Understanding Small Kidney Size in Children: Causes and Concerns
Small kidneys in children? Hello Doctor, My son underwent a kidney examination shortly after birth and was initially diagnosed with mild hydronephrosis, which was monitored. By the time he turned one, one of his kidneys was found to be smaller than the other. Subsequent tests s...
Dr. Xiao Kaiwen Reply:
As long as there are no severe renal malformations such as polycystic kidney disease, severe hydronephrosis, horseshoe kidney, or ectopic kidney, and kidney function is normal, having slightly smaller kidneys should not be a concern. There is no evidence to suggest that this cond...[Read More] Understanding Small Kidney Size in Children: Causes and Concerns
Navigating Puberty: Common Concerns and Questions for Teens
Various Issues During Puberty Since entering puberty, I am now 15 years old, 174 cm tall, and weigh 60 kg. I have some questions I would like to ask: 1. My Adam's apple has not developed, but relatives say my voice has deepened. Is it abnormal that it hasn't appeared? ...
Dr. Lin Yishou Reply:
Hello. 1. The development of the Adam's apple varies from person to person; some individuals may develop it later and it may be less prominent. 2. The growth of armpit hair also differs among individuals, so there is no need to worry. 3. It is recommended to have further exa...[Read More] Navigating Puberty: Common Concerns and Questions for Teens
Understanding Neonatal Head Ultrasound: Implications of Lenticulostriate Vasculopathy
Neonatal cranial ultrasound - Issues related to lenticulostriate and thalamostriate vascular lesions? Within a week of our son's birth, he underwent a cranial ultrasound. The doctor explained the situation over the phone, but due to the use of many medical terms, we did not ...
Dr. Lin Yanxiong Reply:
1. A physician must not administer treatment, prescribe medication, or provide a diagnosis without personally examining the patient. 2. It is advisable for you to discuss your child's condition with the physician who arranged the examination at that time, as this would be mo...[Read More] Understanding Neonatal Head Ultrasound: Implications of Lenticulostriate Vasculopathy
Understanding Phimosis in Young Children: Treatment Options and Concerns
Phimosis in infants? Hello Doctor: My son is now 4 years old. A while ago (around early July), we visited a doctor and confirmed that he has phimosis (his penis swells like a balloon during urination). At that time, a steroid ointment was prescribed for application. After about t...
Dr. Xiao Kaiwen Reply:
Most cases of phimosis in infants and young children can be improved with the application of topical corticosteroids.[Read More] Understanding Phimosis in Young Children: Treatment Options and Concerns
Managing Phimosis in Young Children: When to Reapply Steroid Creams
Phimosis in infants? Hello Doctor: My son is now 4 years old. A while ago (around early July), we visited a doctor and confirmed that he has phimosis (his foreskin balloons up like a balloon when urinating). At that time, a steroid ointment was prescribed for application. After a...
Dr. Xiao Kaiwen Reply:
Most cases of phimosis in infants and young children can be improved with the application of topical corticosteroid ointments.[Read More] Managing Phimosis in Young Children: When to Reapply Steroid Creams
Managing Sudden Fever in 10-Month-Olds: When to Use Suppositories?
A 10-month-old baby suddenly develops a fever in the middle of the night? Hello, doctor. I apologize for the interruption. I would like to ask about my baby who suddenly has a fever with no additional symptoms. The ear temperature fluctuates between 38.5 and 39.2 degrees Celsius,...
Dr. Xiao Kaiwen Reply:
If an infant or young child has just started to have a fever but is still active, you can initially administer antipyretics and observe them. After the fever subsides, it is advisable to visit a pediatric clinic or office during the day. However, if the child remains lethargic af...[Read More] Managing Sudden Fever in 10-Month-Olds: When to Use Suppositories?
Understanding Soft Stools in Toddlers: Causes and Solutions
Bowel issues Hello Doctor, my child is currently 2 years and 8 months old. Since birth, her bowel movements have consistently been soft or mushy, rarely forming solid stools. However, she is in good health and very active. Since she turned 1.5 years old, she has become a picky ea...
Dr. Zhang Yingwen Reply:
Hello! Based on your description, 1. Although the stools are soft, the absence of a foul odor and having fewer than three bowel movements per day, along with normal weight gain, may not indicate a problem. 2. Replacing cow's milk with goat's milk may not necessarily imp...[Read More] Understanding Soft Stools in Toddlers: Causes and Solutions
Understanding Japanese Encephalitis Risks for Infants: Key Questions Answered
Questions about Japanese Encephalitis? Dear Dr. Hsiao, On the evening of August 1st, my baby, who is under one year old, was bitten by a mosquito at home. There are also a large number of pigeons near our residence, and I am very concerned about the issue of Japanese encephaliti...
Dr. Xiao Kaiwen Reply:
The main vectors for Japanese encephalitis are the Culex tritaeniorhynchus, Culex pipiens, and Culex quinquefasciatus mosquitoes, which prefer to breed in relatively clean water, primarily found in rice paddies in Taiwan. Although pigeons are hosts for the Japanese encephalitis v...[Read More] Understanding Japanese Encephalitis Risks for Infants: Key Questions Answered
Understanding Cryptorchidism: Concerns and Next Steps for Your Child
Undescended testicle? My younger brother underwent surgery to remove a testicle, but after a few days, it was reported that it was missing again. The doctor mentioned it was a case of retractile testis, but now that he is almost two years old and it hasn't descended, we are ...
Dr. Lin Yishou Reply:
Please quickly consult a pediatrician or a pediatric surgeon to recheck the position of the testicles.[Read More] Understanding Cryptorchidism: Concerns and Next Steps for Your Child
Understanding Infant Adjustment: Tips for Transitioning to Daycare
Infants go to family daycare? Currently, the baby is three and a half months old. Recently, we have been staying at both maternal and paternal grandparents' homes for about a week each. Just the day before going to the nanny's house, we returned from the maternal grandp...
Dr. Xiao Kaiwen Reply:
The primary principle is to find a qualified caregiver. It is advisable to personally visit the caregiver's home to assess whether the environment is suitable for the infant. You should also communicate directly with the caregiver about your baby's care preferences. As ...[Read More] Understanding Infant Adjustment: Tips for Transitioning to Daycare
Common Pediatric Concerns: Diarrhea and Persistent Fever in Young Children
Pediatric issues Hello, doctor. I have a question regarding my child who is almost five years old. A few days ago, he ate some baby corn (not the whole piece, just a small cut). However, he only chewed it a few times before swallowing it. Since then, his stools have been somewhat...
Dr. Xiao Kaiwen Reply:
I believe that not cutting the baby corn into small pieces should not cause diarrhea, and the combination with fever is most likely due to an infection leading to gastroenteritis. Fever is simply a sign of the child's immune system fighting off the bacteria and is not necess...[Read More] Common Pediatric Concerns: Diarrhea and Persistent Fever in Young Children
Understanding Language Development and Diaper Rash in Toddlers
Baby language development & skin issues Hello, I have a daughter who is 1 year and 7 months old. Currently, she can only say "mama," "grandma," "hug," "woof woof," and some variations of "dada" (though not often). Besides that...
Dr. Xiao Kaiwen Reply:
At 1 year and 7 months, a toddler's language development includes several words, which is not considered delayed. Increased verbal stimulation from adults or interaction with older children can certainly aid in the child's language development. When applying ointment, a...[Read More] Understanding Language Development and Diaper Rash in Toddlers
Understanding Fontanelle Closure Issues in Toddlers: When to Seek Further Evaluation
Closure of the anterior fontanelle issue? Hello Doctor: My child is currently 2 years and 8 months old, with a head circumference of 52 cm, height of 92 cm, and weight of 14 kg. He has no issues with running, jumping, or language expression. Since he turned 2, I have been observi...
Dr. Lin Yishou Reply:
Hello parents, if you are concerned, you can start with an ultrasound.[Read More] Understanding Fontanelle Closure Issues in Toddlers: When to Seek Further Evaluation
Is My 5-Year-Old's Heart Rate Too Fast? Understanding Pediatric Heart Health
Is a 5-year-old child's heart rate considered too fast? Hello Doctor: I accidentally measured my five-year-old daughter's heart rate and found that it was quite fast, even while she was quietly watching TV and not exercising. Her heart rate was around 114 to 120 beats p...
Dr. Pei Rensheng Reply:
Hello: Generally speaking, the normal heart rate range for children is as follows: for infants under 1 year old, 80-140 beats per minute; for children aged 1 to 6 years, 80-120 beats per minute; and for children over 6 years old, 60-100 beats per minute. These rates should be mea...[Read More] Is My 5-Year-Old's Heart Rate Too Fast? Understanding Pediatric Heart Health
Can Kids Safely Take Cold Showers in Hot Summer Weather?
Children taking cold showers in the summer? Hello Dr. Lin, the summers in Taiwan are getting hotter each year. During summer nights, I personally take cold showers. My daughter just turned five, and I would like her to try taking a cold shower as well, but my wife strongly oppose...
Dr. Lin Yishou Reply:
The term "cold shower" typically refers to water temperatures around 10 to 20 degrees Celsius (50 to 68 degrees Fahrenheit).[Read More] Can Kids Safely Take Cold Showers in Hot Summer Weather?
Understanding Asymmetrical Arm Creases in Infants: A Pediatric Perspective
Arm development Hello, doctor. My baby is currently five months old. While bathing, I noticed that the folds on the arms are different; one side has a fold while the other does not. I've heard that asymmetrical leg creases could indicate developmental issues, so I would like...
Dr. Lin Yishou Reply:
It's possible!! Just take it to a pediatrician for confirmation.[Read More] Understanding Asymmetrical Arm Creases in Infants: A Pediatric Perspective
Understanding Asymmetrical Arm Creases in Infants: A Pediatric Perspective
Arm development Hello, doctor. My baby is currently five months old. While bathing, I noticed that the creases on the arms are different; one side has a crease while the other side does not. I heard that asymmetrical leg creases could indicate developmental issues, so I would lik...
Dr. Lin Yishou Reply:
It's possible!! Just take it to a pediatrician for confirmation.[Read More] Understanding Asymmetrical Arm Creases in Infants: A Pediatric Perspective
Understanding Nocturnal Emissions in Boys: Growth Concerns and Solutions
Issues of nocturnal emissions in adolescent boys? Hello Doctor: My son has just turned 11 years and 2 months old (born on April 23, 2012) and will be entering sixth grade after the summer. He is 150 cm tall and weighs 35.2 kg. Today, on June 30, I noticed that he has started expe...
Dr. Lin Yishou Reply:
If possible, consider seeing a doctor during the summer break.[Read More] Understanding Nocturnal Emissions in Boys: Growth Concerns and Solutions
Assessing Normal Genital Development in Overweight Children
Pediatric genital development issues? Hello, doctor: My 8-year-old child weighs 42 kilograms, which seems overweight, and his genitalia appears to be smaller than average. If I want to confirm whether his genital development is normal, should I take him for a consultation now? Wh...
Dr. Lin Yishou Reply:
Pediatric outpatient clinic is sufficient.[Read More] Assessing Normal Genital Development in Overweight Children
Why Is My Child Limping Without Pain? A Pediatric Concern
Walking with a limp but without pain? The puppy is 3 years and 8 months old. A week ago, while playing at home, it jumped on and off the sofa and landed on a toy. At the time of the incident, there were no visible bruises or wounds on the paw that stepped on the toy. However, the...
Dr. Lin Yishou Reply:
It is recommended that both pediatricians and pediatric orthopedic specialists take a look.[Read More] Why Is My Child Limping Without Pain? A Pediatric Concern