Understanding Finger Peeling in Infants: Is It Kawasaki Disease?
Peeling skin on the fingers? Hello, doctor. My daughter is currently 9 months old. She had a fever of about 39-40 degrees Celsius from July 29 to August 1, and then her fever subsided. After that, she had diarrhea for one day, about 4-5 times. We visited the doctor on July 29 and...
Dr. Xiao Kaiwen Reply:
The absence of persistent fever means it is unlikely to be Kawasaki disease, as a sustained high fever lasting more than five days is a necessary criterion for Kawasaki disease. The age, duration of illness, and clinical symptoms suggest it could possibly be roseola, but without ...[Read More] Understanding Finger Peeling in Infants: Is It Kawasaki Disease?
Why Is My Brother Not Growing Taller or Changing Voice?
Not growing taller and still not having a voice change in middle school? My mom took my younger brother to the hospital to see a doctor, and the doctor estimated that my brother's maximum height could only reach 156 cm (and that would require a lot of effort through exercise...
Dr. Lin Yishou Reply:
Hello, thank you for your message. If a boy has not yet experienced voice change (unless the change is subtle), theoretically, he has not reached the halfway point of puberty, and therefore, there should still be room for growth. However, the accurate assessment of growth potenti...[Read More] Why Is My Brother Not Growing Taller or Changing Voice?
Post-Kawasaki Disease Care: When Can Your Child Go Outside?
Post-treatment considerations for Kawasaki disease? Hello Doctor: My child is a 3-year-and-1-month-old boy who received treatment for Kawasaki disease last week and was discharged on August 13 (Saturday). The doctor advised us to avoid going out for the time being to prevent infe...
Dr. Pei Rensheng Reply:
Hello: After recovery and discharge from Kawasaki's disease, please pay attention to the following: 1. Monitor the heart and have regular echocardiograms. 2. Due to the use of aspirin, avoid exposure to influenza or varicella (chickenpox). 3. Live vaccines should be administ...[Read More] Post-Kawasaki Disease Care: When Can Your Child Go Outside?
Concerns About Scrotal Tightness in 18-Month-Old Boys: What Parents Should Know
A 1.5-year-old child has a scrotum that is mostly in a contracted and hardened state? Hello Doctor, my son is currently 18 months old. During most times when his genitalia is visible (such as during diaper changes or when undressing for a bath), his testicles are not in the scrot...
Dr. Lin Yishou Reply:
Dear Parent, The function of the scrotum, besides protecting the testes, is to regulate their temperature. When the temperature of the testes is too high (such as after a bath), the scrotum relaxes to allow the testes to cool down. Conversely, when the temperature of the testes...[Read More] Concerns About Scrotal Tightness in 18-Month-Old Boys: What Parents Should Know
Is My Baby's Feeding Schedule Normal at 38 Days Old?
Breastfeeding issues Doctor, my baby is 38 days old and currently weighs 4900 grams. He drinks 150 cc per feeding. Sometimes he cries and wants to eat in less than 3 or 4 hours, and despite trying to soothe him, it doesn't help, so I just feed him. Is this feeding pattern no...
Dr. Pei Rensheng Reply:
Dear Huaiqi, Hello! It is normal to drink 100-200 cc/kg per day, which translates to 490 cc-980 cc/day. 150 cc * 6 = 900 cc, which is still within this range. At 38 days old, weighing 4900 grams is a very good weight, and you can continue to breastfeed according to her needs. Wi...[Read More] Is My Baby's Feeding Schedule Normal at 38 Days Old?
Impact of Pacifiers on Oral Mucosa in Children: What Parents Should Know
Nipple issues Hello, doctor. Does prolonged use of a pacifier affect a child's oral mucosa? I noticed that my son's mucosa near the corner of his mouth has a slight white, raised appearance. It's not very obvious, but when I use a cotton swab, it sticks together. I...
Dr. Xiao Kaiwen Reply:
Using a pacifier should not adversely affect the oral mucosa. It is difficult to assess the situation without seeing it in person; however, it is recommended to visit a pediatrician to check for the possibility of oral thrush (white patches on the oral mucosa).[Read More] Impact of Pacifiers on Oral Mucosa in Children: What Parents Should Know
Concerns About Pediatric Care: Hygiene Practices During Doctor Visits
Questions during a medical consultation? Hello, doctor: My child went to see a physician due to a sore in his mouth. The doctor examined him without wearing gloves and touched the inside of my son's mouth with her bare hands. I was shocked at the moment but didn't say a...
Dr. Xiao Kaiwen Reply:
The chances of sexually transmitted infections occurring in the oral cavity are extremely low, so there is no need to worry excessively. The likelihood of transmitting diseases under such circumstances is also minimal, so please do not be overly concerned. Just monitor for common...[Read More] Concerns About Pediatric Care: Hygiene Practices During Doctor Visits
Is Your 9-Month-Old Not Crawling? Understanding Developmental Milestones
Not crawling at nine months? Hello Dr. Hsiao, I would like to ask about my daughter who is now nine months old but is not crawling yet. I have tried to assist her in crawling, but she only moves her arms and does not use her legs at all. When she is lying on the bed, she moves ...
Dr. Xiao Kaiwen Reply:
In our pediatric practice, we screen for developmental delays that are more pronounced, such as a 9-month-old who cannot sit up or use their fingers to grasp objects. In such cases, a referral to a pediatric neurologist for evaluation is necessary. If a 9-month-old is not crawlin...[Read More] Is Your 9-Month-Old Not Crawling? Understanding Developmental Milestones
Feeding Tips for Toddlers: Dairy Choices and Encouraging Healthy Eating
Complementary foods for infants? Hello Dr. Hsiao, I have some questions regarding my son who is one year and seven months old: 1. I have inquired about giving him commercially available fresh milk after his first birthday. Is it suitable for him to drink flavored milk (such as ap...
Dr. Xiao Kaiwen Reply:
At 1 year and 7 months, a child can start drinking flavored milk. You can encourage them to try feeding themselves and gradually introduce more utensils to spark their interest in eating. Don't be afraid of making a mess or the inconvenience it may cause, as this could depri...[Read More] Feeding Tips for Toddlers: Dairy Choices and Encouraging Healthy Eating
Concerns About Safety: What to Do If Your Baby Might Have Swallowed a Pin
I am not sure if there has been accidental ingestion of a safety pin? Hello doctor, I previously bought clothes for my child, and one of the garments had a tag secured with a safety pin. Later, when I went to wash the clothes, I discovered that one item was missing its tag. I...
Dr. Xiao Kaiwen Reply:
A foreign object, such as a metal pin, can be detected on an X-ray. Therefore, a simple abdominal X-ray at the hospital can clearly determine whether there has been an ingestion of a foreign body. Ingesting a foreign object can range from being completely asymptomatic to causing ...[Read More] Concerns About Safety: What to Do If Your Baby Might Have Swallowed a Pin
Morning Nausea in Children: Causes and Solutions for Your 6-Year-Old
Feeling nauseous upon waking up in the morning? Hello, I would like to ask you: My son is 6 years old and recently had gastroenteritis, experiencing vomiting and diarrhea. He has recovered, but he still feels nauseous in the mornings upon waking, which has been happening for over...
Dr. Zhang Yingwen Reply:
The common causes of nausea and vomiting in children include the following: 1. Gastroenteritis, often caused by consuming spoiled or contaminated food, leading to viral or bacterial infections that irritate the stomach. 2. Allergic reactions of the gastric mucosa, such as gastrit...[Read More] Morning Nausea in Children: Causes and Solutions for Your 6-Year-Old
Should You See a Pediatrician for Baby's Blood-Streaked Stool?
Bowel movement issues Dear Doctor: My baby is currently two weeks old and is drinking formula. The stool color has been normal, but there have been occasional streaks of blood in it over the past two days. Should I take my baby to see a pediatrician? Thank you.
Dr. Xiao Kaiwen Reply:
It is not normal for a newborn's stool to have blood streaks. It is recommended to visit a major hospital's pediatric department for an examination.[Read More] Should You See a Pediatrician for Baby's Blood-Streaked Stool?
Understanding Chickenpox in Infants After BCG Vaccination
Infants develop chickenpox? Hello doctor, my son is currently over five months old. He received the BCG vaccine last Friday, and unexpectedly, he developed chickenpox a week later. Is there any conflict between the BCG vaccine and chickenpox in his body? What should I be aware of...
Dr. Xiao Kaiwen Reply:
The BCG vaccine and varicella (chickenpox) do not conflict with each other. Aspirin and other salicylate medications should not be used as antipyretics. Complications of varicella include pneumonia, encephalitis, secondary bacterial infections, and sepsis. Therefore, the dangerou...[Read More] Understanding Chickenpox in Infants After BCG Vaccination
Understanding Tuberculosis Infection in Young Children: Treatment Options
Tuberculin Hello Doctor: Recently, my grandmother has been diagnosed with tuberculosis and is currently undergoing treatment. However, my two grandchildren, one over a year old and the other over two years old, both went to the hospital for chest X-rays and received a tuberculin ...
Dr. Xiao Kaiwen Reply:
Children diagnosed with tuberculosis must be treated; otherwise, they are at risk of developing severe secondary tuberculosis infections. The medications for tuberculosis can be crushed, and whether they can be mixed with beverages should be discussed with your treating physician...[Read More] Understanding Tuberculosis Infection in Young Children: Treatment Options
Understanding Pectus Carinatum: Severity, Impact, and Treatment Options
Chicken breast issues? Hello, doctor. I would like to ask how to visually distinguish between mild, moderate, and severe pectus carinatum. What are the effects of pectus carinatum? If I seek medical attention, which department should I visit? Additionally, what is the approximate...
Dr. Pei Rensheng Reply:
Hello: Pectus carinatum can be corrected with the use of braces and rehabilitation exercises under the guidance of a professional orthotist. 1. What is a sternal developmental deformity? What are the causes? Answer: A deformity of the anterior sternum that causes the chest wal...[Read More] Understanding Pectus Carinatum: Severity, Impact, and Treatment Options
Is It Okay to Feed Your Baby Early When They're Crying for Milk?
If the baby is crying and it's not yet time for feeding, is it okay to feed them earlier? My baby is fed every 4 hours, but if it's not time yet, they cry continuously wanting to be fed. Is it okay to feed them earlier? Or should I stick to a regular schedule? Thank you...
Dr. Xiao Kaiwen Reply:
Infants have individual differences in gastric capacity, so it is not recommended to adhere to fixed feeding schedules or amounts unless there are pathological restrictions (such as heart disease requiring fluid restriction or excessive weight). Instead, feeding should be based o...[Read More] Is It Okay to Feed Your Baby Early When They're Crying for Milk?
Is It Normal for My Baby's Mouth to Tilt When Smiling?
The baby's smile is crooked? Hello doctor, I would like to ask about my daughter who is currently eight months old. When she smiles, her mouth tilts to the right, and I can see her lower teeth leaning to the right. Is this normal? She has two upper teeth and two lower teeth,...
Dr. Xiao Kaiwen Reply:
It is also important to observe if there is any asymmetrical crying, where one side of the mouth droops while crying. This condition, known as asymmetric crying, may rarely be associated with other issues, such as heart problems. It is advisable to have a pediatrician conduct an ...[Read More] Is It Normal for My Baby's Mouth to Tilt When Smiling?
Understanding Blood in Baby's Stool: When to Seek Medical Advice
Passage of stool with fresh blood and blood streaks? Hello Doctor, my baby is currently 4 and a half months old and is being fed a combination of formula and breast milk. He was born weighing 2.6 kg and now weighs 6.3 kg. Initially, he had issues with bowel movements that include...
Dr. Pei Rensheng Reply:
Hello: 1. Formula milk for infants under 6 months does not contain probiotics; however, if the baby's immune function is normal, probiotics can still be prescribed for infants under 6 months. 2. Haominy is a highly hydrolyzed and lactose-free formula that is beneficial for s...[Read More] Understanding Blood in Baby's Stool: When to Seek Medical Advice
Can Hairbands Affect My Baby's Brain Development?
Is it okay to wear a headband? Doctor, my child is currently eight months old and I forgot that his anterior fontanelle has not yet closed. He is wearing a headband with spikes, and he has very little hair. There is no bleeding or injury. Will this affect his brain or intelligenc...
Dr. Xiao Kaiwen Reply:
The pressure from the headband is not significant, and it is not worn all day, so it is unlikely to have any impact.[Read More] Can Hairbands Affect My Baby's Brain Development?
Understanding Early Puberty: Concerns About Growth and Development
Puberty Issues Dear Doctor, I started developing pubic hair and semen production in fifth grade, and by sixth grade, I had armpit hair and a noticeable Adam's apple, which I believe is a sign of precocious puberty. During fifth and sixth grades, my height increased at a no...
Dr. He Shenglong Reply:
Hello: Height is significantly related to genetics and body constitution. A first-year junior high school student who is 160 cm tall is expected to grow taller gradually, although the growth may not be as noticeable as before. However, maintaining good health is the most importan...[Read More] Understanding Early Puberty: Concerns About Growth and Development