Understanding the Timing for Pediatric Japanese Encephalitis Vaccination
Interval between vaccinations Hello, doctor: I would like to ask if my child is scheduled to receive the third dose of the Japanese encephalitis vaccine this month (at 2 years and 3 months old). Does the third dose need to be administered at least one year after the second dose? ...
Dr. Xiao Kaiwen Reply:
Due to the recent change by the Centers for Disease Control in Taiwan to administer a live attenuated Japanese encephalitis vaccine, the second dose of the Japanese encephalitis vaccine must now be spaced at least one year apart. This means that the second dose can be delayed but...[Read More] Understanding the Timing for Pediatric Japanese Encephalitis Vaccination
Concerns About Diaper Size and Child Development in Pediatrics
Diaper issues Hello doctor, my child is four and a half years old and still needs to wear diapers at night, but the diaper size is already XXL and the adhesive tabs are almost unable to stick. Is the diaper too small? Could wearing a diaper that is too small affect the developmen...
Dr. Xiao Kaiwen Reply:
Diapers that are too small should not affect the development of the genital organs; however, overly tight diapers may cause excessive heat, leading to diaper rash, particularly in areas such as the waist or edges of the diaper where it is too constrictive. In addition to choosing...[Read More] Concerns About Diaper Size and Child Development in Pediatrics
Is There a Link Between Height, Tooth Development, and Precocious Puberty?
Is there a correlation between height, dental eruption, and early puberty? Hello Doctor: My son is 5 years and 3 months old, with a height of 115 cm and a weight of 24 kg. He is currently in kindergarten. He is taller than most of his peers, and recently he has developed a large ...
Dr. Lin Yishou Reply:
Dear Parent, The timing of tooth replacement is not necessarily related to precocious puberty. A direct examination is required to make a definitive assessment. Thank you for your message.[Read More] Is There a Link Between Height, Tooth Development, and Precocious Puberty?
Can Phosphate Oral Solution Be Taken with Breast Milk or Formula?
Can Phosphate Oral Solution be taken together with breast milk and formula milk? Hello, my family has a 4-month-old premature baby. The doctor prescribed vitamin D3 and phosphate oral solution to prevent fractures. It was mentioned that vitamin D3 can be taken with breast milk an...
Dr. Pei Rensheng Reply:
Hello: According to the data, phosphate should not be taken with calcium-containing foods to avoid calcium-phosphate precipitation, which can affect absorption. The last row of the table also serves as a reminder. Wishing you health and happiness! Neutral Phosphate Supply: Each...[Read More] Can Phosphate Oral Solution Be Taken with Breast Milk or Formula?
Understanding the Hereditary Nature of Congenital Microphthalmia in Pediatrics
Congenital Microphthalmia Genetics Is it possible to determine whether congenital microphthalmia is hereditary?
Dr. Lin Yishou Reply:
Hello: Thank you for your question. Regarding congenital microphthalmia, is it possible to determine if it is hereditary? There is no research on this topic, and it is recommended to consult medical centers such as National Taiwan University or National Cheng Kung University.[Read More] Understanding the Hereditary Nature of Congenital Microphthalmia in Pediatrics
Managing Persistent Cough and Infections in Young Children
Children with colds and coughs? I would like to ask the doctor, my child is about 4 years old and was hospitalized for pneumonia in mid-February this year. However, since last year, he has been experiencing intermittent coughing. Every time he catches a cold, he either has yellow...
Dr. Pei Rensheng Reply:
Hello! 1. Children who just started kindergarten are particularly susceptible to respiratory or gastrointestinal infections, and this situation may not improve until they reach the upper grades of elementary school. 2. Ways to boost immunity include vaccinations, exercise, and a ...[Read More] Managing Persistent Cough and Infections in Young Children
Concerns About Pediatric Anesthesia and Intubation After Foreign Body Removal
Pediatric Anesthesia and Intubation Issues Dear Dr. Pei, Background: The child is approximately two and a half years old and recently experienced foreign body aspiration. The foreign object was removed from the lungs under general anesthesia with a rigid bronchoscope. The physic...
Dr. Pei Rensheng Reply:
Hello, Ms. Tsai! The interval between anesthetics is not critical, but an assessment will still be conducted before the second anesthesia, including blood tests and a chest X-ray. A pediatric consultation may be arranged depending on the evaluations of each hospital; for instance...[Read More] Concerns About Pediatric Anesthesia and Intubation After Foreign Body Removal
Managing Vomiting and Gastrointestinal Issues in Toddlers
Vomiting behavior/Gastrointestinal issues Hello Doctor, my son is currently 2 years and 1 month old, measuring 88 cm and weighing 14.2 kg. He drinks formula milk (210-240 cc) before bed and upon waking up in the morning, but occasionally he vomits after drinking in the morning, a...
Dr. Pei Rensheng Reply:
1. It seems that his weight is fine. If he is experiencing milk overflow in the morning, it may be best to avoid milk in the morning or reduce the amount to see if it helps. This could be a sign of gastroesophageal reflux, and it might be worth considering an examination or tryin...[Read More] Managing Vomiting and Gastrointestinal Issues in Toddlers
Concerns About Baby's Feeding, Urination, and Skin Health
Milk volume and urination time? Hello, doctor. Our baby has just turned three months old. I'm not sure about the current weight, but I know that at two months, during the vaccination, the weight was 5.6 kg. The baby is fully formula-fed and currently drinks about 150-180 cc ...
Dr. Lin Yishou Reply:
Please consult a neonatologist or a pediatric nephrologist. Thank you.[Read More] Concerns About Baby's Feeding, Urination, and Skin Health
Understanding Hand Tremors in Premature Infants: What Parents Should Know
Tremors in premature infants? Dear Dr. Pei, My child was born prematurely, two months early, on June 6, 2017. As of today, the corrected age is 6 months and 20 days. In the past month, I have noticed that my child's hands are shaking involuntarily, with the left hand shakin...
Dr. Pei Rensheng Reply:
Hello, Neurodevelopmental disorders in premature infants primarily arise from two categories: 1. **Intraventricular Hemorrhage (IVH)**: Intraventricular hemorrhage is a specific type of brain hemorrhage that occurs in premature infants. The incidence increases as the birth we...[Read More] Understanding Hand Tremors in Premature Infants: What Parents Should Know
Is My Toddler's Sleeping Position a Sign of Pinworms?
Sleeping with the buttocks elevated at night? Hello, doctor. I would like to ask, recently my one-and-a-half-year-old son has been sleeping on his stomach at night with his bottom raised. I keep turning him back to lie flat, but after a while, he flips back onto his stomach again...
Dr. Xiao Kaiwen Reply:
Sleeping with the buttocks elevated is not related to pinworm infection. The symptoms of a pinworm infection occur when the female worms crawl to the anal area at night to lay eggs, causing severe anal itching that leads to scratching (which can happen regardless of the position ...[Read More] Is My Toddler's Sleeping Position a Sign of Pinworms?
Understanding Blood-Streaked Nasal Mucus in Infants: What Parents Should Know
Nasal mucus with blood streaks? Hello, doctor. When I was cleaning my baby's nose, I noticed a small amount of blood in the nasal mucus. Could it be that I cleaned too deeply and injured the nose? The amount of blood is very minimal, and I don't see any signs of bleedin...
Dr. Lin Yishou Reply:
Hello, parent. Based on your description, it seems that the cleaning process was too vigorous. If the bleeding persists, you should seek medical attention at a clinic. As for the nasal mucus that was inhaled, it is not a concern; it will be expelled naturally. Thank you for your ...[Read More] Understanding Blood-Streaked Nasal Mucus in Infants: What Parents Should Know
Can I Still Grow Taller if My Bone Age is Six Months Behind?
Can a person still grow taller if their bone age is six months behind? Hello doctor, I am currently a high school senior, and my height is 165 cm. During the summer after my first year of junior high, my parents took me to see a pediatrician for an X-ray of my right hand. At that...
Dr. Lin Yishou Reply:
Hello, as long as the growth plates have not closed, there is still potential for height increase.[Read More] Can I Still Grow Taller if My Bone Age is Six Months Behind?
Understanding Allergies and Immune Issues in Children: A Parent's Guide
Childhood allergic immune issues Hello, doctor. My child is currently six years and three months old and has atopic dermatitis, allergic rhinitis, and asthma. Since March of last year, he has been suffering from sinusitis, which has persisted for almost a year. For the past year,...
Dr. Pei Rensheng Reply:
Hello: 1. Egg allergy refers specifically to an allergy to egg whites and is different from milk allergy! 2. Patients with allergic rhinitis are more prone to developing sinusitis. 3. The most common cause of abdominal pain in 6-year-old children is constipation, followed by cond...[Read More] Understanding Allergies and Immune Issues in Children: A Parent's Guide
Understanding Enlarged Kidneys and Pancreas in Pediatric Patients
The kidneys are larger than the pancreas? Hello doctor, my son is currently over four years old. He had cold symptoms before January 20. On the night of January 27, he kept vomiting, so we took him to see a doctor. The doctor gave him an antiemetic, and afterward, he did not drin...
Dr. Xiao Kaiwen Reply:
There are many causes of abdominal pain in children, and it is not always due to a gastroenteritis. Even in cases of gastroenteritis, the severity of symptoms can vary greatly from mild or asymptomatic to severe dehydration. An enlarged kidney or pancreas is merely a finding from...[Read More] Understanding Enlarged Kidneys and Pancreas in Pediatric Patients
Protecting Your Baby's Hearing from Loud Fireworks and Firecrackers
Infant Hearing Protection Hello, doctor. With the New Year approaching, the sound of firecrackers and fireworks being set off near my home is very loud and lasts for a long time every year. I have a baby who is less than three months old at home. How can I protect my baby from be...
Dr. Xiao Kaiwen Reply:
Excessive long-term noise can indeed have detrimental effects on infants' sleep and hearing. However, I believe that short-term temporary noise should not cause permanent damage to an infant's hearing. Nonetheless, it is best to avoid it when possible. For long-term eff...[Read More] Protecting Your Baby's Hearing from Loud Fireworks and Firecrackers
Understanding Elevated Platelet Counts After Kawasaki Disease in Children
Post-Kawasaki disease follow-up shows persistently elevated platelet levels? I would like to ask the doctor: My daughter is currently 1 year and 1 month old. When she was 6 months old, she was diagnosed with Kawasaki disease. Initially, her platelet count was measured at 410,000/...
Dr. Xiao Kaiwen Reply:
Although Kawasaki disease has passed the acute phase, there may still be a prolonged period of elevated platelet counts. There is no need to be overly concerned about the blood test results, but to prevent coronary artery lesions, please collaborate with your attending physician....[Read More] Understanding Elevated Platelet Counts After Kawasaki Disease in Children
What to Do If a Child Swallowed a Coin Years Ago?
Swallowing a coin? The child is now in middle school and mentioned yesterday that he swallowed a 10 NT dollar coin one or two years ago, but has not experienced any discomfort since. What should be done now?
Dr. Pei Rensheng Reply:
Hello, in Taiwan, the current circulating 10 NT dollar coins often get lodged in the esophagus or stomach and cannot pass on their own. Prolonged retention may lead to symptoms such as abdominal pain or chest pain. It is recommended to perform an X-ray to confirm the location, fo...[Read More] What to Do If a Child Swallowed a Coin Years Ago?
Understanding Unexplained Pediatric Fever: Insights and Recommendations
Pediatric fever hospitalization with inconclusive test results? A year and a half ago, my child was hospitalized for 14 days due to a fever. During the hospitalization, many tests were conducted, but no clear results were found. The hospital kept suggesting additional tests, maki...
Dr. Xiao Kaiwen Reply:
The hospitalization process for infants and young children is quite complex. As your child's attending physician, I cannot fully understand the situation by merely reviewing the medical records, which may lead to potential misinterpretations and could also violate medical et...[Read More] Understanding Unexplained Pediatric Fever: Insights and Recommendations
Understanding Prolonged Fever in Toddlers: When to Seek Further Medical Help
Pediatric Fever Hello doctor, my son is currently about 1 year and 9 months old. He has had a fever for 4 days, starting from Saturday, with a maximum temperature reaching 39.6°C. After taking antipyretics, his temperature dropped to a minimum of 36.7°C. On average, his temperatu...
Dr. Xiao Kaiwen Reply:
If you experience fever accompanied by decreased vitality and wheezing, it is recommended to immediately go to a large hospital emergency department for a detailed examination. A negative rapid influenza test does not completely rule out influenza; conversely, it is important to ...[Read More] Understanding Prolonged Fever in Toddlers: When to Seek Further Medical Help