Managing Sleep Challenges with Twins: Tips for New Parents
Infant Sleep Hello, I have twin babies. My eldest, Yawen, was advised by the hospital nurse to feed every four hours. However, he cried continuously last night, and his diaper was dry. I could hardly sleep, and the younger one was also disturbed by the older one's crying. Ho...
Dr. Zhang Yingwen Reply:
Babies typically cry for a reason. First, try to soothe them with a gentle voice to stabilize their emotions. Next, check their diaper or look for signs of bloating, constipation, or fever, and ensure their environment is comfortable. If they continue to cry, it may be helpful to...[Read More] Managing Sleep Challenges with Twins: Tips for New Parents
Understanding Lumps on Your Child's Head: When to Worry
Small hard lump on the head? Hello, Doctor He: I have a daughter who is currently 1 year and 6 months old. When she was a newborn, we accidentally discovered multiple small lumps at the back of her head, located about 1 to 2 centimeters above her neck. At that time, we consulted ...
Dr. He Shenglong Reply:
Hello: After a child contracts a respiratory infection, it is common to find painless, movable small hard nodules (lymph nodes) in the neck, posterior neck, or behind the ears. Generally, these can be monitored as they will gradually decrease in size. However, if there is localiz...[Read More] Understanding Lumps on Your Child's Head: When to Worry
Improving Infant Constipation: Formula and Solid Food Ratios Explained
The ratio of breast milk to formula? Hello, regarding the topic, can this improve the issue of constipation in infants? If so, what would be the appropriate ratio? Can complementary foods replace main meals? Aren't they primarily for training chewing skills? Additionally, I ...
Dr. Xiao Kaiwen Reply:
1. The osmotic pressure of breast milk and formula milk differs, making it inadvisable to mix them, and it does not help improve infant constipation. 2. As the infant grows older, complementary foods should gradually become the main meals, while the original milk products should ...[Read More] Improving Infant Constipation: Formula and Solid Food Ratios Explained
Understanding Allergies in Children: Milk and Dairy Sensitivities Explained
Regarding allergy issues? Hello Dr. Hsiao: My child is in first grade this year and has had allergies since a young age. He often sneezes and has a runny nose in the morning, and whenever he catches a cold, he easily develops a runny nose, cough, and post-nasal drip, which can le...
Dr. Xiao Kaiwen Reply:
1. Food allergies do not necessarily only occur in the gastrointestinal tract or on the skin; they can also cause adverse reactions in the respiratory system (such as the trachea or nasal passages). 2. Whether an allergen triggers an allergic reaction or the severity of the react...[Read More] Understanding Allergies in Children: Milk and Dairy Sensitivities Explained
Understanding Your Baby's Soft Stools: Is It Normal?
Baby's stool Hello, doctor. Sorry to bother you. My baby is now one year old and has recently switched from formula. Currently, the stool is not watery but soft and mushy. The issue is that my baby is having bowel movements about two to three times a day, and each time it&#x...
Dr. Xiao Kaiwen Reply:
Formula intolerance typically occurs within three days of switching, presenting as rashes or watery diarrhea. If the stool is soft and similar in consistency to previous bowel movements, it should not be a concern. By the age of one, a child can consume a variety of complementary...[Read More] Understanding Your Baby's Soft Stools: Is It Normal?
Assessing Developmental Delays in Infants: Understanding Milestones and Testing
Regarding infant intelligence testing! Hello, Dr. Hsiao! My brother is now nine months and five days old. Today, we took him to see a neurologist who assessed his development and said, "His development is only at the level of a seven-month-old." I looked at the developm...
Dr. Xiao Kaiwen Reply:
The development of parental records in the child health handbook does not necessarily require full compliance to be considered normal. There is considerable variability in the neurological development of infants and young children of the same age, and such variability can still b...[Read More] Assessing Developmental Delays in Infants: Understanding Milestones and Testing
Can Breastfeeding with Hepatitis B Risk Infection in Infants?
Breastfeeding with Hepatitis B? Hello Doctor: I would like to ask you... I have a positive Hepatitis B infection and recently breastfed a relative's child, but the child only consumed less than 10ml of breast milk. I later realized that I should not breastfeed due to my Hepa...
Dr. He Shenglong Reply:
Hello: Currently, there is no evidence that hepatitis B can be transmitted to infants through breast milk, so mothers who are carriers of hepatitis B can still breastfeed. For mothers who are positive for both hepatitis B surface antigen and e-antigen, the infant will receive hep...[Read More] Can Breastfeeding with Hepatitis B Risk Infection in Infants?
Understanding Gynecomastia in Adolescents: Causes and Solutions
My breasts are so large? Hello doctor, I am a first-year junior high school student and I am a boy. I am 157 cm tall and weigh 60 kg, and I have a B cup size. Everyone calls me a weirdo, and I really feel very insecure! Is it related to the fact that I used to eat chicken skin? I...
Dr. Xiao Kaiwen Reply:
Men with suspected gynecomastia may have several potential causes: 1. Obesity: Individuals who are overweight often have enlarged, sagging breasts, which may be due to fat accumulation rather than glandular tissue proliferation. During examination, raising both arms fully should ...[Read More] Understanding Gynecomastia in Adolescents: Causes and Solutions
Timing Concerns for Hepatitis B Vaccination in Preterm Infants
Issues Regarding the Timing of Hepatitis B Vaccination My daughter was born prematurely on October 4th. She received the first dose of the hepatitis B vaccine on October 22nd. On November 6th, she was supposed to go to the health center for the BCG vaccine, but since her weight w...
Dr. Pei Rensheng Reply:
Dear Mommy Tingting, Hello! The "Vaccination Group of the Infectious Disease Control Advisory Committee of the Department of Health, Executive Yuan" has provided recommendations regarding vaccinations for young children, including the hepatitis B vaccine, combination v...[Read More] Timing Concerns for Hepatitis B Vaccination in Preterm Infants
Do Newborns Need Water? Guidelines for Parents on Hydration
Do newborns need supplemental hydration? Dear Doctor, my baby has been consuming formula milk along with breast milk and is about to turn one month old. I've noticed that my baby sometimes sticks out their tongue after eating and resting for a while. When my baby was two wee...
Dr. Xiao Kaiwen Reply:
In principle, the primary source of nutrition for newborns and young infants is milk, which contains a significant amount of water. If they urinate 6-8 times a day and the urine is light in color and not concentrated, it indicates that they are adequately hydrated and do not need...[Read More] Do Newborns Need Water? Guidelines for Parents on Hydration
Is Your Baby's Stool Normal After Gastroenteritis? Understanding Baby's Digestive Health
Is the baby experiencing diarrhea? Hello, Dr. Hsiao: My baby is now just eight months old. Before having gastroenteritis, his stools were firm and shaped like logs, occasionally passing pellet-like stools. However, during the gastroenteritis, he had watery stools with a sour smel...
Dr. Xiao Kaiwen Reply:
If the stool has a higher water content than normal, it is considered diarrhea. Moreover, if your baby has watery and slightly acidic stools the day after consuming regular formula, it indicates that the gastroenteritis has not fully resolved. It may be insufficient to dilute hal...[Read More] Is Your Baby's Stool Normal After Gastroenteritis? Understanding Baby's Digestive Health
Understanding Pediatric Intestinal Parasite Infections: Diagnosis and Treatment
Intestinal parasitic infection Dear Dr. Pei, I apologize for bothering you again. During the hospitalization, the doctors conducted tests for IgE allergens and immune system evaluations, and the reports came back normal. Therefore, the attending physician ruled out allergic gast...
Dr. Pei Rensheng Reply:
Hello: Patients with elevated eosinophils and protein loss can still undergo gastrointestinal endoscopy and pathology sampling. Elevated eosinophils may indicate not only allergies and parasitic infections but also certain forms of malignancies, such as Hodgkin's lymphoma an...[Read More] Understanding Pediatric Intestinal Parasite Infections: Diagnosis and Treatment
Understanding Chronic Gastric Ulcers in Young Children: A Case Study
Chronic gastric ulcer Hello Dr. Fei, my child is 2 years and 10 months old. On October 4th, he was hospitalized due to edema in the limbs and was found to have low albumin levels. After an ultrasound examination, both the kidneys and liver were normal. After receiving six high-pr...
Dr. Pei Rensheng Reply:
Hello: Based on your description, the low albumin and elevated eosinophils may indicate conditions other than parasites, such as eosinophilic gastroenteritis. Patients with eosinophilic gastroenteritis can also be tested for IgE and allergens. It is advisable to avoid foods that ...[Read More] Understanding Chronic Gastric Ulcers in Young Children: A Case Study
Managing Nasal Congestion in Newborns: Tips for Parents
My baby has nasal congestion? My baby is less than two weeks old and has been sneezing consistently. In the past few nights, I've noticed a nasal congestion sound similar to a pig's snort, and I can faintly hear the sound of mucus that hasn't been cleared. Occasion...
Dr. Xiao Kaiwen Reply:
Newborns in the first few months of life often exhibit nasal congestion or rattling sounds due to the relatively enlarged and softer soft tissues in their respiratory tract. This is frequently mistaken for a cold, leading to unnecessary medication, while in reality, these symptom...[Read More] Managing Nasal Congestion in Newborns: Tips for Parents
Understanding Hydrocephalus in Infants: MRI Insights and Growth Monitoring
Hydrocephalus and Magnetic Resonance Imaging (MRI) Dear Dr. Hsiao, My younger brother is seven months and thirteen days old. Today, we went for a follow-up ultrasound of his brain because he was previously diagnosed with hydrocephalus. The first ultrasound showed a hydrocephalus...
Dr. Xiao Kaiwen Reply:
1. After birth, an infant's head circumference typically increases by an average of 8 to 10 centimeters in the first six months, and by about 2 to 4 centimeters in the second six months. You can estimate this growth or use the growth charts in the child's health booklet...[Read More] Understanding Hydrocephalus in Infants: MRI Insights and Growth Monitoring
Why Is My Baby's Face, Hands, and Feet Yellow? Causes Explained
The yellowing of the face, hands, and feet in your brother could be caused by several factors, with the most common being jaundice. Jaundice occurs when there is an excess of bilirubin in the bloodstream, which can result from liver dysfunction, bile duct obstruction, or hemolysi...
Dr. Xiao Kaiwen Reply:
If one consumes a large amount of carotenoid-rich foods over a long period, such as carrots, pumpkins, sweet potatoes, papayas, and mangoes, it can lead to a yellowish pigmentation deposit in the skin (especially on the face, palms, and soles), resulting in a localized yellowish ...[Read More] Why Is My Baby's Face, Hands, and Feet Yellow? Causes Explained
Can Children with Allergies Receive the Flu Vaccine?
Influenza vaccine Hello, doctor! My 2-year-old child has been taking medication for nasal and bronchial allergies recently. Is it safe to administer the flu vaccine?
Dr. Pei Rensheng Reply:
Dear Mom, Hello! The contraindications for the influenza vaccine include: allergy to egg protein, fever, or other serious illnesses. Allergy medications do not affect the administration of the influenza vaccine. The physician will reassess before the vaccination. Wishing you ...[Read More] Can Children with Allergies Receive the Flu Vaccine?
How Long Do Side Effects of Shipleymin Last in Infants?
How long do the side effects of Shiplimin last? Dear Dr. Hsiao, My younger brother is currently 6 months and 25 days old and has developed roseola. We took him to see a doctor yesterday, who prescribed a bottle of "Chlorpheniramine" for him, advising us to give it four...
Dr. Xiao Kaiwen Reply:
Chlorpheniramine is an antihistamine, and a common side effect is drowsiness. This medication is short-acting, and if there are no other interacting medications, the effects of the drug should be minimal after discontinuation for half a day to 24 hours.[Read More] How Long Do Side Effects of Shipleymin Last in Infants?
Understanding Menstruation and Growth Plate Concerns in Children
Menarche and its relation to growth plates? My daughter has just entered fifth grade and seems to be experiencing signs of menarche. I've heard that this could mean her height will no longer increase. Is this true? She is currently about 145 cm tall. Does she need to see a W...
Dr. Xiao Kaiwen Reply:
If precocious puberty occurs (defined as the appearance of secondary sexual characteristics in females before age 8, such as breast development and the emergence of pubic and axillary hair; or menstruation before age 10), adult height may be shorter than average. If there is no p...[Read More] Understanding Menstruation and Growth Plate Concerns in Children
Understanding Blood in Stool: What Parents Should Know
Blood in the stool in children? Dear Doctor, my child is currently 4 years old and has had bright red blood in his stool for two consecutive days. The stool has been formed and brown in color, without any black coloration. He has a bowel movement at least once every two days, las...
Dr. Pei Rensheng Reply:
Dear Klein, Hello, the most common cause of blood in the stool in a 4-year-old child is constipation combined with anal fissures. Other possible causes include bacterial enteritis, diverticulitis, polyps, coagulopathy, and other gastrointestinal tumors. The physician will perfor...[Read More] Understanding Blood in Stool: What Parents Should Know