Understanding Constipation in Young Children: Causes and Solutions
Constipation for several days with stool that is not well-formed? The child is three years and eight months old. Since December 2015, there has been a change from normal bowel movements to having a bowel movement only once every few days. Both Western and traditional Chinese medi...
Dr. Pei Rensheng Reply:
Hello! The normal bowel movement patterns for 3 to 4-year-old children can be compared to adults; it can range from 3 times a day to once every 3 days. The ideal stool consistency is soft and yellow, resembling a banana. If a child has a bowel movement every 3 to 5 days with unfo...[Read More] Understanding Constipation in Young Children: Causes and Solutions
Understanding Gastrointestinal Issues in Infants with Eczema: A Parent's Guide
Gastrointestinal issues My sister is currently 4 months old, weighs 6 kg, and consumes 150 ml of formula. Recently, she experienced bloating and developed a rash all over her body, prompting a visit to the doctor. The doctor diagnosed her with atopic dermatitis and noted that her...
Dr. Xiao Kaiwen Reply:
The gastric capacity of infants is approximately 25 to 30 cc per kilogram, so a meal of 150 cc is not excessive. Atopic dermatitis is caused by an allergic reaction of the immune system, and the infant's gastrointestinal tract is a significant immune organ, which may be rela...[Read More] Understanding Gastrointestinal Issues in Infants with Eczema: A Parent's Guide
Understanding Dark Stool in Infants: When to Seek Medical Advice
Dark stool color? My colleague's child is currently 4 months old. Recently, the stool color has sometimes been a normal yellow, but at times it appears darker, and occasionally it seems to be close to black. What could be the possible reasons for this? Should we see a doctor...
Dr. Xiao Kaiwen Reply:
The baby's stool is dark in color, primarily due to a higher iron content, resulting in a deep green color, especially in infants who are formula-fed. This condition is generally not concerning, but it is advisable to bring a stool sample to a pediatrician for consultation.[Read More] Understanding Dark Stool in Infants: When to Seek Medical Advice
Is Your 3-Month-Old Getting Enough Milk? Key Feeding Insights
Total Milk Intake Issues for a 3-Month-Old Baby Hello Dr. Hsiao, My baby was born weighing 3165g, measuring 49 cm in length, and with a head circumference of 34 cm. Currently, at 3 months and 11 days, the baby weighs 7 kg, measures 60.4 cm in length, and has a head circumference...
Dr. Xiao Kaiwen Reply:
As long as the baby's vitality is normal, height and weight are increasing appropriately, and urine output is normal, a temporary refusal to feed that is not due to illness (such as mouth sores from hand, foot, and mouth disease or vomiting and diarrhea from gastroenteritis)...[Read More] Is Your 3-Month-Old Getting Enough Milk? Key Feeding Insights
Understanding Inverted Nipples in Children: Causes and Concerns
Inverted nipples in children? Hello doctor, my son is now over three years old and I have noticed that his nipples are inverted. I initially thought it was because he is a bit overweight (100 cm, 20 kg), but after looking at old photos, I realized he has had this since infancy. W...
Dr. Xiao Kaiwen Reply:
I would like to just observe as long as there is no pain, erosion, or discharge, because breast development typically begins closer to puberty.[Read More] Understanding Inverted Nipples in Children: Causes and Concerns
Which Medical Specialty Should You Choose for Your Child's Skin Concerns?
Which specialty should I see? I took my child to the clinic for a common cold, and the doctor noticed an unknown lump on her face. He recommended that we go to a larger hospital for further examination. I live in Taichung, and my daughter is currently 4 years and 2 months old. At...
Dr. Xiao Kaiwen Reply:
Neurofibromas on the skin are sebaceous gland proliferations and can be evaluated by a pediatric neurologist.[Read More] Which Medical Specialty Should You Choose for Your Child's Skin Concerns?
Concerns After Baby Falls from Bed: Signs of Injury and Next Steps
The baby fell off the bed, which is approximately 60-70 cm high? Hello, doctor. My one-year-old child fell off the bed this morning at 8 AM while I was preparing his milk. I turned my back for a moment, and he fell. The floor only has a 2 cm thick mat. I didn’t see how he fell, b...
Dr. Xiao Kaiwen Reply:
The indicators for seeking medical attention after a head injury in infants include: 1. Is there a significant wound with bleeding that requires hospital treatment? 2. Did the baby lose consciousness temporarily at the moment of impact? 3. After the head injury, is there persiste...[Read More] Concerns After Baby Falls from Bed: Signs of Injury and Next Steps
Impact of Gestational Diabetes on Child's Health and Testing Recommendations
Gestational diabetes Doctor, if I didn't undergo gestational diabetes screening during pregnancy and consumed a lot of sweets in the later stages, and my child was born weighing about 3000 grams, will having gestational diabetes affect the child? Should my child undergo a di...
Dr. Xiao Kaiwen Reply:
Eating sweets does not cause gestational diabetes in mothers. The effects of gestational diabetes on newborns mostly manifest at birth, such as congenital anomalies, stillbirth, neonatal death, macrosomia, neonatal respiratory distress syndrome, neonatal hypoglycemia, or neonatal...[Read More] Impact of Gestational Diabetes on Child's Health and Testing Recommendations
Impact of Undiagnosed Hypothyroidism During Pregnancy on Baby's Development
What is the impact on the baby if hypothyroidism is discovered at 7 months of pregnancy? Hello doctor, I have been diagnosed with hyperthyroidism for about 5 to 6 years and have been continuously receiving treatment and medication, but I haven't had blood tests every month. ...
Dr. Lin Yishou Reply:
Dear Parents, during pregnancy, hypothyroidism can indeed affect the fetal cognitive development. The only remedy is to treat hypothyroidism during the pregnancy. As for cretinism, it refers to the condition where the child continues to have low thyroid function after birth. Ther...[Read More] Impact of Undiagnosed Hypothyroidism During Pregnancy on Baby's Development
Understanding Fever After Varicella and MMR Vaccination in Infants
Fever after receiving the varicella (chickenpox) and MMR (measles, mumps, and rubella) vaccines at 1 year of age? Hello Doctor, my baby received the varicella and MMR vaccines on February 18. Starting from February 22, the temperature has been fluctuating between 36.5 and 38 degr...
Dr. Pei Rensheng Reply:
Hello, the possible side effects of the varicella (chickenpox) and MMR (measles, mumps, and rubella) combination vaccine may occur approximately 4 to 12 days after vaccination. Symptoms may include fever or a rash. If a fever occurs, it typically lasts for 1 to 2 days and is not ...[Read More] Understanding Fever After Varicella and MMR Vaccination in Infants
Understanding Growth Plates: Why Wrist and Knee Growth Differ in Teens
Height issues Why is my wrist growth plate fused while my knee growth plate still has a lot of space? I am a late maturer, but I have been taking traditional Chinese medicine for bone growth. Currently, I am 162 cm tall in the first year of high school.
Dr. Xiao Kaiwen Reply:
Medical research over the years has found that using X-ray images of the growth plates in the left hand is the most accurate method for assessing the maturity of growth plates throughout the body, and consequently, determining the correlation with final height increase. Therefore...[Read More] Understanding Growth Plates: Why Wrist and Knee Growth Differ in Teens
Understanding Language Development in Toddlers: When to Seek Help
Language Development My friend's child is currently 1 year and 3 months old and is a girl. She only makes nonsensical sounds like "mama" and "dada." Her parents have been trying their best to teach her. Is this a sign of delayed language development? Her ...
Dr. Xiao Kaiwen Reply:
If a one-year and three-month-old child has normal gross and fine motor development, normal reactions, and can only pronounce "mama" and "dada," but does not show significant language delay, it is advisable to continue patient teaching at home and follow up wi...[Read More] Understanding Language Development in Toddlers: When to Seek Help
Is Your Child Walking on Tiptoes? Understanding Pediatric Concerns
Children have a habit of walking on their tiptoes? Hello, doctor. My child is about 4 and a half years old. At home, when barefoot, he frequently walks on his tiptoes whether standing or walking. I have to correct him verbally each time for him to walk normally. His feet appear n...
Dr. Xiao Kaiwen Reply:
At four and a half years old, gait should be relatively stable. It is recommended to consult a pediatric orthopedic specialist or pediatric rehabilitation specialist to assess whether the gait is normal, to check for any abnormalities in tendon and ligament tightness, increased m...[Read More] Is Your Child Walking on Tiptoes? Understanding Pediatric Concerns
Can My Baby Get Vaccinated After a Cold? Pediatric Vaccine Timing Explained
Vaccination schedule? Hello Doctor, I was originally scheduled to administer the varicella and rubella vaccines at the beginning of this month. However, my baby developed roseola and had a fever, and after a week, he caught a cold. Now, after another week, my baby is one year and...
Dr. Xiao Kaiwen Reply:
As long as there is no fever, severe acute illness, or the individual is not taking high doses of corticosteroids, vaccination can be administered. Mild nasal congestion is acceptable for vaccination. I believe the diseases that the vaccine prevents are still quite dangerous, so ...[Read More] Can My Baby Get Vaccinated After a Cold? Pediatric Vaccine Timing Explained
Understanding Toddler Constipation: Causes and Solutions for Parents
Toddler constipation resistance? My daughter is almost 4 years old and has been experiencing bowel issues for the past year. I'm unsure if it was due to improper guidance during toilet training or if previous constipation caused anal fissures. Now, she holds her bowel moveme...
Dr. Xiao Kaiwen Reply:
For children aged 3 to 4 years, it can be challenging to provide precise descriptions of their symptoms, so close observation by parents and examination by a pediatrician are essential. Parents should guide their children using encouragement rather than reprimands or intimidation...[Read More] Understanding Toddler Constipation: Causes and Solutions for Parents
Is My 1-Year-Old Getting Too Much Ketein Cream? Pediatric Skin Care Tips
Dosage of Ketoconazole Cream Hello doctor, my daughter is currently 1 year and 2 months old. She often scratches her skin until it becomes red and develops rashes, and sometimes it even breaks the skin. I have been applying Desitin to her. Is it too much to use about a whole tube...
Dr. Xiao Kaiwen Reply:
Cortine cream contains a medium-potency corticosteroid and is not suitable for long-term use (unless deemed necessary by a physician). It is also not appropriate for use on thinner skin areas (such as the face) or on open wounds. Given that young children are more vulnerable, it ...[Read More] Is My 1-Year-Old Getting Too Much Ketein Cream? Pediatric Skin Care Tips
Understanding Infant Feeding Issues: Decreased Milk Intake and Spitting Up
Issues with milk consumption (decreased milk supply and spitting up) Hello, doctor. My younger brother is currently 8 days old, with a birth weight of 3400 grams and now weighs 5300 grams at two months old. Since receiving his two-month vaccinations (the pentavalent vaccine and t...
Dr. Xiao Kaiwen Reply:
As long as the infant's height and weight increase normally (a two-month-old gaining 1.9 kg from birth weight is considered normal), and there are no illness-related issues such as enterovirus or gastroenteritis causing feeding difficulties, with normal urine output, this is...[Read More] Understanding Infant Feeding Issues: Decreased Milk Intake and Spitting Up
Does Menstrual Suppression Affect Height Growth in Adolescents?
Does menopause have an impact on height? Hello, I started my first menstruation in the fourth grade, and my mother took me to get menstrual suppression injections, which seemed to be administered once a month. I’m not sure how many injections I received, but my menstruation retur...
Dr. Lin Yishou Reply:
Hello: Indeed, taking medication to stop menstruation can affect height. Thank you for your message.[Read More] Does Menstrual Suppression Affect Height Growth in Adolescents?
Understanding Your Baby's Unusual Breathing Sounds: When to Seek Help
The baby has abnormal breathing sounds? Last week, my child had a runny nose for two consecutive days, sneezing more than ten times each day. On the afternoon of the second day, I noticed a significant amount of mucus and crust in her nasal cavity. After suctioning it out, I foun...
Dr. Xiao Kaiwen Reply:
The wheezing sound during breathing may simply be due to the soft tissues of the infant's respiratory tract and nose still being pliable (some immune glands may become enlarged and softer after a cold). The sound is produced by vibrations during breathing and is generally no...[Read More] Understanding Your Baby's Unusual Breathing Sounds: When to Seek Help
Impact of Maternal Chocolate Consumption on Breastfeeding Infants
Breastfeeding while consuming a lot of chocolate? Hello Doctor, my baby is currently two weeks old and exclusively breastfed. We are still at the postpartum care center, and the nurses mentioned that my baby is very fussy and doesn't sleep much. They asked if I have been dri...
Dr. Xiao Kaiwen Reply:
Currently, there is no clear medical evidence proving that excessive consumption of chocolate by mothers (and the specific amount that qualifies as excessive) has permanent adverse effects on newborns. Therefore, I think you need not worry too much. However, long-term excessive i...[Read More] Impact of Maternal Chocolate Consumption on Breastfeeding Infants