Understanding Summer Fever in Children: Symptoms, Duration, and When to Seek Help
Regarding the issue of summer heat! Hello Dr. Hsiao: On the early morning of May 18th, my younger brother suddenly developed a fever of 38 degrees Celsius. We took him to the emergency department at Kaohsiung Chang Gung Memorial Hospital for blood tests, urinalysis, and stool tes...
Dr. Xiao Kaiwen Reply:
1. Summer heat is commonly observed during the hotter months, particularly in infants aged six months to three years. This may be due to the immature thermoregulation function in young children, causing their body temperature to rise with increasing environmental temperatures. Ty...[Read More] Understanding Summer Fever in Children: Symptoms, Duration, and When to Seek Help
Understanding Your Two-Month-Old's Stool Patterns: What’s Normal?
The stool patterns of a two-month-old baby? Hello doctor, my baby is almost three months old. He is primarily breastfed and only wakes up at night to have formula milk. His bowel movements are sometimes three to four times a day, and sometimes just once. They are usually loose an...
Dr. He Shenglong Reply:
Hello: The baby is primarily breastfed and has formula milk at night. Currently, the baby has bowel movements three to four times a day, which are pasty and sometimes watery; the frequency and consistency are considered normal. The bile secreted by the liver mixes with the stool,...[Read More] Understanding Your Two-Month-Old's Stool Patterns: What’s Normal?
Is X-Ray Safe for Infants Under One Year? Understanding Radiation Risks
X-ray for children under one year old? Hello, Doctor: I would like to ask if the radiation exposure from a head X-ray for a baby under one year old is very high? My baby accidentally bumped their head, and although I know there is some radiation involved, we still went ahead with...
Dr. Xiao Kaiwen Reply:
The radiation exposure from a single X-ray is very low and will not affect the body, so there is no need for concern. It is important to monitor for any changes in consciousness, such as drowsiness, irritability, persistent vomiting, or poor limb mobility. A CT scan does not requ...[Read More] Is X-Ray Safe for Infants Under One Year? Understanding Radiation Risks
Concerns About Administering Four-in-One Vaccine in the Buttocks
Four-in-One Booster Vaccine by Pasteur The child is 6 years and 1 month old. Today, they were taken to the clinic to receive the booster dose of the Pentavalent vaccine (DTPaHibIPV) and the Japanese Encephalitis vaccine, both administered in the buttocks (one injection in each si...
Dr. Xiao Kaiwen Reply:
Vaccines are not suitable for administration in the buttocks, particularly for children under three years old, as the gluteal muscles are not sufficiently developed at that age. By the age of six, it should be acceptable. There is no specific time interval required between vaccin...[Read More] Concerns About Administering Four-in-One Vaccine in the Buttocks
Understanding Mosquito Bites in Infants: Allergies and Skin Reactions
Mosquito bite? Doctor: I would like to ask, my baby is eight months old and every time he gets bitten by a mosquito, the reaction is quite severe. The bite area becomes dark red and large, and the marks from previous bites remain dark for one to two months. Could this be atopic d...
Dr. Ma Yiqun Reply:
Hello, Xiaowen's mom: The rash that appears after a mosquito bite is primarily caused by an allergic reaction to the mosquito's saliva. Since each individual's constitution is different, the degree of allergy to mosquito saliva can also vary. The more severe the al...[Read More] Understanding Mosquito Bites in Infants: Allergies and Skin Reactions
Is My Baby Okay After Falling from Bed? Signs to Watch For
The baby fell off the bed? My baby is over eight months old! He accidentally fell off the bed... the bed is quite high (about 100 centimeters)! At that moment, he cried very loudly for about five minutes! After crying, he immediately fell back asleep! He was already sleeping befo...
Dr. Xiao Kaiwen Reply:
In cases of head trauma, it is important to monitor for intracranial hemorrhage. During the acute phase, observation should last for three days, while less common chronic bleeding requires observation for one week. It is essential to monitor the patient's level of consciousn...[Read More] Is My Baby Okay After Falling from Bed? Signs to Watch For
Understanding Ear Infections in Children: Symptoms, Diagnosis, and Treatment
Otitis media, hearing, and headache? Hello, doctor. My child has a history of allergies (mainly nasal). Around March 20th of this year, he had a fever and we took him to see an ENT specialist. The doctor diagnosed him with otitis media and prescribed antibiotics for two weeks (wh...
Dr. Xiao Kaiwen Reply:
1. A reliable pneumatic otoscope examination assesses the color, translucency, fluid presence, and mobility of the tympanic membrane. The patient's tympanic membrane may appear red, swollen, opaque, with diminished light reflex, and may appear full, bulging, or even deformed...[Read More] Understanding Ear Infections in Children: Symptoms, Diagnosis, and Treatment
Managing Cough and Phlegm in Children: A Guide for Parents
My younger brother has phlegm in his lungs! How should we handle this? Hello Dr. Hsiao, My younger brother suddenly developed a fever of 39.8 degrees Celsius around 1 AM last Saturday. He was taken to Chang Gung Memorial Hospital's emergency department, where the doctor dia...
Dr. Xiao Kaiwen Reply:
1. Viral infections can cause fever for 2-3 days, but in some cases, it may last up to a week. Generally, if a fever persists for more than 3-4 days, physicians will conduct tests (such as blood tests, X-rays, or urinalysis) to check for possible bacterial infections. If the feve...[Read More] Managing Cough and Phlegm in Children: A Guide for Parents
How Much Sleep Does a Newborn Need? Addressing Sleep Issues in Infants
The baby is not getting enough sleep? Dear Doctor: My baby is a little over 2 weeks old and has very light sleep. Sometimes, even a slight noise or light will wake them up. Usually, they only sleep about 2 hours in total during the day. (At night, they are sent back to the matern...
Dr. He Shenglong Reply:
Hello: A 2-week-old baby still sleeps a lot, close to 20 hours a day. Of course, they may wake up with any noise or light, indicating a light sleep; however, this does not affect their development, just makes them a bit harder to manage. To improve this situation, it is important...[Read More] How Much Sleep Does a Newborn Need? Addressing Sleep Issues in Infants
Addressing Dietary Concerns for a 3-Year-Old: Tips for Healthy Eating Habits
Dietary Issues in 3-Year-Olds Hello Doctor: My daughter is 3 years and 4 months old and has not yet started preschool. She is currently being cared for by a nanny, but her appetite has not increased; in fact, it has decreased. She used to eat a full bowl of rice, but now she only...
Dr. Zhang Yingwen Reply:
To help young children develop good eating habits, there are two basic principles: 1. Avoid snacking, and 2. Maintain regular bowel habits. According to the description, the sister's irregular bowel movements affect her appetite. In addition to the intake of dietary fiber fr...[Read More] Addressing Dietary Concerns for a 3-Year-Old: Tips for Healthy Eating Habits
Understanding Thyroid Function Tests in Pediatric Patients: A Guide for Parents
Hypothyroidism Hello, Doctor: I would like to ask if different hospitals use different methods, instruments, or units for thyroid examinations. My son had his tests done at National Cheng Kung University, where the unit used was mU/L, but I found that most online sources use uIU/...
Dr. He Shenglong Reply:
Hello: Each hospital has its own reference ranges for tests, and it is recommended to consult your pediatric endocrinologist and metabolic specialist. For infants consuming formula milk, it is normal for them to have bowel movements every 4-5 days. You can apply warm water compre...[Read More] Understanding Thyroid Function Tests in Pediatric Patients: A Guide for Parents
Understanding Bronchitis in Infants: Symptoms, Care, and Recovery Time
Bronchiolitis in infants Hello Dr. Hsiao, my baby is currently 2 months and 20 days old and has caught a cold for the second time. This time, she has a severe cough along with wheezing. I took her to the doctor, who said it might be bronchitis, possibly triggered by the cold or d...
Dr. Xiao Kaiwen Reply:
1. For those with mild symptoms, the symptoms typically resolve within two to five days. In more severe cases, the illness may last longer and could progress to bronchiolitis or pneumonia, requiring hospitalization. Patients with pre-existing conditions such as congenital heart d...[Read More] Understanding Bronchitis in Infants: Symptoms, Care, and Recovery Time
Can Vaccines Worsen a Cold in Newborns? Pediatric Insights
Neonatal cold (to ask again) Dr. Hsiao, I apologize for asking another question. When a baby receives vaccinations at the hospital, do the doctors check to ensure there are no issues before administering the shots? If a baby had a mild cold prior to receiving the BCG vaccine and ...
Dr. Xiao Kaiwen Reply:
1. Contraindications for vaccination include: fever, having a "severe" acute illness, undergoing immunosuppressive therapy, and known allergies to vaccine components. A common cold is generally not a contraindication for vaccination. 2. Vaccines are made from specific c...[Read More] Can Vaccines Worsen a Cold in Newborns? Pediatric Insights
Understanding Hiccups in Toddlers: Causes and Solutions
Neonatal vaccination? Hello, I would like to ask about my younger sister who is currently about 18 months old. Sometimes she experiences burping, and after I pat her back, it seems to improve a bit. At this age, has her gastrointestinal tract fully developed, or does she need to ...
Dr. Zhang Yingwen Reply:
A one-and-a-half-year-old child has better gastrointestinal development compared to the infant stage, so they can consume solid foods. However, their development is still not complete (for example, in terms of gastric acid secretion or intestinal length). Patting their back can i...[Read More] Understanding Hiccups in Toddlers: Causes and Solutions
Understanding Colds in Newborns with Heart Conditions: Key Insights
Common Cold in Newborns Dr. Hsiao, I would like to ask again about my child who has a patent foramen ovale. How will a cold affect her? What should we pay attention to? The baby does not have a fever, is active, and has a good appetite, but she does have a cough. I heard from a d...
Dr. Xiao Kaiwen Reply:
1. The majority of patent foramen ovale cases are benign and will gradually close on their own. If there are no cardiac complications, a common cold does not have any impact. 2. Coughing between 2 to 5 AM does not necessarily indicate pneumonia; there is no such assertion. 3....[Read More] Understanding Colds in Newborns with Heart Conditions: Key Insights
Newborn Cough: Understanding Symptoms and Care for Your Baby
Urgent~~Newborn Cold Hello, doctor. I am a new mother and I would like to ask about my baby. She is just under two months old and has recently started coughing, initially just 1 or 2 times, but in the last couple of days, her cough has worsened, resembling an adult's cough d...
Dr. Xiao Kaiwen Reply:
1. A weight gain of 1400 grams in a little over a month after birth is an acceptable growth rate; others may perceive the baby as small due to a lower birth weight. 2. It is quite common for infants to have small lymph nodes near the back of the neck, and this is generally cons...[Read More] Newborn Cough: Understanding Symptoms and Care for Your Baby
Understanding Constipation in Formula-Fed Babies: Tips for Parents
Babies who are fed formula milk? Doctor: May I ask, my little sister is already one year old and she is drinking formula milk. I would like to know if babies who drink formula can experience constipation. She is fed every four hours and sometimes has a bloated stomach. Could this...
Dr. Zhang Yingwen Reply:
1. A one-year-old toddler no longer needs to be fed every four hours; is this the same for a one-month-old infant? 2. Formula milk can indeed cause constipation more easily than breast milk, which is why breast milk is the best nutritional food for infants. 3. When a toddler has ...[Read More] Understanding Constipation in Formula-Fed Babies: Tips for Parents
Understanding Infant Sleep Issues: Colic and Constipation Concerns
Baby Sleep Doctor: My younger sister is one year and one month old. She experiences colicky pain at night when she sleeps. We previously changed her formula, and I'm not sure if this is related. Will this condition improve as she gets older? Sometimes her stools are very har...
Dr. Zhang Yingwen Reply:
If your sister has constipation issues, it is recommended to provide more water or glucose water. Additionally, abdominal massage (clockwise massage around the navel) or slight anal stimulation can be performed. These methods can help facilitate bowel movements. Difficulty in pas...[Read More] Understanding Infant Sleep Issues: Colic and Constipation Concerns
Understanding White Stool Clumps in Infants and Yam Consumption for Toddlers
White stool with yam? Hello Dr. Hsiao, I would like to ask: 1. My sister, who is one month old, is primarily breastfed, but since she hasn't been getting enough, we have been supplementing with Nestlé formula. Since we started the formula, her stool has been yellow, which ...
Dr. Xiao Kaiwen Reply:
1. It is normal for undigested milk to form white curds in the stool; this is not a sign of indigestion. 2. As long as yam is cooked, it is safe for consumption and will not cause allergies, making it suitable for young children. However, it is considered a staple food, so if c...[Read More] Understanding White Stool Clumps in Infants and Yam Consumption for Toddlers
Understanding Infant Sleep Patterns and Feeding Issues in Cold Weather
Baby's routine Hello, due to the colder weather these past few days, my sister has just turned one year old. She drinks formula milk in the morning and evening, and she can consume 60-70cc per feeding without any issues. However, she tends to spit up after rolling over. Some...
Dr. Zhang Yingwen Reply:
Is the baby girl one year old or one month old? Because a milk intake of 60 to 70 cc is relatively low for a one-year-old child, it shouldn't cause vomiting, and colicky abdominal pain is not commonly seen in one-year-olds. If the baby girl has just turned one month old, the...[Read More] Understanding Infant Sleep Patterns and Feeding Issues in Cold Weather