Ear, Pediatrics FAQ

Understanding Pediatric Bowel Issues: From Constipation to Diarrhea

Bowel movement issues Hello, doctor. My baby had difficulty passing stools and appeared to be in pain after being fed with Enfamil and Meiji formula since birth. It would take several days for a bowel movement, and we had to take him to the pediatrician, who recommended using pet...

Dr. Xiao Kaiwen Reply:
The infant has been consuming fermented milk for a while without any issues with bowel movements, so it is likely not the cause of the diarrhea. There are many potential reasons for prolonged diarrhea in infants, such as gastroenteritis, lactose intolerance, and cow's milk p...

Safe Diaper Cream Options for Babies with Favism

Diaper rash cream suitable for babies with G6PD deficiency? My child is currently 6 months old and has G6PD deficiency. We are aware that there are certain foods and medications that should be avoided, but I would like to ask the doctor: do we also need to be particularly cautiou...

Dr. Xiao Kaiwen Reply:
This ointment contains fragrance components, but the main ingredients are unclear. Some of the fragrances may contain substances unsuitable for individuals with Favism, such as Camphor, Methyl Salicylate, and Menthol. Therefore, I recommend that it should not be used on individua...

Common Concerns for Your 9-Month-Old Baby: A Pediatric Guide

8-month-old baby issues? Hello Doctor, my baby is almost 9 months old, and I have a few questions to ask you. 1. After teething, my baby has shown a dislike for porridge and vegetables, but enjoys fruits. This was not the case before teething. Is there any problem with this? 2...

Dr. Xiao Kaiwen Reply:
1. The introduction of complementary foods can be met with varying degrees of acceptance from babies, so it is important to be patient and continue trying. 2. Infants can shiver just like adults; simply observe them. 3. It is advisable to have a pediatrician check for any abnorma...

Can I Breastfeed with Hepatitis B? Understanding Risks and Immunity

Can a mother with hepatitis B breastfeed? Hello doctor, my son is currently 2 years and 2 months old. Since I have hepatitis B, he received the hepatitis B immunoglobulin at birth and also received the hepatitis B vaccine. He was breastfed until about one year old, and now that h...

Dr. Xiao Kaiwen Reply:
Mothers with hepatitis B can still breastfeed, as breastfeeding does not transmit hepatitis B. Newborns should receive hepatitis B immunoglobulin within 24 hours to prevent vertical transmission from the mother, but this does not guarantee that they will have antibodies in the fu...

Understanding Persistent Jaundice in Infants: Causes and Concerns

The jaundice in the one-month-old infant has not decreased to below the normal range? Hello, my baby is currently one month and one week old and is partially breastfed. The jaundice index is still at 2.9. The body no longer appears yellow, but the face still has a slight yellow t...

Dr. Pei Rensheng Reply:
Hello: It is quite common for a one-month-old baby to have a bilirubin level around 2-3 mg/dL. This is due to the shorter half-life of fetal red blood cells compared to adults, along with factors such as increased enterohepatic circulation, which can result in higher bilirubin le...

New Moms: Understanding Baby Feeding and Milk Supply Issues

New mothers' issues with milk supply? Hello Dr. Pei: My baby is now over 2 months old. Previously, I fed her every 2.5 to 3 hours, giving her about 100-120 ml, but she often spits up. The day before yesterday, I changed to a fixed schedule of every 4 hours with 100 ml. My mo...

Dr. Pei Rensheng Reply:
Hello: The milk intake for newborns is approximately 100-200 cc/kg/day, and feeding should be based on demand; you can feed them whenever they show signs of hunger. Some newborns may experience gastroesophageal reflux, so feeding in small amounts more frequently, maintaining an u...

Night Sweats in Infants: Causes and Concerns for Parents

Night sweats At one year and five months old, my child sweats profusely all over, especially after breastfeeding, even during cold nights. This has caused rashes on the front and back. It used to happen during the baby stage, but as they grew older, they stopped sweating so much....

Dr. Xiao Kaiwen Reply:
During childhood, metabolism is more vigorous, skin hydration levels are higher, and there is a greater distribution of microcapillaries. Additionally, the autonomic nervous system that regulates sweating is not yet fully mature, which is why infants and young children tend to sw...

Can One-Year-Olds Drink Fresh Milk? Nutritional Insights for Parents

Can a one-year-old baby drink fresh milk? Can a one-year-old baby drink fresh milk? Is it more nutritious than formula milk? Thank you.

Dr. Xiao Kaiwen Reply:
Yes, babies over one year old can drink fresh milk. In terms of nutritional value, it is similar to formula milk, but due to the difference in taste and texture, it is particularly suitable for babies who have become tired of formula.

Can Babies Under One Year Drink Water? Myths and Facts Explained

Can babies under one year old go without drinking plain water? There is a common belief that babies under one year old should not drink water, as it may lead to water intoxication, which can be severe and potentially fatal. Is this true? How can I ensure my child stays hydrated?

Dr. He Shenglong Reply:
Hello: Under normal dietary conditions, it is advisable to provide plain water in moderation to replenish fluids. However, if normal eating is not possible and only plain water is given, there is a risk of hypoglycemia and electrolyte imbalance, potentially leading to water intox...

Common Pediatric Concerns: Newborn Care Questions Answered

Care-related questions? Hello, doctor. May I ask: 1. What problems can shaking a newborn cause? 2. Is the intermittent wheezing sound in a newborn (the father has asthma) caused by a cold? 3. How can we improve long-term vomiting in a newborn (sometimes in large amounts)? 4. Ther...

Dr. Xiao Kaiwen Reply:
1. Shaken Baby Syndrome may occur if an infant's head experiences significant forces of acceleration and deceleration, which can lead to brain injury without any visible external trauma. 2. The likelihood of newborns catching a cold or developing asthma is low; most cases ...

Is It Normal for My Baby to Shiver Occasionally? Pediatric Insights

Baby shivering? Dear Doctor, my baby is over one year old, and I have noticed that she sometimes shivers (with cold limbs). Is this situation normal? Thank you.

Dr. Xiao Kaiwen Reply:
As long as there are no accompanying symptoms such as seizures (staring, continuous twitching, altered consciousness, or cyanosis of the lips) and developmental delays, further observation is acceptable.

Caring for Children with Eczema: Tips for Cold Weather Relief

Atopic dermatitis Recently, the weather has been very cold, and my child is experiencing issues with atopic dermatitis, with many small red rashes and flaking skin appearing. I would like to ask the doctor how to care for my child in daily life to avoid discomfort.

Dr. Xiao Kaiwen Reply:
Avoid using water that is too hot while bathing, and also steer clear of body washes with strong cleansing properties to prevent stripping away too much sebum, which can lead to drier and itchier skin. Regularly apply lotion, preferably choosing an oil-based, fragrance-free moist...

Understanding Chest Pain in Children: When to Seek Medical Help

Chest pain in children? Hello, doctor! I would like to ask you: My child is 8 years old and has recently been occasionally complaining of chest pain. Should we get it checked? If so, which department should we consult?

Dr. Xiao Kaiwen Reply:
For children experiencing chest pain, it is recommended to visit a pediatric cardiology department at a major hospital. Initially, a simple electrocardiogram (ECG) and chest X-ray will likely be performed. If necessary, the physician may order a 24-hour Holter monitor and an echo...

Understanding Neonatal Jaundice: Causes, Treatment, and Recovery

Neonatal jaundice Doctor: My child is 10 days old, and the hospital said the bilirubin level is relatively high, requiring phototherapy. However, there was no jaundice at birth, so I would like to ask you: Can jaundice appear so many days after birth? Also, the whites of the chil...

Dr. Xiao Kaiwen Reply:
Neonatal jaundice may not appear immediately; it can also develop gradually. Jaundice is merely a symptom, and it is important to investigate the underlying cause to provide appropriate treatment, including determining whether the bilirubin levels are high enough to require photo...

Understanding Infant Bowel Issues: Why Is My Baby Straining to Poop?

Bowel issues Hello Dr. Hsiao, my baby just turned one month old, and I've noticed that he often seems to be straining as if he wants to have a bowel movement, but it can take several hours for him to actually go, and when he does, it's soft stool. Although he doesn'...

Dr. Xiao Kaiwen Reply:
A one-month-old infant has weak bowel movements, and they are still learning how to coordinate the anal and rectal muscles during defecation. Therefore, it may appear that they are straining and having difficulty. As long as the stool is soft and not hard, there is no need for co...

Understanding Appetite Issues in One-Year-Olds: Concerns and Solutions

Consultation on one-year-old baby’s poor appetite and appetite stimulants? Hello, my child is currently about one year and one month old. Previously, he was exclusively breastfed and weighs around 8 kilograms. The issues we are encountering are: 1. He is reluctant to accept solid...

Dr. Xiao Kaiwen Reply:
Antihistamine medications used as appetite stimulants may help improve children's appetite in the short term. However, there is still a relative lack of large-scale clinical studies on the use of appetite-stimulating medications for treating children with feeding difficultie...

Will I Still Grow Taller? Understanding Growth Spurts in Teen Boys

Height growth issues? It sounds like you are experiencing the early stages of puberty, which can vary significantly from person to person. At 15 years old, you may still have the potential for growth, as many boys continue to grow taller into their late teens. The growth spurts o...

Dr. Xiao Kaiwen Reply:
If a child's height does not increase by more than 4 centimeters in a year, or if their height is below the 3rd percentile compared to same-age boys (which means ranking in the bottom three), they should be referred to a pediatric endocrinologist for evaluation (such as bone...

Understanding Blood in Stool: When to Worry for Your Child

Blood in stool? Hello doctor, my child is almost five years old. For some time now, I have occasionally noticed a small amount of blood on the wet wipes after he uses the bathroom. My child has bowel movements almost every day and eats vegetables and fruits regularly. I would lik...

Dr. Pei Rensheng Reply:
Hello: The causes of blood in a child's stool include constipation with anal fissures, hemorrhagic enteritis, intussusception, coagulopathy, lower gastrointestinal polyps or tumors, diverticula, or foreign bodies. The primary concern is to rule out constipation; other causes...

Red Bump Under Tongue in Kids: What Parents Should Know

A red bump under the tip of the tongue? My 4-year-old child has developed a small red bump under the tip of their tongue! It's semi-transparent! They say it doesn't hurt! What could it be? I've noticed they keep playing with that bump! Should I take them to see a d...

Dr. Xiao Kaiwen Reply:
It could be a polyp or a cyst (cannot be certain without seeing it in person). It is recommended to visit a major hospital's otolaryngology department for examination, and possibly treatment (cryotherapy or electrocautery).

Understanding Pediatric Anemia: What Low Hb and MCV Levels Mean

Results of the health examination? Hello Doctor, I am Xiao Hei. My Hb is 9.7 and MCV is 52.3. I would like to ask if this indicates anemia? If so, I have not experienced any dizziness or weakness since I was young. Does this have any significance, or is it just mild anemia? Thank...

Dr. Xiao Kaiwen Reply:
Your test results indicate microcytic anemia. In Taiwan, the most common types are iron deficiency anemia and thalassemia. It is recommended that you visit a pediatric hematology department at a major hospital for further evaluation and treatment. You may not have obvious symptom...

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