6-Year-Old Boy with Prominent Left Chest: What to Know?
A 6-year-old boy has a protrusion on the left side of his chest compared to the right side? The physician recently discovered that the 6-year-old boy at home has a protrusion on the left side of his chest that is more prominent than the right. Upon palpation, it feels like a more...
Dr. Pei Rensheng Reply:
Hello: In the outpatient clinic, I have encountered numerous cases of asymmetric thorax, some of which include pectus carinatum, pectus excavatum, asymmetric ribs on both sides, and scoliosis. I recommend an X-ray examination; however, there is no need to worry too much. In most ...[Read More] 6-Year-Old Boy with Prominent Left Chest: What to Know?
Understanding Pediatric Lymph Node Issues and Tonsillectomy Concerns
Cervical lymphadenopathy? Hello, Doctor: My child is 7 years old and had swollen lymph nodes two years ago. We went to the hospital for an ultrasound and blood tests, and the doctor said they were benign lymph nodes. They are still present now, sometimes getting larger and someti...
Dr. Pei Rensheng Reply:
Hello: 1. In children, lymphadenopathy is most commonly caused by infections. There are rare cases where it may be due to malignant tumors, autoimmune diseases, Kawasaki disease, drug reactions, or post-vaccination responses. 2. If the lymph nodes are less than 2 cm, there is usu...[Read More] Understanding Pediatric Lymph Node Issues and Tonsillectomy Concerns
Understanding Blood Test Results for a 5-Year-Old Boy with Suspected IgA Nephropathy
Blood report of a 5-year-old boy? Dear Doctor, a 5-year-old boy is suspected of having IgA nephropathy. After a blood test conducted by the physician, the nephrologist only mentioned that kidney function is normal. However, upon reviewing the report, there are several values that...
Dr. Xiao Kaiwen Reply:
This blood test should be a CBC/DC (Complete Blood Count/Differential Count). Based on this report, the results are generally normal. However, this blood test is only a very basic examination at the hospital. If there are any significant discomforting symptoms, please go to the h...[Read More] Understanding Blood Test Results for a 5-Year-Old Boy with Suspected IgA Nephropathy
Is Your Baby Experiencing Diarrhea After Formula? Possible Lactose Intolerance
Bowel movement occurs within half an hour after consuming hydrolyzed milk formula? My baby is currently seven months old and has been exclusively bottle-fed with breast milk. However, due to work commitments, we have started trying formula milk. Generally, after consuming Abbott ...
Dr. Pei Rensheng Reply:
Hello: Breast milk also contains lactose, so your situation is likely not lactose intolerance. I suggest trying a different brand of formula. There is no need to specifically choose a lactose-free formula. Best regards, Rensheng.[Read More] Is Your Baby Experiencing Diarrhea After Formula? Possible Lactose Intolerance
Understanding Mild Sleep Movements in Seven-Year-Olds: When to Seek Help
A seven-year-old child experiences slight body twitching during sleep? Hello, I would like to ask if it's normal for a seven-year-old child to experience mild, alternating limb twitching during sleep. If it's not normal, which medical specialty should be consulted? Than...
Dr. Pei Rensheng Reply:
Hello: The possible reasons are the following four: postural compression; electrolyte imbalance; neurological issues; normal conditions. You may consider visiting a pediatric neurologist and arranging for tests such as blood work or an EEG. Wishing you health and peace! Sincerely...[Read More] Understanding Mild Sleep Movements in Seven-Year-Olds: When to Seek Help
Height Growth Concerns for a 14-Year-Old: What to Expect?
I would like to inquire about height-related issues? I am currently 14 years and 10 months old and have not had my bone age assessed. I have been staying up late for about a year (going to bed around midnight). My height is currently 168 cm. In the second semester of sixth grade,...
Dr. Pei Rensheng Reply:
Hello: The average height for adult males in Taiwan is between 170-172 cm. Genetics is the most significant determining factor; the expected average adult height can be calculated as (FATHER + MOTHER)/2 plus 6.5 cm. Exercise, nutrition, and overall health can also contribute posi...[Read More] Height Growth Concerns for a 14-Year-Old: What to Expect?
Understanding Premature Infants: Key Concerns for 20-Week Old Babies
Issues Related to Premature Infants I would like to ask about a premature infant born at approximately 20 weeks gestation but weighing 3 kilograms. Should we be concerned about the incomplete development of the child's organs? Are there any specific considerations we should ...
Dr. Ma Zhihao Reply:
Continuous outpatient follow-up for complications related to previous preterm birth, such as those affecting the heart, eyes, and brain. Other aspects should be monitored according to corrected age, including growth and developmental milestones such as sitting, crawling, and stan...[Read More] Understanding Premature Infants: Key Concerns for 20-Week Old Babies
Does Eating Fried Foods Cause Early Puberty in Children?
Height issues Does eating fried food really cause early maturation? I'm a bit curious because I never knew.
Dr. Xiao Kaiwen Reply:
High fat intake can affect the human endocrine system and lead to obesity. Research shows that fat cells that accumulate high calories are also one of the risk factors for precocious puberty.[Read More] Does Eating Fried Foods Cause Early Puberty in Children?
Understanding Growth Patterns and Menstruation in Preteens
May I ask the doctor? Hello, doctor. My daughter is currently in the 6th grade, with a height of 153 cm, and she has not yet started her menstrual period. Among the 6th grade girls at her school, her height is considered average. Last July, she had a bone age assessment, which in...
Dr. Xiao Kaiwen Reply:
The absence of menstruation indicates that one has not yet entered the active phase of puberty, so there is no concern about the growth period coming to an end. When menstruation begins, it signifies the onset of active puberty, during which height increases more rapidly. Therefo...[Read More] Understanding Growth Patterns and Menstruation in Preteens
Managing Snack Cravings in Toddlers: Health Impacts and Solutions
Want to change children's cravings for snacks? Hello doctor, I have a two-and-a-half-year-old daughter who has a very strong appetite, especially for snacks and cookies. Although we try to avoid keeping such foods at home, there are always relatives who have these items and ...
Dr. Xiao Kaiwen Reply:
This approach is likely incorrect, as snacks and sweets can be addictive. This will only exacerbate children's addiction to snacks, making it harder for them to quit. It's similar to how we wouldn't provide more drugs to a person with a substance use disorder to he...[Read More] Managing Snack Cravings in Toddlers: Health Impacts and Solutions
Understanding Growth Issues and Precocious Puberty in Children
Growth issues Hello, Doctor. My child is currently in sixth grade, 11 years and 6 months old, with a height of approximately 147.5 cm and a weight of 43 kg. Recently, I've noticed a few pimples appearing on his face, and during bath time, I observed that his genitalia has al...
Dr. Xiao Kaiwen Reply:
Boys do not qualify for precocious puberty after the age of 9, so your child's age does not indicate precocious puberty. A boy who is 11 and a half years old and measures 145 cm is approximately in the 58th percentile, which is not considered short stature. It is normal for ...[Read More] Understanding Growth Issues and Precocious Puberty in Children
Understanding Your Child's Frequent Hospitalizations: Is It Immunity Issues?
Constitutional issues? The physician would like to inquire about their child, who seems to be prone to hospitalization due to bronchitis, tonsillitis, or pneumonia. Is this an indication of poor immune function? This year alone, the child was hospitalized in March for mycoplasma ...
Dr. Xiao Kaiwen Reply:
Children's immune systems are not fully mature, and when they are in a school environment with close contact, they are more susceptible to infectious diseases. This is considered a normal process. In medicine, we suspect immunodeficiency when a child experiences frequent and...[Read More] Understanding Your Child's Frequent Hospitalizations: Is It Immunity Issues?
Can Breastfeeding Continue After Enterovirus Infection in Siblings?
Enterovirus and breastfeeding Hello, doctor. I would like to ask about my eldest son, who is four years old. On Friday, December 29th, he started feeling chills in the afternoon and later that evening had a fever of 38.7°C. We went to a clinic where he was prescribed medication, ...
Dr. Xiao Kaiwen Reply:
Enteroviruses can be contagious one day before symptoms appear, so there is still a possibility that your second child could be infected. There are no enteroviruses in breast milk, so it is safe to express and bottle-feed. The virus is most contagious through respiratory droplets...[Read More] Can Breastfeeding Continue After Enterovirus Infection in Siblings?
Persistent Cough in Children: Causes, Concerns, and Care Tips
Persistent cough in children? Hello, doctor! My child is 5 years old and previously had symptoms such as coughing, runny nose, and nasal congestion, which were attributed to a cold, so we took him to a general clinic for treatment. The coughing improved, and we switched to tradit...
Dr. Xiao Kaiwen Reply:
Common causes of persistent cough in young children include bronchial allergies, sinusitis with post-nasal drip, gastroesophageal reflux, and infections (such as mycoplasma infection), among others. It is advisable to consult an experienced pediatrician for diagnosis and treatmen...[Read More] Persistent Cough in Children: Causes, Concerns, and Care Tips
Understanding Diarrhea in a 1-Year-Old: Causes and Solutions
The 1 year and 5 months old has inconsistent bowel movements? Hello Doctor, my child is currently 1 year and 5 months old. Around the age of 1, he started having watery and mushy stools, with a frequency of 1 to 3 times a day, and they have a slightly sour smell. This has been on...
Dr. Xiao Kaiwen Reply:
If a baby’s height and weight are within the normal range, has normal vitality, and shows no signs of fever or infection, the most likely diagnosis is chronic nonspecific diarrhea, also known as toddler diarrhea. This condition is common in toddlers aged 1 to 2 years who are begi...[Read More] Understanding Diarrhea in a 1-Year-Old: Causes and Solutions
Understanding Iron Deficiency Anemia in Adolescent Boys: A Case Study
Anemia in Adolescents (Males) A 14-year-old boy was diagnosed with iron deficiency anemia three years ago, but the cause has not been determined. It is unclear whether this is related to his father's early-onset osteoporosis (which occurred in his twenties) or if there is a ...
Dr. Pei Rensheng Reply:
Hello: For iron deficiency anemia, we will refer to data such as IRON, FERRITIN, TIBC, Hb, MCV, and RDW. Based on the data you provided, it does indeed suggest iron deficiency. The causes of iron deficiency can be nutritional deficiency or blood loss (gastrointestinal, urinary tr...[Read More] Understanding Iron Deficiency Anemia in Adolescent Boys: A Case Study
Managing Severe Constipation in 3-Year-Olds: Effective Strategies and Solutions
Severe constipation in a 3-year-old child? Hello Doctor: My child is currently 3 years old and weighs about 12 kilograms. His appetite (one bowl of rice and vegetables + one bowl of fruit) and activity level (we take him to the park to run and play for about 30 minutes after scho...
Dr. Xiao Kaiwen Reply:
Basically, all possible examinations and treatments have been thoroughly conducted, including the use of the potent laxative "Lactulose." It seems that the situation has progressed to severe constipation. At this point, I can only recommend that you follow up with a ped...[Read More] Managing Severe Constipation in 3-Year-Olds: Effective Strategies and Solutions
Managing Diarrhea in Infants: Tips for Parents on Solid Foods
Complementary foods and diarrhea? Hello Doctor: I have a baby who is over four months old. A couple of days ago, I gave him sweet potato puree, but shortly after eating, he started having diarrhea, which has lasted for two to three days. Later, on Friday, I took him to a pediatri...
Dr. Zhang Yingwen Reply:
Subitram and Bifidobacterium longum - LeSann probiotics are both safe and gentle medications for treating diarrhea in children. If combined with a reduction in formula concentration, the improvement effect may be enhanced. If there is no improvement after 3-4 days or if there is ...[Read More] Managing Diarrhea in Infants: Tips for Parents on Solid Foods
Does Loud Noise from Heaters Affect Baby's Hearing?
Hearing issues Is it safe for a baby who is over 10 months old to be exposed to a heater that operates at around 70-80 decibels for about two hours? Could this affect the baby's hearing?
Dr. Xiao Kaiwen Reply:
I believe that continuous exposure to such decibel levels for a short duration is unlikely to affect an infant's hearing. However, it is still advisable to maintain a quiet environment for the baby whenever possible.[Read More] Does Loud Noise from Heaters Affect Baby's Hearing?
Height Growth Concerns for 13-Year-Olds: What You Need to Know
Height issues in a 13-year-old? I am currently 13 years old, 152 cm tall, and it seems I haven't grown taller in the past two months. I have facial hair and pubic hair, but my voice hasn't changed yet. I jump rope 1200 times every day. I masturbate once a week. Can I st...
Dr. Xiao Kaiwen Reply:
It is recommended to visit the pediatric endocrinology department for an X-ray bone age assessment. If necessary, additional growth hormone testing can be conducted to better evaluate future growth potential. Masturbation does not affect intelligence or height.[Read More] Height Growth Concerns for 13-Year-Olds: What You Need to Know