Do Flu Vaccines Cause Cold Symptoms in Children? What to Expect
Experiencing cold-like symptoms after receiving the flu vaccine? Hello, doctor! I have a question: My husband experiences cold symptoms every year after receiving the flu vaccine, and this year our child also developed cold symptoms after getting vaccinated. Can the flu vaccine c...
Dr. Xiao Kaiwen Reply:
The influenza vaccine is an inactivated vaccine, so it does not cause flu symptoms in the recipients, nor does it lead to cold symptoms (let alone the duration of any symptoms). In fact, all countries prioritize immunocompromised individuals for the administration of inactivated ...[Read More] Do Flu Vaccines Cause Cold Symptoms in Children? What to Expect
Understanding Anemia in Adolescents: Iron Deficiency and Normal Ranges
Results of the health examination? Hello, doctor. I have a question. I was diagnosed with anemia in middle school, and I still have it in high school, but over these three years, my values have significantly increased, even though I still qualify as anemic. I would like to know i...
Dr. Xiao Kaiwen Reply:
A 15-year-old female. MCV less than 80 is abnormal (microcytic), and Hb less than 12.5 indicates anemia. It is necessary to visit a major hospital's hematology department for in-depth testing, diagnosis, and treatment to determine if it is iron deficiency anemia. Hemoglobin ...[Read More] Understanding Anemia in Adolescents: Iron Deficiency and Normal Ranges
Grayish Stool After Switching to Goat Milk Formula: What to Know
The stool is grayish in color after switching formulas? My daughter just turned one year old, and I switched her formula to one that contains 15% goat milk. However, after she drinks the milk in the evening, she has a bowel movement that resembles grayish, clay-like stools, but t...
Dr. Xiao Kaiwen Reply:
As long as the stool does not contain blood, is not watery, hard, or persistently grayish-white, it is considered normal and acceptable. Infant formula that has passed government inspection and is safe for infants to consume is acceptable. If a baby does not adapt well to a formu...[Read More] Grayish Stool After Switching to Goat Milk Formula: What to Know
Understanding Your Baby's Body Temperature: When to Seek Medical Advice
Baby's body temperature Hello Doctor: My child is currently two and a half months old, and the room temperature is 26 degrees Celsius. Previously, the ear temperature was always above 36 degrees, but this morning I measured the ear temperature at 35.5 degrees. His hands, fee...
Dr. Xiao Kaiwen Reply:
The measurement of body temperature shows that rectal temperature is the closest to the body's internal core temperature and is the most accurate. Although there is a high correlation between ear temperature and rectal temperature, the correlation is poorer for infants under...[Read More] Understanding Your Baby's Body Temperature: When to Seek Medical Advice
Understanding Rectal Polyps in Toddlers: Care and Treatment Options
Anal polyps Hello doctor, my son is one year and four months old. Recently, he has developed a pink growth at the anal opening, which has been present for over a week. He has not experienced constipation; his stools are very large and soft, but he is in significant pain during bo...
Dr. Xiao Kaiwen Reply:
You should first consult a pediatric surgeon to confirm whether it is an anal polyp (which may be caused by repeated anal fissures due to hard stools leading to mucosal fibrosis, or possibly anal rectal prolapse, or an infected abscess). The management approaches differ. Smaller ...[Read More] Understanding Rectal Polyps in Toddlers: Care and Treatment Options
Understanding Enterovirus Isolation: Guidance for Parents with Infected Children
Isolation issues related to enteroviruses? Hello Dr. Pei, my eldest child was diagnosed with enterovirus on Monday, and my 8-month-old daughter developed a fever on Thursday and was confirmed to have enterovirus on Friday. We tried to isolate the eldest as much as possible when w...
Dr. Pei Rensheng Reply:
Hello: There are over sixty types of enteroviruses, and once infected, an individual only gains immunity to that specific type. If it is confirmed that the younger sister was infected by the older sister, then the older sister will not be reinfected by the younger sister. Wishing...[Read More] Understanding Enterovirus Isolation: Guidance for Parents with Infected Children
Why Are My Child's Hands and Feet Cold Even After a Fever?
Cold hands and feet in children? Hello, my child is one year and seven months old and recently had a cold with a fever. Most of the symptoms have recovered, but their hands and feet remain cold, even when dressed warmly, and they are sweating cold sweat. Could you please explain ...
Dr. Xiao Kaiwen Reply:
If the patient is no longer taking medication, then this phenomenon is unrelated to drug use. Clinically, we occasionally observe that some pediatric patients experience increased sweating and cooler extremities during the recovery phase after an illness. The cause of this phenom...[Read More] Why Are My Child's Hands and Feet Cold Even After a Fever?
Understanding Facial Swelling in Children: When to Seek Pediatric Care
Facial swelling? Hello! A three-year-old child has a faint bluish lump below the temple on the face. Initially thought to be a bruise, but it hasn't resolved after half a month and is not painful. What could be the issue, and which specialty should be consulted? Thank you!
Dr. Xiao Kaiwen Reply:
If there was no sudden onset, it is more likely to be a hematoma from trauma (the light blue color resembles a bruise, but it is important to assess the appearance of the lump). It is advisable to first consult with a pediatrician to determine if further examination is necessary.[Read More] Understanding Facial Swelling in Children: When to Seek Pediatric Care
Essential Tips for Newborn Care: Feeding, Allergies, and Development
Daily Routine for Newborns 1. Both parents have allergies, and the father also has asthma. Is it advisable to introduce complementary foods at four months to reduce the risk of allergies? 2. At what age is it best to start introducing complementary foods? 3. At what age can compl...
Dr. He Shenglong Reply:
Hello: If both parents have allergic tendencies, the child may have a higher chance of developing allergies compared to others. However, it is not as you mentioned that introducing complementary foods at four months can reduce the risk of allergies. Generally, it is recommended t...[Read More] Essential Tips for Newborn Care: Feeding, Allergies, and Development
Understanding Bruised Toes in Toddlers: When to Seek Medical Attention
Bruising and wounds on a toddler's toes? The child is currently just one year old. On October 13, they were hit on the toe (big toe) by a metal trash can, resulting in significant bruising without any open wounds. However, after two days, there has been continuous bleeding. ...
Dr. Zhong Ruixian Reply:
If there is no progression to cellulitis, local medication may suffice. However, since the lesion is not visible, it is still recommended that you consult a pediatrician or surgeon for confirmation. Wishing you good health! Changhua Hospital cares about you![Read More] Understanding Bruised Toes in Toddlers: When to Seek Medical Attention
Understanding Unexplained Skin Rashes in Children: Causes and Solutions
No time to see a doctor, have a rash on the skin? Initially, there were colorless small rashes appearing on the left calf (a dense cluster of tiny, colorless spots that are itchy). After two to three days, similar spots began to appear on the arms, but they were more scattered an...
Dr. Zhong Ruixian Reply:
It sounds more like allergic urticaria, but it's difficult to confirm without seeing the lesions. Any allergen could be the cause, so please pay attention to any recent food or environmental exposures! If you are feeling very uncomfortable, I recommend seeking medical attent...[Read More] Understanding Unexplained Skin Rashes in Children: Causes and Solutions
Understanding Fever, Diarrhea, and Cold Symptoms in Young Children
Cold, fever, and diarrhea? Hello, doctor. A couple of days ago, I inquired about my child's fever. My daughter is one and a half years old. She had a high fever from Monday to Thursday last week. There were no cold symptoms, but her stools were looser. She had a fever until ...
Dr. Xiao Kaiwen Reply:
The cold virus can cause gastrointestinal symptoms. Pay attention to whether there is mucus or blood in the diarrhea, as well as any foul odor (if present, it may indicate a serious bacterial gastroenteritis). In addition to diluted milk, avoid vegetables, fruits, sweets, and gre...[Read More] Understanding Fever, Diarrhea, and Cold Symptoms in Young Children
Understanding Swollen Fingers in Toddlers: Causes and Concerns
Child's index finger A two-year-old child has swelling in the area where the index finger connects to the palm. The cause is unknown, but the child does not seem to be in pain. Initially, it was thought to be a mosquito bite, and a topical antiseptic was applied, but the swe...
Dr. Xiao Kaiwen Reply:
Localized redness and swelling may simply be due to an insect bite, but it could also indicate joint inflammation or a skin infection such as cellulitis. Please consult a pediatrician for evaluation.[Read More] Understanding Swollen Fingers in Toddlers: Causes and Concerns
High Fever and Mild Diarrhea in Toddlers: What Parents Should Know
High fever with mild diarrhea? Hello, doctor. My daughter is currently about one and a half years old. She suddenly developed a high fever the night before last (10/26). Yesterday, she had three bowel movements, which were relatively loose, and as of today (10/28), she is still e...
Dr. Xiao Kaiwen Reply:
Roseola commonly occurs in children aged six months to three years, with the peak incidence around one year of age. The main symptom is a sudden high fever, but the child remains active and alert, with no other significant symptoms (although mild diarrhea may occur occasionally)....[Read More] High Fever and Mild Diarrhea in Toddlers: What Parents Should Know
Understanding Allergic Rhinitis in Children: Symptoms and Severity Explained
Rhinitis issues? Hello, doctor. A few days ago, I caught a cold and went to see a doctor who told me I have allergic rhinitis. I still don't quite understand why I have allergic rhinitis. Can allergic rhinitis be very severe? Sometimes I feel very uncomfortable (itchy, for e...
Dr. Xiao Kaiwen Reply:
Allergic rhinitis has a rapid onset and resolution, with symptoms disappearing quickly, returning to baseline after the episode. The duration of symptoms is typically short, often improving or resolving within hours, and generally does not present with systemic symptoms. In contr...[Read More] Understanding Allergic Rhinitis in Children: Symptoms and Severity Explained
Managing Foreskin Care in Young Boys: Addressing Pain and Concerns
Issues related to foreskin cleaning? My son is now over 3 years old and has a condition of urinary reflux. He is regularly followed up by a pediatric nephrologist. I have seen two doctors who both advised that the foreskin must be pushed back daily to expose the glans for cleanin...
Dr. Xiao Kaiwen Reply:
When cleaning the glans and foreskin of young children, it is important to gently retract the foreskin to expose the glans for cleaning, adhering to the principle of avoiding injury. There is no need to forcefully retract it, as this could cause harm.[Read More] Managing Foreskin Care in Young Boys: Addressing Pain and Concerns
Addressing Nail Biting and Unusual Discharge in a Four-Year-Old Girl
Comprehensive issues (persistent nail biting, white discharge from the genital area) 1. The four-year-old girl has a rare condition called achondroplasia. She previously had a habit of using a pacifier and has been attending preschool for about two years. Approximately four month...
Dr. Xiao Kaiwen Reply:
Nail biting in young children is often a sign of stress. If it occurs only in the short term, it can be monitored; however, if it persists for several months, it may lead to dental damage or infection, as well as negative social perceptions. It is important to try to understand i...[Read More] Addressing Nail Biting and Unusual Discharge in a Four-Year-Old Girl
Understanding the Impact of Lower Eyelashes Sticking to the Eye in Toddlers
The lower eyelashes are stuck to the eyeball? A child who is one year and nine months old has had the lower eyelashes of both the left and right eyes sticking to the eyeballs since birth. What impact could this have, and is any treatment necessary?
Dr. Xiao Kaiwen Reply:
The most common cause of entropion is eyelid dermatochalasis, which occurs when the muscles and skin of the eyelid become thickened, pushing the eyelashes toward the eyeball. This condition is more frequently seen in Asian infants, primarily affecting the lower eyelid, and is oft...[Read More] Understanding the Impact of Lower Eyelashes Sticking to the Eye in Toddlers
How to Assess if Your Baby Has a Neck Injury After a Fall
Does the baby have an injury to the cervical spine? Hello, my baby is currently over one year old and is in the stage of learning to walk and climb. Today, while climbing onto a chair, the chair tipped over, and I noticed that my baby’s neck was bent back and hit the left cheek. ...
Dr. Xiao Kaiwen Reply:
If the tendons, ligaments, or cervical vertebrae in the neck are injured, the baby may refuse to turn their head to one side or tilt their head down or backward due to pain, often resulting in crying or fussiness. Adults can gently hold the baby's head to perform a test whil...[Read More] How to Assess if Your Baby Has a Neck Injury After a Fall
Understanding Growth Hormone Treatment for Children: Risks and Costs
Administration of growth hormone? Hello, my child is currently 4 years and 10 months old, with a height of about 98 cm, which is below the 3rd percentile. We are preparing to go to a major hospital for an examination. I would like to know if there are any side effects associated ...
Dr. Pei Rensheng Reply:
Hello, there are many factors that can contribute to short stature, such as malnutrition, skeletal disorders, chromosomal abnormalities (such as Turner syndrome, Prader-Willi syndrome, Down syndrome, etc.), chronic renal failure in children, thyroid hormone deficiency, or growth ...[Read More] Understanding Growth Hormone Treatment for Children: Risks and Costs