Persistent Coughing in Children: When to Seek Medical Help
Even after recovering from a cold, one may still cough to the point of vomiting? Hello, Doctor Fei. My daughter started experiencing coughing symptoms around the end of April. At first, we didn't think much of it, but later she developed phlegm and a runny nose, so we took h...
Dr. Pei Rensheng Reply:
Hi: 1. Does the condition resemble asthma symptoms? It seems more like another cold; if it were asthma, there would be a tendency to cough more in the early morning and late evening, often accompanied by allergic rhinitis. When the cough is severe, it can easily lead to vomitin...[Read More] Persistent Coughing in Children: When to Seek Medical Help
Understanding Pediatric Urination Issues: When to Seek Help
Urinary problems Hello, doctor. My son is currently one year and seven months old. Recently, I have noticed a significant decrease in his urine output, and it appears to be darker yellow with a slight odor. He is active and seems normal when awake, and I haven't noticed any ...
Dr. Pei Rensheng Reply:
Mr. Chang: Hello! In hot weather, fluid loss through the skin and respiration is greater than in winter, making dehydration more likely. As a result, urine may appear darker and have a stronger odor. It is advisable to increase fluid intake and monitor the child's urine to s...[Read More] Understanding Pediatric Urination Issues: When to Seek Help
Transitioning from Breast Milk to Formula: Guidelines for Parents
Milk consumption issues? My baby was born on June 6, 2016, and has been exclusively breastfed until now. Currently, he/she drinks 60-90cc of breast milk every 2-3 hours. I would like to introduce formula milk (Meiji Gold Selection for 0-1 year old). How long should I wait to give...
Dr. Lin Yishou Reply:
Hello, thank you for your message. There is no need to wait between breastfeeding and formula feeding. Start with breast milk, and if there is an insufficient amount, then supplement with formula. Therefore, if the amount of breast milk is adequate, there is no need to use formul...[Read More] Transitioning from Breast Milk to Formula: Guidelines for Parents
Persistent Coughing in Children: When to Seek Medical Help
Even after recovering from a cold, one may still cough to the point of vomiting? Hello, Dr. Fei. My daughter started experiencing coughing symptoms around the end of April. At first, I didn't think much of it, but then she began to have phlegm and a runny nose, so I took her...
Dr. Pei Rensheng Reply:
Hello: The reasons for a prolonged cough include infections, allergies, aspiration of foreign objects, and gastroesophageal reflux disease (GERD). I recommend using cough suppressants and antiemetics concurrently, while also monitoring for any allergic tendencies. Wishing you hea...[Read More] Persistent Coughing in Children: When to Seek Medical Help
Bedwetting and Tourette Syndrome: Understanding Pediatric Challenges
Bedwetting and Tourette Syndrome Issues Hello, my son is 8 years old and is about to graduate from second grade to third grade. He still wets the bed at night, so I wake him up to use the bathroom around 3 AM every day. Sometimes when I wake him up, he has already wet the bed (2-...
Dr. Xiao Kaiwen Reply:
If behavioral therapy is ineffective, it is recommended to consult a pediatric nephrologist for examination to rule out any pathological causes, such as urinary tract infections, diabetes, proteinuria, or diabetes insipidus. Additionally, if it is determined to be primary enuresi...[Read More] Bedwetting and Tourette Syndrome: Understanding Pediatric Challenges
Feeding Time for Infants: Addressing Common Pediatric Concerns
Feeding time My child (a male infant) is 1 month and 12 days old and currently drinks formula milk, about 140cc per feeding (he won't drink more). He cries and then I feed him (approximately every 1 to 1.5 hours), and his weight is 5 kg. He does not take a pacifier and sleep...
Dr. Xiao Kaiwen Reply:
1. A baby over one month old does not need a fixed feeding schedule; it should be based on the baby's needs. 2. Yes, it is acceptable. 3. There is no strict rule; if the baby is gaining weight excessively, it is not necessary to feed them every time they cry. Conversely,...[Read More] Feeding Time for Infants: Addressing Common Pediatric Concerns
Understanding Changes in Stool Color in Toddlers: What Parents Should Know
Changes in stool color Hello Dr. Hsiao, I apologize for bothering you during your busy schedule. My daughter is currently one year and three months old. Previously, aside from solid foods, she was exclusively breastfed and had bowel movements approximately every 5-6 days, usually...
Dr. Xiao Kaiwen Reply:
The definition of diarrhea is an increase in the water content of stool. It is uncertain whether this is caused by the consumption of fresh milk. A similar test is needed: if diarrhea occurs within three days of starting to drink fresh milk, then improves after stopping, and recu...[Read More] Understanding Changes in Stool Color in Toddlers: What Parents Should Know
Understanding Irregular Menstruation in Young Girls: A Pediatric Perspective
A 10-year-old girl has had her first menstrual period lasting for 12 days? 1. It is normal for a young girl to experience variations in menstrual flow, especially during the first few cycles. The initial days of menstruation typically have a heavier flow, and it is common for the...
Dr. Lin Yishou Reply:
For menstrual issues, it is recommended to visit our obstetrics and gynecology department for an ultrasound. For breast concerns, it is advised to go to the pediatric outpatient clinic for a physical examination.[Read More] Understanding Irregular Menstruation in Young Girls: A Pediatric Perspective
Is My 6-Month-Old Getting Enough Nutrition from Rice Porridge?
Complementary food issues My daughter is currently six months old and is eating rice porridge for all three meals. Before bedtime, she drinks about 120cc of milk. I add some sweet potato or pumpkin to the rice porridge. Is this diet adequate for her growth? Could she be at risk o...
Dr. Pei Rensheng Reply:
Hello: The child weighs 7 kg and is 65 cm tall, both around the 45th percentile, indicating an average size. However, the milk intake is only 120 cc per day, which is too low. It should be around 180-210 cc per meal, with at least 3 to 4 meals. You can refer to the guidelines for...[Read More] Is My 6-Month-Old Getting Enough Nutrition from Rice Porridge?
Understanding Cerebral Cysts in Infants: What Parents Should Know
Cerebral cyst Hello, doctor. I would like to ask about my baby. Before discharge, we paid out of pocket for a brain ultrasound, which revealed a 0.3 cm cyst on each side of the brain. Today, at one and a half months old, we returned for a follow-up and found that the cysts have i...
Dr. Pei Rensheng Reply:
In recent years, with the advancement of ultrasound technology, the likelihood of detecting brain cysts or fluid-filled cavities in newborns has increased, often causing significant anxiety among parents. The presence of these cysts or fluid collections in an infant's brain ...[Read More] Understanding Cerebral Cysts in Infants: What Parents Should Know
Is My Baby's Early Teething at 4.5 Months a Concern for Future Dental Health?
Early teething in infants? Is it too early for my baby, who is four and a half months old, to be teething? Will it affect the growth of their teeth in the future?
Dr. Xiao Kaiwen Reply:
Generally, infants begin teething around 6 months of age, with some starting as early as 4 and a half months. If the teeth are stable and not loose, there is no concern. However, if the teeth are unstable and wobbly, there is a risk of them falling out and potentially being aspir...[Read More] Is My Baby's Early Teething at 4.5 Months a Concern for Future Dental Health?
Understanding Food Allergies in Children: Shrimp and Crab Sensitivities
Food Allergy Doctor: May I ask, my child is over 4 years old and has undergone allergy testing at the hospital. The report shows that he is allergic to shrimp and crab in terms of food, and is also allergic to dust mites and Bermuda grass in the environment. Does this mean he sho...
Dr. Xiao Kaiwen Reply:
In terms of allergen testing for food and respiratory allergies, as children grow and their intestinal immune systems develop properly, most food allergens that initially caused reactions will gradually diminish. Blindly restricting dietary intake solely based on positive reactio...[Read More] Understanding Food Allergies in Children: Shrimp and Crab Sensitivities
Can Babies Drink Goat Milk at 6 Months? Pediatrician's Advice
6-month-old drinking goat's milk? Hello, doctor: My baby is 6 months old. Can I give him goat's milk, like Chianan goat milk?
Dr. Xiao Kaiwen Reply:
Infants under one year old should only consume infant formula specifically designed for babies, while regular goat's milk can be introduced after the age of one.[Read More] Can Babies Drink Goat Milk at 6 Months? Pediatrician's Advice
Understanding Enterovirus Symptoms in Children: Isolation Guidelines Explained
Symptoms of enterovirus infection A 5-year-old child has been experiencing a persistent cough, runny nose, and nasal congestion for three weeks. Last week, the child had a fever for one to two days. The doctor mentioned that it started as an allergy and then developed into a cold...
Dr. Xiao Kaiwen Reply:
The highly contagious period of enterovirus infection is one week after the onset of symptoms (whether fever or throat ulcers caused by the enterovirus, depending on which occurs first), not one week after the diagnosis. There are specific criteria for diagnosing enterovirus infe...[Read More] Understanding Enterovirus Symptoms in Children: Isolation Guidelines Explained
Understanding Delayed Puberty: Concerns for Early Adolescents
Puberty Issues Hello doctor, I am currently in the first year of junior high school, with a height of 163.5 to 164 cm. However, I have a short penis and only one pubic hair, and I haven't developed an Adam's apple yet. My weight is over 70 kg, and I am 13 years old. Mos...
Dr. He Shenglong Reply:
Hello: Based on your weight in relation to your height, your body type is classified as robust, which may appear relatively overweight. This is due to the accumulation of fat in the lower abdomen, which can make your upper and lower body appear shorter. However, you mentioned tha...[Read More] Understanding Delayed Puberty: Concerns for Early Adolescents
Understanding Pediatric Health: When to Worry About Symptoms Before Vaccination
Child Hygiene Issues 2 Thank you, doctor, for your detailed response. How many days of observation are necessary before I can feel at ease? I am about to administer the varicella vaccine for my one-year-old, but I am concerned that if he develops a fever after the vaccination, I ...
Dr. Xiao Kaiwen Reply:
The incubation period for various pathogens varies, but I believe that observing the incubation period for most infections for one to two weeks should be sufficient. If oral ulcers increase or are accompanied by fever, there may be a possibility of a viral infection, such as ente...[Read More] Understanding Pediatric Health: When to Worry About Symptoms Before Vaccination
Understanding Blood-Streaked Stool in Infants: When to Seek Help
Blood-streaked stool Hello Doctor, my sister is currently over 2 months old. Her usual diet consists of breast milk and formula, and her stools are typically green or yellow and loose, with a protein-like or sour odor. Recently, I noticed mucus and streaks of blood in her stool, ...
Dr. Pei Rensheng Reply:
Hello: 1. How should suspected gastrointestinal bleeding be managed? --> First, check if the baby shows any warning signs, such as tachycardia (without crying or during movement), hypotension (weaker pulse), pallor (indicative of anemia or significant bleeding), decreased ac...[Read More] Understanding Blood-Streaked Stool in Infants: When to Seek Help
Will I Grow Taller? Understanding Growth Spurts in Adolescence
Puberty - Growth Spurts Hello, doctor. I am thirteen years old and in the first year of junior high school. I am 170 cm tall (shoe size: 26.5), which is considered tall among my classmates, and I play as a center on the basketball team. However, I am currently facing a problem th...
Dr. He Shenglong Reply:
Hello: During adolescence, there is a significant increase in height, which then slows down. Currently in the first year of junior high school, the height is 170 cm, and it is expected to increase a bit more in the future. Secondary sexual characteristics have developed, which is...[Read More] Will I Grow Taller? Understanding Growth Spurts in Adolescence
Will Bipolar Disorder Affect My Final Height at 21?
Developmental issues I was diagnosed with a condition that affects sleep, called bipolar disorder, around the age of 21. However, it took me five years to start medication. Will my final height be affected? I'm really worried. Although I know that 21 is past the growth perio...
Dr. Zhong Ruixian Reply:
Hello Mr. Wei: May I ask if you are 21 or 28 years old? Generally, male bone age does not change after the age of 18. The health insurance coverage for growth hormone is also based on a bone age of under 16 years (and must meet other related diagnostic criteria). Essentially, the...[Read More] Will Bipolar Disorder Affect My Final Height at 21?
Understanding the Difference Between Stool Leakage and Diarrhea in Newborns
I have some questions I would like to ask? Hello... I would like to inquire about the definitions of stool leakage and diarrhea in a newborn baby who is three weeks old. What is the difference between the two? If there is frequent stool leakage and the diaper rash is worsening, d...
Dr. Xiao Kaiwen Reply:
It is normal for exclusively breastfed newborns to have multiple, small, watery stools, which is a temporary phenomenon and not indicative of pathological conditions such as fecal incontinence or diarrhea. This usually improves after the first month. If there is a red rash on the...[Read More] Understanding the Difference Between Stool Leakage and Diarrhea in Newborns