Ear, Pediatrics FAQ

Understanding Vomiting in Infants: Care Tips for Parents

Pediatric vomiting Hello Doctor: Currently, there is a 9-month and 18-day-old baby girl at home. Around 6 PM, her grandfather gave her 4-5 grains of rice, and around 7 PM, she had a rice cracker. She drank her bedtime milk at 10 PM, but after finishing the milk, she started vomit...

Dr. Xiao Kaiwen Reply:
It is advisable to start with a light diet in small amounts, such as well-cooked rice porridge with some added salt for better absorption. However, if vomiting persists, there is decreased activity, or if there has been no urination for 8 hours indicating dehydration, it is recom...

Understanding Recurrent Ear Canal Infections in Infants: Causes and Prevention

Ear problems, recurrent inflammation of the external auditory canal? Hello Dr. Hsiao, my baby has just turned 9 months old. Since birth, he has experienced six episodes of external ear canal inflammation in the same ear. Each time, it starts with unexplained crying for a few days...

Dr. Xiao Kaiwen Reply:
Mild and uncomplicated otitis externa may not always require oral antibiotics; topical antibiotic ear drops can be sufficient for treatment. However, in more severe cases, oral antibiotics may be necessary. The reasons for recurrent episodes are difficult to determine; it could b...

Assessing Tongue Mobility Issues in Preschool Children: When to Seek Help

Tongue mobility Hello Doctor, my son is 4 and a half years old. I have noticed that he can only stick his tongue out but cannot curl it upwards, and his lateral movement is also not very flexible. However, he does not have a W tongue. He can generally be understood when he speaks...

Dr. Xiao Kaiwen Reply:
As long as the tongue can extend forward to cover the lower lip, there is no issue with a tight frenulum or tongue mobility (the tongue only needs to extend forward, without the necessity for upward curling or lateral movement). In fact, our speech production involves not only th...

Severe Constipation in Toddlers: Causes and Solutions for Parents

Bowel issues Hello Doctor: My daughter is currently over 3 years old and has been experiencing severe constipation lately, unable to have bowel movements on her own. When I palpate her abdomen, I can feel hard masses (likely stool). Recently, she took a stool softener prescribed ...

Dr. Zhang Yingwen Reply:
1. Simple probiotics and enzyme powders do not contain dietary fiber, thus their effectiveness in aiding bowel movements is limited. However, they can help alleviate abdominal pain caused by constipation. 2. To ensure smooth bowel movements in children, there are three essentia...

Managing Diarrhea in Children: Tips for Parents on Lactose-Free Formula

Bowel issues Hello, doctor. I would like to ask about my son, who has had diarrhea for the past couple of days. I have switched to lactose-free formula, and although the frequency is not as high as it was a couple of days ago, he is still having some loose stools. What should I d...

Dr. Lin Yishou Reply:
Hello. This issue cannot be addressed online. Please seek treatment at the nearest pediatric clinic or hospital. Thank you.

Understanding Constipation in Toddlers: Causes and Solutions

Bowel issues My daughter is 1 year and 11 months old and has been training herself to use the toilet. Recently, she has been having bowel movements only about every two days, with the initial stools being hard and pellet-like, followed by diarrhea. She cries in pain every time sh...

Dr. Xiao Kaiwen Reply:
Younger children have not yet developed strong muscles for bowel movements, making it more difficult for them to defecate compared to adults. To improve constipation, it is essential to enhance dietary and bowel habits. Dietary improvements include: increasing the intake of fiber...

How to Handle a Partially Torn Toenail in Children

The toenail of the little toe is lifted? Hello doctor, I would like to ask about my son who accidentally lifted half of his toenail while wearing socks. There is no bleeding, but it looks quite shocking as the flesh underneath is visible. Which department should we consult for th...

Dr. Xiao Kaiwen Reply:
Can be scheduled for general surgical management.

Understanding Fever and Low White Blood Cell Count in Children

Fever of unknown origin and leukopenia? Dear Dr. Hsiao, My daughter started having a fever five days ago, with a recorded temperature of 39.7 degrees Celsius. There were no other obvious symptoms at that time. We visited a local hospital, where the doctor found signs of tonsilli...

Dr. Xiao Kaiwen Reply:
1. The absence of an elevated body temperature is unlikely to be due to a lack of white blood cells for defense: this is not the case, as an increase in body temperature is a function of the thermoregulatory center in the brain. 2. Muscle soreness in both calves: this is mostly...

Managing Ear Issues in Toddlers: Can You Use Steroid Creams?

Ear problems, Furunx ointment? Hello, doctor. My child is almost 2 years old and has been rubbing his ears for about 7-8 months. The doctor examined him and found that he has wet ears, but he continues to rub them, causing the skin above the outer ear to become somewhat damaged. ...

Dr. Xiao Kaiwen Reply:
Steroid ointments like Fuhun-Kang are generally used for eczema dermatitis. However, fungal and bacterial skin infections can sometimes be difficult to distinguish from other types of dermatitis. Misuse of steroid ointments may worsen the condition. Additionally, the strength of ...

Can SUDOCREM Be Used on 5-Month-Old Baby with G6PD Deficiency?

Can SUDOCREM be used on a 5-month-old baby with G6PD deficiency? Can SUDOCREM diaper cream be used on a 5-month-old infant with favism? The ingredients include zinc oxide, lavandula angustifolia, BHAC, citric acid, propylene glycol, linalyl acetate, sodium benzoate, microcrystall...

Dr. Xiao Kaiwen Reply:
It contains a variety of ingredients, including chemical preservatives, fragrances, solvents, and more. The complexity of these ingredients makes it difficult to determine whether they are safe for use in infants with G6PD deficiency (favism). It is advisable to refer to the prod...

Understanding Labial Adhesions in Young Girls: When to Seek Medical Advice

Pediatric genital organs Hello Doctor: My daughter is almost three years old, and I have recently noticed that her labia seem to be fused, making the vaginal opening not visible. Is this situation normal? Should I take her to the hospital for an examination? Thank you!

Dr. Pei Rensheng Reply:
Hello! This appears to be labial adhesion; you can consult a pediatrician or an obstetrician-gynecologist to prescribe an ointment for treatment. Wishing you health and safety! Sincerely, Dr. Pei Ren-Sheng, Attending Physician, Department of Pediatrics, Taoyuan Hospital, Ministry...

Is X-ray Safe for My Toddler? Understanding Risks and Concerns

X-ray examination for children? Hello, doctor. My child is currently 1 year and 4 months old. He had a fever previously, which came and went, and we took him to the emergency room of a large hospital twice. Both times, he had a chest X-ray (the second one was taken 14 days after ...

Dr. Xiao Kaiwen Reply:
With the advancements in medical technology, the amount of radiation exposure from a standard X-ray is very low, and undergoing two standard X-rays does not have any adverse effects on the body. In fact, we are exposed to natural background radiation every day, so there is no nee...

Addressing Milk Aversion and Growth Concerns in Infants

Milk aversion and growth and development issues? Hello, Dr. Pei. My son is 11 months old, weighing 7.8 kg and measuring 67 cm. His weight has been stuck between 7.6 and 7.8 kg for a long time, approximately since he was 5 months old, and he hasn't gained weight for half a ye...

Dr. Pei Rensheng Reply:
Hello, it appears that your baby is experiencing delays in both weight and height, along with suboptimal food intake, which indeed necessitates a medical evaluation. This could potentially be related to nutritional or endocrine issues. It is advisable to consult a pediatric gastr...

Understanding Frequent Bowel Movements in Infants: When to Seek Help

Frequent bowel movements? Hello, Dr. Hsiao. Thank you very much for taking the time to read my question. My daughter is currently 1 month and 21 days old and is exclusively on Meiji formula milk. At one month old, due to gastroenteritis, we switched to lactose-free formula, which...

Dr. Xiao Kaiwen Reply:
If you switch back to regular formula and the stool frequency increases again with a watery consistency, it indicates that the gastroenteritis has not fully resolved. You can revert to lactose-free anti-diarrheal formula; in fact, it is fine to use anti-diarrheal formula for one ...

Understanding Sleep Issues in Toddlers: Causes and Solutions

The baby is currently 1 year and 9 months old and has been experiencing sleep issues since 5 to 6 months of age? Hello, doctor. My son is currently 1 year and 9 months old. He has been waking up frequently at night since he was 5-6 months old, often needing to be held and comfort...

Dr. Zhong Ruixian Reply:
1. How long does the baby sleep during the day? Has the sleep pattern shifted to primarily nighttime sleep? 2. Is his overall development on track? For example, is his head circumference growth within the normal range, can he walk independently, can he say more than 4-6 words, a...

Is It Normal for a 5-Year-Old to Struggle with Emotions and Communication?

Is this normal for a 5-year-old? A 5-year-old boy, currently in kindergarten, exhibits the following behaviors: 1. He easily becomes inexplicably angry, making it difficult to understand his feelings (is he too emotionally fragile or sensitive? However, when discussing topics o...

Dr. Lin Yishou Reply:
Please visit the pediatric outpatient clinic to consult with a physician in person.

Can Short Parents Affect Their Child's Height Potential?

If parents are short, can their child still grow taller? Hello doctor, I am a male student currently in the first year of junior high and will be advancing to the second year. During my last check-up around March, my height was 147 cm and my weight was 35 kg. My parents' hei...

Dr. Lin Yishou Reply:
You can determine bone age by visiting Dr. Lin Yi's clinic.

Choosing Formula Milk: Addressing Baby's Constipation Issues

Choosing formula milk when the baby is constipated? The baby is almost 4 months old. Before April 11, the baby was exclusively breastfed, drinking 4-5 times a day (average intake of 600 ml), and having 1-2 bowel movements daily, which were soft, mushy, and yellow. From April 11 t...

Dr. Xiao Kaiwen Reply:
Infants under six months old should not drink too much water. After four months, babies can start trying small amounts of a variety of solid foods, which will change their stool patterns. It is normal for infants to have bowel movements two to three times a day or once every two ...

Understanding Arm Pain in an 8-Year-Old: Causes and Next Steps

An 8-year-old girl experiences intermittent pain in her right arm, and during episodes of pain, she sometimes feels weakness in her legs? Hello, my daughter is currently 8 years old. Since she fell last year, she has been experiencing persistent pain in her arm, and sometimes thi...

Dr. Xiao Kaiwen Reply:
Growing pains in children typically occur at night and usually affect both lower limbs, so your child may not be experiencing this. A simple muscle strain is unlikely to last this long. There is a rare but serious condition in children called juvenile idiopathic arthritis, which ...

Understanding Swelling in Children: When to Seek Medical Advice

Skin swelling Hello Dr. Hsiao, I am a mother of a two-year-old. About two days ago in the evening, I noticed what appeared to be a mosquito bite near my son's ankle. Occasionally, I saw him pressing on the affected area with his fingers, so I applied Mentholatum. The next da...

Dr. Xiao Kaiwen Reply:
Cellulitis typically presents with redness, swelling, heat, and pain in the affected area. In contrast, an allergic reaction to insect bites usually results in redness and swelling only. Therefore, it can be difficult to differentiate between the two based solely on photographs, ...

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