Ear, Pediatrics FAQ

How Much Taller Can I Grow at 13? Understanding Puberty Changes

Are you still growing taller? I am currently 13 and a half years old, in the second year of junior high school. My pubic hair and penis are about the same length, but I haven't developed armpit hair or a prominent Adam's apple yet. Can you tell me how much more I might ...

Dr. Xiao Kaiwen Reply:
It is recommended to visit the pediatric endocrinology department for an X-ray bone age assessment. If necessary, additional growth hormone testing should be conducted to better evaluate future growth potential.

Thin or Indented Nails in 8-Year-Olds: Which Specialist to Consult?

The child's nails appear to be somewhat thin, around the age of 8? Hello Dr. Wang Hu: I have an 8-year-old child who has been observed to have slightly thin or concave nails. Which specialty should I consult for this issue?

Dr. Xie Wanghu Reply:
Hello Mr. Chen, if a child's nails become thin or slightly concave, it may be due to vitamin deficiency or other skin conditions. It is advisable to take the child to a dermatology clinic for evaluation. Thank you.

Understanding Growth Patterns in Children: When to Seek Endocrine Evaluation

Height issues Hello, my 7-year-old son has consistently been in the 85th to 97th percentile for growth (close to the 95th percentile). According to online sources, children typically grow 4 to 6 cm per year. Reviewing his records, he grew 7 to 8 cm in the past two years. His fath...

Dr. Xiao Kaiwen Reply:
In terms of height increase related to precocious puberty, it is important to note that a "rapid increase" in a short period of time, as well as a significant percentage increase in height, are key indicators. In your child's case, there has not been a significant ...

Is It Safe for Kids to Drink Sweetened Soy Milk Daily?

Can sweetened soy milk be consumed daily? Hello Dr. Pei, my son is currently 12 years old. He has a poor appetite in the morning, but he eats quite a lot for lunch and dinner. However, he remains very thin, with a BMI of only 16. I send him to school with two bottles of 100% fres...

Dr. Pei Rensheng Reply:
Hello: According to the recommendations from the Ministry of Health and Welfare regarding the Body Mass Index (BMI) for children and adolescents, the BMI range for a 12-year-old boy is 15.2-21.3. Your son's BMI is 16, which is considered normal. If he wants to gain weight, a...

Uneven Calf Size in a 13-Year-Old: When to Seek Medical Advice?

The circumference of the thighs and calves is uneven between the left and right sides? Hello Doctor: I would like to ask about a 13-year-old boy whose calves have different circumferences, with a difference of 3 centimeters. He does not have any discomfort, but there is a noticea...

Dr. Xiao Kaiwen Reply:
It is common for the dominant hand to show more pronounced differences in thickness, while this phenomenon is less noticeable in the feet. Although it may simply be a normal variation, it is still advisable to consult a pediatric orthopedic specialist for an evaluation.

Understanding Adenovirus in Children: What You Need to Know

About adenovirus? I would like to ask the doctor, my daughter had a fever from adenovirus for four days, but she hasn't had a fever for a while. However, her blood test showed an inflammation index of 4, and the doctor said she needs to be hospitalized for further examinatio...

Dr. Xiao Kaiwen Reply:
The inflammation index referred to by general practitioners is typically the CRP (C-reactive protein) level obtained from a blood test. However, different hospitals may use different units for measuring CRP, so it is essential to know the unit of your CRP value of 4 in order to d...

Understanding Weight Stagnation in 7-Year-Old Boys: When to Seek Help

Weight stagnation in boys? Hello, my son is currently 7 and a half years old, with a height of 122 cm and a weight of 20.3 kg. Compared to last year, he has grown 3 cm in height, but his weight has not increased at all. His appetite and activity level are normal. Should I take hi...

Dr. Xiao Kaiwen Reply:
Currently, the height is around the 30th percentile and the weight is at the 10th percentile, which does not indicate an urgent need for examination due to being underweight. For a 7-year-old child, weight gain is typically not as rapid as before. Additionally, genetic factors re...

Concerns About Infants Drinking Older Children's Formula: What to Do?

Milk consumption issues? Hello doctor, my baby is currently 10 months old. Due to my negligence, he accidentally drank about 130cc of my 3-year-old daughter's formula. What effects might this have? Should I seek medical attention?

Dr. Pei Rensheng Reply:
Hello! Infants under 1 year old should only consume breast milk or stage 1 formula. Children over 1 year old can drink stage 3 formula, as well as stage 1 formula. Stage 3 formula has a higher protein concentration compared to stage 1 formula. If an infant under 1 year old consum...

Understanding Weight Stagnation in 7-Year-Old Boys: When to Seek Help

Dr. Xiao Kaiwen Reply:
Currently, the child's height is around the 30th percentile and weight is at the 10th percentile, which does not indicate an urgent need for evaluation due to being underweight. Genetic factors play a significant role in a child's body type; if one or both parents are o...

Are Home Fragrance Products Harmful to Young Children?

Are home fragrance products harmful to young children? Hello: I saw the news that a pediatrician shared about a 7-year-old girl who experienced chest pain and was taken to a clinic by her mother. After examination, it was found that she had precocious puberty. The pediatrician no...

Dr. Xiao Kaiwen Reply:
These types of products typically contain a variety of compound ingredients, depending on their composition. For instance, if the ingredients include substances that are inherently harmful to the human body, such as phthalates, they are unsuitable for both adults and children, wi...

Understanding Cough and Cold in Infants: Antibiotics and Concerns

A newborn over one month old has a cold? Hello, doctor. I would like to inquire about my baby, who is currently over a month old and has caught a cold. The symptoms include post-nasal drip and coughing. After the first visit, the doctor prescribed medication, and during the secon...

Dr. Xiao Kaiwen Reply:
The common cold is generally caused by a viral infection and does not require the use of antibiotics, which are intended for bacterial infections. It may be necessary to consult the prescribing physician to determine the suspected bacterial infection before using antibiotics. If ...

Understanding Dizziness in 10-Year-Olds: Possible Causes and Concerns

A 10-year-old is complaining of dizziness? My 10-year-old daughter, who is in the fourth grade, has recently been frequently complaining of dizziness. She experiences it at any time, and the duration varies; sometimes it lasts half an hour to an hour, and there have been instance...

Dr. Xiao Kaiwen Reply:
There are many possible causes of dizziness, and it is difficult to provide an explanation without examining the patient on-site. It is recommended to visit a major hospital's pediatric neurology department for evaluation.

Understanding Eye Blinking in 8-Month-Old Babies: When to Seek Help

8-month-old infant blinking? Hello, Doctor: My daughter is currently over 8 months old and has recently been exhibiting occasional, irregular blinking and eye-closing behaviors. Sometimes she blinks rapidly for a few seconds, and other times she closes her eyes tightly before ope...

Dr. Xiao Kaiwen Reply:
You can first take the child for an ophthalmological examination to check for any localized eye issues, such as ingrown eyelashes, and then proceed to a pediatric evaluation to assess for potential allergies. If neither of these seems to be the case, you may continue to observe f...

Concerns About Height Growth in Adolescents: What You Need to Know

Height issues Hello doctor, I am currently in the second year of junior high school, 13 years and 8 months old. My menstrual cycle started a year ago, and my breast and pubic hair development are normal. However, I have always been quite short. In the first year of junior high, I...

Dr. Xiao Kaiwen Reply:
If a child grows less than 2-3 centimeters in a year and their height is already in the lowest three percent for their age, it is recommended to visit a pediatric endocrinology department at a major hospital for various examinations. This includes assessments of bone age and vari...

Concerns About Height Growth in Adolescents: Seeking Solutions

Height issues Hello Doctor, I am currently in the second year of junior high school, 13 years and 8 months old. My menstruation started a year ago, and my breast and pubic hair development are normal. However, I have always been quite short; I was only 144.1 cm in the first year ...

Dr. Xiao Kaiwen Reply:
Growing less than 2-3 centimeters in a year and reaching the lowest three percent of height for your age indicates that it is advisable to visit a pediatric endocrinology department at a major hospital for various evaluations. This should include assessments of bone age and vario...

Addressing Milk Intake Issues in Infants: A Pediatric Guide

Milk consumption issues? Hello Doctor, I am a mother living in the Jinshan District of New Taipei City. I would like to ask you about my baby who is over 8 months old. He was born weighing 3800 grams and was drinking 100 ml of milk. Until he was 2 months old, his milk intake wa...

Dr. Xie Wanghu Reply:
Hello, Mom. 1. An 8-month-old weighing 8 kg is within the 50th to 85th percentile, which is very good. 2. After 4 months, milk can be consumed as desired, but solid foods become more important. A varied diet is essential, and milk can be given once a day. 3. Please do not for...

Pediatric Concerns: Understanding Light Yellow Diarrhea in Children

Pale yellow stool? A five-year-old girl has been experiencing diarrhea with very light yellow stools that float on the surface of the water. The color is quite different from her usual stools, and she reports having abdominal pain. This has been ongoing for four days. Initially, ...

Dr. Xiao Kaiwen Reply:
An increase in the frequency of bowel movements along with higher water content is defined as diarrhea. The most common cause of diarrhea is gastroenteritis, which can also cause intermittent abdominal pain. If the symptoms have persisted for several days, it is advisable to cons...

Understanding Mucopolysaccharidosis: Can Other Types Occur After Screening?

Questions related to mucopolysaccharidosis? I would like to ask the doctor, my child is already four years old. During birth, newborn screening for Mucopolysaccharidosis Type I (MPS I) and Mucopolysaccharidosis Type II (MPS II) showed "no abnormalities." However, after ...

Dr. Xie Wanghu Reply:
Dear Mr. Wu, 1. Other types of MPS are still possible. 2. If you would like to pursue further testing, you can have a blood test at the pediatric genetics department; both Veterans General Hospital, Mackay Memorial Hospital, and National Taiwan University Hospital offer this s...

Understanding Prolonged Fever in Children: When to Seek Medical Help

Child has had a fever for 4 days? Hello, doctor. My child is 3 years old and started having a fever of about 39-39.5°C on Saturday night. We visited a clinic on Sunday and were prescribed antipyretic syrup. After taking it, the temperature dropped to 38-39°C. On Monday morning, w...

Dr. Pei Rensheng Reply:
Hello! A 3-year-old has had a fever for 4 days. It is recommended to check for: COVID-19, influenza, adenovirus, urinary tract infection, chest X-ray, and even blood tests; it could also be roseola. It is advisable to go to the hospital for evaluation! Wishing for a speedy recove...

Understanding ITP and Lymphadenopathy in Pediatric Patients

ITP with lymphadenopathy Hello Doctor, thank you for your prompt response to the previous question <a href="https://adoctor.tw/article/199203">#199203</a>. I would like to provide some additional information. The child in the family has had elevated infectio...

Dr. Xiao Kaiwen Reply:
An elevated CRP (C-reactive protein) level indicates a wide range of possibilities. While the likelihood of infection is highest in children, there are still other potential causes. It is difficult to specify which additional tests should be arranged at this point; however, it is...

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