Understanding Sleep Patterns in Infants: Impact on Growth and Development
Pediatric sleep and infant growth and development? Hello, doctor. My daughter is currently ten and a half months old. Since birth, she has always had very light sleep, waking up every 10 to 30 minutes, and occasionally sleeping for 1 to 3 hours. Last month, she finally managed to...
Dr. Xiao Kaiwen Reply:
As long as the total sleep duration throughout the day is sufficient, it will not affect growth. However, to align with the parents' schedule, it is important to change the baby's habit of staying awake at night as soon as possible. During the day, engage in play and st...[Read More] Understanding Sleep Patterns in Infants: Impact on Growth and Development
Can My Child Get Japanese Encephalitis and Flu Vaccines Together?
Japanese encephalitis vaccine and influenza vaccine? Hello Dr. Hsiao: My baby is currently 1 year and 5 months old. Two weeks ago, we received the first dose of the Japanese encephalitis vaccine at a health center in Taipei. Now we are in Taichung and would like to know if there ...
Dr. Xiao Kaiwen Reply:
Currently, all publicly funded Japanese encephalitis vaccines in Taiwan are the same, so it is permissible to receive the vaccine at different locations. The influenza vaccine and the Japanese encephalitis vaccine can be administered simultaneously at different sites.[Read More] Can My Child Get Japanese Encephalitis and Flu Vaccines Together?
Differentiating Between Seborrheic and Atopic Dermatitis in Infants
How to differentiate between seborrheic dermatitis and atopic dermatitis? My son is currently 2 months and 22 days old. When he was close to one month old, he had red bumps on his scalp and cheeks. We showed it to a doctor who diagnosed it as seborrheic dermatitis. After applying...
Dr. Xiao Kaiwen Reply:
Atopic dermatitis in infancy is characterized by its initial appearance on the cheeks, gradually spreading to the head and limbs. Seborrheic dermatitis in infants primarily affects the scalp, eyebrows, and neck, and often resolves by the age of 10 months. A significant difference...[Read More] Differentiating Between Seborrheic and Atopic Dermatitis in Infants
Switching Formula at One Year: Is Your Baby's Digestive Health Normal?
Switching to formula milk at one year old? Originally, the baby was drinking hydrolyzed formula and has now switched to Karolotani milk powder at one year old. Currently, the baby has bowel movements once or twice a day, and the transition to the new formula has resulted in somew...
Dr. Xiao Kaiwen Reply:
If your baby’s stool has a significantly higher water content than their usual normal stools, it is defined as diarrhea. If the diarrhea occurs due to an intolerance to a new formula, it typically happens within three days after the switch. If you switch back to the original form...[Read More] Switching Formula at One Year: Is Your Baby's Digestive Health Normal?
Understanding Your Baby's Temperature: When to Worry and How to Care
Baby's body temperature My baby's body temperature ranges from 36.3 to 36.7 degrees Celsius, usually around 36.4. The nurse at the hospital where I gave birth mentioned that my baby's temperature is lower than that of most infants. Sometimes, when he cries very har...
Dr. Xiao Kaiwen Reply:
Such a body temperature is not significantly low. As long as the appetite and activity levels are normal, I believe it is acceptable. Typically, infants a few months old have not fully matured in their autonomic nervous system and peripheral blood circulation, making their body t...[Read More] Understanding Your Baby's Temperature: When to Worry and How to Care
Understanding Enlarged Lateral Ventricles in Preterm Infants: Key Concerns
Enlarged lateral ventricles? I would like to consult a physician regarding my child, who was born prematurely at 28 weeks with a birth weight of only 840 grams. Approximately two weeks after birth, he experienced grade 3 intraventricular hemorrhage, but later stabilized and gradu...
Dr. Xiao Kaiwen Reply:
Piracetam is a relatively mild medication, and long-term use does not show significant side effects. Please follow your physician's advice and do not discontinue the medication without consultation. Currently, the development and his corrective age do not show significant de...[Read More] Understanding Enlarged Lateral Ventricles in Preterm Infants: Key Concerns
Maximizing Growth Potential: Can Nutrition Help My Child Reach 180cm?
Final Growth Spurts in Height Hello Doctor, yesterday I took my son for a follow-up appointment. He has grown 0.7 cm in the past three months (currently 172.7 cm). At the end of June, we had a bone age assessment done, and the growth plates are nearly closed (there's a littl...
Dr. Xiao Kaiwen Reply:
As long as the growth plates have not fused, there is still a possibility of increasing height. However, it is uncertain how many centimeters one will ultimately grow, or whether it will exceed 5 centimeters. Height increase is influenced by many factors, such as genetic inherita...[Read More] Maximizing Growth Potential: Can Nutrition Help My Child Reach 180cm?
Understanding Ureteral Obstruction in Pediatric Patients: A Parent's Guide
Ureteral stricture Hello Doctor, my child is currently 2 years and 9 months old. During pregnancy, an ultrasound revealed hydronephrosis, and upon birth, reflux was ruled out, indicating a ureteral obstruction issue. At 4 months old, both kidneys underwent surgery to remove the o...
Dr. Pei Rensheng Reply:
Dear Mrs. Huang, Hello. Here are the precautions to take when a double J stent is in place: 1. If there are no restrictions on fluid intake, please drink plenty of water daily, including juices and soups, to prevent urinary tract infections. 2. Avoid constipation by ensuring ad...[Read More] Understanding Ureteral Obstruction in Pediatric Patients: A Parent's Guide
Understanding Growth Plate Closure: Concerns for Your Son's Height
The growth plates in my son's bones are closing rapidly? Hello Doctor, my son just started ninth grade this year, and this semester he has only grown 1 cm (currently 171 cm). During the summer, we took him for a bone age assessment, and the doctor said he has entered stage f...
Dr. Lin Yishou Reply:
Dear Parents, According to your letter, your child's bone age is nearing closure, and the annual growth rate is gradually declining. Indeed, there is only 1-2 years left for growth. Any form of exercise is beneficial, so jumping rope is certainly one of the options. However...[Read More] Understanding Growth Plate Closure: Concerns for Your Son's Height
Understanding Bone Age in Pediatric Growth: What It Means for Your Child
Bone age issues Hello, my child is currently 5 years and 9 months old, with a height of 104 cm and a weight of 15.3 kg. The bone age assessment indicates a bone age of 4 years. Does this suggest a greater potential for future growth, or should other factors be considered? Thank y...
Dr. Lin Yishou Reply:
Dear Parent, A younger bone age does indicate a greater potential for growth. However, at 5 years and 9 months old, with a height of 104 cm, this is clearly below average. I recommend further evaluation to determine the cause of the short stature. Thank you for your message.[Read More] Understanding Bone Age in Pediatric Growth: What It Means for Your Child
Understanding Hepatitis B Vaccination for Children and Adults
Hepatitis B vaccination? My child has just entered the first year of junior high school, and the school check showed no antibodies for hepatitis B. They recommended a booster dose of the hepatitis B vaccine. Can you tell me if the hepatitis B vaccine for adults and children is th...
Dr. Xiao Kaiwen Reply:
In Taiwan, the hepatitis B vaccine for adults and children is the same. Additionally, because Taiwan is an endemic area for hepatitis B, the dosage for children is the same as that for adults.[Read More] Understanding Hepatitis B Vaccination for Children and Adults
Understanding Baby Constipation Issues: Is Papaya the Culprit?
Infant complementary food bowel movement issues? The child is currently 10 months old, weighing 9.2 kg. The diet consists of two meals of porridge and two types of fruit daily, with milk intake around 150-180 ml five to six times a day, and water intake approximately 200-250 ml p...
Dr. Xiao Kaiwen Reply:
Infants at 10 months old have not yet developed the same muscle strength for bowel movements as adults, making them more prone to constipation. The best way to alleviate constipation is to increase fluid intake and consume more fiber-rich foods, such as fruits and vegetables. Whi...[Read More] Understanding Baby Constipation Issues: Is Papaya the Culprit?
Is There a Link Between Spitting Up and Colic in Premature Infants?
Is there a relationship between spitting up milk and colic or premature infants? Hello doctor, my child was born on July 28, at 36 weeks of gestation, with a birth weight of 2196g, which is somewhat low. At birth, his white blood cell count was elevated, and he was hospitalized f...
Dr. Pei Rensheng Reply:
Hello: 1. Premature infants are more likely to experience gastroesophageal reflux compared to full-term infants. 2. During the corrected age of 3 to 4 months, some babies may exhibit signs of colic. 3. Typical colic is characterized by crying for more than 3 days a week, with eac...[Read More] Is There a Link Between Spitting Up and Colic in Premature Infants?
How to Manage Rapid Growth in Preteens: A Concerned Parent's Guide
How to stop growing taller? Hello Doctor, my daughter is going to be in the second year of junior high school this year (not yet 14 years old). She is already 172 cm tall and weighs only 47 kg. Her bone age matches her actual age, blood tests are normal, and she hasn't start...
Dr. Lin Yishou Reply:
Dear Parent, This issue is outside my area of expertise. I recommend seeking the opinion of another physician. Thank you for your message.[Read More] How to Manage Rapid Growth in Preteens: A Concerned Parent's Guide
Is It Lactose Intolerance or Bile Secretion Issues in My Child?
Is it lactose intolerance or an issue with bile secretion? My daughter started transitioning from breastfeeding to formula after 7.5 months. During the transition, her stool has consistently been green and formed. After nearly 2 months on formula, she began experiencing diarrhea ...
Dr. Xiao Kaiwen Reply:
Halitosis is generally the result of bacterial fermentation in the oral cavity, which is related to oral hygiene. It is recommended to rinse the mouth with a few sips of water after drinking milk. Additionally, it is advisable to clean the tongue, gums, and oral cavity at least t...[Read More] Is It Lactose Intolerance or Bile Secretion Issues in My Child?
Understanding Baby's Bowel Movements: Is 8 Days Normal for 9-Month-Old?
For a 9-month-old baby who is breastfeeding and consuming solid foods, it is generally considered normal for bowel movements to occur anywhere from once a day to once every few days. As long as the baby is comfortable, feeding well, and the stools are soft, variations in frequenc...
Dr. Pei Rensheng Reply:
Dear Mr. Wang, Hello! After a child reaches one year of age, their bowel movement frequency will be closer to that of adults, with 3 times a day to once every 3 days being acceptable. Before the age of one, bowel movement frequency can vary greatly; it can exceed 10 times a day ...[Read More] Understanding Baby's Bowel Movements: Is 8 Days Normal for 9-Month-Old?
Understanding Fever in Toddlers: When to Worry and When to Wait
Fever lasting for two to three days without any other symptoms? Hello, doctor. My child is two and a half years old. Last Friday morning, he had a fever of 38.4°C, but he showed no cold symptoms, and his appetite and activity level were normal. By the evening, the fever subsided ...
Dr. Xiao Kaiwen Reply:
It is not appropriate to definitively state that it is a viral infection without proper examination and testing, nor can we specifically say it is a cold virus infection. There are many causes of fever in children, and sometimes there may not be obvious external symptoms. In such...[Read More] Understanding Fever in Toddlers: When to Worry and When to Wait
Should I See a Doctor After My Child's Vaccination Reactions?
Vaccine injection My child is over 7 months old. After receiving the pneumococcal vaccine and the DTaP (diphtheria, tetanus, and pertussis) combination vaccine last Friday, they have had a slight fever and developed a rash near the injection site. Should I take them to see a doct...
Dr. Xiao Kaiwen Reply:
The symptoms you described do not resemble the side effects typically associated with vaccination. Fever after vaccination usually does not last more than 24 hours, and rashes near the injection site are not common. It is advisable to consult a pediatrician for further evaluation...[Read More] Should I See a Doctor After My Child's Vaccination Reactions?
Is My 9-Year-Old Son Entering Puberty or Experiencing Precocious Puberty?
Pediatric Growth Your son is currently 9 years and 11 months old. He told me today, "Recently, whenever I see kissing scenes on TV, I feel a tingling sensation in my penis, and it also gets bigger." He has not developed an Adam's apple or pubic hair yet. I would li...
Dr. Lin Yishou Reply:
Hello parents, boys can enter puberty after the age of nine. The initial symptom is the enlargement of the testicles. Judging the onset of puberty based on erections is not a very accurate method. As for the development of an Adam's apple or pubic hair, these occur later in ...[Read More] Is My 9-Year-Old Son Entering Puberty or Experiencing Precocious Puberty?
Understanding Your Baby's Bowel Movements: What’s Normal?
Bowel movement issues Hello Doctor: My baby is currently corrected to 4 months and 28 days old, is drinking formula milk, and has started eating solid foods. Previously, the stool was always soft and mushy (golden yellow), but today the stool first appeared as formed (green mixed...
Dr. Lin Yishou Reply:
Hello parents, this is a normal phenomenon. Once formula milk or solid foods are introduced, the stool will no longer remain golden yellow. Initially, it may turn green, and then the color will gradually darken. Thank you for your message.[Read More] Understanding Your Baby's Bowel Movements: What’s Normal?