerns in Adolescents: Expert Insights and Guidance

Height growth issues Height concerns – Hello Doctor: A 13-year-old girl in the first year of junior high school has a bone age of 13 years, measuring 150.8 cm and weighing 44 kg (menstruation has started for 1 year, father is 172 cm, mother is 161 cm). I would like to ask: 1. Wil...


Dr. Pei Rensheng Reply:
Hello: According to genetics, the expected adult height is calculated as the average of the parents' heights minus 6. Therefore, (172 + 161) / 2 = 166.5, and 166.5 - 6 = 160.5 cm. However, the current height is 150.8 cm, and the bone age is already 13 years, which correspond...

[Read More] Height Growth Concerns in Adolescents: Expert Insights and Guidance


Understanding Hand, Foot, and Mouth Disease: Symptoms and Recovery

Enterovirus blisters My eldest daughter showed symptoms of enterovirus last Friday, and my youngest son was diagnosed on Sunday. However, my daughter’s throat ulcer healed by this Wednesday, and my son’s appetite has also improved. But my son has a large blister on his foot; will...


Dr. Xiao Kaiwen Reply:
Hand, foot, and mouth disease caused by enterovirus infection typically results in blisters that will resolve on their own within two weeks, without leaving scars. There are over 60 types of enteroviruses, so it is still possible to be infected by a different strain even after ha...

[Read More] Understanding Hand, Foot, and Mouth Disease: Symptoms and Recovery


Understanding Milk Intake and Solid Food Challenges in Infants

Regarding the issues of milk supply and complementary foods? Hello, Doctor: My son is 10 months old and weighs 9 kg. He has been suffering from a cold for 6 weeks. He consumes formula milk three times a day, with each feeding being about 150-180 ml, and he has solid food (porridg...


Dr. Xiao Kaiwen Reply:
To determine if an infant is adequately hydrated, we primarily assess urine output. If the infant produces more than six pale, non-concentrated urine outputs in a day, this indicates sufficient hydration, and your child is likely not experiencing dehydration. In fact, unless ther...

[Read More] Understanding Milk Intake and Solid Food Challenges in Infants


Can My 14-Year-Old Son Still Grow Taller? Exploring Options for Growth

Can my 14-year-old son still continue to grow taller? Recently, I took my 14-year-old son to see a traditional Chinese medicine practitioner. After the consultation, it was found that his growth rate is too slow, and we were advised to seek evaluation from a Western medicine doct...


Dr. Lin Yishou Reply:
Dear parents, going to bed early and exercising more is very beneficial for growth. The later growth hormone is administered, the less effective it usually is. Parents should consider this carefully. Thank you for your question.

[Read More] Can My 14-Year-Old Son Still Grow Taller? Exploring Options for Growth


Understanding Bone Age and Puberty Issues in Pediatric Growth

Bone age and puberty issues? Hello, my son is 9 years and 7 months old, with a height of 150 cm and a weight of 43 kg. About 3 to 4 months ago, I noticed that his face started to become oily. Recently, we took him to see an endocrinologist for a bone age assessment, and the docto...


Dr. Lin Yishou Reply:
Dear parents, puberty is the time when children grow the fastest, so it's important to make the most of this growth period. If the age of onset of puberty is normal, the vast majority of children do not need to suppress puberty. Thank you for your question.

[Read More] Understanding Bone Age and Puberty Issues in Pediatric Growth


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?


Can I Still Grow Taller? Pediatric Concerns About Height and Weight

Height issues Hello Doctor: I am currently in the second year of junior high school, with a height of 152 cm. My father is 175 cm and my mother is 163 cm. I just started my menstrual period this September. I previously had a bone age assessment that indicated I am about a year be...


Dr. Xiao Kaiwen Reply:
Generally, girls stop growing about two to three years after the onset of menstruation, so you still have a chance to grow taller. The period from 11 PM to 1 AM is when growth hormone secretion is at its peak, making the optimal sleep time from 10 PM to 7:30 AM. In addition to sl...

[Read More] Can I Still Grow Taller? Pediatric Concerns About Height and Weight


Brown Gums in Young Children: Causes and Treatment Options

The gums of the toddler have turned slightly brown? Hello Doctor: My son is almost 5 years old and does not have a habit of eating snacks or drinking beverages. Today, while brushing his teeth, I noticed that his upper front teeth' gums have turned a bit brown. What could be...


Dr. Xiao Kaiwen Reply:
It is difficult to assess the situation without seeing it firsthand; however, for children's dental and gum issues, it is advisable to consult a pediatric dentist who specializes in this area.

[Read More] Brown Gums in Young Children: Causes and Treatment Options


Visible Neck Veins in Children: When to Seek Medical Advice?

Prominent neck veins? Hello, doctor. I would like to ask about my child who is currently 3 years and 3 months old. Whenever he speaks loudly or exerts himself, the veins in his right neck become very prominent, to the point that it surprises everyone who sees it. Those who have w...


Dr. Xie Wanghu Reply:
Dear Hamburger Mommy, hello! It may be difficult to provide a correct and comprehensive answer solely through text. For children under 18 years old, it is advisable to consult a pediatric clinic first. Thank you!

[Read More] Visible Neck Veins in Children: When to Seek Medical Advice?


Do Steroid Nasal Sprays Affect Child Growth? Expert Insights

Will steroid nasal sprays affect development? Hello Doctor: My son is six years old and has been experiencing long-term nasal congestion due to allergies, which has become more pronounced recently. Last winter, I gave him a steroid nasal spray, and the clinic physician said it wa...


Dr. Pei Rensheng Reply:
Hello: On November 14, 2020, I searched for information on "update": Older children and adults — For children aged 2 years and older, the approach to pharmacotherapy is essentially the same as that in adults and depends on the severity and persistence of symptoms. Mi...

[Read More] Do Steroid Nasal Sprays Affect Child Growth? Expert Insights


Is Blood Testing Necessary After a Child's Cut with a Hepatitis B-Infected Nail Clipper?

Is it necessary to perform a blood test for a 1.5-year-old child who was accidentally cut by a nail clipper that may have been contaminated with hepatitis B? Hello doctor, I would like to ask about my younger sister who is currently one and a half years old and has received all h...


Dr. Xiao Kaiwen Reply:
The transmission route of Hepatitis B through blood requires the "fresh" blood of a carrier to come into "direct" contact with one's own blood for there to be a possibility of infection. Nail clippers do not directly contact the carrier's blood; even...

[Read More] Is Blood Testing Necessary After a Child's Cut with a Hepatitis B-Infected Nail Clipper?


Understanding Emotional Issues in Toddlers: Guidance for Parents

Emotional issues in young children? Hello, Dr. Hsiao. My child is about to turn three years old. Due to slow language development and occasional emotional dysregulation, I have scheduled a developmental assessment. I would like to ask, at this age, most children can communicate m...


Dr. Xiao Kaiwen Reply:
It may be a matter of emotional disturbance or poor expressive abilities, and I believe a professional evaluation by a pediatric neurologist and a child psychiatrist is necessary, as this is a complex assessment. However, I would like to outline a few basic principles: First, unc...

[Read More] Understanding Emotional Issues in Toddlers: Guidance for Parents


Understanding Joint Pain in Kawasaki Disease: Care Tips for Parents

Kawasaki disease, joint pain? Is it normal for a child with Kawasaki disease, who has been ill for more than two weeks, to suddenly wake up in the middle of the night complaining of severe hand pain that prevents them from sleeping? How should we care for joint pain associated wi...


Dr. Xie Wanghu Reply:
Dear Mommy, thank you for your hard work these past two weeks! Kawasaki disease is a systemic vasculitis, and one-third of children with Kawasaki disease experience arthritis and joint pain. It can be classified into two types: 1. The early-onset type occurs within the first 10 d...

[Read More] Understanding Joint Pain in Kawasaki Disease: Care Tips for Parents


Should You Get Your Active Toddler Evaluated for ADHD?

I'm not sure if I should go for an evaluation? The child is currently not yet 3 years old, but due to high activity levels and curiosity, often climbing up and down and having difficulty sitting still, many relatives and friends have suggested that there may be tendencies to...


Dr. Xiao Kaiwen Reply:
The general assessment period for Attention Deficit Hyperactivity Disorder (ADHD) typically occurs when a child enters group settings, usually around the age of 3 when they start preschool. It is necessary to confirm the diagnosis if there are significant differences in behavior ...

[Read More] Should You Get Your Active Toddler Evaluated for ADHD?


Should You Get Your Active Toddler Evaluated for ADHD?

I'm not sure if I should go for an evaluation? The child is currently not yet 3 years old, but due to high activity levels and curiosity, often climbs up and down and has difficulty sitting still. Many relatives and friends have suggested that there may be tendencies towards...


Dr. Xiao Kaiwen Reply:
The general assessment period for Attention Deficit Hyperactivity Disorder (ADHD) is often easier to evaluate once a child enters group settings, typically starting around the age of 3 when they begin preschool. It is necessary to confirm the diagnosis if there are significant di...

[Read More] Should You Get Your Active Toddler Evaluated for ADHD?


Understanding Baby's Crooked Lower Lip: Causes and Solutions

The baby's lower lip is crooked? Hello, doctor. My child is not yet one month old, and his lower lip is tilted to the right, which is particularly noticeable when he cries. We took him for a heart examination, and they mentioned a diaphragmatic hernia. Will his mouth alignme...


Dr. Xie Wanghu Reply:
Hello, Mrs. Zhu! In pediatric cardiology, there is a condition known as the Soft Palate Heart-Facial Syndrome, which predicts congenital heart disease based on facial anomalies. Your child's echocardiogram currently shows an atrial septal defect. In infants under 6 months of...

[Read More] Understanding Baby's Crooked Lower Lip: Causes and Solutions


Understanding Baby's Crooked Lower Lip: Causes and Solutions

The baby's lower lip is crooked? Hello doctor, my child is not yet one month old, and his lower lip is tilted to the right, which is particularly noticeable when he cries. We took him for a heart examination, and they mentioned a diaphragmatic hernia. Will the crooked mouth ...


Dr. Xie Wanghu Reply:
Hello, Zhu Bo's mother! In pediatric cardiology, there is a condition known as the Soft Palate Heart-Facial Syndrome, which predicts congenital heart disease based on facial anomalies. Your child's echocardiogram currently shows an atrial septal defect. In infants under...

[Read More] Understanding Baby's Crooked Lower Lip: Causes and Solutions


Managing Congenital Hypothyroidism in Infants: Key Considerations for Parents

Congenital Hypothyroidism (2 months and 3 weeks old - male infant) Dear Dr. Lin, First of all, I sincerely thank you for taking the time to read this lengthy message and for your follow-up questions! My child will be turning 3 months old next week and is currently undergoing tre...


Dr. Lin Yishou Reply:
Dear Parent, I understand your concerns. However, there is no special solution; the best approach is to adhere to the medication regimen and monitor the blood levels. If you have any worries, please discuss them thoroughly with the attending physician. Thank you for your message.

[Read More] Managing Congenital Hypothyroidism in Infants: Key Considerations for Parents


Concerns About Vaccine Injection Risks in Pediatric Patients: What to Watch For

There is concern about hitting a nerve or artery when administering a vaccine? Today, I took my 5-year-old child to the clinic to receive the GSK influenza vaccine. The injection was administered in the lateral aspect of the left thigh, but the injection site was approximately 1....


Dr. Xiao Kaiwen Reply:
Injecting into a blood vessel can lead to serious complications and should immediately result in significant adverse reactions. Injecting into a major nerve can cause nerve damage, leading to impaired muscle movement in the affected area and ultimately muscle atrophy. However, th...

[Read More] Concerns About Vaccine Injection Risks in Pediatric Patients: What to Watch For


Concerns About Pediatric Midline Deviation in Young Children

The philtrum of the infant is asymmetrical? Hello, my son is currently 3 and a half years old. The tip of his philtrum has been increasingly deviating to the left. Since he was about 1 year old, his lower jaw tends to protrude unconsciously, resulting in a situation where his low...


Dr. Xiao Kaiwen Reply:
There are many possibilities in this situation, such as issues with the nerve control around the oral cavity, muscle coordination problems, malocclusion, dental misalignment, or temporomandibular joint (TMJ) issues. It is recommended to consult a pediatric dentist for further eva...

[Read More] Concerns About Pediatric Midline Deviation in Young Children


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