Understanding Diaper Rash in Toddlers: Causes, Prevention, and Treatment
Diaper rash in infants Doctor: I apologize, but my wife and I are currently taking turns caring for our two-year-old at night. He has been wearing diapers while sleeping, but I noticed some small spots on his bottom over the past couple of days. I would like to ask if this could ...
Dr. Zhang Yingwen Reply:
Due to the humid and hot conditions of summer, various skin diseases can easily occur. It is recommended to take your child to a pediatric clinic for an accurate diagnosis by a physician. Wishing you health and happiness![Read More] Understanding Diaper Rash in Toddlers: Causes, Prevention, and Treatment
Understanding Café-au-Lait Spots and Neurofibromatosis in Children
Chromosomal issues Hello, I previously inquired about the concerns regarding café-au-lait spots and neurofibromas. I have heard that neurofibromas are associated with abnormalities in chromosome 17. If a child had normal results from amniocentesis during pregnancy, does this mean...
Dr. Xiao Kaiwen Reply:
Neurofibromatosis is a genetic issue, so a normal chromosome analysis from amniocentesis does not guarantee that the disease will not occur.[Read More] Understanding Café-au-Lait Spots and Neurofibromatosis in Children
Understanding Café-au-Lait Spots in Children: What Parents Should Know
Café au lait spots Hello, my daughter is 9 years old. Recently, I discovered a brown spot on the inner side of her upper arm, about the size of a pinky finger. I'm not sure when it appeared. The doctor said it is a café-au-lait spot, but since there is only one spot, he ment...
Dr. Xiao Kaiwen Reply:
Neurofibromatosis is diagnosed based on certain criteria, such as a family history of neurofibromatosis, the presence of six or more café-au-lait spots on the skin (greater than 0.5 cm in childhood and greater than 1.5 cm after puberty), tumors the size of a pea on the skin or su...[Read More] Understanding Café-au-Lait Spots in Children: What Parents Should Know
Understanding Red Urine in Babies: Causes and Solutions
The baby's overnight urine has turned red? Hello Doctor: My baby is almost three months old and can sleep for 10 hours at night. However, I noticed that the first urine after waking up is red, but it returns to normal after feeding. Is this crystalluria? Could it be due to n...
Dr. Xiao Kaiwen Reply:
The cause of crystalluria is not very clear, but it is not related to prolonged periods without milk or kidney function; it is simply a normal temporary phenomenon. Morning red urine may possibly indicate crystalluria, but it is not definitive. It is recommended to visit a hospit...[Read More] Understanding Red Urine in Babies: Causes and Solutions
Establishing Healthy Sleep Habits for Young Children
Children's Sleep Dr. Chang: As you mentioned, I want to help my younger sister develop a habit of going to bed early and waking up early. She is currently 3 years old, and on weekends, when other children come over to play, she ends up playing until midnight and doesn't...
Dr. Zhang Yingwen Reply:
It is advisable to avoid staying up until one or two in the morning. It is recommended to establish a sleep routine, such as telling stories or listening to slow-paced music. When it's time for the child to sleep, parents should prepare the sleep environment. Additionally, t...[Read More] Establishing Healthy Sleep Habits for Young Children
Establishing Healthy Sleep Habits for Your Toddler
Children's Sleep Hello, doctor: I apologize for the interruption. I want to help my child develop a habit of going to bed at a reasonable hour. She is our younger sister and tends to stay up playing until one or two in the morning, even though she is still very energetic at ...
Dr. Zhang Yingwen Reply:
It is recommended that loving fathers help their children adjust their sleep habits. This is because the sleep patterns established at the age of three are likely to persist as they grow older. This means that if a child tends to stay up late and wake up late, they are likely to ...[Read More] Establishing Healthy Sleep Habits for Your Toddler
Understanding Why Jaundice Light Therapy Can Darken Skin in Infants
Phototherapy for jaundice Dear Dr. He, Why does the skin darken after exposure to phototherapy for jaundice? Thank you.
Dr. He Shenglong Reply:
Hello: Phototherapy for newborns is used to accelerate the metabolism of bilirubin. Once jaundice decreases to a certain level, phototherapy is no longer necessary. If it is pathological jaundice, treatment for the underlying condition should continue. Theoretically, the skin sho...[Read More] Understanding Why Jaundice Light Therapy Can Darken Skin in Infants
Can You Use Tetracycline Ointment While Breastfeeding?
Is it safe to use anti-inflammatory and antibacterial ointments while breastfeeding? Hello, doctor. I have a skin tear and inflammation in my ear, and I've been applying Tetracycline ointment three times a day. Is it safe to breastfeed while using this medication? Also, my b...
Dr. Xiao Kaiwen Reply:
The amount of medication absorbed through the skin by the mother and subsequently excreted in breast milk, if not applied directly to the nipple, is likely to be minimal and should not cause any adverse effects. Regarding the infant's tremors, it would be important to consid...[Read More] Can You Use Tetracycline Ointment While Breastfeeding?
Understanding Pellet-Like Stool in Toddlers: Causes and Solutions
Children's large sheep feces? Hello, doctor: My child is 1 year and 2 months old. Since birth, he has been breastfed and did not have daily bowel movements. However, after stopping breastfeeding at 7 months and starting solid foods, he began to have small, pellet-like stools...
Dr. Zhang Yingwen Reply:
The solution to constipation primarily involves adequate hydration, fiber intake, and establishing a regular bowel routine. If these three aspects are addressed, abdominal massage and anal stimulation can also be beneficial. It is reassuring if a doctor has ruled out the possibil...[Read More] Understanding Pellet-Like Stool in Toddlers: Causes and Solutions
Understanding Mycoplasma Pneumonia in Children: Symptoms and Treatment Options
About Mycoplasma pneumoniae! Hello Dr. Hsiao: My younger sister has been coughing for over a month. Last week, she had a blood test, and the results were as follows: - White blood cell count: 13.5 (units: 1000/uL, normal range: 6.7–11.8) - Red blood cell count: 4.89 (units: mil...
Dr. Xiao Kaiwen Reply:
A normal two-year and one-month-old child should have sufficient strength to cough up phlegm (although sometimes they may swallow it). Chest physiotherapy is not necessary. The blood test report you provided is just a basic blood examination, with the only notable abnormality bei...[Read More] Understanding Mycoplasma Pneumonia in Children: Symptoms and Treatment Options
Effective Strategies to Manage Children's Skin Issues and Allergies
How to improve children's skin problems? I have allergic rhinitis, and my husband has very dry skin that even peels in the summer. As a result, our child has had rough skin since birth and often develops small eczema patches. When he was four months old, he had severe heat r...
Dr. Ma Yiqun Reply:
1. Can allergen testing help prevent allergic reactions? Allergen testing can identify which substances a child is allergic to, allowing for the avoidance of those specific allergens and thereby reducing the occurrence of allergic reactions. 2. Will using ointments continuously ...[Read More] Effective Strategies to Manage Children's Skin Issues and Allergies
Signs of Vitamin D3 Overdose in Toddlers: What Parents Should Know
The child is suspected of having ingested vitamin D3 accidentally? A relative's child abroad is at the crawling age and may have accidentally ingested vitamin D3 when adults were not watching. It was discovered that there were 2 to 3 pills in the child's mouth (which ha...
Dr. Xiao Kaiwen Reply:
Excessive intake of vitamin D can lead to short-term symptoms of discomfort, which may not necessarily appear within one day and can vary depending on the level of excess. Symptoms may include nausea, vomiting, loss of appetite, constipation, weakness, weight loss, and elevated b...[Read More] Signs of Vitamin D3 Overdose in Toddlers: What Parents Should Know
Understanding Baby Bottle Tooth Decay: Prevention and Concerns
Bottle tooth decay Hello, doctor: I would like to ask about my two-and-a-half-year-old child. I no longer feed him at night, and he only has milk in the morning, afternoon, and evening, with some solid foods in between. You mentioned the need to prevent bottle caries. What is bot...
Dr. Zhang Yingwen Reply:
Bottle caries, as the name suggests, refers to tooth decay caused by improper use of baby bottles. Infants need to be fed either breast milk or formula from a bottle right after birth. As toddlers grow, around nine months to one year of age, they begin to develop their upper fron...[Read More] Understanding Baby Bottle Tooth Decay: Prevention and Concerns
Understanding Your Toddler's Sticky Stool: When to Seek Help
Pediatric loose stools? I would like to ask, my son, who is over 2 years old, sometimes has loose stools. Sometimes his stools are normal and formed, but at other times they are mushy. Is this normal? Should I see a doctor or give him medication?
Dr. Xiao Kaiwen Reply:
Generally, as long as a toddler's stool is not grayish-white, contains blood, is hard, or is watery, it is considered normal. Therefore, your child's stool should be acceptable.[Read More] Understanding Your Toddler's Sticky Stool: When to Seek Help
Concerns About Choking in Toddlers: What Parents Should Know
Choking in children Hello, my child is three years old and choked a bit while taking probiotics (powder form). Since then, there haven't been any significant issues. Is it possible that some of it went into the trachea? Should I have them checked or just observe? Thank you.
Dr. Xiao Kaiwen Reply:
If a foreign object is aspirated into the trachea, the most common symptom is coughing. Therefore, if there is a persistent cough that does not improve, or if fever occurs (which may lead to aspiration pneumonia), one should seek examination at a major hospital.[Read More] Concerns About Choking in Toddlers: What Parents Should Know
Can Daily Egg and Fish Consumption Affect Kidney Health in Toddlers?
Is it safe to eat eggs and fish every day? The child is currently 1 year and 6 months old and has been diagnosed with unilateral vesicoureteral reflux grade 3. Both kidneys are slightly smaller, but kidney function is normal. The child consumes an egg and a palm-sized fish almost...
Dr. Xiao Kaiwen Reply:
There is no need for dietary differences for children with urinary reflux compared to other children, unless there is abnormal kidney function. If your child's kidney function is normal, consuming one egg and fish daily will not place a burden on the kidneys.[Read More] Can Daily Egg and Fish Consumption Affect Kidney Health in Toddlers?
Understanding Nighttime Milk Requests in Toddlers: A Guide for Parents
Child Nutrition Hello Dr. Chang, I apologize for bothering you. I have a two-and-a-half-year-old sister who tends to wake up around midnight, around 2 or 3 AM, asking for milk. Is this behavior typical for children her age? Should I be adding anything extra to her diet? Thank you...
Dr. Zhang Yingwen Reply:
A two-and-a-half-year-old child should be able to sleep through the night without needing to be fed again. If there is a need to feed milk during the night, please pay attention to oral hygiene and clean the child's teeth to prevent bottle mouth decay.[Read More] Understanding Nighttime Milk Requests in Toddlers: A Guide for Parents
Can My 1-Year-Old Switch to 13-Valent Pneumonia Vaccine?
13-valent pneumococcal vaccine Hello doctor, my sister is currently one year old. Before she turned one, due to spitting up, the doctor recommended the 10-valent vaccine. She has completed 4 doses and only has one dose left. Can I give her the 13-valent vaccine for the last dose,...
Dr. Xiao Kaiwen Reply:
1. Lymphoid tissue will gradually enlarge steadily until puberty, after which it will naturally decrease and disappear. The absence of inflammation (redness, swelling, heat, pain) and malignancy (hardening, irregular borders, fixation, continuous enlargement) is considered normal...[Read More] Can My 1-Year-Old Switch to 13-Valent Pneumonia Vaccine?
Is Exclusive Breastfeeding Enough? Addressing Iron and Calcium Concerns
Exclusive breastfeeding Hello Dr. Hsiao, I would like to ask about breastfeeding. I am a mother who exclusively breastfeeds, and I recently read reports that babies who drink breast milk may lack iron and calcium, which makes me very worried. My baby is now one year old; how long...
Dr. Xiao Kaiwen Reply:
The claim that breastfeeding leads to iron and calcium deficiencies is exaggerated and remains controversial. I personally believe a more accurate statement is: breast milk is the best source of nutrition for normal newborns. Full-term, healthy newborns should be breastfed as soo...[Read More] Is Exclusive Breastfeeding Enough? Addressing Iron and Calcium Concerns
Can I Switch My Baby's Formula Early Due to Constipation?
Can children switch to a different formula early if they are constipated? Hello, doctor: I would like to ask, my child is currently 11 months and 15 days old. He is experiencing constipation and is passing small, pellet-like stools. He is currently drinking Snow Brand formula for...
Dr. Xiao Kaiwen Reply:
I think it should be fine. Of course, during the three days after the switch, pay attention to any gastrointestinal discomfort (usually diarrhea or skin rashes). If there are no significant adverse reactions, it should be okay. For infant constipation, increasing the intake of fi...[Read More] Can I Switch My Baby's Formula Early Due to Constipation?