Understanding Enterovirus Diagnosis in Children: Key Symptoms to Watch For
Diagnosis of enterovirus? If a child has a small ulcer in the oropharynx, will a doctor diagnose it as hand, foot, and mouth disease, or does there need to be multiple ulcers for a diagnosis?
Dr. Zhong Ruixian Reply:
Oral ulcers can have many causes and are not necessarily due to enteroviruses; however, if a physician observes that the ulcer's appearance resembles that of an enterovirus infection, they may make that diagnosis even if there is only a small lesion. If there are more oral l...[Read More] Understanding Enterovirus Diagnosis in Children: Key Symptoms to Watch For
Safety Concerns of Rectal Fever Suppositories in Young Children
Antipyretic suppository A 3-year-old child has developed a fever of 38 degrees Celsius due to sinusitis. Medication has been administered, which reduced the fever, but it rose again to 39.1 degrees Celsius after two hours. The plan is to use a rectal suppository for fever reducti...
Dr. Xiao Kaiwen Reply:
The manufacturing of rectal suppositories is designed for absorption through the rectum, and the amount absorbed through the vagina should not be significantly high, so there should not be any major impact. There is no need for excessive concern.[Read More] Safety Concerns of Rectal Fever Suppositories in Young Children
Concerns About My 1-Year-Old's Development and Health Issues
The baby is currently 1 year and 7 months old, and there is a depression in his fontanelle? Hello doctor, my baby is currently one year and seven months old. He has a depression in his fontanelle that is about 10 centimeters long and one and a half fingers wide. He often has diar...
Dr. Xiao Kaiwen Reply:
Infants with abnormal head shapes and developmental delays, characterized by wide cranial sutures and a prominent forehead, may require an evaluation for potential brain abnormalities. It is recommended to consult a pediatric neurologist at a major hospital for further assessment...[Read More] Concerns About My 1-Year-Old's Development and Health Issues
Addressing Infant Constipation: Formula Changes and Dietary Solutions
Infant bowel movement issues? Hello Doctor, my baby is currently 4 months and 7 days old. He is drinking Karolotani goat milk formula. After birth, he was in the hospital for three days and was also given Karolotani. At that time, his meconium was normal. After being discharged, ...
Dr. Pei Rensheng Reply:
Hello: It appears there is a mild case of constipation. 1. If the baby is over 4 months old, you can introduce complementary foods, utilizing the fiber in these foods (such as fruit puree, vegetable puree, etc.); this can help with bowel movements. 2. Most hydrolyzed formulas hav...[Read More] Addressing Infant Constipation: Formula Changes and Dietary Solutions
Impact of Short-Term Exposure to Loud Noise on Toddler Hearing
The possibility of hearing impairment in a child who is 1 year and 2 months old? Hello, doctor. My child is currently over one year old. A few days ago, they were near an operating juicer for about 5-10 seconds. We don't have a measuring device at home, but I found online th...
Dr. Xiao Kaiwen Reply:
I want a sound level of 85 to 90 decibels for a short duration of 5 to 10 seconds, which should not cause any hearing damage to children, so there is no need to worry too much.[Read More] Impact of Short-Term Exposure to Loud Noise on Toddler Hearing
Understanding Recurrent Head Pressure and Vomiting in Children
Headache and vomiting? Hello Doctor, my 12-year-old child has recently experienced episodes of head swelling and vomiting as follows: Note: On January 18, he received an injection in the endocrinology department to suppress bone age growth for a duration of three months. 1. On ...
Dr. Xie Wanghu Reply:
Hello Ms. Wu, The side effects of Leuplin can include rash, wheezing, chest tightness, difficulty breathing, and difficulty swallowing or speaking, as well as gastrointestinal discomfort. Many cases of gastroenteritis can present with symptoms such as vomiting, diarrhea, and fe...[Read More] Understanding Recurrent Head Pressure and Vomiting in Children
Understanding Prolonged Fever in Children: When to Seek Medical Advice
Pediatric fever Hello, Doctor. I would like to inquire about my 6-year-old daughter. On the 24th, she had a fever of 38.8°C and we took her to see a doctor. The doctor diagnosed her with tonsillitis. She had a recurring fever for 3 days, approximately every 10-12 hours, reaching ...
Dr. Xiao Kaiwen Reply:
Some viral infections can cause a fever lasting up to a week, such as adenovirus, so adenovirus rapid testing can be performed. Additionally, if a high fever persists three days after the last blood test, it may be advisable to conduct another blood test to assess any changes in ...[Read More] Understanding Prolonged Fever in Children: When to Seek Medical Advice
Understanding Bedwetting in Children with Epilepsy: Causes and Solutions
Children in preschool still need to wear diapers at night? Hello, doctor: I would like to ask about my 6-year-old child who has epilepsy. He goes to the bathroom before bed but still wets the bed. Sometimes he also wets the bed during nap time at school. He usually feels a strong...
Dr. Pei Rensheng Reply:
Hello: Enuresis refers to the involuntary loss of urine during sleep in children over the age of 5. The prevalence decreases from 15% in 5-year-old children to 1% to 2% in children aged 15 and older. Nocturnal enuresis may be caused by one or more related factors in children, suc...[Read More] Understanding Bedwetting in Children with Epilepsy: Causes and Solutions
Can Children Safely Combine Cough and Cold Medications?
Could you please clarify your question regarding pediatric medication? Hello Dr. Hsiao: My 4-year-old child is currently experiencing fever, a cough that sounds productive, yellow nasal discharge, and nasal congestion (the nasal discharge returns shortly after blowing the nose). ...
Dr. Xiao Kaiwen Reply:
The medication your child is taking contains ingredients for cough relief and treating rhinitis (nasal congestion, runny nose, and sneezing). Xike Ning is a combination cold medicine that also includes ingredients for runny nose, nasal congestion, sneezing, cough, and expectorati...[Read More] Can Children Safely Combine Cough and Cold Medications?
Understanding and Managing Itchy Genital Area in Toddlers
Itching in the genital area? My daughter is currently 2 years and 3 months old. For the past few days, she has been constantly scratching her genital area. Despite frequent washing of her bottom and urethral area, it hasn't stopped her from scratching. I applied Meikang crea...
Dr. Xiao Kaiwen Reply:
It is difficult to make a diagnosis without actually seeing the skin condition. There are many possible causes for itching and rashes in the genital area, ranging from simple diaper rash to fungal infections, atopic dermatitis, or inflammation caused by pinworms leading to itchin...[Read More] Understanding and Managing Itchy Genital Area in Toddlers
Managing Nutcracker Syndrome in Children: Concerns and Alternatives
Children's Nutcracker Syndrome Hello Doctor, my daughter is in the first grade and has a problem with protein in her urine. After undergoing a kidney ultrasound and a CT scan, it was found that she has Nutcracker Syndrome (NCS). The doctor prescribed Losartan, which is a med...
Dr. Pei Rensheng Reply:
Hello: The main manifestation of NUTCRACKER SYNDROME is hematuria; if there is persistent proteinuria, other kidney diseases should be considered. If blood/urine tests do not provide a clear answer, a kidney biopsy should be considered. You may discuss this with the pediatric nep...[Read More] Managing Nutcracker Syndrome in Children: Concerns and Alternatives
Effective Treatment Strategies for Thrush in Infants: A Guide for Parents
Treatment for oral thrush? Hello, doctor. I would like to ask some questions regarding the treatment of oral thrush. Thank you! 1. For a newborn (1 month old) with oral thrush, since the baby is breastfed, the hospital prescribed a powder for the mother to apply. Should the pow...
Dr. Xiao Kaiwen Reply:
After expressing milk, apply the medication. Continue using the medication for more than a week, and after the white patches disappear, use it for at least an additional 3 days to completely eradicate the bacteria. After use, you can boil it in hot water for 20 minutes and let it...[Read More] Effective Treatment Strategies for Thrush in Infants: A Guide for Parents
Understanding Nighttime Nasal Congestion and Cough in Children
Children experiencing nasal congestion and nighttime cough? Hello doctor, my daughter is currently 3 years old. During the day, she has some nasal congestion and a runny nose, and at night she snores while sleeping and has a cough. However, she is unable to clear her nasal mucus....
Dr. Xiao Kaiwen Reply:
Both possibilities exist. It is recommended to visit a pediatric department at a hospital for a physical examination, laboratory tests, and a thorough medical history inquiry to reach a more definitive conclusion.[Read More] Understanding Nighttime Nasal Congestion and Cough in Children
Flu in Infants: When to Seek Hospital Care for Your Baby
The baby has influenza? Hello, my four-year-old child caught an infection at preschool and transmitted it to my eight-month-old daughter and myself. Based on my condition, the doctor diagnosed it as influenza and prescribed Tamiflu. The older child has improved, but the baby has ...
Dr. Xiao Kaiwen Reply:
At only 8 months old, the child is in a high-risk group for influenza and has had a persistent high fever for 4 days despite taking antiviral medication. It is advisable to go to a major hospital's emergency department for evaluation.[Read More] Flu in Infants: When to Seek Hospital Care for Your Baby
Understanding Nocturnal Enuresis in Children: When to Seek Help
Children's nocturnal enuresis issues? Hello Doctor: My child is 8 years old and does not need to wear diapers during the day and does not wet his pants. However, we have not been able to completely eliminate the use of diapers at night. I would like to ask if the following s...
Dr. Xiao Kaiwen Reply:
Children over the age of five who experience involuntary bedwetting at least twice a week for more than six consecutive months can be diagnosed with nocturnal enuresis. If behavioral treatments have shown limited effectiveness, it is recommended to seek evaluation and management ...[Read More] Understanding Nocturnal Enuresis in Children: When to Seek Help
Understanding Lumps Near the Jaw and Neck in Children: Causes and Concerns
There is a hard lump near the masseter muscle in the neck and lower jaw area? There are hard lumps near the neck and the lower jaw close to the masseter muscle. They are smooth and movable, and pressing on them is somewhat uncomfortable. Upon self-examination, the lump in the nec...
Dr. Zhong Ruixian Reply:
It is more likely to be lymph nodes. If there is any enlargement or hardening, it is recommended that you seek medical evaluation![Read More] Understanding Lumps Near the Jaw and Neck in Children: Causes and Concerns
Understanding a Child's Groin Indentation: Is It Spina Bifida?
The child has a depression in the groin area? Hello doctor, my child is currently three years old and has a small circular indentation about one centimeter in diameter at the top of the gluteal cleft (which has been present since a very young age). There is no hair growth. Could ...
Dr. Xiao Kaiwen Reply:
Most infants and young children with a small indentation above the buttocks are normal and healthy, and there is usually no cause for concern. However, in very rare cases, there may be a hidden neural tube defect at the depth of this sacral dimple. Warning signs include delayed o...[Read More] Understanding a Child's Groin Indentation: Is It Spina Bifida?
Persistent Cough in Children: Causes and When to Seek Help
Persistent cough in children (approximately twelve years old) Hello, doctor. I have a 12-year-old boy who coughs several dozen times a day. He does not have any runny nose, fever, or phlegm; it’s just a sensation of clearing his throat. This has been ongoing for more than six mon...
Dr. Xiao Kaiwen Reply:
There are many possible causes. Common reasons in children include allergic bronchitis, post-nasal drip, gastroesophageal reflux, bacterial infections such as mycoplasma, and it could also be due to neurogenic conditions like Tourette syndrome. It is recommended to first consult ...[Read More] Persistent Cough in Children: Causes and When to Seek Help
Understanding Hypothyroidism in Children: Growth Concerns and Treatment
Hypothyroidism Hello Doctor, my son had normal results during the newborn screening at birth. His growth curve has consistently been around the 3rd percentile, and all other growth assessments have been normal. However, over the past two to three years, I have noticed that his he...
Dr. Pei Rensheng Reply:
Hello: 1. An 8-year-old was diagnosed with hypothyroidism; newborn screening was normal. The most common cause is autoimmune disease leading to acquired hypothyroidism. 2. The standard treatment for hypothyroidism is thyroid hormone replacement, not iodine supplementation. 3. A c...[Read More] Understanding Hypothyroidism in Children: Growth Concerns and Treatment
Understanding Hypothyroidism in Children: Growth Concerns and Treatment
Hypothyroidism Hello Doctor, my son had normal results during the newborn screening at birth. His growth curve has consistently been around the 3rd percentile, and all other growth assessments have been normal. However, over the past two to three years, I have noticed that his he...
Dr. Pei Rensheng Reply:
Hello: Estimating adult height should also take into account the heights of the parents, generally calculated as the average of the parents' heights +/- 6.5 cm. If a child's height is significantly below the estimated value based on the parents' heights, it is impo...[Read More] Understanding Hypothyroidism in Children: Growth Concerns and Treatment